Do not use methylphenidate if you have used an MAO inhibitor in the past 14 days. A dangerous drug interaction could occur. MAO inhibitors include isocarboxazid, linezolid, methylene blue injection, phenelzine, rasagiline, selegiline, tranylcypromine, and others.
You should not use methylphenidate if you are allergic to it, or if you have: Stimulants have caused stroke, heart attack, and sudden death in certain people. Tell your doctor if you have: To make sure this medicine is safe for you, tell your doctor if you or anyone in your family has ever had: It is not known whether this medicine will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant. It is not known whether methylphenidate passes into breast milk or if it could harm a nursing baby.
Tell your doctor if you are breast-feeding a baby. Methylphenidate is not approved for use by anyone younger than 6 years old. Back to Top Concerta Side Effects Get emergency medical help if you have signs of an allergic reaction: Call your doctor at once if you have: Methylphenidate can affect growth in children. Tell your doctor if your child is not growing at a normal rate while using this medicine.
Common side effects may include: This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. This includes your age, other health issues you have, and how you respond to the drug.
Children often take a smaller dosage than adults. Always take your dosage as prescribed. If you routinely take too much, you may need more of the drug for it to be effective. These drugs also carry the risk of addiction. How to take the medications Swallow either drug whole with water.
You can take them with or without food. If you have trouble swallowing Adderall, you may open the capsule and mix the granules with food. I didn't use medication until about 10 years later. I talked with my new psychiatrist about my past prescriptions and how I'd read about ritalin. My doctor prescribed me Concerta and it has made a world of difference in my life.
I can actually get things done in a reasonable time, I don't feel restless, I am much more organized and productive. It really seems that it unlocked a part of me that I have never known, but always wish I had! It has none of the nasty side effects that amphetamines gave me. I don't even realize it has stopped working, but my girlfriend can cue inattention, disorganization, etc. I only take 18 mg Concerta and it is fantastic.
The crash was hell and it complicated my life. I was skeptical to take meds but decided to try again. I take the generic Concerta and it is wonderful! There was a bit of a crash at first. But if you take it with a multi-vitamin there is no crash! Since I learned this trick its been amazing. Worth trying if adderall didnt work for you. Plus it doesn't give you the hype like adderall so in my view its less addicting. Dont forget the multivitamin! Downward dose adjustment of these drugs may be required when given concomitantly with methylphenidate.
It may be necessary to adjust the dosage and monitor plasma drug concentrations or, in the case of coumarin, coagulation times , when initiating or discontinuing concomitant methylphenidate. Chronic abusive use can lead to marked tolerance and psychological dependence with varying degrees of abnormal behavior. Frank psychotic episodes can occur, especially with parenteral abuse. For the purpose of this assessment, the response for each of the subjective measures was defined as the maximum effect within the first 8 hours after dose administration.
Dependence As noted in the Box Warning, careful supervision is required during withdrawal from abusive use since severe depression may occur. Withdrawal following chronic therapeutic use may unmask symptoms of the underlying disorder that may require follow-up.
Although some serious heart problems alone carry an increased risk of sudden death, stimulant products generally should not be used in children or adolescents with known serious structural cardiac abnormalities, cardiomyopathy , serious heart rhythm abnormalities, or other serious cardiac problems that may place them at increased vulnerability to the sympathomimetic effects of a stimulant drug.
Adults Sudden deaths, stroke , and myocardial infarction have been reported in adults taking stimulant drugs at usual doses for ADHD. Although the role of stimulants in these adult cases is also unknown, adults have a greater likelihood than children of having serious structural cardiac abnormalities, cardiomyopathy, serious heart rhythm abnormalities, coronary artery disease, or other serious cardiac problems.
Adults with such abnormalities should also generally not be treated with stimulant drugs. While the mean changes alone would not be expected to have short-term consequences, all patients should be monitored for larger changes in heart rate and blood pressure. Caution is indicated in treating patients whose underlying medical conditions might be compromised by increases in blood pressure or heart rate, e.
Assessing Cardiovascular Status In Patients Being Treated With Stimulant Medications Children, adolescents, or adults who are being considered for treatment with stimulant medications should have a careful history including assessment for a family history of sudden death or ventricular arrhythmia and physical exam to assess for the presence of cardiac disease, and should receive further cardiac evaluation if findings suggest such disease e.
Patients who develop symptoms such as exertional chest pain, unexplained syncope , or other symptoms suggestive of cardiac disease during stimulant treatment should undergo a prompt cardiac evaluation. Psychiatric Adverse Events Preexisting Psychosis Administration of stimulants may exacerbate symptoms of behavior disturbance and thought disorder in patients with a preexisting psychotic disorder. Prior to initiating treatment with a stimulant, patients with comorbid depressive symptoms should be adequately screened to determine if they are at risk for bipolar disorder; such screening should include a detailed psychiatric history, including a family history of suicide, bipolar disorder, and depression.
If such symptoms occur, consideration should be given to a possible causal role of the stimulant, and discontinuation of treatment may be appropriate. In a pooled analysis of multiple short-term, placebo-controlled studies, such symptoms occurred in about 0.
Taking this medication late in the day may cause trouble sleeping insomnia. If switching from immediate release tablets 5 mg 2 or 3 reviews a day: Long-term effects of methylphenidate in children have not been well established. Tell your doctor if your condition does not improve or if concerta worsens. For patients already receiving methylphenidate: Children often take a smaller dosage than adults. I don't even realize it has stopped working, but my girlfriend can cue inattention, concerta medication reviews, disorganization, etc. Eat properly no caffeine and foods that slowly break down exercise at least a walk or staying busy. One day I hope to come off or be put on another medication because you do build up a tolerance.
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