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Posted by Chad on November 01, 2000 at 23:56:35:

In Reply to: Re: Please help- anyone out there having trouble with Concerta? posted by Andrea Gilbreath on October 29, 2000 at 13:49:10:

I just upped the dosage to 54 mg (this is day one) and I think there has been some improvement.

Its a very odd medication. For three weeks, the 18mg tab felt like nothing but a sleeping pill. The drowsiness then wore off, but no real focus.

I then upped the dosage to 36mg (for three weeks) and felt well, nothing at all. Now at 54 mg, I am finally getting a feeling that is reminsicent of good old regular Ritalin (which worked well for me, but only for a about two hours).

My experience is that the 18mg is very weak. Its probalby only used for smaller kids or for the purpose of "breaking people in" with the medicine until they can tolerate higher doses (or people with very mild ADD symptoms).

My doctor said that Alza's (the corporation that makes Concerta) trials only involved young kids. The highest recmommended dosage (54 mg) is based on a study involving only kids, and he says he gives some adults 72 mg of Concerta a day in the morning.

What I am saying in my long, drawn out way is that you may not be taking enough medicine. The 18mg concerta is supposed to have the effect of a 5 mg ritalin, but I have found it much weaker. If you have ever taken regular ritalin, the Concerta company's guide may not exactly correspond to your old dose.

We should chat again. I can be reached by e-mail at crogers2@i-55.com.

Let me know how things go, and I will do the same for you.

Take care!

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