Concerta

Concerta Uses, Dosage, Side Effects, Mechanism of Action, How Long Does it Take to Work? Concerta is a brand name. Its generic name is Methylphenidate.

Introduction

Concerta is a central nervous system stimulant prescribed to treat attention deficit hyperactivity disorder (ADHD) and narcolepsy. It is available as a drug or as an extended-release oral formulation. Concerta works by increasing dopamine and norepinephrine levels in the brain, which help to improve attention and reduce impulsiveness and hyperactivity.

Uses

Concerta is used to treat the symptoms of attention deficit hyperactivity disorder (ADHD) and narcolepsy. It is also sometimes used to treat cognitive impairment associated with major depressive disorder, traumatic brain injury, and Parkinson’s disease.

Mechanism of Action

Concerta works by blocking the reuptake of certain neurotransmitters in the brain, such as dopamine and norepinephrine. By blocking the reuptake, it allows these neurotransmitters to stay in the brain longer, improving attention span and minimizing hyperactivity and impulsiveness.

How Long Does it Take to Work?

The effects of methylphenidate typically begin to be felt within 30 minutes of taking the drug. The effects of the medication can last up to 10 hours.

Absorption

Concerta is rapidly absorbed, with peak plasma levels typically reached 1-2 hours after taking the drug.

Route of Elimination

Concerta is primarily eliminated through the kidneys by glomerular filtration. It is also metabolized in the liver by a number of different pathways, including CYP2D6 and CYP3A4.

Dosage

The dosage of methylphenidate varies depending on the indication and severity of the condition being treated. For ADHD, the typical starting dose is 5-10 mg twice daily, with increments of 5-10 mg every three days, up to a maximum daily dose of 60 mg/day. The dose for narcolepsy is 5-60 mg/day taken in divided doses.

Administration

Concerta can be taken orally, either as a tablet or as an extended-release capsule or tablet. It can also be taken as a dissolved solution or as an injection.

Side Effects

Common side effects of methylphenidate include nausea, vomiting, stomachache, and decreased appetite. More serious side effects may include anxiety, agitation, aggression, hostility, dizziness, blurred vision, and insomnia.

Toxicity

Overdose of methylphenidate can lead to toxicity. Symptoms of overdose may include irregular heartbeat, seizure, coma, or death.

Precautions

Concerta should not be taken by patients with known or suspected cardiac problems, including arrhythmias, structural heart disease, or pain. Use of the drug may also be associated with an increased risk of psychiatric events. It is not recommended for children under 6 years of age.

Interactions

Concerta may interact with other medications, such as tricyclic antidepressants, selective serotonin reuptake inhibitors, antidopaminergics, and anticholinergics. It may also interact with alcohol, caffeine, tobacco, or illicit substances.

Disease Interaction

Concerta can interact with certain diseases or conditions. It should not be used by patients with glaucoma, Tourette’s syndrome, a history of drug or alcohol abuse, or a personal or family history of a psychotic disorder.

Drug Interactions

Concerta can interact with certain medications. These include blood pressure medications, antipsychotics, anticonvulsants, monoamine oxidase inhibitors, and certain antibiotics.

Food Interactions

Concerta may interact with certain foods, making them less effective. These include citrus fruits, foods containing tyramine, and foods high in fat or sugar.

Pregnancy Use

Concerta is classified as a pregnancy category C drug, which means there is an increased risk of developmental problems in the fetus if it is used during pregnancy.

Lactation Use

Concerta is not recommended for use during lactation as it can be passed into breast milk and may cause adverse effects in the nursing infant.

Acute Overdose

Symptoms of an acute overdose of methylphenidate include agitation, confusion, dilated pupils, fever, hallucinations, seizures, and coma. Treatment for an acute overdose involves immediate medical attention and supportive measures.

Contraindication

Concerta should not be used by people who have had a known reaction to the drug or have a known hypersensitivity to any of its components.

Use Direction

Concerta should be taken exactly according to the directions given by the prescriber. It should not be taken in larger amounts or for longer periods than prescribed.

Storage Conditions

Concerta should be stored at room temperature, away from direct light and moisture. Keep out of the reach of children.

Volume of Distribution

The volume of distribution of methylphenidate is 0.11 L/kg.

Half-Life

The half-life of methylphenidate is about 3.5 hours.

Clearance

The renal clearance of methylphenidate is 68 mL/min.

Here you find in details version of Concerta

Some Frequently Asked Questions About Concerta

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What is Concerta?

Concerta (also known as Ritalin) is a psychostimulant medication used to treat attention deficit hyperactivity disorder (ADHD) and narcolepsy. It is a first line medication for ADHD.

How does Concerta work?

Concerta works by increasing the activity of neurotransmitters in the brain, particularly dopamine and norepinephrine. This leads to an increase in mental alertness and improved concentration.

Who is Concerta prescribed to?

Concerta is primarily prescribed to treat attention deficit hyperactivity disorder (ADHD) and narcolepsy.

Does Concerta have any side effects?

Common side effects of Concerta include dizziness, headache, nausea, irritability, vomiting, trouble sleeping, and an increased heart rate. It is important to talk to a doctor before taking any medication to make sure it is safe.

Can children take Concerta?

Concerta can be prescribed to both adults and children to treat ADHD. However, it is important to talk to a doctor before giving any medication to a child.

Can adults take Concerta?

Concerta can be prescribed to both adults and children to treat ADHD. However, it is important to talk to a doctor before taking any medication to make sure it is safe.

How long does it take for Concerta to start working?

It usually takes about 1-2 hours for Concerta to start working. The effects may last for up to 4-6 hours.

Is Concerta safe for long-term use?

It is not recommended to use Concerta for long-term use. Long-term use of stimulant medications can lead to dependence, tolerance, and withdrawal symptoms.

What happens if I miss a dose of Concerta?

If you miss a dose of Concerta, you should take it as soon as you remember. Do not double up on doses or take extra doses. Taking more than prescribed may result in serious side effects.

Can Concerta be used to treat depression?

Concerta is not usually prescribed to treat depression. It is primarily used to treat attention deficit hyperactivity disorder (ADHD) and narcolepsy.

Can Concerta be used to treat anxiety?

Concerta is not usually prescribed to treat anxiety. It is primarily used to treat attention deficit hyperactivity disorder (ADHD) and narcolepsy.

Can I drink alcohol while taking Concerta?

It is not recommended to drink alcohol while taking Concerta. Alcohol can increase the side effects of the medication and may make it less effective.

Can I take Concerta with other medications?

It is important to talk to a doctor before taking any other medications while taking Concerta. Some medications may interact with each other, leading to serious side effects.

Are there any natural alternatives to Concerta?

Yes, there are natural alternatives to Concerta that can be used to treat ADHD. Some options include meditation, yoga, diet and lifestyle changes, and herbs such as ginkgo biloba, bacopa monnieri, and Rhodiola rosea.

Can I take Concerta while pregnant?

It is not advised to take Concerta while pregnant or nursing. Stimulant medications can be harmful to the developing baby and it is important to talk to a doctor before taking any medication during pregnancy.

Can Concerta cause weight loss?

Yes, Concerta can cause weight loss. It increases the activity of neurotransmitters in the brain which leads to an increase in mental alertness and improved concentration, which can lead to reduced appetite.

Is Concerta a controlled substance?

Yes, Concerta is a controlled substance in the United States and some other countries due to its potential for abuse and addiction.

What is the difference between Concerta and Adderall?

Concerta and Adderall are both psychostimulant medications used to treat attention-deficit hyperactivity disorder (ADHD). Concerta is usually a longer-acting medication than Adderall, but both medications are effective in treating ADHD.

Does Concerta cause a sensation of euphoria?

Yes, some people may experience a feeling of euphoria when taking Concerta. This is one of the main reasons why the drug is abused and why it is a controlled substance in many countries.

How does Concerta affect sleep?

Concerta may make it harder to fall asleep or stay asleep. People who are taking Concerta should talk to their doctor about any sleep problems they are experiencing.

Does Concerta interact with caffeine?

Yes, caffeine can increase the side effects of Concerta. It is best to avoid caffeine while taking Concerta to avoid any undue side effects.

Can Concerta cause high blood pressure?

Yes, Concerta can cause increases in blood pressure. It is important to talk to a doctor before taking Concerta to make sure it is safe, especially if you have a history of high blood pressure.

Is Concerta habit-forming?

Yes, Concerta is a habit-forming medication. Taking more than prescribed or taking it for a long period of time can lead to psychological or physical dependence.

Is Concerta safe for adults over 65?

Concerta is safe for adults over 65, however, it is important to talk to a doctor before taking any medication to make sure it is safe.

Can I drive a car after taking Concerta?

It is not recommended to drive a car until you know how Concerta affects you. This medication may cause drowsiness, dizziness, or impaired judgment, which could lead to an accident.

How soon before a job should I take Concerta?

It is best to take Concerta 1-2 hours before starting a job. Taking it any earlier may lead to an increase in side effects.

How long does it take for Concerta to leave the body?

Concerta usually leaves the body within 24 hours of taking the last dose. However, it may take longer for some people to fully metabolize the medication.

Does Concerta cause constipation?

Yes, Concerta can cause constipation. Drinking plenty of water and eating high-fiber foods can help prevent constipation.

Can Concerta be used to treat insomnia?

No, Concerta is not usually prescribed to treat insomnia. It is primarily used to treat attention deficit hyperactivity disorder (ADHD) and narcolepsy.

Can Concerta cause paranoia?

Yes, Concerta can cause paranoia. It is important to talk to a doctor if you are feeling paranoid or if you experience any other unusual side effects.

Can Concerta be used for weight loss?

Concerta is not usually prescribed for weight loss. It is primarily used to treat attention deficit hyperactivity disorder (ADHD) and narcolepsy.

Can I take Concerta with antidepressants?

It is important to talk to your doctor before taking any other medications while taking Concerta. Some medications including antidepressants can interact with Concerta, leading to serious side effects.

Does Concerta cause depression?

Concerta can cause depression in some people, especially when taken for a long-term period. It is important to talk to a doctor if you are feeling depressed while taking Concerta.

Does Concerta have stimulant effects?

Yes, Concerta is a stimulant medication that increases activity in the brain to help with focus and concentration.

Does Concerta have any long-term effects?

Long-term use of Concerta may lead to dependence, tolerance, and withdrawal symptoms. It is important to talk to a doctor before taking any medication, and to use caution when using Concerta.

What kind of drug is Concerta?

Concerta is a psychostimulant medication used to treat attention deficit hyperactivity disorder (ADHD) and narcolepsy.

Can Concerta be taken with other medications?

It is important to talk to a doctor before taking any other medications while taking Concerta. Some medications may interact with each other, leading to serious side effects.

Is Concerta safe for children?

Concerta can be prescribed to both adults and children to treat ADHD. However, it is important to talk to a doctor before giving any medication to a child.

Can Concerta be used to treat bipolar disorder?

Concerta is not usually prescribed to treat bipolar disorder. It is primarily used to treat attention deficit hyperactivity disorder (ADHD) and narcolepsy.

Does Concerta cause liver damage?

Concerta has not been shown to cause liver damage. However, if you experience any pain or other symptoms that could indicate liver damage while taking Concerta, you should talk to your doctor immediately.

Can Concerta be used to treat narcolepsy?

Yes, Concerta is used to treat narcolepsy. It works by increasing the activity of neurotransmitters in the brain, leading to an increase in mental alertness and improved concentration.

Can Concerta be used to treat anxiety disorder?

Concerta is not usually prescribed to treat anxiety disorder. It is primarily used to treat attention deficit hyperactivity disorder (ADHD) and narcolepsy.

Can Concerta be used to treat ADD?

Yes, Concerta is used to treat attention deficit hyperactivity disorder (ADHD), which is commonly referred to as ADD.

Does Concerta cause impulsivity?

Concerta can increase impulsivity in some people. This is one of the reasons why it is used to treat attention deficit hyperactivity disorder (ADHD).

Can Concerta be used to treat insomnia?

No, Concerta is not usually prescribed to treat insomnia. It is primarily used to treat attention deficit hyperactivity disorder (ADHD) and narcolepsy.

Does Concerta cause suicidal thoughts?

Yes, Concerta can cause suicidal thoughts and behavior. It is important to talk to a doctor immediately if you experience any changes in behavior or mood while taking Concerta.

Can Concerta cause hallucinations?

Yes, Concerta can cause hallucinations in some people. It is important to talk to a doctor immediately if you experience any hallucinations while taking Concerta.