From the Research
The maximum recommended dose of Concerta (methylphenidate extended-release) for an 11-year-old child is typically 54 mg once daily. This recommendation is based on the most recent and highest quality study available, which prioritizes the balance between symptom control for ADHD and minimizing potential side effects 1. Treatment usually starts at a lower dose of 18 mg once daily in the morning, with gradual increases of 18 mg weekly as needed and tolerated.
Key Considerations
- Dosing should be individualized based on the child's response and side effects, under close medical supervision.
- The medication should be taken in the morning with or without food, and the tablet must be swallowed whole, not crushed or chewed.
- Common side effects include decreased appetite, trouble sleeping, headache, and stomach pain.
- It's essential to monitor for changes in heart rate, blood pressure, growth, and mood, as highlighted in studies comparing methylphenidate and atomoxetine 2, 3, 4.
- Regular follow-up appointments with the prescribing physician are crucial to assess effectiveness and adjust dosing as needed.
- If the child experiences concerning side effects or the medication seems ineffective, consult their healthcare provider promptly rather than adjusting the dose independently.
Additional Factors
- Methylphenidate has been shown to be effective in improving core symptoms of ADHD, as well as addressing conduct problems, cognitive transfer abilities, and frontal lobe function in pediatric patients 1.
- Atomoxetine may be a better choice for cases comorbid with anxiety 1.
- The effects of methylphenidate and atomoxetine on motor coordination in children with ADHD have also been investigated, with both medications showing positive effects 5.