Reply To: After school activities a struggle after meds wear off – please help

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#91861
Penny Williams
Keymaster

The generic Concerta does not have the same time-release mechanism as brand. The brand is much more evenly disbursed in our experience. When switched to generic, it was almost like my son wasn’t taking any meds at all. You can ask that the doctor write the script for brand only.

Rebound is also common when meds wear off in the afternoon:

When Meds Go Bad: After-School Rebound Strategies

Of course, it could be that he needs a higher dose, or that Concerta or methylphenidates are the right medication for him. There are two types of stimulants: amphetamine (Adderall, Vyvanse, Evekeo…) and methylphenidate (Ritalin, Concerta, Quillivant…). Almost everyone does well on one type or the other, but not both.

A Patient’s Primer on the Stimulant Medications Used to Treat ADHD

Penny
ADDitude Community Moderator, Parenting ADHD Trainer & Author, Mom to teen w/ ADHD, LDs, and autism