There are several different types…. Concerta and Ritalin are both prescription drugs containing the active ingredient methylphenidate hydrochloride. Learn about the differences between…. What to know about the Concerta crash. Medically reviewed by Alan Carter, Pharm. What is it? Causes Prevention Risks Side effects When to see a doctor Summary Concerta is a stimulant medication that works to relieve the symptoms of attention deficit hyperactivity disorder ADHD.
What is a Concerta crash? Share on Pinterest Common symptoms of a Concerta crash include trouble concentrating, irritability, and feeling sad. What causes the Concerta crash? How to prevent crashes. Other risks and considerations. Side effects of Concerta. Share on Pinterest Common side effects in adults who take Concerta include an upset stomach, loss of appetite, and nervousness.
When to see a doctor. Share on Pinterest A person taking Concerta should consider seeing a doctor if they experience difficulty breathing, a racing heart, or mood swings. Exposure to air pollutants may amplify risk for depression in healthy individuals. Costs associated with obesity may account for 3. Related Coverage. Coping with an Adderall crash. Medically reviewed by Alan Carter, PharmD.
Is my ADHD medication working? The team found that only amphetamine-derived medications were associated with an increase in irritability. Methylphenidates were not. Although the two drugs have similar effects in reducing ADHD symptoms, their mechanism is slightly different. Amphetamine derivatives have pronounced, dose-dependent effects on dopamine, norephinephrine, and serotonin, all neurochemicals with strong relationships to irritability. This difference in mechanism may account for the difference in side effect risks.
Your child probably becomes very hungry around p. For example, get a good, healthful breakfast into your child before the first dose of the day kicks in. Hold off on the p. Then give the third dose. Does your child eat lots of sweets? If so, getting him to cut back should boost his appetite for more nutritious fare.
Another way to make sure your child is getting adequate nutrition is to offer a food supplement drink instead of nutritionally empty snacks — or in place of a meal that is likely to go uneaten. These tasty beverages, such as Pediasure and Ensure, come in different flavors. They can be made into milk shakes or frozen to make pops. For reasons that remain poorly understood, some children who experience a loss of appetite while taking one stimulant medication experience no such loss on another.
For some kids, difficulty falling asleep is truly a side effect of stimulant medication. But other kids are kept awake at night by a lack of medication. Have your child take an additional dose of her usual stimulant around p.
You should be able to remedy this problem simply by continuing with the extra evening dose. Sometimes even the stimulant medications are not strong enough to overcome the severe restlessness that sometimes comes with ADHD. The standard response when this happens is to directly lower the hyperarousal component of ADHD using medications called alpha agonists.
The medications guanfacine and clonidine are FDA-approved to lower the hyper-active component of ADHD and can be very effective for both hyperarousal during the day and sleep problems at night. Talk with your clinician about whether a trial on an alpha agonist might be helpful. What if the sleep problem persists?
See what happens if you reduce the p. If so, ask the doctor about trying a non-stimulant medication. Some people with ADHD have a paradoxical or reverse response to stimulant medications. Instead of being further revved up, the stimulant medications shut off the mental and physical restlessness caused by ADHD and allow normal sleep. Many ADHD clinicians suggest a trial after the optimal dose of medication by asking the patient to nap about 30 minutes later.
People with ADHD who cannot normally nap during the day may find that stimulant medication turns off the chatter in their heads and allows them to fall asleep. The person may still have difficulty with sleep, but the cause is not the stimulant medication.
No one knows why stimulants cause these problems in some children and adults. If the problem persists, it may be necessary to try a non-stimulant medication. These sudden, involuntary muscular contractions typically involve the eyes, face, mouth, neck, or shoulders. If the muscles in the throat are involved, the tic might cause sniffing, humming, or coughing. In many cases, children start experiencing tics shortly after starting on a particular medication.
The medication that is the most potent trigger for tics is not an ADHD stimulant, but rather caffeine. If a tic develops, many clinicians do nothing for two weeks since the natural history of tics is to come and go on a 2-week cycle. During that two weeks caffeine is removed from the diet coffee, tea, energy drinks, No-Doz, etc.
More than half of people will lose their tics. If dietary manipulation is not successful, a trial on clonidine that is FDA-approved for both ADHD and tics can often lower the tic to the point that it is no longer disruptive or embarrassing. If tics continue, stop the medication and try another one. In most cases, the tics will go away within several weeks. If there is a family history of tic disorder, however, the tics may not go away.
In general, the best way to rein in these side effects is simply to lower the dosage. Some children experience 30 to 60 minutes of hyperactivity, impulsivity, and nonstop talking a half hour or so after the last dose of the day wears off. You may be able to avoid this problem by reducing this last dose. Another helpful strategy is to add another short-acting dose to the regimen at or p.
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