What is Concerta: Uses, Warnings & Interactions

Updated May 14, 2025  •  Published Dec 30, 2020

Concerta is a brand-name prescription stimulant that helps children and adults with attention deficit hyperactivity disorder (ADHD). Its active ingredient, methylphenidate, activates the parts of the brain responsible for controlling impulses and focusing attention. Because lower-cost generic methylphenidate is easily available, Concerta is only available as an extended-release tablet. This allows parents, caregivers, or patients to worry about only one dose a day rather than five.

Concerta overview

BRAND NAMES:

  • Concerta, Cotempla XR-ODT, Quillivant XR, Ritalin LA

Generic Names:

  • Methylphenidate HCl ER

Uses:

  • Treats ADHD

Therapeutic Classes:

  • Stimulant, central nervous system agent

Forms:

  • Extended-release tablet

How it’s taken:

  • By mouth

What is Concerta used for?

Concerta treats attention deficit hyperactivity disorder (ADHD) in adults and children 6 years of age and older.

What form(s) does Concerta come in

  • Extended-release tablet 

    • 18 mg

    • 27 mg

    • 36 mg

    • 54 mg

What are common Concerta doses?

  • For ADHD: 18–54 mg tablet taken once per day in the morning

Find more information about Concerta dosage, forms, and strengths here.

Common Concerta prescriptions

  • Concerta
    30 tablets extended release bottle

  • Concerta
    90 tablets extended release bottle

  • Concerta
    18mg tablet

  • Concerta
    27mg tablet

  • Concerta
    36mg tablet

  • Concerta
    54mg tablet

How to take Concerta

  • Take your Concerta as directed. The dose may need to be changed several times to reach the most effective dose.

  • Please read the Medication Guide that comes with the medicine.

  • Take Concerta tablets in the morning.

  • Take only one tablet each day.

  • Swallow the tablet whole with water or other liquid. Do not crush, break, or chew it.

  • An empty tablet covering may pass into the stools. This is normal and nothing to worry about.

  • Store Concerta in a tightly closed container or in the reusable travel case at room temperature. Keep the tablets protected from humidity.

What to do if you miss a dose of Concerta

  • Ask the prescriber or a pharmacist what to do if a Concerta dose is missed.

  • Concerta doses should be taken in the morning. As a general rule, a missed dose of Concerta can be taken anytime in the morning.

  • Taking a missed dose later in the day risks sleeping problems at night.

Concerta contraindications

  • This medicine is not right for everyone. 

  • Do not use it if you have had an allergic reaction to methylphenidate.

Concerta warnings

  • Tell any doctor or other healthcare professional who treats you that you or your child is using methylphenidate.

  • The doctor prescribing methylphenidate may need to perform regular examinations to monitor side effects and the effectiveness of the treatment. Keep all appointments.

  • Tell the prescriber if you are pregnant or breastfeeding or if you have:

    • Any history of heart problems or heart disease

    • A heart defect

    • High blood pressure

    • Circulation problems in the feet or legs

    • Eye problems, including glaucoma

    • Intestinal blockage

    • Any history of seizures

    • Any history or family history of mental health issues, including depression, bipolar disorder, or psychosis

    • Tourette syndrome, motor tics, or a family history of Tourette syndrome

    • Any history of drug abuse or addiction

  • Tell the prescriber if you or your child is agitated or anxious. Methylphenidate may not be an appropriate drug.

  • Concerta can cause serious problems, including:

    • Heart problems

    • Circulation problems in the hands and feet

    • High blood pressure

    • Increased pressure in the eye or glaucoma

    • Prolonged and painful erection

    • Growth suppression in children

  • This medicine can worsen underlying psychiatric issues like anxiety, mania, psychosis, or motor tics.

  • This medicine may make you dizzy or cause blurred vision. Do not drive or do anything else that could be dangerous until you know how this medicine affects you.

  • If you need surgery, tell the doctor who treats you that you are using this medicine. Some anesthesia drugs can interact with methylphenidate.

  • This medicine can be habit-forming. Do not use more than your prescribed dose. Call the prescriber if the medicine does not seem to be working.

  • Concerta is a controlled substance. Selling or giving this medicine to another person is hazardous and illegal.

Concerta interactions

  • Do not use methylphenidate if you are using or have used an MAO inhibitor (MAOI) within the past 14 days.

  • To avoid other potential drug interactions, tell the prescribing healthcare provider about all prescription drugs, over-the-counter medications, and supplements you use, particularly:

    • Other stimulants

    • Drugs that narrow blood vessels (vasopressors)

    • Blood thinners

    • Medicines that treat depression

    • Medicines that treat or prevent seizures

    • Antacids or stomach acid reducers

    • The antipsychotic drug risperidone

  • Avoid drinking alcohol when taking extended-release methylphenidate. 

  • Tell other healthcare providers about methylphenidate before they prescribe new medications or schedule medical procedures or surgery.

Concerta side effects

Serious side effects

Talk to a doctor if you notice any signs or symptoms of a possible serious side effect, including:

  • Lightheadedness, dizziness, fainting

  • Chest pain that may spread, trouble breathing, nausea, unusual sweating

  • Fast, slow, pounding, or uneven heartbeat

  • Increased blood pressure

  • Numbness or weakness on one side of your body, sudden or severe headache, problems with vision, speech, or walking

  • New or worse behaviors, hearing voices, seeing or feeling things that aren’t there, or other thought problems

  • Extreme energy or restlessness, confusion, agitation, unusual moods or behaviors

  • Seizures

  • Blurred vision or vision changes

  • Numb, cold, pale, or painful fingers or toes

  • Unexplained wounds on the fingers or toes

  • Slow growth or weight loss in children

  • Painful erection or an erection that lasts longer than four hours

  • Allergic reaction: Itching or hives, swelling in your face or hands, swelling or tingling in your mouth or throat, chest tightness, trouble breathing

Less serious side effects

  • Trouble sleeping

  • Loss of appetite

  • Headache

  • Abdominal pain

  • Dry mouth

  • Nausea and vomiting

  • Weight loss

  • Irritability

Find more information about Concerta side effects here.

Sources:

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