Parts of concerta pill


  • Concerta: ADHD Medication
  • Concerta side effects and how to avoid them
  • Everything You Need to Know About Concerta Abuse and Addiction
  • Concerta Lawsuit
  • Concerta: ADHD Medication

    Concerta Interactions What is Concerta? Concerta may improve focus for people with inattentive ADHD, and decrease impulsivity and hyperactive behavior — hallmark ADHD symptoms for many patients. Concerta is known for its proprietary delivery system, OROS, osmotically controlled release oral-delivery system , which allows medication to be released periodically as it travels through the body. Three inner compartments then release at different intervals as the chambers absorb fluid from the intestine; this results in extended medication release.

    The release, however, is not consistent. One-sixth of the dose is never released so that an 18 mg caplet of Concerta really delivers just 15 mg and a 36 mg caplet just releases 30 mg, and so on. Even after 20 years on the market there is a disagreement among clinicians about whether a steady release delivery system or a backloaded, ever-increasing dose is better.

    Concerta is available in both branded and generic versions. The marketer of the acceptable branded generic changes almost every year, usually in January. The acceptable generics will be in the shape of a small barrel, have a dimple at one end where the medication is pumped out of the hard-shell caplet, and should still bear the name of the brand name manufacturer called ALZA. Any other products are likely to be highly inconsistent in their release of medication and, short in duration, but cheaper so that they will be preferred by pharmacy benefits managers.

    For further, regularly updated information, see the website www. Concerta can also be used to treat narcolepsy.

    Concerta vs. Adderall Concerta and Adderall are both central nervous system stimulant drugs. They alleviate ADHD symptoms by activating the areas of the brain responsible for paying attention and focusing. Concerta is the brand name for the delivery system of the generic drug methylphenidate. Adderall is the brand name for a delivery system of the generic drug amphetamine.

    While Concerta is only available as an extended-release capsule, Adderall is available in immediate release and extended release forms. While the Concerta capsule relies on a push compartments to release medication over an extended period of time, the extended release version of Adderall holds tiny beads.

    Half the beads work right away; the others are released slowly into the body after about four hours. What Is the Best Dosage for Concerta?

    The optimal dosage of Concerta varies by patient. Concerta capsules are available in 18mg, 27mg, 36mg, and 54mg dosages. The time-release formulation is designed to maintain an ever-increasing blood level of medication in your body throughout the day. FDA guidance suggests a maximum 54mg daily dose for children and adolescents, and 72mg daily for adults.

    The OROS delivery system is a very hard cellulose caplet that must remain intact because it contains two different concentrations of methylphenidate and a gel that pushes the medication out of a small hole at one end of the caplet.

    Cutting or crushing that caplet would cause all of the medication to be released at once. Capsules should be swallowed whole with water or other liquids. If your child is unable to swallow the pill, your doctor may recommend another medication. The empty caplet does not dissolve but instead passes through the digestive tract and out of the body without being digested.

    As with all medications, follow your Concerta prescription instructions exactly. Concerta is taken orally, with or without food, once daily, typically taken first thing in the morning; it should be taken at the same time each day for the best results.

    Some patients report developing a tolerance to Concerta, though no data supports this phenomenon. If you notice that your dosage is no longer controlling your symptoms, talk to your doctor to plan a course of action.

    Never adjust your dose without consulting your clinician first. During treatment, your doctor should check vital statistics including blood, heart, and blood pressure; or evaluate height and weight. Most people taking Concerta do not experience any side effects. That said, the most common side effects associated with Concerta are as follows: decreased appetite.

    SHARE With her long dark hair flying, Saorla Meenagh, 10, pictured above can execute a perfect switch leap, one leg out, one tucked under, her arms glued to her sides in classic Irish step-dancing style. Saorla, whose blue eyes, white skin, and sprinkle of freckles helped win her a modeling contract with a New York agency—on hold until her braces come off —also plays softball and Gaelic football, a soccer-like game her father, Seamus, a contractor, enjoyed when he was growing up in County Tyrone, Northern Ireland.

    She sits on her knees, then jiggles, then rocks, then circles photos in a stack of food magazines with a pen, turning off the TV, turning up the TV, turning down the TV, and making part of a bracelet on a Rainbow Loom before she finally loses interest.

    She rarely finishes a task and being with her can be as disconcerting as watching television with someone pressing the channel changer every 10 seconds. Along with a gift for math and a love for Gaelic sports, Saorla has inherited something else from her father: attention deficit hyperactivity disorder, ADHD.

    People just meeting her find her adorably sweet, if quirky. Being fidgety and easily distracted are two of the most common and recognized symptoms of ADHD, often leading to poor performance in school, the most recognized fallout of the condition. Overall, boys Ours is not a society tolerant of perpetual motion or daydreaming.

    Richard Saul published a provocatively titled book, ADHD Does Not Exist, in which he proposes that ADHD is not an entity in itself but a cluster of symptoms that stem from more than 20 other conditions, including depression, anxiety, bi-polar disorder, and obsessive-compulsive disorder. Many of those, along with dysfunctional behavior conditions such as oppositional defiant disorder, characterized by aggression, tantrums and a propensity to argue with adults, and learning disabilities such as dyslexia, are often diagnosed as co-illnesses with ADHD.

    Saul criticizes the catchall-nature of an ADHD diagnosis, which he believes corrals a lot of real conditions into one. In some rare cases they can damage the heart. Since many of the drugs are appetite killers, some parents have to entice their children with small meals all day long. The side effects are why many children like Saorla take medication holidays during summer months or even on the weekends.

    How prevalent has an ADHD diagnosis become? ADHD experts say it is often a pediatrician who does not spend the kind of time it takes to make an accurate diagnosis. The gold standard of ADHD diagnosis is an analysis of questionnaires, like those Connors developed, filled out by parents, teachers and other people who interact with the child and observe classroom behavior.

    Each child can take hours to analyze. Harold S. In this case, scientists in the field do a full 2. The percentage of children taking drugs jumped by more than a quarter, from 4. In fall and spring , there was even a brief shortage of ADHD drugs, particularly generics, because the demand was outpacing the supply. They include acting before thinking, being unable to delay gratification, staying motived to finish a boring task, keeping strong emotions in check, remembering an assignment and how to complete it, or planning ahead.

    But three other factors play a pivotal role in determining whether a child has a disorder or is just quirky, inattentive, or high-spirited. To be diagnosed with ADHD, children must have most of those 18 symptoms, most of the time, in most areas of their lives, from home to school to the neighborhood playground.

    All of this carries enormous social cost in school and on the playground. But, in general, for a child with attention deficits, trying to focus on one thing is akin to trying to discern the chirping of crickets in Times Square.

    Some are chronically late. ADHD is divided into subtypes—children just with attention problems, those with impulse control and hyperactivity issues, and a group with a combination of the two. The latter is the most common, occurring in two-thirds to three-quarters of people, estimates Barkley.

    Children with attention problems can have any or all of these symptoms, but may not be any more fidgety than the average child. On the other hand, children who are hyperactive as well as distractible may not be able to stop moving or even to stop talking, including to themselves. An internal conversation for most people can become a conference call on speakerphone for a child with ADHD.

    The minute Saorla learned to walk she climbed—everything, and not skillfully. She was impulsive, fearless and, probably as a result, accident-prone. The Meenaghs once had to call the police and fire department to get Saorla, then a toddler, out of a bathroom where she had barricaded herself behind a locked door and a drawer she pulled out.

    I worry about how this is going to play out. In fact, having ADHD makes you three times more likely to be dead by the age of ADHD struck close to home, and with tragic consequences. His brother was killed in a one-car accident after drinking. He was not wearing a seatbelt. Today we have brain scans, genetic studies, twin studies that show that this is a highly inherited neurobiological disorder, not some made-up condition.

    If the filter is too porous, too many stimuli get through. Scans show that those brain regions in children with ADHD are smaller than they are in children in the general population. In one study done jointly by the Child Psychiatry Branch of the National Institute of Mental Health and McGill University in Montreal, brain scans of children with ADHD showed that the thickening of cortical tissue was delayed by about three years compared to scans of a control group of equal numbers of normally developing youngsters.

    The ultimate source of these brain differences is likely genes—perhaps thousands of them. The heritability of ADHD is striking. But this chemical that carries information between nerve cells plays a far more important function in human life than providing us with a cocaine or cupcake high. It uses reward—the pleasurable feelings it supplies—to motivate us to pay attention, avoid distraction, to pick out the most relevant information circulating in short-term memory when solving a problem or completing a task.

    It also governs motion. There are dopamine receptors on certain neurons nerve cells to which dopamine delivers its various messages, such as pay attention, control yourself, feel good, and do that thing that made you feel good again, the latter reflecting its role in promoting both addiction and learning. Dopamine transporters also protrude from the neurons that produce dopamine.

    One particular gene, DAT-1, has been implicated in both ADHD and bi-polar disorder and is very active in the basal ganglia and pre-frontal cortex, the brain regions that are smaller in people with ADHD. Other genes recently linked to the disorder strengthen the idea that ADHD is a fundamental communication system gone awry, a short-circuiting of the transmission between cells.

    There are some non-genetic risk factors for ADHD: premature birth, maternal smoking and alcohol use, lead exposure, frequent maternal infections during pregnancy, and brain injuries.

    A German study found a significant link between having eczema, a rash caused by allergies, and developing ADHD symptoms, giving more credence to a controversial theory that at least some ADHD is the result of allergies or sensitivities to certain foods, food additives, or other environmental chemicals.

    Organophosphate pesticides—the kind used on most of the U. The takeaway: eat organic produce or at least wash your veggies. He made it to the front office before he was stopped. He recently graduated from Penn with a degree in physics. Another FDA panel withdrew the black box warning within a month. So why does stimulant medication given to high-energy kids calm them down? Today we know that stimulants such as Ritalin, Adderall and Vyvanse, like other drugs, have the opposite effect on children than the one they have on adults.

    Diet, exercise, parenting techniques and therapy are extremely important as well. Yet the majority of children with ADHD are getting only medication. Experts such as Pelham, Koplewicz, Hallowell, and Barkley are all proponents of medication, but not necessarily as a first-line treatment.

    He laments that the takeaway from the MTA research has been that pills alone work. Research has produced evidence that good parenting can even trump bad genes. They also learn how to give instructions to a child whose short-term working memory is impaired and who finds it tougher than normal to keep distractions at bay. Parents practice ways to minimize their responses to minor annoyances—like a year-old who repeatedly puts her feet on the dining room table.

    This does not help. Friedman, director of the psychopharmacology clinic at Weill Cornell Medical College, drew on the Kenya study, to suggest that many children with the genetic version of ADHD might benefit from education plans tailored to their needs for hands-on, fast-paced experiences high in novelty that, while unlikely to reduce their need for medication, could turn their disability into an asset. Kerri Meenagh was fortunate. While most kids can find something to occupy them for 45 minutes at Mass, Saorla has to go to the bathroom at least three times.

    So we go to Mass and Saorla has to go to the bathroom three times. If I know that happens because she has a brain disorder, why would I get upset? And she was a hit. Her energy and expression make her a delight to watch. Performing makes her feel proud of herself and very confident.

    Scheffler PhD, to drill down into the statistics. For one thing, a diagnosis can lead to treatment that could help underachieving students do better in the classroom and, as a result, increase mean test scores. Having a lot of students diagnosed with ADHD allows the districts to simply drop the scores of their lowest achievers and not lose any funding. However, Medicaid covers ADHD assessments and medication, but not other therapies which may also explain why rates of drug treatment are also on the rise.

    The drug can be safely used in preschoolers. Ritalin and generics must be taken 2 to 3 times a day. They can increase anxiety and tics and are not as effective in toddlers as they are in older children; greater risk of side effects for younger children. Very rare side effects include sudden death. Adderall XR and Vyvanse wear off more slowly with fewer rebound symptoms.

    Vyvanse is a once-daily pill for children 6 years and older. Cons: May be habit-forming; can cause slowed growth, loss of appetite and weight, irritability, and restlessness. Dexedrine Spansul can eliminate mid-day doses in young children.

    Cons: May be habit-forming and has the same potential side effects as other stimulants see above. Nonstimulants How they work: Increases dopamine circulating in the blood by decreasing blood pressure. Intuniv and Tenex may be combined with a stimulant for children who are very hyperactive, aggressive, and emotionally explosive.

    They target specific symptoms like extreme hyperactivity and aggressiveness. Blood pressure drugs can also help children sleep and may treat anxiety, nervous habits and tics, and bedwetting.

    Cons: Can be sedating. Clonidine drugs have cardiac effects that may make them inappropriate for children.

    The acceptable generics will be in the shape of a small barrel, have a dimple at one end where the medication is pumped out of the hard-shell caplet, and should still bear the name of the brand name manufacturer called ALZA.

    Any other products are likely to be highly inconsistent in their release of medication and, short in duration, but cheaper so that they will be preferred by pharmacy benefits managers. For further, regularly updated information, see the website www. Concerta can also be used to treat narcolepsy. Concerta vs. Adderall Concerta and Adderall are both central nervous system stimulant drugs. They alleviate ADHD symptoms by activating the areas of the brain responsible for paying attention and focusing.

    Concerta is the brand name for the delivery system of the generic drug methylphenidate. Adderall is the brand name for a delivery system of the generic drug amphetamine. While Concerta is only available as an extended-release capsule, Adderall is available in immediate release and extended release forms. While the Concerta capsule relies on a push compartments to release medication over an extended period of time, the extended release version of Adderall holds tiny beads.

    Half the beads work right away; the others are released slowly into the body after about four hours.

    Concerta side effects and how to avoid them

    What Is the Best Dosage for Concerta? The optimal dosage of Concerta varies by patient. Concerta capsules are available in 18mg, 27mg, 36mg, and 54mg dosages. The time-release formulation is designed to maintain an ever-increasing blood level of medication in your body throughout the day.

    FDA guidance suggests a maximum 54mg daily dose for children and adolescents, and 72mg daily for adults. The OROS delivery system is a very hard cellulose caplet that must remain intact because it contains two different concentrations of methylphenidate and a gel that pushes the medication out of a small hole at one end of the caplet. Cutting or crushing that caplet would cause funny mime ideas of the medication to be released at once.

    His brother was killed in a one-car accident after drinking. He was not wearing a seatbelt. Today we have brain scans, genetic studies, twin studies that show that this is a highly inherited neurobiological disorder, not some made-up condition.

    If the filter is too porous, too many stimuli get through. Scans show that those brain regions in children with ADHD are smaller than they are in children in the general population. In one study done jointly by the Child Psychiatry Branch of the National Institute of Mental Health and McGill University in Montreal, brain scans of children with ADHD showed that the thickening of cortical tissue was delayed by about three years compared to scans of a control group of equal numbers of normally developing youngsters.

    The ultimate source of these brain differences is likely genes—perhaps thousands of them. The heritability of ADHD is striking. But this chemical that carries information between nerve cells plays a far more important function in human life than providing us with a cocaine or cupcake high. It uses reward—the pleasurable feelings it supplies—to motivate us to pay attention, avoid distraction, to pick out the most relevant information circulating in short-term memory when solving a problem or completing a task.

    It also governs motion. There are dopamine receptors on certain neurons nerve cells to which dopamine delivers its various messages, such as pay attention, control yourself, feel good, and do that thing that made you feel good again, the latter reflecting its role in promoting both addiction and learning.

    Dopamine transporters also protrude from the neurons that produce dopamine. One particular gene, DAT-1, has been implicated in both ADHD and bi-polar disorder and is very active in the basal ganglia and pre-frontal cortex, the brain regions that are smaller in people with ADHD. Other genes recently linked to the disorder strengthen the idea that ADHD is a fundamental communication system gone awry, a short-circuiting of the transmission between cells.

    There are some non-genetic risk factors for ADHD: premature birth, maternal smoking and alcohol use, lead exposure, frequent maternal infections during pregnancy, and brain injuries. A German study found a significant link between having eczema, a rash caused by allergies, and developing ADHD symptoms, giving more credence to a controversial theory that at least some ADHD is the result of allergies or sensitivities to certain foods, food additives, or other environmental chemicals.

    Organophosphate pesticides—the kind used on most of the U. The takeaway: eat organic produce or at least wash your veggies. He made it to the front office before he was stopped.

    Everything You Need to Know About Concerta Abuse and Addiction

    He recently graduated from Penn with a degree in physics. Another FDA panel withdrew the black box warning within a month. So why does stimulant medication given to high-energy kids calm them down? Today we know amana a06 code stimulants such as Ritalin, Adderall and Vyvanse, like other drugs, have the opposite effect on children than the one they have on adults.

    Diet, exercise, parenting techniques and therapy are extremely important as well. Yet the majority of children with ADHD are getting only medication. Experts such as Pelham, Koplewicz, Hallowell, and Barkley are all proponents of medication, but not necessarily as a first-line treatment.

    He laments that the takeaway from the MTA research has been that pills alone work. Research has produced evidence that good parenting can even trump bad genes.

    They also learn how to give instructions to a child whose short-term working memory is impaired and who finds it tougher than normal to keep distractions at bay. Parents practice ways to minimize their responses to minor annoyances—like a year-old who repeatedly puts her feet on the dining room table. This does not help.

    Friedman, director of the psychopharmacology clinic at Weill Cornell Medical College, drew on the Kenya study, to suggest that many children with the genetic version of ADHD might benefit from education plans tailored to their needs for hands-on, fast-paced experiences high in novelty that, while unlikely to reduce their need for medication, could turn their disability into an asset.

    Kerri Meenagh was fortunate. While most kids can find something to occupy them for 45 minutes at Mass, Saorla has to go to the bathroom at least three times. So we go to Mass and Saorla has to go to the bathroom three times. If I know that happens because she has a brain disorder, why would I get upset? And she was a hit. Her energy and expression make her a delight to watch. Performing makes her feel proud of herself and very confident.

    Scheffler PhD, to drill down into the statistics. For one thing, a diagnosis can lead to treatment that could help underachieving students do better in the classroom and, as a result, increase mean test scores. Having a lot of students diagnosed with ADHD allows the districts to simply drop the scores of their lowest achievers and not lose any funding.

    However, Medicaid covers ADHD assessments and medication, but not other therapies which may also explain why rates of drug treatment are also on the rise.

    The drug can be safely used in preschoolers. Ritalin and generics must be taken 2 to 3 times a day. They can increase anxiety and tics and are not as effective in toddlers as they are in older children; greater risk of side effects for younger children.

    Very rare side effects include sudden death. Adderall XR and Vyvanse wear off more slowly with fewer rebound symptoms. Vyvanse is a once-daily pill for children 6 years and older.

    Cons: May be habit-forming; can cause slowed growth, loss of appetite and weight, irritability, and restlessness. Dexedrine Spansul can eliminate mid-day doses in young children. Cons: May be habit-forming and has the same potential side effects as other stimulants see above.

    Concerta Lawsuit

    Nonstimulants How they work: Increases dopamine circulating in the blood by decreasing blood pressure. Intuniv and Tenex may be combined with a stimulant for children who are very hyperactive, aggressive, and emotionally explosive. They target specific symptoms like extreme hyperactivity and aggressiveness.

    Blood pressure drugs can also help children sleep and may treat anxiety, nervous habits and tics, and bedwetting.


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