{"id":54410,"date":"2022-10-06T10:18:18","date_gmt":"2022-10-06T14:18:18","guid":{"rendered":"https:\/\/www.singlecare.com\/blog\/?p=54410"},"modified":"2024-09-19T11:52:21","modified_gmt":"2024-09-19T15:52:21","slug":"concerta-alternatives","status":"publish","type":"post","link":"https:\/\/www.singlecare.com\/blog\/concerta-alternatives\/","title":{"rendered":"Concerta alternatives: What can I take instead of Concerta?"},"content":{"rendered":"<p><span style=\"font-weight: 400;\"><a href=\"#compare-concerta-alternatives\">Compare Concerta alternatives<\/a> | <a href=\"#daytrana\">Daytrana<\/a> | <\/span><a href=\"#adderall-xr\"><span style=\"font-weight: 400;\">Adderall XR<\/span><\/a><span style=\"font-weight: 400;\"> | <\/span><a href=\"#strattera\"><span style=\"font-weight: 400;\">Strattera<\/span><\/a><span style=\"font-weight: 400;\"> | <a href=\"#kapvay\">Kapvay<\/a> | <\/span><a href=\"#intuniv\"><span style=\"font-weight: 400;\">Intuniv<\/span><\/a><span style=\"font-weight: 400;\"> | <a href=\"#natural-alternatives\">Natural alternatives<\/a> | <a href=\"#how-to-switch-meds\">How to switch meds<\/a><\/span><\/p>\n<p><span style=\"font-weight: 400;\">The <\/span><a href=\"https:\/\/www.psychiatry.org\/patients-families\/stigma-and-discrimination\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">stigma<\/span><\/a><span style=\"font-weight: 400;\"> around <\/span><span style=\"font-weight: 400;\">mental health<\/span><span style=\"font-weight: 400;\">, unfortunately, remains prevalent and adds a difficult component to managing living with one to any of those suffering. One Attention Deficit Disorder (ADD), <\/span><a href=\"https:\/\/www.cdc.gov\/ncbddd\/adhd\/data.html\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Attention-deficit hyperactivity disorder<\/span><\/a><span style=\"font-weight: 400;\"> (<\/span><span style=\"font-weight: 400;\">ADHD<\/span><span style=\"font-weight: 400;\">), is a common <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/adhd-facts-myths\/\"><span style=\"font-weight: 400;\">mental health<\/span><span style=\"font-weight: 400;\"> condition<\/span><\/a><span style=\"font-weight: 400;\">. It is characterized by inattention, hyperactivity and <\/span><span style=\"font-weight: 400;\">impulsivity<\/span><span style=\"font-weight: 400;\"> and is one of the most common reasons children are referred to receive <\/span><span style=\"font-weight: 400;\">mental health<\/span><span style=\"font-weight: 400;\"> services. However, there is now a growing understanding that <\/span><span style=\"font-weight: 400;\">ADHD<\/span><span style=\"font-weight: 400;\"> can continue into <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/adult-adhd-medication-treatment\/\"><span style=\"font-weight: 400;\">adulthood<\/span><\/a><span style=\"font-weight: 400;\"> for many people. In addition, the <\/span><a href=\"https:\/\/www.cdc.gov\/ncbddd\/adhd\/diagnosis.html\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">diagnosis of <\/span><span style=\"font-weight: 400;\">ADHD<\/span><span style=\"font-weight: 400;\"> in adults<\/span><\/a><span style=\"font-weight: 400;\"> may go unidentified since it differs from that in children due to many different symptoms. We know that <\/span><span style=\"font-weight: 400;\">ADHD<\/span><span style=\"font-weight: 400;\"> is a lifespan disorder, and while treatment plans designed by <\/span><span style=\"font-weight: 400;\">healthcare<\/span><span style=\"font-weight: 400;\"> professionals include many non-pharmacologic approaches, medication is often a component of that plan.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Concerta<\/span><span style=\"font-weight: 400;\"> (<\/span><span style=\"font-weight: 400;\">methylphenidate<\/span><span style=\"font-weight: 400;\">, <\/span><span style=\"font-weight: 400;\">extended-release<\/span><span style=\"font-weight: 400;\">) is a <\/span><span style=\"font-weight: 400;\">central nervous system<\/span> <span style=\"font-weight: 400;\">stimulant<\/span><span style=\"font-weight: 400;\"> (CNS) that induces <\/span><span style=\"font-weight: 400;\">dopamine<\/span><span style=\"font-weight: 400;\"> release and is prescribed to <\/span><span style=\"font-weight: 400;\">treat ADHD<\/span><span style=\"font-weight: 400;\">, and other conditions including severe fatigue in a cancer-related or palliative setting, <\/span><a href=\"https:\/\/www.singlecare.com\/conditions\/depression-treatment-and-medications\"><span style=\"font-weight: 400;\">major depressive disorder <\/span><\/a><span style=\"font-weight: 400;\">in certain patient populations, as well as <\/span><a href=\"https:\/\/www.singlecare.com\/conditions\/narcolepsy-treatment-and-medications\"><span style=\"font-weight: 400;\">narcolepsy<\/span><\/a><span style=\"font-weight: 400;\">. <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/concerta\/dosage\"><span style=\"font-weight: 400;\">Dosing<\/span><\/a><span style=\"font-weight: 400;\"> of <\/span><span style=\"font-weight: 400;\">Concerta<\/span><span style=\"font-weight: 400;\"> for these indications is highly individualized. While the <\/span><span style=\"font-weight: 400;\">active ingredient<\/span><span style=\"font-weight: 400;\"> of <\/span><span style=\"font-weight: 400;\">Concerta<\/span><span style=\"font-weight: 400;\">, <\/span><span style=\"font-weight: 400;\">methylphenidate<\/span><span style=\"font-weight: 400;\">, is available in many <\/span><span style=\"font-weight: 400;\">ADHD<\/span> <span style=\"font-weight: 400;\">prescription drugs<\/span><span style=\"font-weight: 400;\"> and may be recommended as first-line therapy, patients not responding to one <\/span><span style=\"font-weight: 400;\">med<\/span><span style=\"font-weight: 400;\"> may respond to another.<\/span><\/p>\n<p><b>RELATED: <\/b><a href=\"https:\/\/www.singlecare.com\/prescription\/concerta\/what-is\"><b>What is Concerta?<\/b><\/a><\/p>\n<h2><span style=\"font-weight: 400;\">What can I take in place of <\/span><span style=\"font-weight: 400;\">Concerta<\/span><span style=\"font-weight: 400;\">?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">There are other options in the <\/span><span style=\"font-weight: 400;\">treatment of ADHD<\/span><span style=\"font-weight: 400;\"> besides <\/span><span style=\"font-weight: 400;\">brand name<\/span> <span style=\"font-weight: 400;\">Concerta<\/span><span style=\"font-weight: 400;\">. Most alternative prescription medications include other types of <\/span><a href=\"https:\/\/www.singlecare.com\/drug-classes\/cns-stimulants\"><span style=\"font-weight: 400;\">central nervous system<\/span> <span style=\"font-weight: 400;\">stimulants<\/span><\/a><span style=\"font-weight: 400;\">, which include <\/span><span style=\"font-weight: 400;\">methylphenidate<\/span><span style=\"font-weight: 400;\">, <\/span><span style=\"font-weight: 400;\">dexmethylphenidate<\/span><span style=\"font-weight: 400;\">, serdexmethylphenidate\/<\/span><span style=\"font-weight: 400;\">dexmethylphenidate<\/span><span style=\"font-weight: 400;\">, and amphetamines as their main ingredients. Where <\/span><span style=\"font-weight: 400;\">methylphenidate<\/span><span style=\"font-weight: 400;\"> induces <\/span><span style=\"font-weight: 400;\">dopamine<\/span><span style=\"font-weight: 400;\"> release as its main mechanism of action, amphetamines block the reuptake and increase the release of serotonin, <\/span><span style=\"font-weight: 400;\">norepinephrine<\/span><span style=\"font-weight: 400;\">, and <\/span><span style=\"font-weight: 400;\">dopamine<\/span><span style=\"font-weight: 400;\">. Both <\/span><span style=\"font-weight: 400;\">methylphenidate<\/span><span style=\"font-weight: 400;\"> and <\/span><span style=\"font-weight: 400;\">amphetamine salts<\/span><span style=\"font-weight: 400;\"> are examples of <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/controlled-substances-act\/\"><span style=\"font-weight: 400;\">Schedule II<\/span> <span style=\"font-weight: 400;\">controlled substances<\/span><\/a><span style=\"font-weight: 400;\"> per the Food and Drug Administration (<\/span><span style=\"font-weight: 400;\">FDA<\/span><span style=\"font-weight: 400;\">). Patients not responding to one <\/span><span style=\"font-weight: 400;\">stimulant<\/span><span style=\"font-weight: 400;\"> may respond to another, and doses are usually initiated at lower doses and then titrated slowly.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\t\t<div class=\"singlecare-dynamic-newsletter-wrapper sin-newsletter-wrapper\">\n\t\t\t<span class=\"heading\">Get our mental health newsletter<\/span>\n\t\t\t<form class=\"form-wrapper\" data-newsletter-form=\"1\" data-subsource=\"Mental Health Newsletter\">\n\t\t\t\t<div class=\"input-wrapper\">\n\t\t\t\t\t<label for=\"dynamic-email\">Email<\/label>\n\t\t\t\t\t<input type=\"email\" id=\"dynamic-email\" class=\"email\" required>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"input-wrapper\">\n\t\t\t\t\t<input class=\"submit-form-btn\" type=\"submit\" value=\"Click to sign up\">\n\t\t\t\t<\/div>\n\t\t\t<\/form>\n\t\t\t<p class=\"success-message\" aria-live=\"polite\"><\/p>\n\t\t<\/div>\n\t<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Common side effects<\/span><span style=\"font-weight: 400;\"> associated with <\/span><span style=\"font-weight: 400;\">stimulants<\/span><span style=\"font-weight: 400;\">\u2014despite <\/span><span style=\"font-weight: 400;\">active ingredient<\/span><span style=\"font-weight: 400;\">(s)\u2014are similar, and include <\/span><span style=\"font-weight: 400;\">weight loss<\/span><span style=\"font-weight: 400;\">, anorexia, and insomnia (among others). They also are contraindicated during or within 14 days of MAOI therapy and serotonin syndrome could occur when used with other medications which mimic or increase serotonin. <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/concerta-side-effects\/\"><span style=\"font-weight: 400;\">Concerta<\/span><\/a><span style=\"font-weight: 400;\"> specifically can cause tachycardia, or a fast <\/span><span style=\"font-weight: 400;\">heart rate<\/span><span style=\"font-weight: 400;\">. It is available as a special type of tablet that cannot be crushed, which may limit its use in certain patients. <\/span><span style=\"font-weight: 400;\">Non-stimulant medications<\/span><span style=\"font-weight: 400;\"> are available which some caregivers may be more comfortable with giving their <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/adhd-medication-children\/\"><span style=\"font-weight: 400;\">children<\/span><\/a><span style=\"font-weight: 400;\"> or taking themselves. Also, some patients turn to <\/span><span style=\"font-weight: 400;\">non-stimulants<\/span><span style=\"font-weight: 400;\"> because they respond poorly to <\/span><span style=\"font-weight: 400;\">stimulants<\/span><span style=\"font-weight: 400;\">, or they are used as adjunctive therapies to a <\/span><span style=\"font-weight: 400;\">stimulant<\/span><span style=\"font-weight: 400;\"> regimen. Ultimately, the various options may be more suitable for certain individuals due to their different uses, <\/span><span style=\"font-weight: 400;\">side effect<\/span><span style=\"font-weight: 400;\"> profiles, dosages, administration, and even <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/adhd-medication-cost\/\"><span style=\"font-weight: 400;\">cost<\/span><\/a><span style=\"font-weight: 400;\">.\u00a0<\/span><\/p>\n<table class=\" singlecare-table\">\n<thead>\n<tr>\n<th>\n<h2 id=\"compare-concerta-alternatives\"><span class=\"title\">Compare Concerta alternatives<\/span><\/h2>\n<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr class=\"header-row\">\n<td><b>Drug name<\/b><\/td>\n<td><b>Uses<\/b><\/td>\n<td><b>Dosage<\/b><\/td>\n<td><b>Savings options<\/b><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Concerta<\/span><\/p>\n<p><span style=\"font-weight: 400;\">(<\/span><span style=\"font-weight: 400;\">extended-release<\/span> <span style=\"font-weight: 400;\">methylphenidate<\/span><span style=\"font-weight: 400;\">)\u00a0<\/span><\/td>\n<td><span style=\"font-weight: 400;\">ADHD<\/span><span style=\"font-weight: 400;\">, severe fatigue (cancer patient or palliative setting), depression, <\/span><span style=\"font-weight: 400;\">narcolepsy<\/span><\/td>\n<td><b>Initial:<\/b><span style=\"font-weight: 400;\"> 18 mg (children or <\/span><span style=\"font-weight: 400;\">adolescents<\/span><span style=\"font-weight: 400;\">) or 18 to 36mg (adults)<\/span><\/p>\n<p><b>Titration:<\/b><span style=\"font-weight: 400;\"> 18mg\u00a0<\/span><\/p>\n<p><b>Maximum daily dose: <\/b><span style=\"font-weight: 400;\">54 mg (children); 72 mg (<\/span><span style=\"font-weight: 400;\">adolescents<\/span><span style=\"font-weight: 400;\"> and adults)<\/span><span style=\"font-weight: 400;\">Once daily in the morning without regard to meals. Must be swallowed home.<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/concerta\"><span style=\"font-weight: 400;\">Concerta<\/span><span style=\"font-weight: 400;\"> coupons<\/span><\/a><span style=\"font-weight: 400;\">\u00a0<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Adderall XR<\/span><span style=\"font-weight: 400;\">\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">(mixed <\/span><span style=\"font-weight: 400;\">amphetamine salts<\/span><span style=\"font-weight: 400;\">, <\/span><span style=\"font-weight: 400;\">extended-release<\/span><span style=\"font-weight: 400;\">)\u00a0<\/span><\/td>\n<td><span style=\"font-weight: 400;\">ADHD<\/span><span style=\"font-weight: 400;\">, <\/span><span style=\"font-weight: 400;\">narcolepsy<\/span><\/td>\n<td><b>Initial:<\/b><span style=\"font-weight: 400;\"> 5 to 10 mg (6 to 12 years old), 10 mg (<\/span><span style=\"font-weight: 400;\">adolescents<\/span><span style=\"font-weight: 400;\">), or 20 mg (adults)<\/span><\/p>\n<p><b>Titration:<\/b><span style=\"font-weight: 400;\"> 5 to 10 mg<\/span><\/p>\n<p><b>Maximum daily dose:<\/b><span style=\"font-weight: 400;\"> 30 mg<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Once daily in the morning without regard to meals. May be taken whole or sprinkled on applesauce.<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/adderall-xr\"><span style=\"font-weight: 400;\">Adderall XR<\/span><span style=\"font-weight: 400;\"> coupons<\/span><\/a><span style=\"font-weight: 400;\">\u00a0<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Adhansia XR<\/span><\/p>\n<p><span style=\"font-weight: 400;\"> (<\/span><span style=\"font-weight: 400;\">extended-release<\/span> <span style=\"font-weight: 400;\">methylphenidate<\/span><span style=\"font-weight: 400;\">)\u00a0<\/span><\/td>\n<td><span style=\"font-weight: 400;\">ADHD<\/span><span style=\"font-weight: 400;\">, severe fatigue (cancer patient or palliative setting), depression, <\/span><span style=\"font-weight: 400;\">narcolepsy<\/span><\/td>\n<td><b>Initial:<\/b><span style=\"font-weight: 400;\"> 25 mg once daily (children and adults)<\/span><\/p>\n<p><b>Titration:<\/b><span style=\"font-weight: 400;\"> 10 to 15 mg after at least 5 days<\/span><\/p>\n<p><b>Maximum daily dose: <\/b><span style=\"font-weight: 400;\">85 mg (children and <\/span><span style=\"font-weight: 400;\">adolescents<\/span><span style=\"font-weight: 400;\">); 100 mg (adults)<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Once daily in the morning, at a consistent time in regard to meals. May be taken whole or sprinkled on applesauce).<\/span><\/td>\n<td><span style=\"font-weight: 400;\">No coupons at this time. Check back periodically.<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Daytrana<\/span><\/p>\n<p><span style=\"font-weight: 400;\">(<\/span><span style=\"font-weight: 400;\">extended-release<\/span> <span style=\"font-weight: 400;\">methylphenidate<\/span><span style=\"font-weight: 400;\">)\u00a0<\/span><\/td>\n<td><span style=\"font-weight: 400;\">ADHD<\/span><span style=\"font-weight: 400;\">, severe fatigue (cancer patient or palliative setting), depression, <\/span><span style=\"font-weight: 400;\">narcolepsy<\/span><\/td>\n<td><b>Initial:<\/b><span style=\"font-weight: 400;\"> 10 mg (1.1 mg\/hr)<\/span><\/p>\n<p><b>Titration:<\/b><span style=\"font-weight: 400;\"> Next highest patch strength<\/span><\/p>\n<p><b>Maximum daily dose: <\/b><span style=\"font-weight: 400;\">30 mg<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Transdermal patch worn daily for ~9 hours.\u00a0<\/span><\/td>\n<td><span style=\"font-weight: 400;\">No coupons at this time. Check back periodically.<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Intuniv<\/span><span style=\"font-weight: 400;\">\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">(<\/span><span style=\"font-weight: 400;\">guanfacine<\/span> <span style=\"font-weight: 400;\">extended-release<\/span><span style=\"font-weight: 400;\">)\u00a0<\/span><\/td>\n<td><span style=\"font-weight: 400;\">ADHD<\/span><\/td>\n<td><b>Initial:<\/b><span style=\"font-weight: 400;\"> 1mg<\/span><\/p>\n<p><b>Titration:<\/b><span style=\"font-weight: 400;\"> 1mg<\/span><\/p>\n<p><b>Maximum daily dose: <\/b><span style=\"font-weight: 400;\">7mg<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Doses above 4 mg have not been evaluated in children 6 to 12 years of age.\u00a0<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/intuniv\"><span style=\"font-weight: 400;\">Intuniv<\/span><span style=\"font-weight: 400;\"> coupons<\/span><\/a><span style=\"font-weight: 400;\">\u00a0<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Ritalin<\/span><\/p>\n<p><span style=\"font-weight: 400;\">(<\/span><span style=\"font-weight: 400;\">immediate-release<\/span> <span style=\"font-weight: 400;\">methylphenidate<\/span><span style=\"font-weight: 400;\">)\u00a0<\/span><\/td>\n<td><span style=\"font-weight: 400;\">ADHD<\/span><span style=\"font-weight: 400;\">, severe fatigue (cancer patient or palliative setting), depression, <\/span><span style=\"font-weight: 400;\">narcolepsy<\/span><\/td>\n<td><b>Initial:<\/b><span style=\"font-weight: 400;\"> 5 mg twice daily to three times daily (children), or 10 mg once in the morning and midday (adults)<\/span><\/p>\n<p><b>Titration:<\/b><span style=\"font-weight: 400;\"> 5 to 10 mg<\/span><\/p>\n<p><b>Maximum daily dose:<\/b><span style=\"font-weight: 400;\"> 60 mg<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Take twice daily to three times daily (morning, noon, and 4PM if needed), preferably 30 to 45 minutes before meals<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/ritalin\"><span style=\"font-weight: 400;\">Ritalin<\/span><span style=\"font-weight: 400;\"> coupons<\/span><\/a><span style=\"font-weight: 400;\">\u00a0<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Kapvay\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">(<\/span><span style=\"font-weight: 400;\">clonidine<\/span> <span style=\"font-weight: 400;\">extended-release<\/span><span style=\"font-weight: 400;\">)\u00a0<\/span><\/td>\n<td><span style=\"font-weight: 400;\">ADHD<\/span><\/td>\n<td><b>Initial:<\/b><span style=\"font-weight: 400;\"> 0.1mg at bedtime<\/span><\/p>\n<p><b>Titration:<\/b><span style=\"font-weight: 400;\"> 0.1mg<\/span><\/p>\n<p><b>Maximum daily dose: <\/b><span style=\"font-weight: 400;\">0.4 mg<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Tablets should not be crushed, chewed, or broken before swallowing.<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/kapvay\"><span style=\"font-weight: 400;\">Kapvay coupons<\/span><\/a><span style=\"font-weight: 400;\">\u00a0<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Metadate CD<\/span><span style=\"font-weight: 400;\">\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">(30% <\/span><span style=\"font-weight: 400;\">immediate-release<\/span><span style=\"font-weight: 400;\"> and 70% <\/span><span style=\"font-weight: 400;\">extended-release<\/span> <span style=\"font-weight: 400;\">methylphenidate<\/span><span style=\"font-weight: 400;\">)\u00a0<\/span><\/td>\n<td><span style=\"font-weight: 400;\">ADHD<\/span><span style=\"font-weight: 400;\">, severe fatigue (cancer patient or palliative setting), depression, <\/span><span style=\"font-weight: 400;\">narcolepsy<\/span><\/td>\n<td><b>Initial:<\/b><span style=\"font-weight: 400;\"> 20 mg (children and adults)<\/span><\/p>\n<p><b>Titration:<\/b><span style=\"font-weight: 400;\"> 10 to 20 mg<\/span><\/p>\n<p><b>Maximum daily dose:<\/b><span style=\"font-weight: 400;\"> 60 mg<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Once daily in the morning before breakfast. May be taken whole or sprinkled on applesauce.<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/methylphenidate-hcl-er-cd\"><span style=\"font-weight: 400;\">Metadate coupons<\/span><\/a><span style=\"font-weight: 400;\">\u00a0<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Qelbree\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">(viloxazine <\/span><span style=\"font-weight: 400;\">extended-release<\/span><span style=\"font-weight: 400;\">)\u00a0<\/span><\/td>\n<td><span style=\"font-weight: 400;\">ADHD<\/span><\/td>\n<td><b>Initial:<\/b><span style=\"font-weight: 400;\"> 100 mg (patients 6 to 11 years old); 200 mg (patients 12 to 17 years old)<\/span><\/p>\n<p><b>Titration:<\/b><span style=\"font-weight: 400;\"> 100 mg (6 to 11 years old) or 200 mg (12 to 17 years old)<\/span><\/p>\n<p><b>Maximum daily dose: <\/b><span style=\"font-weight: 400;\">400 mg<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/qelbree\"><span style=\"font-weight: 400;\">Qelbree coupons<\/span><\/a><span style=\"font-weight: 400;\">\u00a0<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Strattera<\/span><span style=\"font-weight: 400;\">\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">(<\/span><span style=\"font-weight: 400;\">atomoxetine<\/span><span style=\"font-weight: 400;\">)\u00a0<\/span><\/td>\n<td><span style=\"font-weight: 400;\">ADHD<\/span><span style=\"font-weight: 400;\">, orthostatic hypotension (neurogenic)<\/span><\/td>\n<td><b>Initial:<\/b><span style=\"font-weight: 400;\"> 0.5 mg\/kg\/day (less than or equal to 70 kg) or 40 mg\/day (greater than 70 kg)<\/span><\/p>\n<p><b>Titration<\/b><span style=\"font-weight: 400;\"> for patients less than or equal to 70 kg: after at least 3 days, increase to ~1.2 mg\/kg\/day.\u00a0<\/span><\/p>\n<p><b>Titration<\/b><span style=\"font-weight: 400;\"> for patients greater than 70 kg: after 3 days, increase to 80 mg\/day, then up to 100 mg\/day after two to four additional weeks<\/span><\/p>\n<p><b>Maximum daily dose <\/b><span style=\"font-weight: 400;\">children and <\/span><span style=\"font-weight: 400;\">adolescents<\/span><span style=\"font-weight: 400;\"> up to 70 kg: lesser of 1.4 mg\/kg or 100mg<\/span><\/p>\n<p><b>Maximum daily dose<\/b><span style=\"font-weight: 400;\"> children and <\/span><span style=\"font-weight: 400;\">adolescents<\/span><span style=\"font-weight: 400;\"> over 70 g, and adults: 100 mg<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/strattera\"><span style=\"font-weight: 400;\">Strattera<\/span><span style=\"font-weight: 400;\"> coupons<\/span><\/a><span style=\"font-weight: 400;\">\u00a0<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Vyvanse<\/span><\/p>\n<p><span style=\"font-weight: 400;\">(<\/span><span style=\"font-weight: 400;\">lisdexamfetamine<\/span><span style=\"font-weight: 400;\">)\u00a0<\/span><\/td>\n<td><span style=\"font-weight: 400;\">ADHD<\/span><span style=\"font-weight: 400;\">, binge-eating disorder<\/span><\/td>\n<td><b>Initial:<\/b><span style=\"font-weight: 400;\"> 30 mg (children and adults)<\/span><\/p>\n<p><b>Titration:<\/b><span style=\"font-weight: 400;\"> 10 to 20 mg<\/span><\/p>\n<p><b>Maximum daily dose:<\/b><span style=\"font-weight: 400;\"> 70 mg<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Once daily in the morning without regard to meals. Capsule may be taken whole or contents dissolved in water, yogurt, or orange juice and taken immediately.<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/vyvanse\"><span style=\"font-weight: 400;\">Vyvanse<\/span><span style=\"font-weight: 400;\"> coupons<\/span><\/a><span style=\"font-weight: 400;\">\u00a0<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><span style=\"font-weight: 400;\">Other alternatives to <\/span><span style=\"font-weight: 400;\">Concerta<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/prescription\/methylin\"><span style=\"font-weight: 400;\">Methylin<\/span><\/a><span style=\"font-weight: 400;\"> (<\/span><span style=\"font-weight: 400;\">immediate-release<\/span> <span style=\"font-weight: 400;\">methylphenidate<\/span><span style=\"font-weight: 400;\">, <\/span><span style=\"font-weight: 400;\">chewable tablets<\/span><span style=\"font-weight: 400;\"> or oral solution)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/prescription\/focalin\"><span style=\"font-weight: 400;\">Focalin<\/span><\/a><span style=\"font-weight: 400;\"> (<\/span><span style=\"font-weight: 400;\">immediate-release<\/span> <span style=\"font-weight: 400;\">dexmethylphenidate<\/span><span style=\"font-weight: 400;\">)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/prescription\/focalin-xr\"><span style=\"font-weight: 400;\">Focalin XR<\/span><\/a><span style=\"font-weight: 400;\"> (<\/span><span style=\"font-weight: 400;\">extended-release<\/span> <span style=\"font-weight: 400;\">dexmethylphenidate<\/span><span style=\"font-weight: 400;\">)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/prescription\/aptensio-xr\"><span style=\"font-weight: 400;\">Aptensio XR<\/span><\/a><span style=\"font-weight: 400;\"> (<\/span><span style=\"font-weight: 400;\">extended-release<\/span> <span style=\"font-weight: 400;\">methylphenidate<\/span><span style=\"font-weight: 400;\">)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Cotempla XR-<\/span><span style=\"font-weight: 400;\">ODT<\/span><span style=\"font-weight: 400;\"> (25% <\/span><span style=\"font-weight: 400;\">immediate-release<\/span><span style=\"font-weight: 400;\"> and 75% <\/span><span style=\"font-weight: 400;\">extended-release<\/span> <span style=\"font-weight: 400;\">methylphenidate<\/span><span style=\"font-weight: 400;\"> orally-disintegrating tablets)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/prescription\/jornay-pm\"><span style=\"font-weight: 400;\">Jornay PM<\/span><\/a><span style=\"font-weight: 400;\"> (<\/span><span style=\"font-weight: 400;\">extended-release<\/span> <span style=\"font-weight: 400;\">methylphenidate<\/span><span style=\"font-weight: 400;\">)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/prescription\/methylphenidate-hcl-er-osm\"><span style=\"font-weight: 400;\">Relexxii<\/span><\/a><span style=\"font-weight: 400;\"> (<\/span><span style=\"font-weight: 400;\">extended-release<\/span> <span style=\"font-weight: 400;\">methylphenidate<\/span><span style=\"font-weight: 400;\">)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/prescription\/ritalin-la\"><span style=\"font-weight: 400;\">Ritalin LA<\/span><\/a><span style=\"font-weight: 400;\"> (50% <\/span><span style=\"font-weight: 400;\">immediate-release<\/span><span style=\"font-weight: 400;\"> and 50% <\/span><span style=\"font-weight: 400;\">extended-release<\/span> <span style=\"font-weight: 400;\">methylphenidate<\/span><span style=\"font-weight: 400;\">)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/prescription\/quillichew-er\"><span style=\"font-weight: 400;\">QuilliChew ER<\/span><\/a><span style=\"font-weight: 400;\"> (30% <\/span><span style=\"font-weight: 400;\">immediate-release<\/span><span style=\"font-weight: 400;\"> and 70% <\/span><span style=\"font-weight: 400;\">extended-release<\/span> <span style=\"font-weight: 400;\">methylphenidate<\/span><span style=\"font-weight: 400;\">)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/prescription\/quillivant-xr\"><span style=\"font-weight: 400;\">Quillivant XR<\/span><\/a><span style=\"font-weight: 400;\"> (20% <\/span><span style=\"font-weight: 400;\">immediate-release<\/span><span style=\"font-weight: 400;\"> and 80% <\/span><span style=\"font-weight: 400;\">extended-release<\/span> <span style=\"font-weight: 400;\">methylphenidate<\/span><span style=\"font-weight: 400;\">)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/prescription\/azstarys\"><span style=\"font-weight: 400;\">Azstarys<\/span><\/a><span style=\"font-weight: 400;\"> (serdexmethylphenidate and <\/span><span style=\"font-weight: 400;\">dexmethylphenidate<\/span><span style=\"font-weight: 400;\">)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/prescription\/adderall\"><span style=\"font-weight: 400;\">Adderall<\/span><\/a><span style=\"font-weight: 400;\"> (mixed <\/span><span style=\"font-weight: 400;\">amphetamine salts<\/span><span style=\"font-weight: 400;\">)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/prescription\/adzenys-xr-odt\"><span style=\"font-weight: 400;\">Adzenys XR-<\/span><span style=\"font-weight: 400;\">ODT<\/span><\/a><span style=\"font-weight: 400;\"> (<\/span><span style=\"font-weight: 400;\">extended-release<\/span><span style=\"font-weight: 400;\"> amphetamine orally disintegrating tablets)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Adzenys ER (<\/span><span style=\"font-weight: 400;\">extended-release<\/span><span style=\"font-weight: 400;\"> amphetamine oral suspension)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/prescription\/zenzedi\"><span style=\"font-weight: 400;\">Zenzedi<\/span><\/a><span style=\"font-weight: 400;\"> (<\/span><span style=\"font-weight: 400;\">dextroamphetamine<\/span><span style=\"font-weight: 400;\">)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Dexedrine<\/span><span style=\"font-weight: 400;\"> Spansule (<\/span><span style=\"font-weight: 400;\">dextroamphetamine<\/span><span style=\"font-weight: 400;\">)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/prescription\/dyanavel-xr\"><span style=\"font-weight: 400;\">Dyanavel XR<\/span><\/a><span style=\"font-weight: 400;\"> (<\/span><span style=\"font-weight: 400;\">extended-release<\/span><span style=\"font-weight: 400;\"> amphetamine oral suspension)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/prescription\/evekeo\"><span style=\"font-weight: 400;\">Evekeo<\/span><\/a><span style=\"font-weight: 400;\"> (1:1 ratio of <\/span><span style=\"font-weight: 400;\">dextroamphetamine<\/span><span style=\"font-weight: 400;\">\/amphetamine)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Evekeo <\/span><span style=\"font-weight: 400;\">ODT<\/span><span style=\"font-weight: 400;\"> (1:1 ratio of <\/span><span style=\"font-weight: 400;\">dextroamphetamine<\/span><span style=\"font-weight: 400;\">\/amphetamine orally-disintegrating tablets)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/prescription\/mydayis\"><span style=\"font-weight: 400;\">Mydayis <\/span><\/a><span style=\"font-weight: 400;\">(<\/span><span style=\"font-weight: 400;\">extended-release<\/span><span style=\"font-weight: 400;\"> mixed <\/span><span style=\"font-weight: 400;\">amphetamine salts<\/span><span style=\"font-weight: 400;\">)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/prescription\/procentra\"><span style=\"font-weight: 400;\">ProCentra<\/span><\/a><span style=\"font-weight: 400;\"> (<\/span><span style=\"font-weight: 400;\">dextroamphetamine<\/span><span style=\"font-weight: 400;\">)<\/span><\/li>\n<\/ul>\n<h2><span style=\"font-weight: 400;\">Top 5 <\/span><span style=\"font-weight: 400;\">Concerta<\/span><span style=\"font-weight: 400;\"> alternatives<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">The following are some alternatives to <\/span><span style=\"font-weight: 400;\">Concerta<\/span><span style=\"font-weight: 400;\">.<\/span><\/p>\n<h3 id=\"daytrana\"><span style=\"font-weight: 400;\">1. Daytrana<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Daytrana<\/span><span style=\"font-weight: 400;\"> contains <\/span><span style=\"font-weight: 400;\">methylphenidate<\/span><span style=\"font-weight: 400;\"> but is delivered in a transdermal patch for a steady effect and may be preferred in those that do not want to or unable to take medications by mouth. The patch is applied once daily in the morning for 9 hours approximately 2 hours before the desired effect and can be worn up to 16 hours if a longer effect is needed. It should be removed at least 3 hours before bedtime to allow the body to metabolize the medication and minimize the risk of insomnia.\u00a0<\/span><\/p>\n<h3 id=\"adderall-xr\"><span style=\"font-weight: 400;\">2. Adderall XR<\/span><\/h3>\n<p><a href=\"https:\/\/www.singlecare.com\/prescription\/adderall-xr\/what-is\"><span style=\"font-weight: 400;\">Adderall XR<\/span><\/a><span style=\"font-weight: 400;\"> (amphetamine-dextroamphet ER) works slightly differently than <\/span><span style=\"font-weight: 400;\">methylphenidate<\/span><span style=\"font-weight: 400;\"> and may be an option for those unable to tolerate some of the <\/span><span style=\"font-weight: 400;\">side effects<\/span><span style=\"font-weight: 400;\"> of <\/span><span style=\"font-weight: 400;\">Concerta<\/span><span style=\"font-weight: 400;\">, like elevated <\/span><span style=\"font-weight: 400;\">heart rate<\/span><span style=\"font-weight: 400;\"> or sweating. However, this medication also comes with some limitations of use. Amphetamine-containing <\/span><span style=\"font-weight: 400;\">ADHD medications<\/span><span style=\"font-weight: 400;\"> are contraindicated in patients with <\/span><span style=\"font-weight: 400;\">heart problems<\/span><span style=\"font-weight: 400;\">, including advanced arteriosclerosis, symptomatic cardiovascular disease, and moderate to severe hypertension. Even though it is <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/adderall-vs-adderall-xr\/\"><span style=\"font-weight: 400;\">extended-release<\/span><\/a><span style=\"font-weight: 400;\">, the capsules can be either swallowed whole or opened and sprinkled on applesauce so may be a good option for children unable to take capsules.\u00a0<\/span><\/p>\n<h3 id=\"strattera\"><span style=\"font-weight: 400;\">3. Strattera<\/span><\/h3>\n<p><a href=\"https:\/\/www.singlecare.com\/prescription\/strattera\/what-is\"><span style=\"font-weight: 400;\">Strattera<\/span><\/a><span style=\"font-weight: 400;\"> (<\/span><span style=\"font-weight: 400;\">atomoxetine<\/span><span style=\"font-weight: 400;\">) is a <\/span><span style=\"font-weight: 400;\">non-stimulant medication<\/span><span style=\"font-weight: 400;\"> that may be used as an adjunct to <\/span><span style=\"font-weight: 400;\">stimulants<\/span><span style=\"font-weight: 400;\">, in patients who respond poorly to <\/span><span style=\"font-weight: 400;\">stimulants<\/span><span style=\"font-weight: 400;\">, or if caregivers\/patients are uncomfortable with the idea of taking <\/span><span style=\"font-weight: 400;\">stimulant medications<\/span><span style=\"font-weight: 400;\">. <\/span><span style=\"font-weight: 400;\">Strattera<\/span><span style=\"font-weight: 400;\"> is also not a <\/span><span style=\"font-weight: 400;\">controlled substance<\/span><span style=\"font-weight: 400;\">. The response rate for controlling <\/span><span style=\"font-weight: 400;\">ADHD symptoms<\/span><span style=\"font-weight: 400;\"> is lower with this medication than with other alternatives, but it may be a good option for patients with other conditions including <\/span><a href=\"https:\/\/www.singlecare.com\/conditions\/anxiety-treatment-and-medications\"><span style=\"font-weight: 400;\">anxiety<\/span><\/a><span style=\"font-weight: 400;\">, <\/span><span style=\"font-weight: 400;\">tics<\/span><span style=\"font-weight: 400;\">, insomnia, or substance abuse disorders. Since <\/span><span style=\"font-weight: 400;\">methylphenidate<\/span><span style=\"font-weight: 400;\">-containing medications should be avoided in patients with a history of <\/span><span style=\"font-weight: 400;\">Tourette\u2019s syndrome<\/span><span style=\"font-weight: 400;\">, this medication may be a good alternative in patients with this diagnosis. <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/atomoxetine-side-effects\/\"><span style=\"font-weight: 400;\">Strattera<\/span><\/a><span style=\"font-weight: 400;\"> does contain a <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/black-box-warning\/\"><span style=\"font-weight: 400;\">black box warning<\/span><\/a><span style=\"font-weight: 400;\"> for increased suicidal ideation in children and <\/span><span style=\"font-weight: 400;\">adolescents<\/span><span style=\"font-weight: 400;\">. This medication is taken either once daily or in divided <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/strattera\/dosage\"><span style=\"font-weight: 400;\">doses<\/span><\/a><span style=\"font-weight: 400;\"> twice daily\u2014for example, once in the morning and once in the late afternoon or early evening. <\/span>Kapvay<\/p>\n<h3 id=\"kapvay\"><span style=\"font-weight: 400;\">4. <\/span><span style=\"font-weight: 400;\">Kapvay<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">\u00a0<a href=\"https:\/\/www.singlecare.com\/prescription\/kapvay\/what-is\">Kapvav<\/a> is another <\/span><span style=\"font-weight: 400;\">non-stimulant<\/span><span style=\"font-weight: 400;\"> alternative to <\/span><span style=\"font-weight: 400;\">Concerta<\/span><span style=\"font-weight: 400;\"> available as <\/span><span style=\"font-weight: 400;\">extended-release tablets<\/span><span style=\"font-weight: 400;\">. This medication may be a good option for children who are unable to tolerate <\/span><span style=\"font-weight: 400;\">stimulants<\/span><span style=\"font-weight: 400;\">, such as those with <\/span><span style=\"font-weight: 400;\">tics<\/span><span style=\"font-weight: 400;\"> or insomnia at baseline. This medication may pose a problem for younger kids since it is only available as a tablet which cannot be crushed, chewed, or broken before swallowing. It cannot be substituted for other <\/span><span style=\"font-weight: 400;\">clonidine<\/span><span style=\"font-weight: 400;\"> products (e.g., patches, <\/span><span style=\"font-weight: 400;\">immediate-release<\/span><span style=\"font-weight: 400;\"> tablets) on a mg-per-mg basis. When <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/clonidine\/dosage\"><span style=\"font-weight: 400;\">doses<\/span><\/a><span style=\"font-weight: 400;\"> exceed 0.1mg\/day, they should be divided into twice daily dosing with an equal or higher split dosage being given at bedtime.\u00a0<\/span><\/p>\n<h3 id=\"intuniv\"><span style=\"font-weight: 400;\">5. Intuniv<\/span><\/h3>\n<p><a href=\"https:\/\/www.singlecare.com\/prescription\/intuniv\/what-is\"><span style=\"font-weight: 400;\">Intuniv<\/span><\/a><span style=\"font-weight: 400;\"> (<\/span><span style=\"font-weight: 400;\">guanfacine<\/span> <span style=\"font-weight: 400;\">extended-release<\/span><span style=\"font-weight: 400;\">) has also demonstrated to be at least as effective as <\/span><span style=\"font-weight: 400;\">stimulants<\/span><span style=\"font-weight: 400;\"> and serves as a good option for those unable to tolerate <\/span><span style=\"font-weight: 400;\">stimulants<\/span><span style=\"font-weight: 400;\"> or patients with underlying anxiety and aggression. This medication should be taken once daily at approximately the same time each day, but cannot be crushed, chewed, or broken. <\/span><span style=\"font-weight: 400;\">Intuniv<\/span><span style=\"font-weight: 400;\"> can also not be substituted for <\/span><span style=\"font-weight: 400;\">immediate-release<\/span> <span style=\"font-weight: 400;\">guanfacine<\/span><span style=\"font-weight: 400;\"> tablets on an mg-per-mg basis due to differences in the way the body handles the medication. If discontinuing <\/span><span style=\"font-weight: 400;\">Intuniv<\/span><span style=\"font-weight: 400;\">, it should be tapered in increments of 1mg every 3 to 7 days, or else one might experience withdrawal symptoms.\u00a0<\/span><\/p>\n<h2 id=\"natural-alternatives\"><span style=\"font-weight: 400;\">Natural alternatives to <\/span><span style=\"font-weight: 400;\">Concerta<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">As mentioned previously, treatment plans for <\/span><span style=\"font-weight: 400;\">ADHD<\/span><span style=\"font-weight: 400;\"> can include non-pharmacologic options, such as <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4167345\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">behavioral interventions<\/span><\/a><span style=\"font-weight: 400;\">. In fact, this approach should be trialed before medications in <\/span><a href=\"https:\/\/www.cdc.gov\/ncbddd\/adhd\/behavior-therapy.html\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">children younger than 6 years old<\/span><\/a><span style=\"font-weight: 400;\">\u00a0and is also important in children younger than 12 as part of a multimodal strategy toward management of the condition. Other approaches for management might include some <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4170184\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">nutritional <\/span><span style=\"font-weight: 400;\">supplementation<\/span><\/a><span style=\"font-weight: 400;\"> with polyunsaturated fatty acids, iron, zinc, or magnesium. Overall, the effect of these natural alternatives are minimal compared to effect sizes seen with traditional prescription medication.\u00a0<\/span><\/p>\n<p><b>RELATED: <\/b><a href=\"https:\/\/www.singlecare.com\/blog\/adhd-diet\/\"><b>Everything to eat (and avoid) if you have <\/b><b>ADHD<\/b><\/a><\/p>\n<h2 id=\"how-to-switch-meds\"><span style=\"font-weight: 400;\">How to switch to a <\/span><span style=\"font-weight: 400;\">Concerta<\/span><span style=\"font-weight: 400;\"> alternative<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">When <\/span><a href=\"https:\/\/www.psychiatrictimes.com\/view\/how-to-switch-stimulants-dosing-guide-for-adhd\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">converting<\/span><\/a><span style=\"font-weight: 400;\"> patients from one agent to another for the <\/span><span style=\"font-weight: 400;\">treatment of attention-deficit<\/span><span style=\"font-weight: 400;\"> disorders, a degree of clinical judgment and experience along with monitoring the patient closely for clinical and adverse effects should be employed. There are conversion recommendations available to make sure <\/span><span style=\"font-weight: 400;\">symptoms of ADHD<\/span><span style=\"font-weight: 400;\"> remain consistently controlled. For example, many people initiated on an <\/span><span style=\"font-weight: 400;\">immediate-release<\/span><span style=\"font-weight: 400;\"> formulation of <\/span><span style=\"font-weight: 400;\">methylphenidate<\/span><span style=\"font-weight: 400;\"> are ultimately converted to an <\/span><span style=\"font-weight: 400;\">extended-release<\/span><span style=\"font-weight: 400;\"> formulation like <\/span><span style=\"font-weight: 400;\">Concerta<\/span><span style=\"font-weight: 400;\"> for convenience and less breakthrough symptoms. This conversion generally doesn\u2019t require any titration like when initiating therapy\u2014basically, one would start at a dose close to, but which does not exceed the effective total <\/span><span style=\"font-weight: 400;\">methylphenidate<\/span><span style=\"font-weight: 400;\"> daily dose.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">When converting from <\/span><span style=\"font-weight: 400;\">Concerta<\/span><span style=\"font-weight: 400;\"> to the <\/span><span style=\"font-weight: 400;\">methylphenidate<\/span><span style=\"font-weight: 400;\"> transdermal patch, <\/span><span style=\"font-weight: 400;\">Daytrana<\/span><span style=\"font-weight: 400;\">, titrations are required\u2014an mg-to-mg cannot be directly substituted. For example: <\/span><span style=\"font-weight: 400;\">Concerta<\/span><span style=\"font-weight: 400;\"> 18 mg <\/span><span style=\"font-weight: 400;\">\ud83e\udc6a<\/span> <span style=\"font-weight: 400;\">Daytrana<\/span><span style=\"font-weight: 400;\"> 10 mg (12.5 cm<\/span><span style=\"font-weight: 400;\">2<\/span><span style=\"font-weight: 400;\">), <\/span><span style=\"font-weight: 400;\">Concerta<\/span><span style=\"font-weight: 400;\"> 27 mg <\/span><span style=\"font-weight: 400;\">\ud83e\udc6a<\/span><span style=\"font-weight: 400;\"> 15 mg (18.75 cm<\/span><span style=\"font-weight: 400;\">2<\/span><span style=\"font-weight: 400;\">), <\/span><span style=\"font-weight: 400;\">Concerta<\/span><span style=\"font-weight: 400;\"> 36 mg <\/span><span style=\"font-weight: 400;\">\ud83e\udc6a<\/span> <span style=\"font-weight: 400;\">Daytrana<\/span><span style=\"font-weight: 400;\"> 20 mg (25 cm<\/span><span style=\"font-weight: 400;\">2<\/span><span style=\"font-weight: 400;\">), and <\/span><span style=\"font-weight: 400;\">Concerta<\/span><span style=\"font-weight: 400;\"> 54 mg <\/span><span style=\"font-weight: 400;\">\ud83e\udc6a<\/span> <span style=\"font-weight: 400;\">Daytrana<\/span><span style=\"font-weight: 400;\"> 30 mg (37.5 cm<\/span><span style=\"font-weight: 400;\">2<\/span><span style=\"font-weight: 400;\">).\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Conversion between <\/span><span style=\"font-weight: 400;\">methylphenidate<\/span><span style=\"font-weight: 400;\"> and <\/span><span style=\"font-weight: 400;\">dextroamphetamine<\/span><span style=\"font-weight: 400;\">\/mixed <\/span><span style=\"font-weight: 400;\">amphetamine salts<\/span><span style=\"font-weight: 400;\"> is more challenging; no specific guidelines in the literature exist. Amphetamines are dosed at approximately half the <\/span><span style=\"font-weight: 400;\">methylphenidate<\/span><span style=\"font-weight: 400;\">, so if converting from <\/span><span style=\"font-weight: 400;\">Concerta<\/span><span style=\"font-weight: 400;\"> to <\/span><span style=\"font-weight: 400;\">Adderall XR<\/span><span style=\"font-weight: 400;\"> consider starting at half the dose and titrating up as needed.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">If it\u2019s decided to stop taking <\/span><span style=\"font-weight: 400;\">Concerta<\/span><span style=\"font-weight: 400;\"> entirely, it must be tapered slowly to avoid withdrawal-like symptoms, and should always be done per the schedule provided by a <\/span><span style=\"font-weight: 400;\">healthcare<\/span><span style=\"font-weight: 400;\"> professional and under direct <\/span><span style=\"font-weight: 400;\">medical advice<\/span><span style=\"font-weight: 400;\">.\u00a0<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Compare Concerta alternatives | Daytrana | Adderall XR | Strattera | Kapvay | Intuniv | Natural alternatives | How to switch meds The stigma around mental health, unfortunately, remains prevalent and adds a difficult component to managing living with one to any of those suffering. One Attention Deficit Disorder (ADD), Attention-deficit hyperactivity disorder (ADHD), is [&hellip;]<\/p>\n","protected":false},"author":133,"featured_media":54418,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[4589],"tags":[15107,450],"coauthors":[10869],"class_list":["post-54410","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-drug-info","tag-adhd","tag-mental-health","wpautop"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.4 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Top Concerta alternatives and how to switch your Rx | SingleCare<\/title>\n<meta name=\"description\" content=\"Daytrana, Adderall XR, Strattera, Kapvay, and Intuiv are some Concerta alternatives. 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