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Concerta questions..
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<blockquote data-quote="trinityroyal" data-source="post: 85155" data-attributes="member: 3907"><p>My difficult child has been on Concerta for the last several years, and until recently it was working very well for him. </p><p></p><p>As others have said, the doses are 18mg, 36mg, 54mg. difficult child's psychiatrist also said that you can add a final dose of 72mg by combining an 18mg and a 54mg tablet. That is the highest dose that any doctor is willing to give.</p><p></p><p>difficult child has never had any issues with racing heart, nor has he had any height growth issues. He's had a couple of growth spurts while on Concerta, is 6 ft 4 (and still growing...yikes!) He is very thin, but his appetite is huge.</p><p></p><p>As for taking your difficult child off medications on weekends and holidays, I would not recommend that at all. difficult child's behaviour deteriorates terribly when he doesn't get his medications. He has a rebound effect that makes him even more out of control than he would have been if there were no medications in the picture at all.</p><p></p><p>One very important thing difficult child's psychiatrist said about Concerta, since it's slow release, and metabolizes quickly (gone from his system by end of day), it's very important to give the medication to him by the clock. If he takes it at 7 am today, then he takes it at 7 am every day, even on weekends. We usually see a significant deterioration in difficult child's behaviour if we deviate too much from that schedule. Even an hour or 2 makes a big difference, because the rebound effect has a chance to take hold.</p><p></p><p>difficult child's medications have not kept up with his growth. We are in the process of re-evaluating everything, to figure out what will work best for him now. But we had great results with Concerta for about 5 years.</p><p></p><p>Hope this helps,</p><p>Trinity</p></blockquote><p></p>
[QUOTE="trinityroyal, post: 85155, member: 3907"] My difficult child has been on Concerta for the last several years, and until recently it was working very well for him. As others have said, the doses are 18mg, 36mg, 54mg. difficult child's psychiatrist also said that you can add a final dose of 72mg by combining an 18mg and a 54mg tablet. That is the highest dose that any doctor is willing to give. difficult child has never had any issues with racing heart, nor has he had any height growth issues. He's had a couple of growth spurts while on Concerta, is 6 ft 4 (and still growing...yikes!) He is very thin, but his appetite is huge. As for taking your difficult child off medications on weekends and holidays, I would not recommend that at all. difficult child's behaviour deteriorates terribly when he doesn't get his medications. He has a rebound effect that makes him even more out of control than he would have been if there were no medications in the picture at all. One very important thing difficult child's psychiatrist said about Concerta, since it's slow release, and metabolizes quickly (gone from his system by end of day), it's very important to give the medication to him by the clock. If he takes it at 7 am today, then he takes it at 7 am every day, even on weekends. We usually see a significant deterioration in difficult child's behaviour if we deviate too much from that schedule. Even an hour or 2 makes a big difference, because the rebound effect has a chance to take hold. difficult child's medications have not kept up with his growth. We are in the process of re-evaluating everything, to figure out what will work best for him now. But we had great results with Concerta for about 5 years. Hope this helps, Trinity [/QUOTE]
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