concerta is 54mg to much for a nine year old?

Kara - posted on 02/02/2010 ( 45 moms have responded )

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i've herd lots of good things about concerta on here but my son is having anger and depression issues and he is having trouble sleeping . i am thinking the does is too high or maybe he needs another medication altogether or maybe he needs a separate med for the anger and depression be cause he had a little of both of those be fore he was diagnosed with adhd . i don't know what to do please help!!!!!! he's also on medicaid and i'm not sure which drugs they cover

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Matt - posted on 12/04/2012

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Hello i am not actually a mom but i saw this post and i needed to say something. I am eighteen years old and i was diagnosed with a pretty severer case of adhd a bit more than ten years ago. I know some of you wont appreciate advice coming from someone as young as me but i have been taking concerta for more than half my life and i know quite a bit about how your children are feeling. It takes years for a child who is still developing a personality to understand how their medication is affecting them. SO here is my advice, try different medications, concerta works great for me but everyone is different. Same goes for the doses, different people need different doses. More importantly do not overdose your kids, i assure you it will only hurt them. When i was a kid i also acted out and i am sure the adhd was partly to blame but constantly medicating your child will only make it worse. I have seen a quite a few of you mention that your child has become more aggressive or even depressed on the medication. That probably means the dosage is to high, i know from experience that you can be more productive at a higher dose but it inter-fears with your appetite more severely it makes you aggressive , upset, and very very confused. The best thing you can do if you think concerta is right for your child is to let them take a lighter dose and find the happy medium. As they grow up they will learn to focus through the adhd and will work with their medication to focus. And most importantly let them take brakes from the medication, on weekends or over the summer. If a person is continuously exposed to high doses of concerta the doses will become less and less effective. I really hope this helps, and remember your child knows how thy are feeling talk to them about how the medication makes them feel. I wish you all the best of luck.

Lorrie - posted on 01/10/2012

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I tell you this because of a personal experience that just recently happened with my 7 year old son. When he was 5 he was diagnosed as having ADHD by his pediatrician. She started him on adderall but he developed tics with that so she switched him to Concerta. The medication helped with his hyper activity and focus but then we started seeing other "quirks" that were masked before by his hyperness. She then prescribed Prozac because she said he was suffering from anxiety due to the medication and it would balance out. When we questioned her about whether the Prozac was safe for him at that age all she said was "don't you want your son to stop picking at his fingers(which was what he was doing, picking at his fingers till they were raw) so we reluctantly agreed even though we had concerns, and it did help.We took him to a psychologist who told us Austin was Autistic as well as having ADHD. For 2 years he was on these medications that were prescribed by his pediatrician. Whenever we would notice something Austin did that wasn't right like chewing on batteries, not focusing anymore in class, etc. all she would do is up his dosage of meds. he went from 36 mg. to 54 to 72 of Concerta in a matter of a year.Never once did she or the Psychologist suggest he be seen by a Psychiatrist. A week before Christmas Austin began to have problems not sleeping..he has had this problem before and takes Clonidine to help him sleep but it seemed the Clonidine was not working anymore..he stayed awake for 3 days straight and did not seem tired at all although my husband and I were exhausted from taking turns staying awake with him. Austin was wired to the gill not slowing down at all..it seemed that even his Concerta was not even working anymore and it was surprising how full of energy he was even with going without sleep..he still wanted to go to school, was not disruptive in class but was just talking so much and so quickly you could not slow him down or stop him at all. We took him to his weekly OT session and the Therapist noticed how wired he was and that he was sweating without having done anything active, so she called for his pediatrician to come watch him and see his behavior. When the Pediatrician seen how wired he was and how clammy his skin was and heard that he was going like this with no sleep she took him to the ER right then and there. The ER doctor was just going to give him something to help him sleep but the first dose did not even touch him, they tried a second dose and that too failed to put him to sleep. They then gave him a shot that too failed. They put an IV in him and tried again to give him something but nothing worked..He began to hallucinate and the ER dr said that was normal for someone who has gone that long without sleep. His mind began to shut down but his body was still going, he was flinging his arms and legs in a seizure like state. The ER doctor then called a Psychiatrist who told him it sounded as though Austin was suffering from a manic state and to try a drug called Haldol. When that was administered, my son fell asleep immediately mind and body. They then rushed him to a Children's hospital 5 hours away from where we lived. While there we found out the cause of my son's manic state was because he had been over medicated. He had to stay in the hospital for 3 days while his body detoxed and we had to start all over with a drug regimine that was prescribed correctly by a psychiatrist. He is now on 20 Mg. of Ritalin XR and 5mg of Ritalin in the afternoon when needed and .3 mg Clonidine to help him sleep. Now that all the drugs are out of his system his hands and legs shake uncontrollably but the neurologist said that it should eventually go away but if it doesn't that it is possible it is a permanete damage from being over medicated. I am telling you now if your child has not been seen by a Psychiatrist then I suggest you make an appointment to see one before you allow anyone to prescribe medication. Our little boy is back and he is doing better than ever!

Bridget - posted on 02/14/2010

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My son is 10 and on Concerta. We needed to increase the dose form 36 but 54 made zone out. So the doctor perscribed and 18mg and 27mg pill to equal 45 mg. He is much better. Also when we first started concerta 5 years ago after trying many others he was having trouble sleeping, the doctor put him a the lowest dose of resperdone (helps with sleep and emotions). This combination has been a God send. He started on a low does of Concerta and when we feel the need to increase if the next pill is to high the doctor will perscribe 2 pills get a lower dose but higher than the first. My son is seeing an ADHD specialist that took me 2 years to find and 6 months to get into it was well worth it. His pediatrican is wonderful but just guessed at what to do, the specalist knows and he seams to get it right every time.

Kathleen - posted on 08/07/2011

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Have you ever heard of PANDAS? I think this note I wrote to another mother might be of interest to you!



The absolute FIRST THING I would do is to have your child thoroughly checked for strep, using a blood test. There is a condition out there that most people in the medical community are unaware (or in denial) of called PANDAS. That stands for pediatric autoimmune neurological disorder associated with strep. I really really hope you will heed this message, because it could be an explanation and it could prevent you from giving your child medications that will simply mask the problems, but not solve the root of them, which may be due to STREP A. My oldest son (who is currently 9) had this condition, and he is completely cured now due to antibiotics. It sounds weird, but just like with Rheumatic Fever, one's antibodies go nuts, but with PANDAS instead of attacking the joints and heart valve, for some reason the antibodies go up to the basil ganglia and affect learning or behavior. More boys than girls have this reaction, and every kid has different symptoms, which can look like some or all of the following: tics, anger issues or emotional instability, anxiety, depression, ADHD, OCD, ODD, fine motor problems leading to sloppy handwriting, problems with math...that is all I can think of right now. The key question is: HAS YOUR CHILD ALWAYS been this way, since birth, or did it start at a particular time (like when he or she was exposed to strep, probably unbeknownst to anyone)? My son had had chronic strep with NO SYMPTOMS, and when we had his tonsils removed, all of the strep was hidden deep inside, where antibiotics cannot reach. Check out the website saving sammy.net. Best of luck on your journey. Here is a list of doctors who treat PANDAS: http://www.facebook.com/topic.php?uid=23... I will pray for you and your child, and I hope you get this message. I am sorry for your suffering, when it feels like you are "losing" your child, but there is hope out there. Our son also had suicidal thoughts, and we had no idea where they had come from. This is also common with PANDAS. (A child may feel that way because he or she cannot control their bad behavior.) All of our son's behavior issues are completely gone now, with his antibiotic treatment. Check out a PANDAS doctor and maybe they can help! The few specialists who are really into this say that they are certain that there are many many kids out there who have been misdiagnosed as having ADHD and other conditions, but that they are really PANDAS kids. Your case sounds classic. Try to find a specialist. Check out the book Saving Sammy.
Sincerely, Mommo

Michelle - posted on 02/07/2010

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I honestly believe 1. the dose is to high my son is on adderall 20mg which is quite high for a 9 year old but his metabolism is so fast that he only gets about 10 mg into his system. 2. As for the anger has he been checked for ODD (Oppositional defiance disorder) my son also has this and that is where his anger issues come from for that he is on 1 mg of risperadall these work for him.....

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Noreen - posted on 04/13/2014

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You must learn how to adjust the medication depending on the child..My son could not deal with a high-dose and they usually start you out with high-doses.. so my suggestion is to go to top to bottom. My son does not have hyperactivity only retention . He is now 19 yrs old in college Very well-adjusted very popular hockey athlete but at times still has the retaining of information problem. Just recently reduced his levels of concerted to 18 Ml and we shall see they had him up so high that he couldn't even function because it was too strong so I'm sure it may be for your son as well but it does work! You just need to get him on the right level that works for him good luck

Michelle - posted on 08/26/2013

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there are meds that they can take for anger -the anger is part of adhd and there is also meds that can help them sleep everything is trail and error

Geneva - posted on 02/08/2013

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Hi, you can try 5mg Melatonin at night because my son is in the same situation. It was recommended by the doctor who prescribed the concerta. Give it to him before bed. Everynight.
My son is 8 years old on 54mg concerta and he is having same issues becoming very aggressive and acting out. I am planning on talking to his nuerologist to run more test or to recommend another medication or even something to take with the concerta.

Belinda - posted on 12/19/2012

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The doctor didn't put her on 54mg. He did raise the dose by combining 2 different Concertas.

Belinda - posted on 12/19/2012

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Did the doctor start him on the lowest dose and eventually work up to 54mg as needed? That is what they did with my daughter. She started out on 18mg and slowly worked up when the lower dose stopped working as well. Also, was your child diagnosed with ADHD with ODD(oposential defiance disorder). I don't think I spelled that first word right. My daughter was diagnosed with both, so she needs the Concerta and councelling. She is going to the doctor today to get moved up to 54mg. The dose beneath is not working as well anymore. I really will hate the day she has to go to another medicine. All other medicines tried before Concerta caused her to have facial tics. As for the sleep problems, have you tried Melatonin. It is the chemical naturally occurring in your brain to put you to sleep. My daughters doctor told us to give that to her. It works like a charm! You can get Melatonin on the vitamin and supplement isle. It is over the counter.

Jayne - posted on 11/19/2012

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can some one plz give me some advice my son is 13 and a half has beeen on 54 mg last 10 mths , he weighs 10 stone , does anyone think my sons meds need increasing the last 2 wks , he has turned into a devil child like he was before he was medicated , anger , violence , shouting etc , pl z help desperate mum , thank you for reading

Jody - posted on 06/15/2012

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My 11 year old takes 72mg of concerta and we are getting ready to up his dose again. He does not have any depression or anger issues but is definitely having sleep issues. He has trouble falling asleep and then of course wants to sleep-in in the morning. I was trying to decide myself whether the sleep thing was medicine related or just being a preteen or in other words a teenager in training. Only you and your doctor together can decide the right dosage. My son also takes Intuniv at night (not a stimulant) to help the concerta work better. He was up to 90mg of concerta about a year or more ago and the Intuniv helped him go down to 72, which is where he has been for almost a year, but as I said we are getting ready to up it again (growth spurts).

Shannon - posted on 08/08/2011

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I had my son concerta for yrs. I do not like it. It worked at first, but everytime I had to up it he got more angry and depressed. He also never gained weight. He is on Vyvance now. I love it! He gained weight and looks healthy. He has been on it for about 3 yrs now and its amazing the difference. Doing great in school and home! Also for sleeping he takes Melatonin (all nateral and works great). I will be happy to answer any questions

Sue - posted on 07/27/2011

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I'm a very concerned Grandmother of my 15 yr. old Grandson. He has als been on Concerta since he was about 5 yrs. old. A few months back they raised him from 54 mg. to 72 mgs. I'm very concerned with his behavior. He acts like he is on speed. When my Son has him for the weekends my Grandson now stays up all night. He likes to take things apart, try to invent things which is creative I know. However he was not like this before. He also seems like a time bomb getting ready to explode. My three Sons were all diagnosed wigh A.D.H.D. Me also. So I'am educated on it. It seems to me that his Mother and Step-Father and Dr.are treating his behavior with higher doses of medication instead of trying counseling for issues that I know he has. I do believe the dose is too high as there is a big behavior change. I have told his mother of my concerns and she disagrees with counseling. In the meantime I'm very scared that the dose is too high. Is there anything I can do?

Nicole - posted on 03/25/2010

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Of my 4 kids 3 have been diagnosed with ADHD and 2 of them are combined with ODD. My 10 year old son also has anger and depression issues. severely. first of all, are you seeing a psychiatrist for him? Or, are you being prescribed meds from a ped./fam. physician? I would strongly suggest therapy at least for him if you dont want family therapy. That has helped me alot, and it is covered by medicaid. Also, there are anger management classes for kids that medicaid covers( my son was just in one).At 9 years old my son was also on 54mg of Concerta when I finally started taking him to a psychiatrist who told me that after long use on that med they become immune to it. So, now he's on Vyvanse 40mg in the morning and it lasts until he gets out of school. He needs just a little more help to get his homework done so he takes Adderall short acting tablets 10mg after school. those last about 2 hours. As for the anger I think we have that about solved also with Risperdal 0.25mg half in morn.,half at 6, and 1 and a half at bedtime. Risperdal is an anti-psychotic med that helps them think out their actions and responses more carefully. It is worth trying. I hope this helps and good luck!

Nazari - posted on 02/23/2010

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THE DOCTOR SHOULD KNOW, IF HE SEES A PSYCHIATRY AND RECEIVED COUNSELING FOR THE ANGER MANAGMENT HE WILL BE FIND. THE ALWAYS SHOULD START WITH A LOWER DOSE, AND MEDICAID USUALLY COVER ALL THAT BUT YOU HAVE TO FIGHTY ABOUT IT. CONTINUE PUSHING UNTIL YOU GET WHAT YOU NEED, YOU DON'T NEED TO BE OUT OF SCHOOL BECAUSE OF BAD BEHAVIOR.

Deanna - posted on 02/17/2010

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My daughter was put on that dose at 7 and it made her a zombie. We changed meds and eventually went back to Concerta (lower doses) and went back up to 54 mgs at 10 yrs and it's working great! My daughter started giving her stuff away at 9 while she was on lower doses of Concerta and Daytrana patch. Her psychiatrist said that those doses were not strong enough and now that she was older and had gained some weight, she would be able to handle the 54 mgs. We are military so I don't know what all your insurance covers, but I would recommend you take him to either a psychiatrist or psychologist (or both like my daughter does) to make sure there isn't some other problem that isn't being addressed. Good luck

Maria - posted on 02/17/2010

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my son is 11 and is only on 36 i do think 54 is way to high dose you really need to talk to someone.

Arian - posted on 02/16/2010

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My son is also 9 years old, but he takes 72 mg of Concerta. I have been very happy with how Concerta has worked for him. We have tried other meds in the past which either didn't work at all or that had crazy side effects. As for the depression, it is not really a good idea for young children to take anti-depressants. We tried my son on Wellbutrin, but it just made him more agitated than he already was. It is really hard to find things that they can give younger children with depression. For sleep my son takes Clonidine (.2mg) and that works great for him. Also, another mom mentioned Omega 3's. That has been proven to help children who have ADHD, so you might want to give that a try. Good luck!!!

Heather - posted on 02/15/2010

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The doctors started my 6y/o on 15mg of concerta then after a month put him on 36mg. He had some horrible side affects. He also began having anger issues and he started talking with his hands. He was on that for 2 months until he was unable to handle things. He was put on Abilify to help the dammage caused by concerta. They also put him on 5mg of Focalin. He is off the Abilify and his taking 20mg of Focalin. He is now 8 1/2 and he acts like a normal child. His diagnosis was ADHD on the emotional side, not the behavore side. Hope this helps!

Julie - posted on 02/15/2010

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Hi Kara,
It sounds like what my son was going through, he is almost 9 . Its sounds like you need to adjust your meds, My son had anger,depression and sleeping issues until they placed him on 27 mg of concerta, 1mg /ml solution risperidone 1ml twice daily ,methylin 10 mg/5ml solution 1 teaspoon in morning,mirtazapine 15 mg tablet, 1 tablet at bedtime. And it's all covered by medicaid.

Erin - posted on 02/15/2010

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My son had the same issues when he was 9 and on Concerta. I didn't want him to be on tons of meds (like for depression & anger), so we tried Statera. He started sleeping better, the depression and anger issues went away, and he has had no other side effects. He likes this one so much better than any other he has been on (he's 13 now).

Lisa - posted on 02/11/2010

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My daughter is just turned 8 and has been on 72 mg of concerta. The Dr. told me it is not about their weight it is about the child and their chemical make-up. The worst side effect for me with the drug is loss of appetite. She is hardly ever hungry. Only at bedtime when it has worn off and first thing in the morning. So, the school nurse and I decided to have her take her medicine in the office at morning recess with a snack. She has finally started to gain a few pounds!! This way she can eat a good sized breakfast and have a good sized snack before the medicine kicks in. Sometimes she even eats most of her lunch for morning snack, which is good, because by lunchtime when her medicine is in full force... she isn't hungry anymore. This only works for us on school days though. I can't manage her for that many hours at home without medication. At school, they entertain her enough to manage for an hour and a half of school without the medicine.

Also, my three children who are on ADHD medicine also take a drug called Clonidine. It is a blood pressure medicine in very small quantities (.1 mg) to help them sleep. The Dr. also prescribed it for my son that doesn't have ADHD, but who has issues with being defiant. My oldest son is on Wellbutrin for Anxiety. So make sure you tell your Dr. about all of the things going on, one medicine doesn't necessarily cover what they need. And if you feel that Concerta isn't right for him, ask to try another medicine. Even some that insurance/medicaid wouldn't normally cover should be covered if the others aren't working. And one last thing to think about... nutrition. There is some amazing information out there about things like probiotics that may help your son to feel better internally and thus... feel and behave better on the outside. For some people this is the answer. I say research all your options and don't give up. Love and patience will get you through.

Joanne - posted on 02/09/2010

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Hi Kara, Well best thing is ur not alone, I have a 14 yr old who is been on concerta 54 mg for the past 3-5 yrs, my son stuggles from a type of depression, he also has a very nasty side of him, what we did for him was met with the school to work out a way to keep him in school, so if he wanted to be left alone or wanted to work alone not in a group the school made up these papers he put on his desk so the teacher knew he didnt want to be pushed he just shut down, he also had his own study both where he would go. That helped at school s at home We went to the dollar store bought some bristal board he chose the colours, made up some for at home for his bedroom door, wow what a differance at home less fighting, He also stuggles still today with sleeping So i get him to shower around 8 - 8:30pm Tv is off at 9pm he has to read till 9:50pm and it has it moments but is helping him to relax, Will keep u up todate he goes to the Doctors on the 16 of Feb, to see if they are going to change his meds or not I wish u lots of luck, But again im in Canada have no clue whats covered and whats not,

Stacie - posted on 02/07/2010

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That dose is too high for him you also might need to have him on a mood stabilizer how is his appetite let the doctor know of all concerns you have good luck

Cindy - posted on 02/06/2010

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Those are side effects of concerta. I feel that the mother knows the child better than any doctor does. I would find out from medicaid what meds they do cover. I also know that a lot of the adhd meds causes people to be more angry and depression. It depends on the person if they get the side effects. Some side effects go away in time once the body gets use to having them in the system. That seems like a lot for a 9 year old to have. Maybe ask the doctor which adhd med has the least side effects. I think you should do what's in your heart, if you should change the meds or not. I hope this helps.

[deleted account]

The best thing to do is to communicate openly with your child's doctor. Talk about any and all concerns you have for your son. Go into your appointment with all your points written down so that you don't find yourself deviating from the issues. My son has been on Concerta for many years now and found it to be the best for his particular needs. On the other hand, my other child has had depression issues and had to be prescribed a completely different medication. Good luck!

Laura - posted on 02/06/2010

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My son who is now 10 has been on Ritalin and Concerta for four years now. He is currently taking 54 mg on school days and 36 non school days. This seems to be a good dose for him (he is 82 pounds). The other thing to talk over with your doctor would be another underlying condition such as depression; Often times children with ADHD will also have a comorbid issue such as depression or anxiety. The concerta will help with the ADHD symptoms but then allow you to see other symptoms that were masked due to the ADHD symptoms. My son takes zoloft for anxiety.

The other piece of the puzzle to talk with your doctor about is whether Ritalin based ADHD meds are the right fit for your son. When we first started on meds our pedatrician started us on Adderol, it was horrible, he was picking at his skin, very emotional, and really hard to live with. She then switched him to dexeadrine, which was just as bad. I finally made the switch to a specialist who deals with children and ADHD and we tried Ritalin. In doing research it is common that if a child doesn't tolerate one (in our case Adderol) they will usually do better with the other class (Ritalin),. It is based on chemsitry in the brain. I think the best decision I made was to find a provider who specializes in ADHD and children's mental health. Another good resource for information is CHADD.org.

Heidi - posted on 02/06/2010

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I have always felt that concerta has been good for my son, that is until recently. My son started on 18mg of concerta when he was 7, then when he was 9 his dose was increased to 36mg. Recently, all four of his teachers were having problems keeping him on task, so at 10yrs old his doctor increased his dose to 54mg. Since he started this dose in the middle of december, he has trouble sleeping, stomach pains. He always has been very emotional and angry, in the evening, but I feel like it seems to be worse. My son has an appointment with the dr next week, and I am going to ask if we can try a different medicine, Vyvance. Sometimes, kids just need an adjustment, and it takes time to figure out what is best for each child. You should check with your doctor, and he/she should be able to find out which medications are covered by medicaid. Good luck.

Michelle - posted on 02/06/2010

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My 10 yr old is currently on 54mg concerta and while it helps some, i was still having the anger and depression issues with him, he didnt eat or sleep. His psychatrist added 2 mg abilify and it has worked wonders on sleeping and eating, he still has some of the anger but on a much more manageable basis, all u can do is what feels right for u and ur child

Dawn - posted on 02/06/2010

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Andrea,
I went through this same thing with my 13 year old he is now on risperdal along with his concerta and he went to counseling for quite some time. He is doing much better now. The system is so hard to get help for our children and it is very heartbreaking as a mother. My sons psychiatrist told me that sometimes if you are mixing certain meds this can have that affect on them. My son was on an antideppresant along with risperdal and the concerta. We took him off the antidepressant and just did the concerta and risperdal and he is doing 100% better now. We went through a long time of this. I know how it wears on you as a mother and affects your other children if you have any also. If you ever need to talk please feel free to email me and maybe we can exchange contact information my email is dawnm001@yahoo.com. Good luck and keep pushing the doctors to help you because this is the only thing that helped me.

Dawn - posted on 02/06/2010

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Kara,
My son has the same problem and I believe that sometimes the anger and depression goes along with the ADHD. The dose is dependent on the kids weight so it is hard to tell whether it is too much. My son is 13 and weighs about 105lbs and is on 64mg of Concerta he has been on this dose for quite some time now. He also takes melatonin at night to help him sleep which is a natural derivitive that your body makes to help you sleep. He is also on Risperdal for his anger issues and this also helps him sleep too. I think that when kids have ADHD it is natural that they are going to have some troubles sleeping. If you think about what ADHD really is which is a hyperactive disorder it kind of makes sense because there minds and bodies have a hard time relaxing. anyways my son is also on molina and it covers both of those meds, Melatonin is over the counter but if your pediatrician writes a script you can get it with the medicaid card. I hope that this helps if you have any questions or need to talk feel free to email me at dawnm001@yahoo.com. Good Luck

Rosemary - posted on 02/05/2010

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Kara,

My 11 year old takes 72 mg of concerta, and sertaline (Zoloft, for depression) every morning. He also takes 15 mg of ritalin at 2pm. At night he takes 100 mg trazadone.

The concerta helps him to control his outbursts, sertaline is for his anxiety, and the ritalin at 2pm helps him get through the rest of the school day as the concerta is wearing off. At night he has trouble getting his mind to shut down to sleep, so the trazadone helps with that.

My son is very smart pulling A's in all his classes despite his "disadvantage" We also have him in karate. They say it is very good for children with ADHD. it makes them focus and gives them routine.

Hope this helps a little.

Shannon - posted on 02/05/2010

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Well it sounds like I could have said this a few months ago. My son also was on 54mg and he was more angery and couldnt sleep now he is on Vyvance and Cloidine to sleep. The Vyvance he is only on 40mg and is doing great in school and has friends now. He has bloomed as a person and also has gained weight he was super skinny before. I would be happy to talk if you need anything.

Tanya - posted on 02/05/2010

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My son who is 11 is on 24 mg of Concerta but he is also small for his age. Sometimes the Concerta can effect their sleep though and my pediatrician has advised me to give my son a nice warm bath and a cup of warmed milk to help relax him before he actually goes to bed. It has helped tremendously!! As far as the anger and depression, get him counselling. I had my son see a counsellor for over a year and it helped him deal with his anger appropriately as well as other issues. Counselling for children is covered by the Medicaid program and your pediatrician can refer you to someone who participates with Medicaid.

[deleted account]

My son [age 8] has been on Concerta for a couple of months now. Until December, he was taking 54mg but he started having trouble sleeping and feeling sad. He does have depression so we lowered it to 36 and that has helped the sleeping and depression but his focus/attention at school are suffering. I've started giving him some Melatonin before bed [20-30 min before]. The melatonin I have is 3mg and I use a pill splitter and cut it in quarters and he now takes a quarter of a tab. I think we'll be going up to the 54 or try 45 [18+27] and adding an antidepressant...this may include giving a bit more Melatonin too. The other step is trying something else too. I think that for my son--who does have to take it every day (no skipping on weekends)--we'll go to the 36 in the summer because he won't need the same focus like for school, assuming he's still on Concerta by summer.

Christina - posted on 02/04/2010

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My 9 year old has been using Concerta for over a year now. We had worked his way up to 36 mg, but after a few month, we noticed that he was having some anger issues and becoming depressed. We lowered the dose to 27 mg and it has made a big difference. His focus isn't as good as I would like it to be, but he's not as un-emotional as he was on the 36mg.

Dee Ana - posted on 02/04/2010

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The dosage of the concerta varies from child to child. My oldest is now 10 and he is at 90mg! About every three months or so I've got to take him in to adjust the meds because he gets out of control. We just now started counseling and he has been diagnosed with ADHD for about 2.5 yrs. Even with him taking that many mg I gotta stay on him to get things done or he gets side tracked!

ANDREA - posted on 02/04/2010

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my son was diagnosed last year he went from 36mg of concerta to 54mg, he has just turned 13, he still talks about suicide and self harming and constantly punches his self in the head, and like others he cannot sleep and when he does he is shouting in his sleep and having full blown conversations with him self, i must admit that since being on this medication he is doing a whole lot better and has been statemented at school so gets extra help. sometimes my son misses his tablets and the whole world knows about it, he is unresponsive, very suicidal and depressive and cries uncontrollably for hours, this is heart breaking as i feel that i can do nothing to bring him round and as he gets bigger he is hurting him self more and more.

Yvonne - posted on 02/03/2010

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My son was diagnosed with ADHD when he was 5 years old. He was started on Concerta 36mg. We still struggled with lots of things depression anger ect... but I also had him in therapy and structured everything at home. It is a constant battle and a very tiring one. I had his concerta increased to 54 mg when he was 7 because he was having trouble and it seemed like we were going backwards. When he started on the 54mg he became very paranoid and I stopped it immediately and went back to the 36. My son is now 9 and just started to get very out of control, angry and things were happening in school I increased his meds to 56mg and so far for the past 2 weeks things have been improving. I don't know how old your son is but I do know at any age having a child with these types of symptoms is very exhausting and fustrating. I don't believe there is a medicine that is a fix I believe if you find the right one it helps but it can sometimes mean experimenting with many different types before finding the one that works for you. It has taken me 9 years to finally find a therapist for my son who I think truely relates to me and him. Alot of people want to blame the parents or parent in my case or say the way we raise our children Just always stay encouraged find friends who understand that you can vent to and always love him even when you feel like screaming. I don't know if I helped at all or even answered your question but I just felt lead to respond because it sounded so much like my son.

Kelly - posted on 02/03/2010

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hi, my son is 11yrs. hes only on 36mg. the right dose 4 your son depends on his height,weight and blood pressure. the dose should also be set by how bad his condishion is. u know your son better than any one.

Juliana - posted on 02/02/2010

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my 6 yr old is on 36mg of concerta. he has had the anger and depression too. but he sleeps like a baby. my dr told me to take him off his meds on the weekends to see what kind of difference there is. what is he like without medication? does he do any counseling to go with the meds? medicaid covers that i know.

Paula - posted on 02/02/2010

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If he is having trouble sleeping or needs mellowing, try having him drink warm to hot tea. The caffeign will calm him down. Also I give mine (5 yrs old and takes 30 mg Ritalin), Omega-3 tablets. Also if mine has a particularly stressfull day, i give him melatonin at night to help him sleep.

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