The reason she was placed on Vyvanse was my child could not swallow tablets and with the Vyvanse you can open them up and mix the with a drink. It worked for a few years, she was also diagnosed with Focal seizures from the age of 8 and has been on a high dosage of Keppra oral with Tegretol oral solution. Keppra is well known of having side effects of aggressiveness. Last year she was placed on Lovan 20 mg soluble to calm her down. In March this year she finally learnt how to swallow tablet which was great accomplishment.

Medication was changed she was placed on Lovan capsules, Tegretol tablets and Keppra tablet and continued to have her Vyvanse. We had an appointment with her Pediatrician in June and it was decided that we would give the Concerta 54 a go. Now she is always tired, goes to bed earlier enough can sleep in until 12 or 1. Wake up for a while and decide she needs a sleep late afternoon and still goes to bed by 9pm, this is a typical weekend.

She is getting more difficult to get to school in the morning as she saids she is tired. If I do get her to school she returns by 11 am and takes herself back to bed until pm and then back to bed by 9pm.

Her behavior has deteriorated and sometimes she acts like a 10 year old. I am at a lost, can anyone please shed some light on this, what other options do we have.

I am so worried about the impact and worried that her weight is going to get out of control. Reply Link John August 9, , 7: Every 3 year old has ADD. Reply Link Allie October 9, , It does sound possible that your daughter is depressed, but nobody can diagnose that over the internet.

Is your daughter taking Vyvanse and Concerta at this time? It sounds like your daughter is on many medications right now, and 5 changes have been made to her medications since March if I am reading that right. That is a lot of change in a short amount of time. Reply Link Adam June 17, , 8: What works best for me is Vyvanse. Before that Dexedrine I only take it days a week and have do not have any of the side effects associated with long term use.

Concerta and Ritalin are similar in efficacy as Vyvanse for me though not quite as strong in effect and duration. The determining factor for me is that Concerta and Ritalin both make me more socially withdrawn where Vyvance and Dexedrine make me more outgoing with more of a positive mood. Most adults I have spoken to experience the same withdrawn or prefer to keep to themselves when on the Concerta or Ritalin.

This effect may not be the same for everyone but when giving it to kids I think it is important to observe whether they are calm or withdrawn. As an adult who has experienced the effect I believe more often it is not just a calming affect but a psychological side effect. Causes significant increase in heart rate and blood pressure unlike the Vyvanse and Concerta.

For this reason it has been removed for child use in Canada. It also seems to be mood destabilizing for most. I specifically am highly irritable and reactive on Adderall which I am not with any of the other medications nor when I on no medications. Due to that it was the go-to drug for ADD for way too long and I still meet people who prescribe or get prescribed Adderall for no other reason than previous marketing.

Strattera, a failed antidepressant medication repurposed for ADHD helps a very low percentage and in my opinion should only be prescribed for adults who can not tolerate or have no relief from the stimulant based medications. For me after two weeks it had no positive effect and after 2 months had a very depressing effect. The few people I have met who have had the opportunity to try strattera for themselves have similar reports.

However parents and spouses of people who are on Strattera have seen relief for themselves as the patients are less contradictory and much more compliant to their instruction. This is just information from my experience and interactions. Everyone may be slightly different. I hope these comments will assist in helping you examine and pay attention to the effects of the medication you try for you or your children to be able to come up with the most effective option.

That being said, nearly every doctor I have spoken with has a favorite that they will primarily prescribe and support and it may be difficult to get them to prescribe other options if what they prefer shows any side of improvement without severe side effects. It is up to you to be thorough and push to find the best solution for your situation. Reply Link Jenny June 9, , 7: It is a smoother release for me, not as much of an initial nervous rush, and lasts longer and all the way through the day.

I started noticing the Concerta would lose efficacy for me at the hour mark and be useless by the 10 hour mark or sooner. My Vyvanse lasts me through perfectly. Cons… Took about 2 weeks for me to get used to it upon starting and wow, I have never had such teeth clenching, grinding and anxiety. Eating was painful there for awhile. And once when I was off it for about 4 days due to needing the prescription rewritten, it all started again quickly and I had to endure it all over again.

Little shorter time frame at least however. I get so much more done, motivation, energy, concentration and more. I have tried almost all options over the past 20 years and through today, Vyvanse has been my favorite. Reply Link Kristen June 6, , 3: It is well-thought and well written. Though I did note that you used an incorrect header for your Concerta vs.

Instead of the word Vyvanse, you used Adderall at the top of the chart. The rest looks correct and appears to be all the information for Vyvanse not Adderall so I believe you just mistyped. You may want to look it over and correct it to avoid any confusion it threw me off for a minute. I hope you write more of this type of article, where you compare one very popular drug to another in its class. That would be very helpful to a lot of people including pharmacists, like myself.

Reply Link Thomas Garrod May 2, , 7: I found it very helpful. Adderall may well be more frequently scripted than Vyvanse or Concerta, but this may well be governed by health insurance coverage.

Reply Link Bridget April 24, , 3: His mood this year seems to be a lot worse than it was last year. I find Vyvanse to be much more relaxing. Patients who develop abnormally sustained or frequent and painful erections should seek immediate medical attention. Effects of peripheral vasculopathy, including Raynaud's phenomenon, were observed in post-marketing reports at different times and at therapeutic doses in all age groups throughout the course of treatment.

Signs and symptoms generally improve after reduction in dose or discontinuation of drug. Careful observation for digital changes is necessary during treatment with ADHD stimulants.

Further clinical evaluation e. Long-Term Suppression Of Growth Careful follow-up of weight and height in children ages 7 to 10 years who were randomized to either methylphenidate or nonmedication treatment groups over 14 months, as well as in naturalistic subgroups of newly methylphenidate-treated and nonmedicationtreated children over 36 months to the ages of 10 to 13 years , suggests that consistently medicated children i.

Published data are inadequate to determine whether chronic use of amphetamines may cause similar suppression of growth; however, it is anticipated that they likely have this effect as well. Therefore, growth should be monitored during treatment with stimulants, and patients who are not growing or gaining height or weight as expected may need to have their treatment interrupted.

Visual Disturbance Difficulties with accommodation and blurring of vision have been reported with stimulant treatment. There have been rare reports of obstructive symptoms in patients with known strictures in association with the ingestion of drugs in nondeformable controlled-release formulations. Hematologic Monitoring Periodic CBC , differential, and platelet counts are advised during prolonged therapy. Patient Counseling Information See Medication Guide Priapism Advise patients, caregivers, and family members of the possibility of painful or prolonged penile erections priapism.

Instruct patients to report to their physician any new numbness, pain, skin color change, or sensitivity to temperature in fingers or toes. General Considerations Prescribers or other health professionals should inform patients, their families, and their caregivers about the benefits and risks associated with treatment with methylphenidate and should counsel them in its appropriate use.

The prescriber or health professional should instruct patients, their families, and their caregivers to read the Medication Guide and should assist them in understanding its contents. Patients should be given the opportunity to discuss the contents of the Medication Guide and to obtain answers to any questions they may have. The complete text of the Medication Guide is reprinted at the end of this document. Tablets should not be chewed, divided, or crushed. The medication is contained within a nonabsorbable shell designed to release the drug at a controlled rate.

The tablet shell, along with insoluble core components, is eliminated from the body; patients should not be concerned if they occasionally notice in their stool something that looks like a tablet. Driving Or Operating Heavy Machinery Stimulants may impair the ability of the patient to operate potentially hazardous machinery or vehicles. For more information call Hepatoblastoma is a relatively rare rodent malignant tumor type. There was no increase in total malignant hepatic tumors.

The mouse strain used is sensitive to the development of hepatic tumors, and the significance of these results to humans is unknown. Biggest difference is that Concerta feels like a drug while Caffeine doesn't Unless you take upwards of 1gram Both drugs increase alertness and increase happiness.

MDMA's signature effect is grandiose euphoria while Concerta for me has made me more content and less bored. Anybody on MDMA will tell you that you constantly want to move or dance. Concerta doesn't have this effect. Like I said, Concerta truly does helps you focus.

I like Concerta because I can see its utilitarian value when it comes to studying or just focusing in general. I've ever experienced but still a bit annoying I was expecting dilated pupils but they look pretty normal to me.

In closing, it took me about 35 minutes to write this and articulate my symptoms. My symptoms have amplified since I began writing this and I admit that I really like this drug. I'm pretty lazy in nature but this is the only drug where I've had the impulse to write an entire review about it. I've read some negative reviews about Concerta that argue it doesn't have very strong effects, maybe this is true when compared to adderall or similar drugs, but I personally think it works quite nicely.

I think my next step is to try a higher dose than 36 mg and see what follows. Just a quick side note: Like most stimulants, Concerta has curbed my appetite completely. It's probably best to eat before taking if you want to avoid the jitters. I know this is obvious but I see no harm in adding this.

MODERATORS

After sitting down for a while I alot to stand up. Seizures There is some clinical evidence that stimulants may lower the convulsive threshold in patients with prior history of seizures, 36mg concerta alot, in patients with prior Concerta abnormalities in absence of seizures, and, very rarely, 36mg concerta alot, in patients without a history 36mg seizures and no prior EEG evidence of concerta. It also provides your prescriber with concrete information about the medications effect on your quality of life. Alot the time of writing this it's been a bit alot an hour since I swallowed the pill. It worked for a few years, she was also 36mg with Focal seizures from the age of 8 and has been on a high dosage of Keppra oral with Tegretol oral solution. There concerta no adequate and well-controlled studies in pregnant women. Downward dose adjustment of these 36mg may be required when given concomitantly with methylphenidate, 36mg concerta alot. Priapism was not reported with drug initiation but developed after some time on the drug, often subsequent to an increase bactrim best antibiotic dose. He started out on adderall and then switched over to Vyvanse and then switched again to Concerta which we have found works best for him. Also another silly side note: My son to this day always has a high calorie snack before bed, 36mg concerta alot.

Methylphenidate (Ritalin): What You Need To Know

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