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Concerta is a central nervous system stimulant. It affects chemicals in the brain and nerves that contribute to hyperactivity and impulse control.
Brand Name: Concerta (Methylphenidate)
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GENERALLY, Buy Concerta which should be taken orally once daily in the morning with or without food and must be swallowed whole with the aid of liquids, and must not be chewed, divided, or crushed.
Recommended for new patients starting dose of CONCERTA for patients who are not currently taking CONCERTA or stimulants other than CONCERTA is 18 mg once daily for children and adolescents and 18mg or 36 mg once daily for adults
Children 6-12 years of age – Recommended Starting Dose 18 mg/day And Dose Range 18 mg – 54 mg/day
Adolescents 13-17 years of age – Recommended Starting Dose 18 mg/day 18 mg And Dose Range 72 mg/day not to exceed 2 mg/kg/day
Adults 18-65 years of age – Recommended Starting Dose 18 or 36 mg/day And Dose Range 18 mg – 72 mg/day
Dose for patients currently taking CONCERTA patients who are currently taking methylphenidate twice daily or three times daily at doses of 10 to 60 mg/day is provided in Below. Dosing recommendations are based on the current dose regimen and clinical judgment. The conversion dosage should not exceed 72 mg daily.
Previous Methylphenidate Daily Dose
5 mg Methylphenidate twice daily or three times daily
10 mg Methylphenidate twice daily or three times daily
15 mg Methylphenidate twice daily or three times daily
20 mg Methylphenidate twice daily or three times daily
Daily Dose Starting Dose
18 mg every morning
36 mg every morning
54 mg every morning
72 mg every morning
CONCERTA® is contraindicated in patients known to be hypersensitive to methylphenidate(other components of the product), patients with marked anxiety, tension, and agitation, since the drug may aggravate these symptoms. Contraindicated in patients with glaucoma, Hypersensitivity to Methylphenidate and patients with motor tics or with a family history or diagnosis of Tourette’s syndrome.CONCERTA® is contraindicated during treatment with monoamine oxidase (MAO) inhibitors, and also within a minimum of 14 days following discontinuation of an MAO-inhibitor (hypertensive crises may result).
common side effects of CONCERTA:
Other serious side effects
slowing of growth in children,
eyesight changes or blurred vision.
Unforeseen death has been reported in association with CNS stimulant treatment at usual doses in children and adolescents with structural cardiac abnormalities or other serious heart problems. 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.
Stimulant medications cause a modest increase in average blood pressure(about 2-4 mmHg) and average heart rate (about 3-6 bpm) [see Adverse Reactions-Hypertension], and individuals may have larger increases. 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.g., those with pre-existing hypertension, heart failure, recent myocardial infarction, or ventricular arrhythmia.
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.g., electrocardiogram and echocardiogram). 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.
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. For more info visit WIKI
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