Concerta 18 mg, 27 mg, 36 mg, 54 mg XR tablets
Clinical Summary
Quick overview from the medicine insert
Indication
Treatment of ADHD in patients aged 6-65.
Dosage (summary)
Starting dose: 18 mg once daily for children/adolescents; 18 or 36 mg for adults.
Onset of Action / Duration
Onset: 1-2 hours, Duration: 12 hours
Special Populations
- Elderly
- Renal impairment
- Hepatic impairment
Pregnancy & Breastfeeding
Not recommended in pregnancy; detected in breast milk.
Key Drug Interactions
- MAO inhibitors
- Warfarin
- Serotonergic drugs
Contraindications
- Hypersensitivity to methylphenidate
- Glaucoma
- Severe hypertension
- Pregnancy
- Lactation
Common side effects
- Insomnia
- Anorexia
- Headache
- Nervousness
- Dizziness
Counselling Points
- Take in the morning
- Do not chew or crush tablets
- Monitor for tics or worsening symptoms
- Avoid alcohol
Serious warnings
- Increased heart rate and blood pressure
- Risk of sudden death in patients with structural cardiac abnormalities
- Potential for abuse and dependence
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