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Questions About Concerta
In this special edition of Ask the Medical Expert, Larry Silver responds to questions about Concerta, a once-daily form of methylphenidate.
I have a 9 year-old son with ADHD who takes Ritalin. He began taking 5 mg and is now taking 50mg per day. Recently, he has not been able to control his hyperactivity. The extended-release version doesn't work for him, and I am reluctant to have his dosage of Ritalin increased. I recently attended a conference where the speaker mentioned Concerta. What is its efficacy?
My daughter is 10 and takes 18 mg of Concerta daily. Her doctor now says I should give it to her twice a day, but my pharmacist says this is impossible.
My six-year-old son just started taking Concerta and it has changed our lives for the better. However, he has trouble taking the pill and by the time he finally does, the coating is on my fingers or on his tongue. Will this make the medicine less effective?
I am a 38-year-old woman and have been taking Concerta. It is working better than Ritalin, for the sheer reason being my day is not broken up. However, I am concerned with basic nutrition. As a woman still in my child-bearing years, what nutritional deficiencies related to the long-term use of Ritalin and Concerta should I be concerned about?
My 10-year son takes Concerta (one 36 mg-dose per day). Yesterday he developed terrible stomach pains at school and wasn't able to eat lunch. Can Concerta cause stomach pains?
I am a 39-year-old adult, recently diagnosed with ADHD. My doctor wants to prescribe Concerta, but refuses to give me a referral to have my blood pressure monitored and my blood cell count taken. I won't take the medicine without these measures; he won't give me the Concerta with them.
Larry Silver, M.D., is clinical professor of psychiatry at Georgetown Medical Center in Washington, D.C. and director of training in child and adolescent psychiatry at Georgetown University School of Medicine. He is a former acting director and deputy director of the National Institute of Mental Health, as well as the author of Dr. Larry Silver's Advice to Parents on AD/HD and The Misunderstood Child: Understanding and Coping with Your Child's Learning Disabilities.