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Concerta belongs to a group of drugs called central nervous system CNS stimulants, which works by changing the amount of natural substances in the brain to decrease impulsiveness and hyperactivity. This medication comes in an extended release tablet and is usually taken once a a day in the morning. The extended release tablets should be taken 30 to 45 minutes before a meal.
Concerta is a prescription medication used to treat attention-deficit hyperactivity disorder ADHD. This medication may be prescribed for other uses. Ask your doctor or pharmacist for more information.
This is not a complete list of Concerta side effects. Call your doctor for medical advice about side effects. Tell your doctor about all of the medicines that you or your child take including prescription and nonprescription medicines, vitamins, and herbal supplements. Concerta and some medicines may interact with each other and cause serious side effects. Sometimes the doses of other medicines will need to be adjusted while taking Concerta.
Know the medicines that you or your child takes. Keep a list of your medicines with you to show your doctor and pharmacist. Tell your doctor if you or your child have any heart problems, heart defects, high blood pressure, or a family history of these problems. Your doctor should check you or your child carefully for heart problems before starting Concerta.
Your doctor should check your or your child's blood pressure and heart rate regularly during treatment with Concerta. Call your doctor right away if you or your child has any signs of heart problems such as chest pain, shortness of breath, or fainting while taking Concerta. Tell your doctor about any mental problems you or your child have, or about a family history of suicide, bipolar illness, or depression.
Call your doctor right away if you or your child have any new or worsening mental symptoms or problems while taking Concerta, especially seeing or hearing things that are not real, believing things that are not real, or are suspicious. Concerta should not be used in children less than 6 years old because it has not been studied in this age group. Medicines can interact with certain foods. In some cases, this may be harmful and your doctor may advise you to avoid certain foods.
In the case of Concerta, there are no specific foods that you must exclude from your diet when receiving Concerta. Before starting Concerta, tell your or your child's doctor about all health conditions or a family history of including:.
Tell your doctor if you or your child is pregnant, planning to become pregnant, or breastfeeding. Tell your doctor if you are pregnant or plan to become pregnant.
It is not known if Concerta will harm your unborn baby.Do not use alcohol or medications that contain alcohol while you are receiving treatment with methylphenidate. This may increase nervous system side effects such as drowsiness, anxiety, depression, and seizures.
In addition, with certain long-acting forms of methylphenidate, alcohol can cause too much of the drug to be released at one time. High blood levels of the drug may increase the risk of side effects. Talk to your doctor or pharmacist if you have questions on how to take this or other medications you are prescribed. It is important to tell your doctor about all other medications you use, including vitamins and herbs.
Do not stop using any medications without first talking to your doctor. The use of CNS stimulants is contraindicated in patients with significant cardiovascular impairment such as uncompensated heart failure, severe coronary disease, severe hypertension including that associated with hyperthyroidism or pheochromocytomacardiac structural abnormalities, serious arrhythmias, etc.
Sudden death has been reported in adults and children taking CNS stimulant treatment. Additionally, stroke, myocardial infarction, chest pain, syncope, arrhythmias and other symptoms have been reported in adults under treatment.
A careful assessment of the cardiovascular status should be done in patients being considered for treatment. This includes family history, physical exam and further cardiac evaluation EKG and echocardiogram. Patients who develop symptoms should have a detailed cardiac evaluation and if needed, treatment should be suspended. CNS stimulant medications have shown to increase blood pressure, and their use might be contraindicated in patients with severe hypertension.
Caution should be used when administering to patients with preexisting high blood pressure and other cardiovascular conditions. All patients under treatment should be regularly monitored for changes in blood pressure and heart rate.
Concerta (methylphenidate) and Alcohol / Food Interactions
Methylphenidate racemic and dexmethylphenidate the more pharmacologically active d-enantiomer exhibit sympathomimetic activity and may elevate blood pressure and pulse rate. Therapy with these agents should be administered cautiously in patients with hypertension.
Blood pressure should be monitored periodically during therapy.
There are drug interactions with Concerta methylphenidate. There are 16 disease interactions with Concerta methylphenidate which include:. Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. Concerta reviews. The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records.
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ADHD Channel. Methylphenidate Extended Release. Pressor medications, seizure medications, and other drugs can cause problems when taken with Concerta. Some of these interactions can increase the amount of the medications in your blood, potentially increasing your risk of side effects.
Some of these interactions can also lead to life-threatening side effects. Therefore, be sure to talk to your healthcare provider about any interactions with Concerta that may apply to you. Some of the drugs that may lead to interactions with Concerta include:. List of references click here Concerta [package insert]. Lexi-Interact [computer program]. Lexi-Comp, Inc. Last reviewed by: Kristi MonsonPharmD. Concerta Side Effects. Concerta and Weight Loss. Concerta Sexual Side Effects.
Concerta and Depression. Concerta and Thyroid Problems. Concerta and Hair Loss. Concerta Uses. Concerta Dosing.FDA Web site. Accessed January 27, Sign In Site Map. ADHD Channel. Methylphenidate Extended Release. Some Concerta Warnings and Precautions Some Concerta warnings and precautions to be aware of include:. Be especially on the lookout for this side effect whenever the dosage is increased or during a drug "holiday" or any other time when the drug is stopped. Stimulants used to treat ADHD have been associated with problems in blood vessels in the fingers and toes, sometimes causing problems such as Raynaud's disease.
Alert your healthcare provider to any signs of this problem, such as cold or numb toes or fingers. List of references click here Concerta [package insert]. Last reviewed by: Kristi MonsonPharmD. Concerta Side Effects. Concerta and Weight Loss. Concerta Sexual Side Effects. Concerta and Depression. Concerta and Thyroid Problems. Concerta and Hair Loss.
Concerta Uses. Concerta Dosing. Concerta Drug Interactions. Concerta Warnings and Precautions. Concerta for Adults. Concerta Overdose. Concerta and Pregnancy. Concerta Without a Prescription.Send the page " " to a friend, relative, colleague or yourself.
We do not record any personal information entered above. Methylphenidate has a high potential for abuse. Caution is recommended in patients with a known history of substance abuse, including alcoholism. Assess the risk of abuse prior to prescribing and monitor for signs of abuse while on therapy. The least amount reasonable should be prescribed or dispensed at one time in order to limit the potential for overuse or drug diversion. Additionally, educate patients and their families about abuse and proper storage and disposal of CNS stimulants.
Misuse of stimulants may cause serious cardiovascular adverse reactions and has been associated with sudden death. Symptoms of chronic stimulant abuse may include insomnia, irritability, change in personality, and psychotic symptoms that may be clinically indistinguishable from psychotic disorders, particularly with parenteral or inhalational abuse.
CNS stimulant chemically similar to but with milder peripheral sympathomimetic actions than amphetamines Used for attention-deficit hyperactivity disorder ADHD and narcolepsy Pediatric patients with structural heart defects, cardiomyopathy, or heart-rhythm disturbances may be at risk for adverse cardiac events.
Initially, 18 to 36 mg PO once daily in the morning. Dose may be increased by 18 mg increments at weekly intervals. Individualize dosage based on psychosocial and comorbid factors; use lowest effective dose. If paradoxical aggravation of symptoms or other adverse effects occur, reduce dosage or discontinue the drug. Initially, 18 mg PO once daily in the morning. Initially, 36 mg PO once daily in the morning.
Initially, 54 mg PO once daily in the morning. A mg tablet is available for prescribers who wish to utilize a dosage between 18 to 36 mg. Titrate dose by 18 mg increments at weekly intervals as needed. A mg tablet is available for patients who may benefit from a dosage between 18 to 36 mg. Titrate dose by 18 mg increments at weekly intervals as needed and as clinically appropriate.By proceeding, I accept the Terms and Conditions.
Concerta food interactions. Can you take concerta 45mglexapro 15 mg and creatine age 18 yr old male? View answer. He is studying at university and continues to be very scattered. Do these drugs interact and what are the down sides of taking both of them as his psychiatrist I am always Also, when I am at work the Concerta helps me, but I am My son has been taking 72 mg of Concerta for years.
My husband recently switched employers and our new insurance does not cover this medication. Are you Imy granddaughter who is 16 and a half started taking concerta 54 mg each day. Hello, I ve been in Concerta 36 mg 5 years ago. For 2 years for my add. I am on Prozac 20mg for 2 years. My daughter is 10 took Prozac and concerta together, she now the hospital for change in behavior screaming for hours anxiety depression banging her head in and out of confusion.
She has not taking them The Concerta is much I just read that concerta and prozac may interact to increase in a way which increases the effects Better not to drink alcohol while on concerta. It is drug interactions. Please hit thanks.
This requires a written and signed prescription by a medical provider Hope this answers your question. Please contact us again with your concerns. Coronavirus Doctor Consultation Are you a Doctor? Login Register. Your Name :. Your e-mail :. Password :. Confirm Password :. Remember me.Methylphenidate is a central nervous system stimulant. It affects chemicals in the brain and nerves that contribute to hyperactivity and impulse control.
Methylphenidate may be habit-forming. Tell your doctor if you have had problems with drug or alcohol abuse. Stimulants have caused stroke, heart attack, and sudden death in people with high blood pressure, heart disease, or a heart defect.
Do not use methylphenidate if you have used an MAO inhibitor in the past 14 days, such as isocarboxazid, linezolid, methylene blue injection, phenelzine, rasagiline, selegiline, or tranylcypromine. Methylphenidate may cause new or worsening psychosis unusual thoughts or behaviorespecially if you have a history of depression, mental illness, or bipolar disorder.
You may have blood circulation problems that can cause numbness, pain, or discoloration in your fingers or toes. Call your doctor right away if you have: signs of heart problems --chest pain, feeling light-headed or short of breath; signs of psychosis --paranoia, aggression, new behavior problems, seeing or hearing things that are not real; signs of circulation problems --unexplained wounds on your fingers or toes.
Do not use methylphenidate if you have used an MAO inhibitor in the past 14 days. A dangerous drug interaction could occur. MAO inhibitors include isocarboxazid, linezolid, methylene blue injection, phenelzine, rasagiline, selegiline, tranylcypromine, and others.
Stimulants have caused stroke, heart attack, and sudden death in certain people. Tell your doctor if you have:. It is not known whether this medicine will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant. It may not be safe to breast-feed a baby while you are using this medicine.
Ask your doctor about any risks. Get emergency medical help if you have signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Methylphenidate can affect growth in children. Tell your doctor if your child is not growing at a normal rate while using this medicine.
This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects.
Avoid drinking alcohol. Alcohol may cause extended-release methylphenidate to be released into the bloodstream too fast. Avoid driving or hazardous activity until you know how this medicine will affect you. Your reactions could be impaired.
Ask your doctor before using a stomach acid medicine including Alka-Seltzer or sodium bicarbonate. Some of these medicines can change the way your body absorbs methylphenidate, and may increase side effects.
Many drugs can affect methylphenidate. This includes prescription and over-the-counter medicines, vitamins, and herbal products.
Not all possible interactions are listed here. Tell your doctor about all your current medicines and any medicine you start or stop using. Follow all directions on your prescription label and read all medication guides or instruction sheets.
Your doctor may occasionally change your dose. Use the medicine exactly as directed. Never share this medicine with another person, especially someone with a history of drug abuse or addiction. Keep the medication in a place where others cannot get to it.
Selling or giving away this medicine is against the law.