Taking stimulants such as Concerta at high doses or for a long time can lead to dependence. Physical dependence on stimulants means that your body has become used to them and you need them in order to feel normal. They can help you safely taper off the drug and manage any symptoms. These symptoms occur for the same reason crashes occur. Stopping the drug suddenly causes a sharp dip in these levels, leading to withdrawal symptoms. In very rare cases, it could cause a psychotic episode.
This allows your body to get used to the changes in norepinephrine and dopamine levels in your brain. If you want to stop taking Concerta, talk to your doctor. They will help you taper off the drug to help prevent withdrawal symptoms. Learn more: Major depression with psychotic features ». In addition to a crash or withdrawal, Concerta can cause side effects.
Some of its more common side effects include:. Concerta is most effective several hours after taking it. If you find that you often have mood swings or other physical or emotional changes a few hours after taking Concerta, you may be having side effects rather than a crash. What may seem like a crash caused by low drug levels may be just the opposite — it could be the effects of the drug.
If this is the case and your symptoms bother you, talk to your doctor. They may need to lower your dosage. To help avoid or manage crash, withdrawal, dependence, or side effects, talk with your doctor. Keep an open conversation during your Concerta treatment. This can help you reduce negative effects and get the most benefit from your therapy.
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These lists contain examples of serious side effects that can occur with Concerta, with Vyvanse, or with both drugs when taken individually. The use of Concerta and Vyvanse in treating ADHD has been directly compared in a clinical study that looked at adolescents ages 13 to 17 years. A placebo is a treatment with no active drug. Your doctor can help determine whether Concerta or Vyvanse may be more appropriate for your needs. Concerta and Vyvanse are both brand-name drugs.
There is a generic form of Concerta available, which is called methylphenidate ER. Vyvanse does not have a generic form available. Brand-name medications usually cost more than generics, but generics work in your body the same way as their brand-name parent drugs do. However, the generic form of Concerta is less expensive than Vyvanse. Here we look at how Concerta and Ritalin LA are alike and different. Concerta is approved for use in adults and children ages 6 to 65 years.
Ritalin LA is approved for use only in children ages 6 to 12 years. Concerta and Ritalin LA both contain a long-acting form of the drug methylphenidate. Concerta releases the drug over the course of about 12 hours. Ritalin LA also releases the drug over time. However, it only lasts for about 6 hours in your body. After this period of time, you may notice an increase in your ADHD symptoms. Concerta and Ritalin LA were compared in a small clinical study. This study showed that Ritalin LA was more effective in treating ADHD symptoms in the morning, within the first 4 hours after it was taken, than Concerta was.
However, because Ritalin LA wears off after about 6 hours, Concerta may be a better option for some people. This is because the effects of Concerta last for about 12 hours in your body. However, because the medications release differently in your body, there are differences in their effectiveness after certain amounts of time since they were taken.
Concerta and Ritalin LA are both brand-name drugs. There are currently generic forms of both drugs available. Yes, Concerta is a stimulant medication. It works by stimulating your central nervous system CNS , which includes your brain and spinal cord.
Both of these chemicals help your brain to pay attention and focus. You may have withdrawal symptoms if you stop taking Concerta. This is because Concerta affects certain brain chemicals called norepinephrine and dopamine. Once you stop taking Concerta, your brain will have less of these chemicals, which can lead to withdrawal symptoms. Withdrawal symptoms can begin within 24 hours of your last dose of Concerta. This can help to reduce the withdrawal effects that you may have by quickly stopping your higher dose of Concerta.
It possibly can. Concerta affects levels of a brain chemical called dopamine. This feeling is often called euphoria a feeling of extreme happiness. However, in clinical studies , Concerta caused less euphoria than Ritalin, another drug that also contains methylphenidate. This is because Concerta releases the drug slowly over time, while Ritalin releases all of drug at once. Because of this, your dopamine levels are increased slower than they are with Ritalin.
They can discuss this risk with you and review all of your treatment options. In clinical trials , decreased height and weight were seen in children taking Concerta. After 3 years of treatment with the drug, children were shorter by an average of 2 centimeters about 0. Those taking Concerta also had a lower body weight by an average of 2. You possibly can. Concerta is a stimulant medication that can increase your heart rate and blood pressure.
Before starting Concerta, your doctor will make sure that your heart is healthy enough for you to take a stimulant medication. If you have high blood pressure, heart failure, or a history of heart attack, your doctor may do extra testing to be sure your heart is healthy enough for you to take Concerta. Adults have a higher risk of heart problems while taking stimulants.
Adults with certain heart problems should avoid taking stimulant medications. These heart problems include:. Concerta should also be avoided in children with structural heart issues or other serious heart problems.
Sudden death, stroke , and heart attack have occurred in people taking stimulant medications. Concerta may also be used off-label for other conditions. But it can continue into your adult life. Symptoms of ADHD include:. To be diagnosed with ADHD, your symptoms must cause trouble in multiple settings, such as at home, work, or school.
Your symptoms must also be present before the age of 7 years. However, genetics probably play a role in the development of this condition. The three types of ADHD are described below. Three different clinical trials studied Concerta use in children ages 6 to 12 years. In these studies, children taking Concerta had a significant decrease in inattention and overactivity.
This was in comparison to children who were taking a placebo treatment with no active drug. In addition, one study looked at adolescents children ages 13 to 18 years with ADHD. Adolescents taking Concerta had their ADHD symptoms reduced more than did adolescents taking a placebo. A clinical trial showed that Concerta significantly reduced inattention in adults taking the drug compared with adults taking a placebo.
Concerta is approved for use in children ages 6 years and older with attention deficit hyperactivity disorder ADHD. You may wonder if Concerta is used for other conditions. Using Concerta for weight loss is not an appropriate use of the drug. Sometimes stimulant medications such as Concerta can make anxiety symptoms even worse. If you have both anxiety and ADHD, Concerta may not be the right medication for you, because it can make your anxiety even worse.
With bipolar disorder, people can have extreme changes in their mood and energy levels. Concerta is not an appropriate treatment for people with ADHD who also have bipolar disorder. Taking Concerta can make your bipolar disorder worse.
If you have bipolar disorder and ADHD, talk with your doctor about your treatment options. With this condition, you may feel unusually tired and fall asleep suddenly. However, Concerta is not approved to treat narcolepsy.
Alcohol is a depressant, which means that it decreases the activity of your nervous system. Concerta, on the other hand, is a stimulant medication. It increases the activity of your nervous system. Concerta can also cause dependence in some people. With dependence, your body needs the drug in order for you to feel normal.
Concerta can interact with several other medications. It can also interact with certain supplements as well as certain foods. Different interactions can cause different effects.
For instance, some interactions can interfere with how well a drug works. Other interactions can increase the number of side effects or make them more severe. Below are lists of medications that can interact with Concerta. These lists do not contain all the drugs that may interact with Concerta.
Before taking Concerta, talk with your doctor and pharmacist. Tell them about all prescription, over-the-counter, and other drugs you take. Also tell them about any vitamins, herbs, and supplements you use. Sharing this information can help you avoid potential interactions. If you have questions about drug interactions that may affect you, ask your doctor or pharmacist. Taking Concerta with Prozac fluoxetine can possibly cause a drug interaction.
Concerta is a stimulant medication that acts on your central nervous system CNS. Caffeine is also a stimulant. Products that contain caffeine include coffee, soda, and certain teas and headache or pain medications.
When caffeine and Concerta are taken together, you can have increased side effects, such as feeling irritable or anxious. Both caffeine and Concerta can cause trouble sleeping and can increase your heart rate and blood pressure. If you enjoy drinking coffee, tea, or soda, try drinking decaffeinated forms while you are taking Concerta. Taking Concerta with Zoloft sertraline can cause a drug interaction.
Concerta can block the breakdown of Zoloft in your body. This can increase your levels of Zoloft. This will help prevent you from having too much Zoloft in your body. Concerta can interact with Lexapro escitalopram if these drugs are taken together.
This can cause your levels of Lexapro to increase. Clonidine is a medication that can be used to lower high blood pressure. Concerta can cause an increase in your blood pressure. Taking Concerta with clonidine may decrease the effects of clonidine, which can increase your blood pressure. In rare instances, this increased blood pressure has resulted in death. MAOIs are a class of medications that are used to treat depression and anxiety. Examples of MAOIs include:. These medications should never be taken with Concerta.
Using Concerta along with an MAOI can cause stroke , heart attack , kidney failure, and sudden death. Taking Concerta with warfarin Coumadin can cause a drug interaction. Concerta can block the breakdown of warfarin in your body. These tests will check the thickness of your blood, which is affected by warfarin.
You may have to have blood tests done more often when you first start Concerta than you did before you started the drug. These seizure medications include:. This can be very dangerous. If you need to take Concerta in combination with a seizure medication, your doctor may decrease the dosage of your seizure medication.
Your doctor may also do blood tests to make sure that levels of the seizure medication in your body are not too high. Taking Concerta with a vasopressor may not be safe. Vasopressors are a class of medications that are used to treat low blood pressure.
Examples of vasopressors include:. Both vasopressors and Concerta cause your blood pressure to increase. Taking vasopressors with Concerta can cause your blood pressure to be even higher, which may become dangerous.
However, you should still check with your doctor or pharmacist before using any of these products while taking Concerta. Concerta is a stimulant medication that can cause an increase in your blood pressure and heart rate.
Caffeine can also cause these same effects in your body. While taking Concerta, you should avoid consuming foods and drinks that contain caffeine.
Examples of foods and drinks that contain caffeine include:. Consuming any of the foods or beverages listed above in combination with Concerta can increase your risk of side effects, such as:. If you feel that you need some caffeine, talk with your doctor about how much caffeine is safe for you to consume.
You can also call the American Association of Poison Control Centers at or use their online tool. In addition, some people may notice side effects before they notice an improvement in their symptoms. Side effects for stimulant medication may include:. Side effects for non-stimulant medication may include:. In addition, you'll be better able to:. If you have been taking ADHD medications and have not experienced an improvement in your symptoms, visit your doctor and tell them about your experience.
Your doctor will usually start you at a low dose and gradually increase it until the right therapeutic dose for you is found. This is where there is an improvement in your symptoms without negative side effects. If higher doses of the medication are not helpful, your doctor might change your medication from an amphetamine medication to a methylphenidate medication or vice versa. A non-stimulant medication might be suggested, either alone or with stimulant medication, as another option.
Although some people experience positive results on the first day of taking medication, for many people, it takes a few tries until they find the right medication and dosage that works for them.
Although it can feel disappointing to not get immediate results, it does not mean ADHD medication won't work for you. It just means you have not found the right medication and dose yet.
If a child isn't responding to medication, your healthcare provider may also test for any coexisting conditions, including depression, bipolar disorder , or a learning disability or behavioral problem. A great way to know if your meds are working is to be strategic. Jot down the ADHD symptoms you would like to see improvements with. Then, when you start taking a medication, document any changes or personal observations.
Ask your partner or family members for feedback, too, as they might notice changes that you were not aware of. If you are a parent, you can write down the changes you notice in your child as well as your child's feedback and that of your child's teacher. In addition to being helpful to you, this information will also be beneficial for your doctor.
Learn the best ways to manage stress and negativity in your life. De sousa A, Kalra G. Drug therapy of attention deficit hyperactivity disorder: Current trends. Mens Sana Monogr. New formulations of stimulants: an update for clinicians.
J Child Adolesc Psychopharmacol. Cleveland Clinic. Reviewed February 23, Noven Therapeutics, LLC. Neurol Res Int. Integr Pharm Res Pract.
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