Methylphenidate (Ritalin, Concerta) - Uses, Dosage, Side Effects and Safety - Doctor Explains
ฝัง
- เผยแพร่เมื่อ 9 พ.ย. 2021
- In this video we will cover everything you need to know about Methylphenidate, also known as Concerta or Ritalin. This video is part of a video series on mental health problems. So for more mental health related videos check out this playlist:
• Mental Health Problems...
Generic name: Methylphenidate.
Brand names: Ritalin and Concerta.
Available as a tablets, modified release tablets and capsules.
How to use it?
- Tablet: swallow it whole with half a glass of water. It is possible to chew on the tablet or break it.
- Modified release tablet or a capsule: also take it with water, but don’t break it and do not chew on it. This can decrease its effectivity.
In addition it is advised to take Methylphenidate during a meal, as this can decrease your chances on side effects.
When to use it?
Methylphenidate has a stimulating effect on the central nervous system. It has properties similar to amphetamines. It can be used to treat ADHD, narcolepsy and it can be used during palliative sedation.
What is the correct dosage?
The precise dose will depend on your specific indication of use, the side effect you might experience ,the severity of your symptoms and the brand of methylphenidate you might be using.Therefore always use the precise amount and frequency your doctor prescribed you.
- However, when treating ADHD symptoms with regular tablets in children older than 6 years or in adults: a usual starting dose would be 5mg 2x/day. If necessary this can be slowly increase up to a maximum dose of 60mg/day.
- Here it is important to note, that the dosages of modified release tablets and capsules may be different.
- When treating narcolepsy in adults, your doctor might prescribe a dose of 10mg/ 2-3 per day.
What are common the side-effects?
- Very common (10%): insomnia, nervousness, headache, palpitations, decreased appetite, nausea and a dry mouth.
- Common (1-10%): upper respiratory tract infection, shortness of breath, decreased appetite, weight loss, aggression, agitation, irritability, restlessness, anxiety, panic attack, stress, depression, decreased libido, erectile dysfunction, tics, tremor, mood swings, fast heart rate, high blood pressure , upset stomach, vomiting, diarrhoea, cough, sore throat, rash, itching, fever and fatigue.
Uncommon (0.1-1%): Hypersensitivity reactions, psychotic disorders, suicidal ideas, hallucinations, blurred vision, dry eyes, chest pain, hot flush, constipation, muscle twitching and muscle tension.
- Rare (0.01-0.1%): mania, libido disorder, disorientation, chest pain, visual impairment and menstrual disorder.
Safety:
First of all be careful to combine methylphenidate with alcohol. As this might increase its dazing effects.
In addition, it can be dangerous to drive while using this drug. As it can cause you to become drowsy, sleepy and/or dizzy. If you experiencing any of these side effects than please do not drive. This is especially true for the first few weeks you are using it.
Furthermore, methylphenidate can have interactions with other drugs your are taking. always discuss this with your prescribing doctor.
Unfortunately, the effects of methylphenidate during pregnancy or while breastfeeding are not studied properly. Therefore it could be dangerous and its usages should be avoided. Always discuss this with your personal doctor, as there might be some exceptions.
- Disclaimer: this video and the comments are meant purely informational! This is not medical advice! If you are looking for medical advice always contact your own doctor. -
I want to give special thanks to my sponsors on Patreon:
- Sebastian Houwing: Investor
Literature:
1: Farmacotherapeutisch Kompas. (2021). Methylfenidaat
2: Apotheek.nl (2021). Methylfenidaat
* The images in this video are used for educational purposes only. Most of the images and videos in this video come from www.canva.com/.
Music:
1. Verified Picasso, Fish Room
2. Patrick Patrikos, Good Times
3: Patrick Patrikios, Rockville
4: Patrick Patrikios, Grut
Follow me on instagram: @HOWTOMEDICATE
Follow me on twitter: @HOWTOMEDICATE
Support me on Patreon: / howtomedicate
How refreshing to hear a doctor say its important to continue to learn and keep up to date with the latest health information :)
That's literally what everyone in health care should be doing, doctors, therapist, nurses, chiropractors, PA etc you name it. I'm actually surprised how little they do after they finish school. It's literally part of the creed I think.
Thanks for fulfilling my request for a methylphenidate video!
Your accent is Dutch, that I noticed immediately, but it's also Australian. I've never heard that combination before 😺
Hahahahaha inderdaad!
Haha good catch
& irish! 😂
Very common. Many Dutch living in Australia
I hear no Australian in his voice it's dutch pure and simple.
Congrats on 100k buddy!
Thanks Eddie ❤️
Would love to try, good review 🇬🇧
So underrated
You're a hero. I can't find shit on Google and here you are.
I’ll refer you to this mate online who sells em
Chubbcrack
He’s on telegram
good morning Dr Explicit video presentation. My name is Ovuru Baron from Nigeria, an occupational therapist , my brother is been diagnosed of ADHD he is 52 on methylphenidate, he is hypertensive, he suffers Alzeimas disease what do I do?
Just started on 27mg. Love it. Taking 10 mg Ritalin at 3pm when it ware’s off too. So productive at work
Hi, I was just diagnosed with ADHD, and Ritalin has been an option for me to start taking, but I also have anxiety and moderate depression… I’m still trying to figure out if the anxiety is linked to the ADHD, and if the depression is linked to one of the other two. Can you tell me is Prozac and Ritalin are a good combination to take for adults? I have only found studies that it is beneficial for children. I do have a psychiatrist, but I am reaching out for others opinions, and I just to make sure that information is correct. I am really nervous to start taking medication, so I just need some help with some clarity and understanding. If Prozac isn’t a good combination with Ritalin , can you please give me another good SSRI option or maybe an SNRI option is better to help with my anxiety and depression? All of this is confusing for me. Thank you in advance.
How much should i take medikinet im 48 kg and i'm currently taking 10mg
Ive been diagnosed with adhd and i started 18mg of concerta about 3 weeks ago and it does absolutely nothing to me
Does that mean i have to increase the dose?
Been on this crap for two weeks now. Gross taste in my mouth, constant anxiety, bad temper, Ritalin worked better but also makes me nervous
I’ll refer you to this mate online who sells em and other psychedelic substance
Chubbcrack
He’s on telegram App
Same bro, like the anxiety is so bad to the point I can’t even focus
I do get mine from the name look up ⬆️ ⬆️⬆️ they are the best I know that helped me with products when I suffered Adhd, depression and anxiety and I get mine from them
I might watch this video later after taking my pills
I do get mine from the name look up ⬆️ ⬆️⬆️ they are the best I know that helped me with products when I suffered Adhd, depression and anxiety and I get mine from them
Hello :) thank you or video, i think this is the correct medication for me, diagnosed with adult adhd. im on 10 mg 2 times a day. how would i justify asking for a increased dosage? I am still feeling quiet tired and can sleep sleep sleep the days away but my scattered brain has decreased (thank goodness!!) is tiredness a good reason for increased dosage? or what other things would make a dr increase your dosage?? thank you in advance, have a blessed day :)
What Kind of tiredness? Mental tiredness or physical tiredness?
Hi, do you know anything about the rate of elimination in modified release compared to instant release methylphenidate?
The instant release tablets work great and I can take them through the day. The modified release tablets make me feel like crap, but my psychiatrist would rather I take modified release. I have been reading that the rate of elimination is raster than the rate of release and can create a chemical imbalance, which is why they make me feel crappy. I think the rate of elimination is much faster with immediate release, but I can’t find any research about this. Do you happen to know anything on this subject? Many thanks!
Unless it bothers your stomach its to be taken on an empty stomach not with a meal.
At least according to the stickker warnings placed on my prescription bottle by the pharmacists in Canada.
I've seen that it depends on how you accustom your body reacts to it, which to me makes more sense. Start with an empty stomach but it it bothers you or whatever, take it after. Also, maybe they should take it after if they tend to forget about eating.
Im on 2x40 daily but you say the max daily dose is 60! Do you think I should discuss lower dose with the psychiatrist? This is methylphenidate modified release "teva"
thanks man
Is it true that Methylphenidate can take several weeks to work? I've been on 3x 10mg tablets for 1 week and have no effects good or bad, should i still have hope that it may work?
Thank you for the video ! I started taking concerta 36 mg in the morning ( I was diagnosed with ADD) and It really helps me ,but let s say around 3 pm I can feel some withdrawl simptoms and irritability. should i ask my doctor to add another 18 mg of Concerta ? Or is it too soon ? we only have Concerta and Stratera in our Country for treating Add/ADHD.
How early in the morning
I take 18 mg of Concerta and I feel it for almost 10 hours but I agree after about 5 hours I start to become a little irritable but not how I used to be without my medication
I take 36mg concerta at 9 AM and take 10mg Ritalin at like 2pm so I think it would be ok
@@d2xr I felt the same. right now I'm on 27 mg dosage and it works perfectly
Which country are you from?
what is your recommendation on a patient that wants to wean off the Concerta to start straterra. whats the recommended decreasing dose, and over how many weeks if patient currently on 54mg daily
When I was in elementary school I was taking 54mg daily until 6th grade then one day I just stopped you’ll be fine
I ❤ it! My head has NEVER been so clear and focus so good in my damn life life! I also have a surpressed appetite which is a BONUS! I just have a bit of a headache and insomnia right now - I hope this will eventually wear off as I adjust to it?
Hi Emma, you'll probably have found that the headaches and insomnia have worn off a bit. I take methylphenidate as Medikinet slow and instant release versions of 10mg. I agree with everything you said 100% having taken for three years. Btw, libido as an extra bonus? Good luck :)
I'm one week in on methylphenidate, I also have emotional unstable personality disorder. Will the methylphenidate help me with anxiety?
I only using few weeks 4 days I want stop done with it dony wamt go down that rd again
I get mania for about an hour and then I suddenly hit a low after that and it just hurts mentally when it just drops like that.
Seems like you need a lower long acting dose.
a month ago I got adhd diagnosis and my 18mg concerta script. I have one problem with concerta, it gave me shortness of breath, I cant talk to my doctor about that, because of I'm not from US, where I live there is only one psichiatrist who believes adhd is real, insane right? I had to go through literal hell to get that script. So question: does shortness of breath is really that dangerous? I'm very oversized from taking mirtazapine for years, maybe thats the couse?
Take l-arginine with it
Mania is a rare side effect? I get it all the time whenever I take the 10mg of the meds
Thank you....👍🏻
I do get mine from the name look up ⬆️ ⬆️⬆️ they are the best I know that helped me with products when I suffered Adhd, depression and anxiety and I get mine from them
I do get mine from the name look up ⬆️ ⬆️⬆️ they are the best I know that helped me with products when I suffered Adhd, depression and anxiety and I get mine from them
I cant get my usual 80 biphentin so we're gonna switch me to concerta for a bit and they gave me 72 mg off the bat, and I've had it for 2-3 days, took it for the first time today and I've been nauseous and my stomach has been in pain pretty much since i took it. I'd rather budget my biphentin than take this everyday, especially in school
Sorry to burst your bubble but biphentin is the same thing.
Can ADHD meddication be prescribed for treatment of negative symptoms of schizophrenia?
I do get mine from the name look up ⬆️ ⬆️⬆️ they are the best I know that helped me with products when I suffered Adhd, depression and anxiety and I get mine from them
Effective👍🏼
Hey man thx for the info but i do actually have a question if you don't mind me askin. So latrly ive bren taking my ritalin (10mg tablets) everyday for the past 4 days - maybe about a week and for the past 2 days i've been havin a bit of a twitch in my temple area. Any thoughts on what that could be? Or if they're even corrolated? Thanks!
The twitch is likely a magnesium deficiency try that first.
The twitch is likely a magnesium deficiency try that first.
Oh my god thank goodness. I take 20mg of methylphenidate in the morning and after I took a 10mg of the same thing, and about maybe four or five hours later I took a 5mg and I got really scared that something was gonna happen to me but I’m glad I know that there’s some people taking that much almost every day.
I took 8 concerta pills 54mg what's gonna happen I don't know what to do I don't got ADHD so I really need help I need to know what to do asap
@@user-vb6eg4st6j yo u good
@@user-vb6eg4st6jhey man, I trust that you’re okay. I’m currently on the top legal dose in my state of 80mg tablets for 10 hours with an additional 40mg at the end of the day. You’ll be fine, overdose is possible but unlikely given a reasonable dosage. Dependent on your body weight you may experience scary effects such as delusions, pounding heart beats and hyperactivity but you should make it through provided you have no pre-existing medical conditions. If you’re abusing drugs, reach out to someone for help in order to ensure you stay healthy down the line. Stay safe!
i have used ritalin 10mg for once and it did chest pain is it normal?
Hey I’ll refer you to this mate who sells em and other psychedelic substance he’s recommendations are good
Chubbcrack “”
He’s on Instagram and telegram
I do get mine from the name look up ⬆️ ⬆️⬆️ they are the best I know that helped me with products when I suffered Adhd, depression and anxiety and I get mine from them
No.
Why is it not working if i eat fruit with it
Why are all these f-ing dealers here like go away im trying to get knowledge not drugs
Becouse they r state or society lincensed drug dealers (just kidding )
@@sidka8435 I know that was a funny joke but fr I just cant with them they are everywhere
It’s not affective for me, I’m planning on asking for vyvanse. Concerta wasn’t good for me, I’m on the highest MG possible. I do feel awake but not focused, it’s more of a get me off of my bed drug mixed with random fits of anxiety and for some reason I cough a lot on it. Why is coughing a symptom with this drug, it’s like a dry cough randomly.
I think meds are one thing but it’s not to rely on for motivation, you use water and exercise for increase focus ??? Idk that’s what I was told
Made me feel like a robot like shit emotionally numb
Probably dose too high.
Why does concerta make some people sleepy?
My son is 9 yr old and he’s been diagnosed ADHD.. so they prescribed Methylphenidate 5 mg .. Is it ok to continue the medication as I m very concerned about any side affects
I just took my first dose of Ritalin 5mg yesterday and it gave me bad anxiety. After the anxiety wore off I was amazed of how calm and focused I felt and then shortly after I realized I had clenched jaws and my chest/lungs felt weird. I felt like cracked out so I didn’t take my second dose. I’m 41 and I can’t imagine going through all that as a child. Maybe there are better more natural options for him?
Me too my son 8 yrs getting sick
Thanks for your content! I was diagnosed with ADHD and prescribed with RITALIN 20mg, how come it makes me sleepy and feeling sedated after taking it? Appreciate for your answer. thank you!.
Because your body needs to get used to the influx of dopamine that it's not used to, this can be really exhaustive on your internalsystem. Usually you build up methylphenidate over the course of a week starting with 5-10 mg pills (depending on your body mass index) and not starting with 20mg pills at once. FYI, this will better once your body is used to it. If it doesn't, you might have something else than adhd. I mean there are people whom get high on 20-30mg regularly, seeing those people shouldn't have "the same tolerance like you are supposed to have" because they do not take it daily, states how high this dosage actually is. Usually people test out this medicine with 5-10mg pills and I can barely believe that they actually let you start on 20mg pills. How much do you have to take daily?
Are you taking the next dose right on time? Like say... at least 30-40 minutes before the effect disappears of the previous dose. Usually I experience tiredness and rebound effects when I take my next dose too late. Depending on what you are doing at that time, the effects can render away within 4 hrs, since the effects gets burned up as you burn up the "dopamine" fuel. Usually it's about 5-6 when you're just relaxing.
@@sloppyprogrammer4373 thank you for your response! i dont usually take them on time. sometimes i take it in the morning before meal then take it again before sleep. when i take it, it really helps me alot regarding my executive functions. unfortunately, in our country they dont sell lower doses like 5-10mg thats why i was prescribe with 20mg which actually shocked my system at first eventually making me sleepy after couple of hours. i only take them for 2 weeks then goes on drug holiday. i have a very demanding work, not sure if it really burns so much dopamine.
@@sorandom4076 Are you sure you don't have serotonin deficiency syndrome because it's sounds more like that? But I'd start with taking them on time and try to halve your dose while you build it up again. I get really tired and hungover feeling when I don't take them regularly enough and forget a dose.
@@sloppyprogrammer4373 Hi, actually i was diagnosed with Acute stress reaction and Major depressive disorder after i was diagnosed with ADHD. i guess, i also have SDS. i actually take ritalin together with escitalopram (1 tab) which helps with mood side effects of ritalin like agitation , mood swings.
@@sorandom4076 In my country ritalin/methylphenidate doesn't even get prescribed if you have severe mood swings and usually they prescribe dexamphetamine or some benzo instead.
I'd consult another psychiatrist or doctor to be honest and see if they have a better alternative. I'm not saying you don't have ADHD, but since the past 10 years they are very easy on diagnosing ADHD and High-functioning Autism so they can prescribe drugs you probably don't need.
I'd really go for a second opinion if that's possible or try to see if there is something else you can do to relax your brain.
(though, if you live in USA it might be very expensive. I am fortunate enough to live in socialist/liberal West-European country. so we're mostly insured for health/mental health related issues. Consults basically cost nothing for us except for the default contribution you have to pay once you receive help, which for us is only about 350/400 a year and you can pay it off in 12-24 terms depending on the insurance agency). Sadly we're not insured for specialist treatments in other countries, but that's to be expected anyway.
Does caffeine has any impact when you're on methylphenidate?
Dank u!
From my experience yes
Thanks again@@daleofriver6746
Lol I know that was just B-Roll footage, but the thought of those horse pills being your stimulant meds lol
Can anyone please tell me if Methylphenidate hydrochloride causes severe hair loss?
No not at all
I just did my last Ritalin and I don't get my next prescription until November 17th. So now comes the suffering and it couldn't happen at a worse time. There's nothing to replace it except another amphetamine and it's horrible. I always come up short because how can't you I mean honestly is there anyone an adult who's prescribed Ritalin where it lasts until your next prescription is ready? The answer is no. If anyone knows of anything that can remotely take its place that you can get over the counter please let me know. Cuz I can't stand this. There are some nasal inhalers benzedrex for one which is basically an amphetamine unfortunately I can find it in the stores around here. It helps if you break open to soak the paper and get it in you. But it's still not the same. Isn't it a shame that we just can't go to the store and get what we want instead of having to go through a doctor and getting a prescription. I get 90 20 mg ones a month they generally last two weeks. Because I need it. But the law says you've got to go through the proper channels. Of course you can get as much alcohol as you want that deadly deadly awful drug alcohol is everywhere. I've never gotten into a fight while on Ritalin I've never done anything stupid I drive better I'm more productive but you can't just go to the store and get it. Now if I wanted to go and get a large bottle of bourbon and drink it and God knows what would happen that's okay. This is so wrong. That is not freedom. I live in the US the great free country but I can't get this beneficial medication anytime I want but I can get the worst drug on Earth anytime I want does this make sense to anyone? Once again if anyone out there knows anything it'll take the edge off the horrible withdrawal please let me know thank you
I think you're addicted.. if you get 90 20mgs a month then you should be using only 3 per day and not 6 a day. Please get rehab because this is completely unhealthy
Honestly my feeling right now
I only use my medication as prescribed. I usually have 2-6 extra pills at the end of the month.
@@LieutenantButtonMasher you know nothing about me. Don't judge what you don't understand. The point is that I can buy a case of bourbon and an assault rifle with armor piercing bullets and that's just fine. but I can't get the medications I have been prescribed for 7 years because I moved to a redneck state with far less freedom than most countries on earth. But at least the drug dealers are happy. And I'm thankful for them. they have far more integrity and intelligence than most doctors I've met who are basically corrupt morons and drug addicts as well.
That's very scary you were feeling that way, hopefully it is resolved.
I am balls deep on Ritalin rn watching holy sheeeet
My doctor gives me 72 mg in the morning but i took 150 once and felt normol
150 mg of ritalin? I'm prescribed 30 mg I think, but dont feel normal.
I do get mine from the name look up ⬆️ ⬆️⬆️ they are the best I know that helped me with products when I suffered Adhd, depression and anxiety and I get mine from them and
lol...im usig over 300mg per day... 😆😆
@@chinthakakumara2330 how do you get it...
im using 300mg per day😅😅😅
When it peaks I get tired and fall asleep
I feel sleepy all day and tired. I am having cervical spondylitis after having adhd meds.
What should I do?
feeling the same man with high dosage
some new effects ?
Then your dose is too high if it's at peak absorption.
Can I get heart attack with this.reply please i am 21
Is it dangerous / deadly to overdose of 11 tablets of 36mg ?
Duh, yes it could affect your heart, not to mention your poor liver trying to detox that.
396mg of Ritalin is likely a lethal dose for the average person. Given the maximum legal dose (Australia) is 40mg in instant release, taking almost 10 times the legal dose is likely invariably fatal should you weigh less than maybe 150kg and have extremely strong cardiovascular fortitude. Stay safe.
@@callsign_cerberus159 thx for the informatie now i can get to it
Did you say meth
His accent is stuck on "shop demonstration"
Speed is such a dirty drug and the negative side effects always outweigh any short term benefit. You're best off drinking a can of monster energy drink or doing a line...
Doing a line is literally just doing speed bro, Ritalin is different from speed.
Can’t really trust a guy with teeth like that 😮
Everyone is adhd and has some add it’s called being human
thanks 🤞🥹