Medically reviewed by Drugs. Last updated on Jul 1, Comments : -The usual dose is 5 to 60 mg per day in divided doses, depending on the individual patient response. Use: Narcolepsy treatment. Comments : -IR: Give the first dose on awakening; give 1 to 2 additional doses at intervals of 4 to 6 hours. Age 6 to 11 Years : -Initial Dose: 5 mg orally per day -Maintenance Dose: May raise daily dose in 5 mg increments at weekly intervals until optimal response is obtained.
Age 12 Years and Older : -Initial Dose: 10 mg orally per day -Maintenance Dose: May raise daily dose in 10 mg increments at weekly intervals until optimal response is obtained. Narcolepsy Patients: Reduce dosage if bothersome adverse reactions e. Long-term effects of amphetamines in children have not been well established. Administration Advice : -Avoid late evening doses because of the potential for insomnia.
Storage Requirements : -Store this drug between 20 to 25 degrees Celsius 68 to 77 Fahrenheit and dispense in a tight, light-resistant container. General : -Individual patient response to amphetamines varies widely: toxic symptoms can occur at doses as low as 2 mg but are rare with doses of less than 15 mg; 30 mg can produce severe reactions yet doses of to mg are not necessarily fatal.
Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.
Dextroamphetamine reviews. The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. Available for Android and iOS devices. Subscribe to Drugs. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. We comply with the HONcode standard for trustworthy health information - verify here. Skip to Content. Dextroamphetamine Dosage Medically reviewed by Drugs. Drug Status Rx.
Snorting Concerta: Is There a Safe Method?
Explore Apps. About About Drugs.Medically reviewed by Drugs. Last updated on Dec 11, Use: Treatment of Narcolepsy. Give this drug cautiously to patients with a history of drug dependence or alcoholism. Assess the risk of abuse prior to prescribing, and monitor for signs of abuse and dependence while on therapy. Chronic abusive use can lead to marked tolerance and psychological dependence with varying degrees of abnormal behavior. Frank psychotic episodes can occur, especially with parenteral abuse.
Careful supervision is required during drug withdrawal, since severe depression may occur. Withdrawal following chronic therapeutic use may unmask symptoms of the underlying disorder that may require follow-up.
Unused patches should be removed from pouch, separated from the protective liner, folded onto itself, and disposed of in the same manner as used patches.
Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. Other brands: ConcertaRitalinDaytranaMethylinMethylphenidate reviews. The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records.
Available for Android and iOS devices. Subscribe to Drugs. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. We comply with the HONcode standard for trustworthy health information - verify here. Skip to Content. Methylphenidate Dosage Medically reviewed by Drugs.
Drug Status Rx. Availability Prescription only. KVK-Tech, Inc. Drug Class. Related Drugs. Methylphenidate Images. Subscribe to our newsletters.Medically reviewed by Drugs. Concerta contains methylphenidate whereas Adderall contains a mixture of amphetamine salts MAS.
Although Concerta and Adderall contain different ingredientsthey are both classified as CNS stimulants and are thought to work in a similar way in ADHD - by increasing the concentration of two neurotransmitters dopamine and norepinephrine in the brain. Direct comparison studies and placebo trials indicate that both drugs are effective in ADHD, although it is worthwhile noting that most trials are of poor quality and short duration.
Concerta and Adderall are both associated with sleep problems and a decreased appetite; in addition, Concerta is more likely to cause stomach pain. Not everybody responds equally to either Concerta or Adderall so if one treatment is ineffective or intolerable it is appropriate to try another. Abuse or dependence potential is untested, but likely to be similar. See also: Drugs. Not as far as ingredients go. Concerta is a brand name for methylphenidate and Adderall contains mixed amphetamine salts.
These two neurotransmitters transmit impulses between nerves, which helps improve ADHD symptoms such as hyperactivity, impulsiveness and inattention. Methylphenidate is available as a generic and other brands include Aptensio, Metadate, Methylin, Quillivant and Ritalin. The mixed amphetamine salts contained in Adderall are dextroamphetamine saccharate, amphetamine aspartate, dextroamphetamine sulfate, and amphetamine sulfate.
Adderall is also available as a generic. Several trials have directly compared methylphenidate contained in Concerta to amphetamines such as Adderall in a cross-over type design one drug is given for a few weeks followed by the other drug after a period of no drug. Most were done pre and numbers of patients included in each study were too low to report any statistically significant difference between the two drugs.
One trend did emerge though, and that was that every study had some subjects who responded better to one drug and not the other. For most it tended to be a two-way street with some people responding better to methylphenidate, and others responding better to amphetamine-type drugs.
Behavioral therapy is still recommended as first-line treatment for ADHD in young children. If, after weighing up risks versus benefits, medications are deemed appropriate to use in children with ADHD, continuous monitoring for improvement or development of side effects should be undertaken. If one ADHD medication fails, it is appropriate to try another before giving up on stimulant treatment.
Stimulants are effective for ADHD; however, it is worthwhile noting that the majority of trials have been of poor quality and relatively short duration. It is difficult for trials involving CNS stimulants not to be bias in some way — disguising the effects of a stimulant drug is practically impossible, particularly in trials comparing it to placebo, and most trial participants, clinicians and researchers are able to work out who is taking active drug and who is taking placebo.
A Cochrane group recently reviewed the results of trials involving methylphenidate for the treatment of ADHD. The only definite conclusions to come out of the review were that methylphenidate is associated with sleep problems and a decreased appetite, but trials were of too short a duration less than 6 months to confirm any risk of serious adverse effects associated with long-term use.
In another review, the Cochrane group investigated the effectiveness of amphetamines in ADHD, and 23 relevant trials were identified. Children taking amphetamine salts were also more likely to experience sleep problems, decreased appetite, and stomach pain. Although this review included a number of different types of amphetamines lisdexamfetamine, dextroamphetamine, and mixed amphetamine salts there was no evidence that one kind of amphetamine was any better than another.
Trials were of too short a duration to predict safety with long term use and no benefits were found for amphetamines that act for longer periods of time versus those that act for shorter.
Both Concerta and Adderall have the potential to be abused. Thinking or learning ability does not appear enhanced in those without ADHD. Adderall is available in both brand and generic.Laguna and it's world class treatment team have an amazing reputation of providing high quality care to individuals struggling with addiction. Concerta is one of the brand names for the prescription stimulant methylphenidate.
Most people associate methylphenidate with Ritalin, the more famous drug used to treat attention deficit hyperactivity disorder ADHD. Like Ritalin, Concerta is designed to treat ADHD and narcolepsyalthough as a newer drug, it is formulated for extended release with the intention of making it harder to tamper with. Ritalin is notorious as a substance of abuse, as is Adderallwhich is a different chemical stimulant. In response to adolescents abusing these medications as academic and sports performance enhancers, pharmaceutical companies developed newer versions of these drugs.
Even so, Concerta is becoming more widely abused as it is more widely prescribed. One of the ways people who abuse Concerta consume the drug to get an immediate, intense high is by crushing and snorting it. People who have legitimate prescriptions for Concerta have been diagnosed with ADHD, narcolepsy, or a similar condition that may benefit from off-label use of this medication. Regardless of how the drug is acquired, crushing and snorting Concerta can be very damaging.
The medication enters the bloodstream and binds to brain receptors much faster, triggers stimulation in the body faster, and may lead to overdose.
Some people who receive prescription medications have difficulty swallowing them. In these cases, their physician may allow them to crush a pill, mix it with water, and consume the medication that way.
However, extended-release drugs are never considered safe to crush because the pill form of the drug has several ingredients designed to control the release of a large amount of medication over several hours, as the drug is digested. When pills are crushed, these ingredients are not effective, and much more of the drug will enter the bloodstream and travel to the brain. In the case of a potent simulant like methylphenidate, especially in an intentionally extended-release brand name version like Concerta, crushing the drug will cause a large amount of the main stimulant ingredient to become bioavailable, which could be damaging to several parts of the body.
Side effects from stimulant drugs can be harmful, especially when the drug is abused in large doses for a long time. Some of the side effects associated with Concerta include :.
Over time, consistent high blood pressure can become chronic. Combined with a faster heartbeat, this problem can lead to cardiovascular damage, higher risk of heart attack, chronic fatigue, and damage to other organs as circulation gets worse. Strokes and pulmonary embolisms become more likely with cardiovascular damage, too. People who crush Concerta to snort it are not only misusing the medication, but abusing it specifically to get high.
There is no medical reason to crush a pill and snort it. Abusing a potent stimulant like Concerta can cause addiction or overdose. Although Ritalin and Concerta are slightly different formulas of medication, they both contain methylphenidate.
Because Concerta is a newer prescription medication, some people mistakenly assume the drug is safer than illegal stimulants like meth or even safer than older ADHD medications like Ritalin.
The truth is that misusing or abusing any drug, whether it is illicit or prescription, is dangerous and can lead to addiction or death, and Concerta is no different. Crushing Concerta and either drinking it or snorting it can cause an overdose because so much stimulant enters the body at once.
Signs of a Concerta overdose include :. If these symptoms are displayed, call immediately. Overdosing on any drug, including Concerta, can lead to death without medical attention.
Abusing stimulantswhether they are illicit like crystal meth or prescription like Concerta, is extremely dangerous. If drug abuse does not cause an overdose, it can lead to addiction, dependence, and tolerance. Long-term abuse can seriously harm the heart, lungs, and brain, leading to chronic health problems. Has addiction stolen your loved one? Take action and call or fill out this form to speak with a Treatment Consultant about our drug rehab center or one of our facilities across the United States.Psychostimulants work only temporary for depression but do very well for children and adults who suffer from ADHD.
I got a boyfriend that I wanted to be able to have a personality around instead of being a mute robot which is what I had turned into. You are a very high risk for heart problemseven with peds, we did a ekg on them regular.
I can't imagine taking that high a dose. You need to come clean with your doctor. I feel like adderall is killing me and I just can't stop either. Can't breath, horrible mucous problems, today is my 4th straight awake. I slam between 30 mg ir's every hours about mg a day. I tell myself this is the last One for the day then when it wears off I say f it and have another. I'm 31 years old and I feel dead.
Adderall is a living hell. When I do sleep I need Xanax and seroquel to do so. I don't dream I don't remember anything I just wake up and have to have that goddamn adderall. I am not ready to leave my wife and kids. Why do they give me these things? I am so tired of being nothing but a junkie.
So tired of letting down and hurting everyone who cares about me over and over and over. I move from one addiction to another, I yelled at my daughter for waking me up.
My family thinks I have a respiratory infection but it's nothing but a side effect I brought on myself. I am just so lost and don't know what to do except cry and I never do that.
Why can't I just grow up already and put this shit behind me? I have 30 orange footballs left. Does anyone know if that's enough to ween off with mg. If someone knows please tell me. I have to try. No more f'n around. If you are like me weaning myself off is not even an option. I can't do it.It's also used professionally by doctors and veterinarians. Plugging requires some supplies, all of which with the possible exception of a shot-glass or mixing container should be readily available at your nearest pharmacy or drug-store.
For oral syringes you may need to ask someone behind the pharmacy counter. Note: In chemistry the term s 'polar' and 'nonpolar' are used to describe the state of a molecule's covalent bond; a polar substance will have an unbalanced covalent bond meaning it will have an excess charge, while 'non-polar' is used to differentiate between that and a substance which has a balanced covalent bond.
For our intents and purposes you should understand that polar substances will not dissolve into a non-polar solvent. You can technically make a suspension using polar and nonpolar substances however it is recommended to use polar solvents for polar substances and vice-versa to ensure proper drug distribution and dose-control.
Rectal drug administration itself is fairly simple to execute but does require some planning and preparation beforehand. It should be noted that plugging anything caustic such as Ethylphenidate or 4-FA can and likely will result in some damage to the mucous membranes that line the rectum.
This can cause some discomfort and may damage the rectal lining. Once you have gathered all the necessary equipment you will need to choose your dose and determine an appropriate amount of solution to use usually ml is plenty, you want as little water as possible while still properly dissolving your dose.
For most substances which are commonly administered rectally the dosage is usually lower than it would be for the same substance if ingested orally Route of administration in which the subject swallows a substance.
Often the onset-duration dynamics change too, usually plugging results in a slightly longer delay with a faster onset. Note: With many substances the plugging dose is close to insufflation dose for the same drug, however you should always do your research on dosage when attempting rectal administration with any substance for the first time, and when in doubt start small. It is important to note that if you administer a solution or suspension rectally which is absorbed into feces it will not be effective!
For this reason it is generally recommended to use your toilet before attempting to plug drugs or medicine. Once you have determined an appropriate solvent its time to make your solution.
Note: It is recommended to have another container of some sort to put your syringe into immediately after administration because you will need to lay down and wait for a few minutes and human feces can contain many pathogens and bacteria that can cause health problems if cross contaminated.
Apply lubricant liberally to your now full oral syringe to reduce resistance and discomfort. Toggle navigation.Antidepressant becomes street drug
Quick Guide to Plugging. PhysicalRealityTrees and GrimReaper. Category : Guides.Prescription rates of methylphenidate MPH are sharply rising in most Western countries. This is a descriptive population-based study using a semistructured interview assessing sociodemographics, substance abuse history, and the method of administration of IV substance abusers.
During 1 year, consecutively admitted adult inpatients with substance use disorder at any detoxification center in Iceland that reported any IV substance abuse in the past 30 days were invited to participate. Abuse was defined as nontherapeutic use of a substance to gain psychological or physiological effect. Therefore, both the use and possible abuse of MPH in those with high abuse potential should be monitored, especially in countries where MPH prescriptions rates are on the rise.
This rise in MPH use has been particularly steep in Iceland. Inthe consumption rate of MPH in Iceland was This increase in MPH prescribing has been explained by the growing awareness and understanding of ADHD among both the public and the medical community Castle et al. Because of the high MPH prescription rate in Iceland, the Directorate of Health has restricted prescription privileges to psychiatrists, neurologists, and pediatricians The Icelandic Ministry of Welfare, Methylphenidate is a reuptake inhibitor that enhances both the effects of noradrenalin and dopamine in the central nervous system Heal et al.
Methylphenidate has similar pharmacological effects as better known substances with a high abuse potential such as cocaine and amphetamine. Methylphenidate has been shown to have similar drug-seeking reinforcing effects as cocaine and, therefore, concerns have been raised about its abuse potential Wang et al.
However, the view in some reports Volkow et al. This has been attributed to a relatively slow clearance rate from the brain and hence less likelihood of repeated administration and abuse of MPH.
Comparing Amphetamine / Dextroamphetamine vs Methylphenidate
Increased availability of MPH has indeed been followed by reports of nonintravenous abuse, particularly in countries where consumption levels are high United Nations, Methylphenidate is typically abused by 2 subgroups. First, and more commonly reported, as a cognitive enhancer by students who want to boost their academic performance, and second, by abusers of other substances for recreational abuse Teter et al.
However, in Iceland, the base rates of oral and nasal abuse are unknown. It is imperative to record and report the IV abuse potential of common prescription medicines such as MPH. Clinicians treating ADHD must be aware of its abuse potential and government agencies that decide public policies be informed. The aim of this study was to investigate the prevalence of IV abuse of MPH among inpatients reporting any IV substance abuse that sought detoxification treatment in Iceland. Consecutively admitted substance abusers for detoxification treatment that had abused substances intravenously in the past 30 days before admission were asked to participate in the study.
Participants were recruited from all 3 detoxification centers in Iceland between March 31,and March 31, The Mental Health Services at the National University Hospital provide services for those suffering from substance abuse disorder and physical and mental complications and offer both acute and elective admissions.
SAA—Vogur National Center of Addiction Medicine is the largest detoxification center in Iceland, providing services for subjects with substance abuse disorder who do not have symptoms of serious mental illness, and offers both acute and elective admissions.
Hladgerdarkot, a privately run not-for-profit facility, offers only elective admissions. The total population of Iceland is