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 Concerta(Buy concerta online) is a stimulant ADHD medication used to treat symptoms of ADHD in children and adults.

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Description

Uses(Buy concerta online)

This medication is used to treat attention deficit hyperactivity disorder – ADHD. It works by changing the amounts of certain natural substances in the brainMethylphenidate belongs to a class of drugs known as stimulants. It can help increase your ability to pay attention, stay focused on an activity, and control behavior problems. It may also help you to organize your tasks and improve listening skills.

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How to use Concerta(Buy concerta online)

Read the Medication Guide provided by your pharmacist before you start taking methylphenidate and each time you get a refill. If you have any questions, ask your doctor or pharmacist.

Take this medication by mouth with or without food as directed by your doctor, usually once daily in the morning. Taking this medication late in the day may cause trouble sleeping (insomnia).

Swallow this medication with a full glass of liquid (8 ounces/240 milliliters). Do not crush or chew this medication. Doing so can release all of the drug at once, increasing the risk of side effects. Also, do not split the tablets unless they have a score line and your doctor or pharmacist tells you to do so. Swallow the whole or split tablet without crushing or chewing.

Take this medication regularly to get the most benefit from it. To help you remember, take it at the same time each day.

The dosage is based on your medical condition and response to treatment. Your doctor may direct you to gradually increase or decrease your dose. Also, if you have used it for a long time, do not suddenly stop using this drug without consulting your doctor.

If you suddenly stop using this medication, you may have withdrawal symptoms (such as depressionsuicidal thoughts, or other mental/mood changes). To help prevent withdrawal, your doctor may lower your dose slowly. Withdrawal is more likely if you have used methylphenidate for a long time or in high doses. Tell your doctor or pharmacist right away if you have withdrawal.

When used for a long time, this medication may not work as well. Talk with your doctor if this medication stops working well.

Though it helps many people, this medication may sometimes cause addiction. This risk may be higher if you have a substance use disorder (such as overuse of or addiction to drugs/alcohol). Take this medication exactly as prescribed to lower the risk of addiction. Ask your doctor or pharmacist for more details.

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Concerta is employed in patients to take care of attention deficit disorder (ADD), attention deficit hyperactivity disorder (ADHD), and narcolepsy. It is a central nervous system (CNS) stimulant medication. It functions by influencing nerve and brain chemicals that contribute to impulse control and hyperactivity.

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Precautions While Using Concerta

This Medication should be stored in a secure place from the reach of children, and at room temperature. Avoid the sharing of your Concerta prescription with anyone, even with ADHD patient. This treatments shouldn’t be taken if you have the following conditions: allergy or hypersensitivity to methylphenidate HCI, stress and anxiety, glaucoma, tics or record of Tourette’s symptoms, or if you are taking monoamine oxidase inhibitors (MAOIs).

You need to use extreme care when taking this medicine if you have a history of heart disease, mental problems, seizures, esophagus, abdominal or intestine problems. If you’re thinking about getting pregnant, discuss the use of this medicine with your physician. Animal studies reveals a potential threat of fetal damage. This medication is transferred through breast milk, so it is recommended that moms do not nurse while taking it.

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Dosage of Concerta

This medicine can be taken orally, with or without food, once daily. The first dose is typically taken first thing in the morning. It should be taken at the same time each day to get the best results. Capsules should be swallowed whole with drinking water or other fluids. Capsules shouldn’t be smashed or chewed. The Concerta capsules are designed to release the medication without dissolving the capsules. These Capsules are available in 18mg, 27mg, 36mg, and 54mg dosages. Follow guidelines on the prescription label. Your physician may change your dosage to guarantee the best results.

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Side Effects of Concerta

The most frequent side ramifications of Concerta are the following: decreased desire for food, dry mouth, rest disruption, dizziness, abdominal ache, increase perspiration, headache, nausea, nervousness, weight reduction, and irritability. Also, other serious side results include slowing of growth in children, seizures, priapism and eyesight changes or blurred eyesight.

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Side Effects

Nervousness, trouble sleeping, loss of appetite, weight lossdizzinessnauseavomiting, or headache may occur. If any of these effects persist or worsen, tell your doctor or pharmacist promptly.

An empty tablet shell may appear in your stool. This effect is harmless because your body has already absorbed the medication.

Remember that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.

This medication may raise your blood pressure. Check your blood pressure regularly and tell your doctor if the results are high.

Tell your doctor right away if you have any serious side effects, including: signs of blood flow problems in the fingers or toes (such as coldness, numbness, pain, or skin color changes), unusual wounds on the fingers or toes, fast/pounding/irregular heartbeat, mental/mood/behavior changes (such as agitation, aggression, mood swings, abnormal thoughts, thoughts of suicide), uncontrolled muscle movements (such as twitching, shaking), sudden outbursts of words/sounds that are hard to control, vision changes (such as blurred vision).

Get medical help right away if you have any very serious side effects, including: faintingseizure, symptoms of a heart attack (such as chest/jaw/left arm pain, shortness of breath, unusual sweating), symptoms of a stroke (such as weakness on one side of the body, slurred speech, sudden vision changes, confusion).

Rarely, males (including young boys and teens) may have a painful or prolonged erection lasting 4 or more hours while using this medication. Caregivers/parents should also be watchful for this serious side effect in boys. If a painful or prolonged erection occurs, stop using this drug and get medical help right away, or permanent problems could occur. Ask your doctor or pharmacist for more details.

A very serious allergic reaction to this drug is rare. However, get medical help right away if you notice any symptoms of a serious allergic reaction, including: rashitching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.

This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.

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Precautions

See also Warning section.

Before taking methylphenidate, tell your doctor or pharmacist if you are allergic to it; or to dexmethylphenidate; or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details.

Before using this medication, tell your doctor or pharmacist your medical history, especially of: high blood pressureblood circulation problems (such as Raynaud’s disease), glaucomaheart problems (such as irregular heartbeat, heart failure, previous heart attack, problems with heart structure), family history of heart problems (such as sudden cardiac death, irregular heartbeat), mental/mood conditions (especially anxiety, tension, agitation), personal/family history of mental/mood disorders (such as bipolar disorderdepressionpsychosissuicidal thoughts), personal/family history of uncontrolled muscle movements (motor ticsTourette’s syndrome), overactive thyroid (hyperthyroidism), seizure disorder, throat/stomach/intestinal problems (such as narrowing/blockage).

This drug may make you dizzy. Alcohol or marijuana (cannabis) can make you more dizzy. Do not drive, use machinery, or do anything that needs alertness until you can do it safely. Limit alcoholic beverages. Talk to your doctor if you are using marijuana (cannabis).

Before having surgery, tell your doctor or dentist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products).

If used for a long time, this drug may affect a child’s growth rate, weight, and final adult height. To reduce the risk, the doctor may recommend briefly stopping the medication from time to time. Check the child’s weight and height regularly, and consult your doctor or pharmacist for more details.

Older adults may be more sensitive to the side effects of this drug, especially trouble sleepingweight loss, or chest pain.

During pregnancy, methylphenidate should be used only when clearly needed. Discuss the risks and benefits with your doctor.

This medication passes into breast milk. Consult your doctor before breast-feeding.

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Interactions

Drug interactions may change how your medications work or increase your risk for serious side effects. This document does not contain all possible drug interactions. Keep a list of all the products you use (including prescription/nonprescription drugs and herbal products) and share it with your doctor and pharmacist. Do not start, stop, or change the dosage of any medicines without your doctor’s approval.

Taking MAO inhibitors with this medication may cause a serious (possibly fatal) drug interaction. Avoid taking MAO inhibitors (isocarboxazidlinezolid, methylene blue, moclobemide, phenelzineprocarbazinerasagiline, safinamide, selegiline, tranylcypromine) during treatment with this medication. Most MAO inhibitors should also not be taken for two weeks before treatment with this medication. Ask your doctor when to start or stop taking this medication.

Methylphenidate is very similar to dexmethylphenidate. Do not use medications containing dexmethylphenidate while using methylphenidate.

This medication may interfere with certain medical/laboratory tests (including brain scan for Parkinson’s disease), possibly causing false test results. Make sure laboratory personnel and all your doctors know you use this drug.

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Overdose

If someone has overdosed and has serious symptoms such as passing out or trouble breathing, call 911. Otherwise, call a poison control center right away. US residents can call their local poison control center at 1-800-222-1222. Canada residents can call a provincial poison control center. Symptoms of overdose may include: vomiting, agitation, confusion, sweating, flushing, muscle twitchinghallucinationsseizures, loss of consciousness.

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Notes

Do not share this medication with others. Sharing it is against the law.

Laboratory and/or medical tests (such as blood pressurecomplete blood count, height/weight monitoring in children) may be performed periodically to monitor your progress or check for side effects. Consult your doctor for more details.

There are different brands and forms of this medication available. Not all have the same effects. Do not change brands or forms without consulting your doctor or pharmacist.

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Missed Dose

If you miss a dose, take it as soon as you remember. If it is near bedtime or near the time of the next dose, skip the missed dose. Take your next dose at the regular time. Do not double the dose to catch up.

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Storage

Store this medication at room temperature away from light and moisture. Do not store in the bathroom. Keep all medications away from children and pets.

Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Properly discard this product when it is expired or no longer needed. Consult your pharmacist or local waste disposal company.Information last revised March 2019.

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What is Concerta?

Concerta (Generic Name: methylphenidate HCl ER) is an extended release delivery system central nervous system stimulant ADHD medication that is primarily used to treat attention deficit hyperactivity disorder (ADHD or ADD) in children ages 6-12, adolescents, and adults up to age 65. Concerta may improve focus for people with inattentive ADHD, and decrease impulsivity and hyperactive behavior — hallmark ADHD symptoms for many patients.

Concerta contains methylphenidate, the same active ingredient as ADHD medications such as Ritalin and Daytrana. According to the FDA, Concerta is a federally controlled substance (“Schedule II Stimulant”) because it can be abused or lead to dependence. It has not been studied by the FDA in children under the age of 6 and so use in younger children is considered “off label.”  Nonetheless, it has been extensively studied in government-funded studies in children down to 3 years of age and has been shown to be both effective and safe in preschool children.

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.

When Concerta is taken, a shell on the outside of the capsule dissolves, releasing 22% of the total dose of the medication. 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. Concerta was the first “backloaded” delivery system (other backloaded systems are Metadate CD and Biphentin), which was designed to produce constantly increasing blood levels of methylphenidate over a period of about 10 hours followed by a rapid decline in blood level once the hard caplet has released all that it is going to release. 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. This causes a great deal of confusion because there are currently six different formulations that are designated methylphenidate ERand that come in the same odd dosage strengths of 18, 27, 36, and 54 mg caplets but only one of these is the authentic “branded generic” that is identical to the brand name Concerta. The other five products are quite inferior, and the FDA recently succeeded in downgrading two of these product’s quality ratings.

The marketer of the acceptable branded generic changes almost every year, usually in January. Consumers should ask their pharmacist which product they’re dispensing and should not accept substitutes for the authentic branded generic. 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.adhdrollercoaster.org.

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.

What Side Effects Are Associated with Concerta?

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
  • dry mouth
  • sleep disruption
  • dizziness
  • stomach ache
  • increased sweating
  • headache
  • nausea
  • weight loss
  • irritability, especially if the dose is wearing off

Serious Side Effects of Concerta

  • slowed growth in children
  • priapism (an erection that does not subside)
  • eyesight changes or blurred vision

Concerta and Heart- or Blood-Pressure Related Problems

Report to your doctor any heart-related problems or a family history of heart and blood pressure problems. Patients with structural cardiac abnormalities and other serious heart problems have experienced sudden death, stroke, heart attack, and increased blood pressure while taking Concerta but no causal relationship has ever been found. Stimulants can increase blood pressure and heart rate. Physicians should monitor these vital signs closely during treatment. Call your doctor immediately if you or your child experiences warning signs such as chest pain, shortness of breath, or fainting while taking Concerta.

Concerta and Familial Mental Health Issues

Disclose to your physician all mental health issues including any family history of suicide, bipolar illness, tics, or depression. Patients should be evaluated for bipolar disorder, tics, and Tourette’s syndrome prior to stimulant administration. Concerta may create new or exacerbate existing behavior problems, bipolar illness, or Tourette’s syndrome. Call your doctor immediately if you or your child experiences new or worsening mental health symptoms including hallucinations or sudden suspicions.

Concerta and Circulation Problems

Discuss circulation problems with your doctor before taking Concerta, which has been known to cause numbness, coolness, or pain in fingers or toes, including Raynaud’s phenomenon. Report to your doctor any new blood-flow problems, pain, skin color changes, or sensitivities to temperature while taking Concerta.

Concerta and Substance Abuse

Stimulants like Concerta have a potential for abuse, especially among people who do not have ADHD. It is a “Schedule II Stimulant,” a designation that the Drug Enforcement Agency uses for drugs with a high potential for abuse. Other Schedule II drugs include Dexedrine, Ritalin, and cocaine. People with a history of drug abuse should use caution when trying this medication. Taking the medication exactly as prescribed can reduce potential for abuse.

The above is not a complete list of potential side effects. If you notice any health changes not listed above, discuss them with your doctor or pharmacist.

What Precautions Are Associated with Concerta?

You should take Concerta with caution if you have:

  • allergy or hypersensitivity to methylphenidate HCI
  • if you are taking monoamine oxidase inhibitors (MAOIs)

You should use caution taking Concerta if you have a history of:

  • heart or mental problems
  • untreated glaucoma
  • tics or history of Tourette’s syndrome
  • circulation problems
  • esophagus, stomach or intestine problems


If you’re thinking of becoming pregnant, discuss the use of Concerta with your doctor. The FDA designates MPH as a Pregnancy Risk Category C, which means that no risk of birth defects, difficulty with the pregnancy, or problems with delivery or the post-partum period have been found, but these problems cannot be absolutely ruled out either. Concerta is passed through breastmilk. Although it has never been studied, the American Academy of Pediatrics recommends that mothers do not nurse while taking methylphenidate “out of an abundance of caution.”

Store Concerta in a secure place out of the reach of children, and at room temperature. Do not share your Concerta prescription with anyone, even another person with ADHD. Sharing prescription medication is illegal, and can cause harm.

The safety of Concerta for children under 6 has not been studied by the FDA and so cannot be FDA-approved for preschoolers. It has been extensively studied, however, by other governmental agencies and found to be both effective and safe down to 3 years of age.. The effects of Concerta on adults over age 65 have not been studied.

What Interactions Are Associated with Concerta?

Before taking Concerta, discuss all other active prescription medications with your doctor. Concerta can have a dangerous, possibly fatal, interaction with antidepressants including MAOIs.

Tell your doctor if you are taking blood thinners, blood pressure medication, or any medication containing a decongestant.

Share a list of all vitamin or herbal supplements, and prescription and non-prescription medications you take with the pharmacist when you fill your prescription, and let all doctors and physicians know you are taking Concerta before having any surgery or laboratory tests. The above is not a complete list of all possible drug interactions.

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Concerta Sources:

1What Is Concerta? https://www.concerta.net/

2Label for Concerta (methylphenidate HCI) Extended-Release Tablets.https://www.accessdata.fda.gov/drugsatfda_docs/label/2017/021121s038lbl.pdf

3Katzman, Martin. A Review of OROS Methylphenidate (Concerta) in the treatment of Attention Deficit/Hyperactivity Disorder. CNS Drugs (2014)https://link.springer.com/article/10.1007/s40263-014-0175-1

4Listen to “How To Solve The Three Biggest Challenges of ADHD Medication” with Laurie Dupar. ADDitude Magazine(2019) https://www.additudemag.com/podcast-medication-timing-dose-laurie-dupar/

More Information on Concerta and Other ADHD Medications:

Free Download: The Complete Guide to ADHD Medications
Primer: The Stimulant Medications Used to Treat ADHD
5 Rules for Treating Children with Stimulant Medications

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