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Overview

Concerta 18Mg Tablet

Concerta 18Mg Tablet

Manufacturer: Johnson & Johnson Ltd
Medicine composition: Methylphenidate
Prescription vs.OTC: Prescription by Doctor required

Known as a central nervous system stimulant, Concerta 18Mg Tablet is used to treat attention deficit disorder (ADD), attention deficit hyperactivity disorder (ADHD), and narcolepsy. It influences and affects the chemicals in the brain that control impulses and hyperactivity. This means that it helps you to concentrate and pay attention more, and control various behavior problems.

Let your doctor know if you have a history of epilepsy, drug and alcohol addiction, Tourette’s syndrome, and depression. Concerta 18Mg Tablet is not to be used at all if you have used an MAO inhibitor such as methylene blue injection, phenelzine, rasagiline, and selegilinein the last two weeks.

It is vital that you take Concerta 18Mg Tablet exactly as it has been prescribed by your doctor. Take this in the morning as the medicine can cause sleeping problems. Be careful and make sure that no one else has your medicine as it is very habit forming and dangerous for those with drug addictions. While taking this medicine, you may need to undergo regular physical checks with your doctor.

Contact your doctor immediately if you have muscle twitches, seizures, chest pain, numbness, vision problems and hallucinations.

attention deficit hyperactivity disorder (adhd)
In addition to its intended effect, Concerta 18Mg Tablet may cause some unwanted effects too. In such cases, you must seek medical attention immediately. This is not an exhaustive list of side effects. Please inform your doctor if you experience any adverse reaction to the medication.
Headache
Insomnia (difficulty in sleeping)
Nervousness.
Is It safe with alcohol?
Taking Methylphenidate with alcohol may increase the blood pressure and heart rate.
Are there any pregnancy warnings?
Concerta 54mg tablet may be unsafe to use during pregnancy.
Animal studies have shown adverse effects on the foetus, however, there are limited human studies. The benefits from use in pregnant women may be acceptable despite the risk. Please consult your doctor.
Are there any breast-feeding warnings?
Unknown. Human and animal studies are not available. Please consult your doctor.
Is it safe to drive while on this medicine?
Patients should not drive or operate machinery if they get affected symptoms like dizziness, drowsiness, fatigue.
Does this affect kidney function?
There is no data available. Please consult doctor before consuming the drug.
Does this affect liver function?
There is no data available. Please consult doctor before consuming the drug.
Below is the list of medicines, which have the same composition, strength and form as Concerta 18Mg Tablet, and hence can be used as its substitute.
Sun Pharmaceutical Industries Ltd
Are there any missed dose instructions?
If you miss a dose of Methylphenidate, skip it and continue with your normal schedule. Do not double the dose.
Whenever you take more than one medicine, or mix it with certain foods or beverages, you're at risk of a drug interaction.
Interaction with Medicine
Rimarex 300Mg Capsule
TRYPTOMER 25MG TABLET
SERTA 100MG TABLET
EPTOIN 100MG TABLET

Popular Questions & Answers

Is it safe to take Addwize or concerta if I’m finding it difficult to focus on specific tasks? I believe I suffer from ADHD.

MD - Paediatrics, MBBS, FISPN & FISPN - Pediatric Nephrology
Pediatrician, Delhi
Meet a psychiatrist. He/She will assess you for ADHD. Taking concerta can be harmful especially without prescrpition.

I am taking methylphenidate hcl 10 mg How to curb stomach upset and bloated from this. Should I ask doctor to split dose.

MD - Homeopathy, BHMS
Homeopath, Vadodara
You should consult the doctor again and let him decide what to do.. You can consult me through lybrate.. for homoeopathic treatment.
1 person found this helpful

Are they any long-term effects associated with taking ADD (attention deficit hyperactivity disorder) medication? If so, what are they and what medication are implicated?

M.Sc - Applied Psychology, P.G.Dip.in Guidance &Counselling, B.A., Psychology, Dip.in Pharmacy
Psychologist, Theni
Are they any long-term effects associated with taking ADD (attention deficit hyperactivity disorder) medication? If s...
The long-term effects of drugs like methylphenidate and amphetamines which are being used in the treatment of adhd include drug-dependency and depression more commonly. The treatment for these kind of side effects are symptomatic.
2 people found this helpful

Are there any long-term effects associated with taking ADHD (attention deficit hyperactivity disorder) medications? If so, what are they and what medications are implicated? What exactly is a spine block injection? Will it work long-term for low back pain due to disc problems? What causes Hashimoto's thyroiditis, and what is the best method of treatment? Can iodine help this condition?

Fellowship in Neonatology, MRCPCH(UK), Diploma in Child Health (DCH), MBBS
Pediatrician, Delhi
Are there any long-term effects associated with taking ADHD (attention deficit hyperactivity disorder) medications? I...
Depends on what medicine you are taking. But generally there are no long term effects of adhd medicines. Atomoxetin can effect liver function tests but it is reversible on stopping the medicine. Methylphenidate is safe and has no long term effects. Regarding spine block injections kindly discuss with an orthopedic surgeon.

My son (7 years) is adhd and mild auotium and taking acepta10 (1tab. At morning and half in the evening) and neurocetum (5 ml thrice a day). Still he is unable to concentrate in studies. Kindly advise any change in treatment.

Fellow Observership, Certificate in Forensic Psychology, MD-Psychiatry, MBBS
Psychiatrist, Akola
Hello; first you have to stop giving him neurocetum or similar named syrup you are giving him. What is your son's weight & height? c. Atomoxetine (acepta) is a very good medication & we can increase its dose depending on your sons responses like studies, behavior in class etc. In addition, there are other good medications like methylphenidate, clonidine also which can be prescribed if required. Do revert back for further help. Good luck.
1 person found this helpful

Popular Health Tips

Attention-Deficit / Hyperactivity Disorder (ADHD) in Children

MBBS, Diploma in Child Health
Pediatrician, Hyderabad
Attention-Deficit / Hyperactivity Disorder (ADHD) in Children

What is ADHD?

ADHD, also called attention-deficit disorder, is a behavior disorder, usually first diagnosed in childhood, that is characterized by inattention, impulsivity, and, in some cases, hyperactivity. These symptoms usually occur together; however, one may occur without the other(s).

The symptoms of hyperactivity, when present, are almost always apparent by the age of 7 and may be present in very young preschoolers. Inattention or attention-deficit may not be evident until a child faces the expectations of elementary school.

What are the different types of ADHD?

Three major types of ADHD include the following:

  • ADHD, combined type. This, the most common type of ADHD, is characterized by impulsive and hyperactive behaviors as well as inattention and distractibility.

  • ADHD, impulsive/hyperactive type. This, the least common type of ADHD, is characterized by impulsive and hyperactive behaviors without inattention and distractibility.

  • ADHD, inattentive and distractible type. This type of ADHD is characterized predominately by inattention and distractibility without hyperactivity.

What causes attention-deficit/hyperactivity disorder?

ADHD is one of the most researched areas in child and adolescent mental health. However, the precise cause of the disorder is still unknown. Available evidence suggests that ADHD is genetic. It is a brain-based biological disorder. Low levels of dopamine (a brain chemical), which is a neurotransmitter (a type of brain chemical), are found in children with ADHD. Brain imaging studies using PET scanners (positron emission tomography; a form of brain imaging that makes it possible to observe the human brain at work) show that brain metabolism in children with ADHD is lower in the areas of the brain that control attention, social judgment, and movement.

Who is affected by attention-deficit/hyperactivity disorder?

Estimates suggest that about 4% to 12% of children have ADHD. Boys are 2 to 3 times more likely to have ADHD of the hyperactive or combined type than girls.

Many parents of children with ADHD experienced symptoms of ADHD when they were younger. ADHD is commonly found in brothers and sisters within the same family. Most families seek help when their child's symptoms begin to interfere with learning and adjustment to the expectations of school and age-appropriate activities.

What are the symptoms of attention-deficit/hyperactivity disorder?

The following are the most common symptoms of ADHD. However, each child may experience symptoms differently. The 3 categories of symptoms of ADHD include the following:

  • Inattention:

    • Short attention span for age (difficulty sustaining attention)

    • Difficulty listening to others

    • Difficulty attending to details

    • Easily distracted

    • Forgetfulness

    • Poor organizational skills for age

    • Poor study skills for age

  • Impulsivity:

    • Often interrupts others

    • Has difficulty waiting for his or her turn in school and/or social games

    • Tends to blurt out answers instead of waiting to be called upon

    • Takes frequent risks, and often without thinking before acting

  • Hyperactivity:

    • Seems to be in constant motion; runs or climbs, at times with no apparent goal except motion

    • Has difficulty remaining in his/her seat even when it is expected

    • Fidgets with hands or squirms when in his or her seat; fidgeting excessively

    • Talks excessively

    • Has difficulty engaging in quiet activities

    • Loses or forgets things repeatedly and often

    • Inability to stay on task; shifts from one task to another without bringing any to completion

The symptoms of ADHD may resemble other medical conditions or behavior problems. Keep in mind that many of these symptoms may occur in children and teens who do not have ADHD. A key element in diagnosis is that the symptoms must significantly impair adaptive functioning in both home and school environments. Always consult your child's doctor for a diagnosis.

How is attention-deficit/hyperactivity disorder diagnosed?

ADHD is the most commonly diagnosed behavior disorder of childhood. A pediatrician, child psychiatrist, or a qualified mental health professional usually identifies ADHD in children. A detailed history of the child's behavior from parents and teachers, observations of the child's behavior, and psychoeducational testing contribute to making the diagnosis of ADHD. Because ADHD is a group of symptoms, diagnosis depends on evaluating results from several different sources, including physical, neurological, and psychological testing. Certain tests may be used to rule out other conditions, and some may be used to test intelligence and certain skill sets. Consult your child's doctor for more information.

Treatment for attention-deficit/hyperactivity disorder

Specific treatment for attention-deficit/hyperactivity disorder will be determined by your child's doctor based on:

  • Your child's age, overall health, and medical history

  • Extent of your child's symptoms

  • Your child's tolerance for specific medications or therapies

  • Expectations for the course of the condition

  • Your opinion or preference

Major components of treatment for children with ADHD include parental support and education in behavioral training, appropriate school placement, and medication. Treatment with a psychostimulant is highly effective in most children with ADHD.

Treatment may include:

  • Psychostimulant medications. These medications are used for their ability to balance chemicals in the brain that prohibit the child from maintaining attention and controlling impulses. They help "stimulate" or help the brain to focus and may be used to reduce the major characteristics of ADHD.
    Medications that are commonly used to treat ADHD include the following:

    • Methylphenidate (Ritalin, Metadate, Concerta, Methylin)

    • Dextroamphetamine (Dexedrine, Dextrostat)

    • A mixture of amphetamine salts (Adderall)

    • Atomoxetine (Strattera). A nonstimulant SNRI (selective serotonin norepinephrine reuptake inhibitor) medication with benefits for related mood symptoms. 

    • Lisdexamfetamine (Vyvanse)

    Psychostimulants have been used to treat childhood behavior disorders since the 1930s and have been widely studied. Traditional immediate release stimulants take effect in the body quickly, work for 1 to 4 hours, and then are eliminated from the body. Many long-acting stimulant medications are also available, lasting 8 to 9 hours, and requiring 1 daily dosing. Doses of stimulant medications need to be timed to match the child's school schedule to help the child pay attention for a longer period of time and improve classroom performance. The common side effects of stimulants may include, but are not limited to, the following:

    • Insomnia

    • Decreased appetite

    • Stomach aches

    • Headaches

    • Jitteriness

    • Rebound activation (when the effect of the stimulant wears off, hyperactive and impulsive behaviors may increase for a short period of time)

    Most side effects of stimulant use are mild, decrease with regular use, and respond to dose changes. Always discuss potential side effects with your child's doctor.

    Antidepressant medications may also be administered for children and adolescents with ADHD to help improve attention while decreasing aggression, anxiety, and/or depression.

  • Psychosocial treatments. Parenting children with ADHD may be difficult and can present challenges that create stress within the family. Classes in behavior management skills for parents can help reduce stress for all family members. Training in behavior management skills for parents usually occurs in a group setting which encourages parent-to-parent support. Behavior management skills may include the following:

    • Point systems

    • Contingent attention (responding to the child with positive attention when desired behaviors occur; withholding attention when undesired behaviors occur)

    Teachers may also be taught behavior management skills to use in the classroom setting. Training for teachers usually includes use of daily behavior reports that communicate in-school behaviors to parents.

    Behavior management techniques tend to improve targeted behaviors (such as completing school work or keeping the child's hands to himself or herself), but are not usually helpful in reducing overall inattention, hyperactivity, or impulsivity.

Prevention of attention-deficit/hyperactivity disorder

Preventive measures to reduce the incidence of ADHD in children are not known at this time. However, early detection and intervention can reduce the severity of symptoms, decrease the interference of behavioral symptoms on school functioning, enhance the child's normal growth and development, and improve the quality of life experienced by children or adolescents with ADHD.

1 person found this helpful

Homeopathy For ADHD!

BHMS, MHM (NIMS), MD - Homeopathy, PGDCCR(NIMS), Msc psychology
Homeopath, Hyderabad
Homeopathy For ADHD!

What is ADHD?
Attention-deficit/hyperactivity or ADHD is a brain disorder that has seen a sudden rise in the recent years. It is most prevalent among children, however, if left untreated, adults too can continue showing ADHD traits that started in their childhood. In the USA alone, over two million children are currently under treatment for ADHD. As per a study conducted by Skogli and others in 2013, ADHD is more commonly found in boys than in girls, with a ratio of 3:1.

Causes and symptoms:
Researchers are still exploring the factors that may cause ADHD. However, there are chances that this disorder is hereditary. In this fast moving world parents often fail to provide their child with proper attention and care leading to ADHD. It has been found that ADHD is more prevalent among single parent families.

ADHD symptoms range between mild, moderate to severe. These symptoms normally start before the age of twelve, while in some children they may start as early as three. Children with ADHD fail to pay proper attention, easily get distracted, frequently forget to do daily activities, may avoid or dislike tasks that require mental effort and have trouble organizing tasks and activities. Other symptoms include hyperactivity and hypersensitivity - like talking too much, interrupt other’s conversation. If you notice these symptoms in your child don’t hesitate to consult an expert.

Homeopathy in Treating ADHD
Unlike conventional medicine, homeopathy is non-toxic, safe and yet effective. In conventional treatment medicines like Ritalin/methylphenidate and other psychiatric drugs are used. Although these drugs may provide some short-term benefits, however, are ineffective when it comes to long-term benefits. Above all these medications have side-effects such as restlessness, anxiety, tremors, headaches, allergic reactions, dizziness, abdominal discomfort among many. Some children may even experience a dramatic reduction in height. These side-effects make the parents and doctors explore other alternatives to treat ADHD before resorting to conventional medicine.Homeopathy is a viable alternative to treat children and individuals with ADHD.

Various researchers have acknowledged that homeopathy is a much safer treatment with good results. According to Frei and Thurneysen(2001), homeopathic medicines have same benefits to that of conventional drugs like Ritalin. However, homeopathic medicines don’t have the side effects that Ritalin has. Overall Ritalin showed 65 percent improvement rate, while homeopathic medicines showed an impressive 73 percent improvement rate.

Standard Homeopathic remedies to treat ADHD –
As homeopathic medicines are non-toxic and safe to use, one doesn’t necessarily need a prescription to buy them. There are several popular homeopathic remedies that one may use to treat ADHD. Stramonium is one such popular remedy; it is obtained from Datura stramonium. Other popular remedies include Cina, Hyoscyamus, Tuberculinum, Vertaal and Arseniod. These are some of the remedies that may be used to treat ADHD, however before taking any medicine always consult a licensed medical practitioner.

In case you have a concern or query you can always consult an expert & get answers to your questions!

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