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.
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Concerta, Cotempla XR-ODT, Quillivant XR, Ritalin LA
Methylphenidate HCl ER
Treats ADHD
Stimulant, central nervous system agent
Extended-release tablet
By mouth
Concerta treats attention deficit hyperactivity disorder (ADHD) in adults and children 6 years of age and older.
Extended-release tablet
18 mg
27 mg
36 mg
54 mg
For ADHD: 18–54 mg tablet taken once per day in the morning
Find more information about Concerta dosage, forms, and strengths here.
Concerta
30 tablets extended release bottle
Concerta
90 tablets extended release bottle
Concerta
18mg tablet
Concerta
27mg tablet
Concerta
36mg tablet
Concerta
54mg tablet
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.
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.
This medicine is not right for everyone.
Do not use it if you have had an allergic reaction to methylphenidate.
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.
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.
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.
Concerta drug summary, Prescriber’s Digital Reference (PDR)
Concerta methylphenidate extended-release tablet prescribing information, DailyMed (NIH National Library of Medicine)
Methylphenidate, StatPearlsPlease
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