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Old 01-29-2004, 09:28 AM   #1
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Karon HB User
What is proper dosage - Concerta/Ritilan?

My question is - How many children are on Concerta, at what dosage, how old are they and how much do they weigh. And of course how are they doing??? Also if on Ritilan what dosage are they on and so on. Does anyone take Ritilan 3 times a day (morning, noon and after school?) My grandson is almost 8 and weighs 60 lb and has been on Ritalin since five and a half. Anyway though it works while hes on it (aside from sometimes making him a little nervous and at times a little sad looking) by the time school is out hes very hyper again of course. It is a struggle getting him to do his homework. We do get it done but Im sure in 10 times longer than required. Of course everything else that takes any concentration at all suffers also. We will be seeing the specialist on the 20th and I feel he may try to switch him to Concerta again (for the evening concentration) . He was on it once before (for 2 weeks) as prescribed by our family doctor, but he was only on 19 or 21 mg. /day. The school complained he was hyper and misbehaving in school again, but after school he had great concentration til about 7 or 8 (but he ate less than on Ritilan and stayed awake half of the night). Anyway hes back on 15 mg. Ritilan (10 before school, 5 at lunch time) which will probably increase to 20mg/day as afternoons hes becoming difficult again at school. Were wondering if the dosage (of the Concerta) was wrong. We need his concentration in the evenings as hell soon have much more homework and what will we do then??? Hell also be in soccer in the spring and its at 6:00 p.m.!! Please give me some insight on the proper dosages of Concerta and Ritilan. Thank you again Karon

 
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Old 01-29-2004, 10:13 AM   #2
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Re: What is proper dosage - Concerta/Ritilan?

Has your grandson been properly tested for other psychological/physical problems before getting diagnosed with ADHD? There are many things that can cause this but doctors usually just diagnose and medicate rather than looking for the real issue.

After being on stimulant medication it can take about a year to come off it. What I mean is... if a child is on this medication, and goes off of it for a short while, their ADHD symptoms are likely to be VERY HORRIBLE for a long period of time, this of course makes people very reluctant to go off of the medication. Because they feel that these symptoms are the original ADHD symptoms, but they are not. It's very sad and happens more than people like to believe. This is just one of the reasons why I recommend looking into all other safer options of treatment before using medication. There are many options docs don't tell you about. A few are nutritional intervention..diet/supplementation, biofeedback, behavioral therapy.

I was medicated when I was younger and I am asking you to please look into ALL possible options and know the possible side effects of these medications.

Also, don't just ask for testing of physical issues that can cause these symptoms, DEMAND it. Many of these children have other conditions that just look like ADHD. Here is a link: [removed]
There are at 50 listed conditions that mimic ADHD. Believe me, there are many more.
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Old 01-29-2004, 05:03 PM   #3
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Re: What is proper dosage - Concerta/Ritilan?

Hi Karon,

It always breaks my heart to read about the struggles with ADD/ADHD. I can really sympathize with you. I have two sons with ADHD. The way that the doctor explained it to me is you divide the concerta dosage by 3 to compare to Ritalin because it is a 12 hour medication. Concerta comes in 18 , 27, or 36 mg. 27 mg would be equivalent to 9 mg of Ritalin. I have one son who takes Concerta and one who takes Ritalin. The 10 year old takes 20 mg of Ritalin in the AM and 15 at lunchtime. He weighs 80 or so pounds. What time does your grandson get home from school? Is he coming home hyper or he gets hyper after it wears off? Maybe he needs 10 at lunchtime too. my son gets home at 2:45 so I find that we have about an hour to get homework done before his meds wear off. If we wait until evening, then it is nearly impossible to get homework done. We don't give him Concerta because he would go all day without eating.

My other child takes Concerta and we definitely have sleep issues. I give it to him at 6:30 am which helps. He still is usually up until 10 pm. It's heartbreaking to have the side effects but his life would be horrible without meds. He catches up on his sleep on the weekends. What time were you giving your grandson his Concerta in the morning? I give him Ritalin sometimes instead of Concerta if he gets up late on the weekend so he isn't up all night. I refuse to give it to him after 7 am.

Another option is the new med Strattera. It can take a few weeks to kick in but it is non stimulant so it doesn't have all the side effects. Some people give a low dose of Ritalin along with it during the transition. The poster "Relieved Mom" is having success with Strattera.

Please feel free to respond with any questions. Good luck.

DawnP

Last edited by DawnP; 01-29-2004 at 05:05 PM.

 
Old 01-29-2004, 06:39 PM   #4
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vrie HB User
Re: What is proper dosage - Concerta/Ritilan?

My daughter 10 yo takes concerta with much less side effects of ritalin although at high dose-- the pills also come in 54 mg. Ritalin was awful for her! My step daughter takes 36 mg Concerta. Our doc tries to go by a rule of 1 mg per Kg of weight although my daughter is well over that.
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Old 01-29-2004, 07:49 PM   #5
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Re: What is proper dosage - Concerta/Ritilan?

Karon,

My son is 11 1/2, weighs about 70 lbs, and is currently on 36 mg of Concerta AND 40 mg of Strattera. We have tried Ritalin, Concerta, and Strattera individually and in combination. With Ritalin alone he took 15 mg in the morning, 10 mg at lunchtime, and 5 mg after school. It worked okay but there were lots of ups and downs as it would wear off. Concerta alone (he was on 54 mg for over a year) worked great for all of his ADHD symptoms and kept him very even for a full 12 hours, but he was never hungry (until 9 pm when it wore off) and rarely could fall asleep before midnight--also, he had terrible anxiety at night (mostly nighttime fears). Strattera alone (40 mg) helped his general activity level, his impulsivity to some degree, greatly increased his appetite and made him able to go to sleep nightly before 10 pm. It also seemed to virtually eliminate his anxiety; but it did nothing for his attention/focusing. The combination of Strattera WITH the stimulant (he now takes 40 mg Strattera AND 36 mg Concerta at 7:00 am during the week, and 40 mg Strattera AND 10 mg Ritalin in the morning on the weekends or nonschool days if he gets up any later than 8:00 am) seems to work the best for him. The Strattera seems to counteract the side effects of the stimulant (as long as he takes BOTH, he will eat during the day, he can go to sleep easily at night, all symptoms of the ADHD are controlled, there is no stimulant letdown when it wears off, and his anxiety is controlled).

 
Old 01-30-2004, 04:23 AM   #6
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Re: What is proper dosage - Concerta/Ritilan?

My son is 8yrs old weighs 61#, and is on 54mg concerta. We had been on Ritalin but like your concern the homework issues were soo frustrating, it hurt me to just watch him struggle!! We intitially tried a lower dose of Concerta, but he started to fall back in school. He does have the side effects -not eating real well, and the sleep issues--but we deal with them and for us this is the right decision. He does very well in school with behavior-and in math & science, but still struggling with reading/comprehension which we are working on.

HTH

 
Old 02-03-2004, 06:51 PM   #7
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dquist091391 HB User
Re: What is proper dosage - Concerta/Ritilan?

Hi karon,
My son is 12 years old and started on ritalin in 1 st grade. He took 10 mg am 10 mg noon and 10 about 330 or 4pm. It was very hard to get him to take it that many times a day.But now he is on concerta ,oh he weighs 72 lbs.very thin but he eats pretty good.he started with 18mg then 36mg now he takes 54mg.once a day.but for the aniety he takes paxil cr 12.5 mg in the morning.the cr means its also time realeased.we tried strattera but the dizzy side effect he experienced was not something he wanted to deal with.so we are back to concerta. but my son feels he dosnt need it so he sometimes will lie about taking it and its horable. dquist091391

 
Old 02-09-2004, 09:06 AM   #8
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Re: What is proper dosage - Concerta/Ritilan?

Thank you Kboon for your input.
My grandson has been on Ritilan since Sr K and now in grade 2. He started 5 mg. at 8:00 and 5 mg. at noon. He's now been on 10 mg in the morning and 5 at noon for about a year. Well the 10 is not working at all now it's almost as if he hasn't had any so we've upped it to 15 mg. in the morning and will probably increase the noon one to 10 after a week. The pharmacist said some kids are up to 60 mg!!!! a day. We see the specialist on the 20th. and the pharmacist thinks he may put him on a slow release Ritilan (not Concerta) it's an 8 hour pill and then what they do is add 5 or 10 mg. at noon to keep it going. I was glad to hear what another child is taking. How does you son eat and sleep on the Concerta ???? Isn't the paxil an antidepressent???? Why does your son not want to take his med???? I've heard when they become teens they try not to take it. In fact a fellow I work with - his son stopped his at 13 not at 15 they've just caught him with cocaine!!!!! What a worry!!!!!!! Thanks Karon

 
Old 02-09-2004, 09:10 AM   #9
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Re: What is proper dosage - Concerta/Ritilan?

Sorry I meant that reply to Dquist and kat and in fact to everyone. Tx Karon

 
Old 02-12-2004, 04:14 AM   #10
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Re: What is proper dosage - Concerta/Ritilan?

HI Karon,
I should explain that my son also has anxiety issues and he also shows signs of the obbsessive compussive behavior as well.But,to add to all of this he also has herpetic kerititis in his right eye,which is actually herpes of the eye.since he was 5 months old.(just for the curious no he did not recieve herpes from birth.he almost lost the eye twice at 7 months and again at 4 yrs. Kevin has had an outbreak somewhere in or around his eye constantly.his eye had turned completely grey no pupil ,no color,just a grey blob. now the eye looks normal except the corneal scaring in bad eye is 20/400.I think alot of his adhd was self taught as an infant and todler because he would always avoid using his fine motor skills and could not use the eye for months at a time.sorry for rambling on and on but this is where the depression and anxiety create a vicious circle for him.he stresses about the herpes and gets ashamed and embarrased by it,plus the herpes feeds off of his emotions and attacks when he's

 
Old 02-12-2004, 07:13 AM   #11
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Re: What is proper dosage - Concerta/Ritilan?

Thanks again Dquist
My grandson is now on 15 mg. Ritilan at 8:00 a. m and 10 at noon. It got to the point that with just 10 in the morning he'd be sent to the office at 11:00 (not for bad behaviour, just too hyper for the class, the teacher said if nothing else he was very happy!, but she could not teach with him like that). Anyway I don't know how long the extra 5 in the morning and the afternoon will help. He also experiences great anxiety in the classroom and has his little tics. I just wonder where it will all end. I can't wait for the specialists input next Friday. The Pharmacist thinks he may put in on the 8 hour slow release Ritilan?? It sure has helped us since we found this site. I print many of the letters and my daughter in law reads them all and also finds it helpfull. Of course I realize we are not all doctors but just hearing other peoples experiences helps us to cope with this precious little boy. Tx Karon

 
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