Concerta Was Not Discontinued - It Is Still Available on the Market
Concerta (methylphenidate extended-release) has not been discontinued and remains available as a treatment option for ADHD. There appears to be a misconception about its availability, but this medication continues to be prescribed and used worldwide.
Current Status of Concerta
Concerta is an extended-release formulation of methylphenidate that utilizes an osmotic pump system (OROS technology) designed to provide 12-hour coverage for ADHD symptoms 1. It remains one of the preferred treatments for ADHD because of its once-daily dosing convenience.
Key features of Concerta that contribute to its continued use:
- Long duration of action: Provides 12-hour coverage compared to 8-hour coverage of other extended-release methylphenidate formulations 2
- Convenient dosing: Once-daily administration eliminates the need for mid-day dosing at school or work 1
- Reduced stigma: No need to visit the school nurse for medication during the day 2
- Improved adherence: Single daily dose improves medication compliance 1
- Tamper-resistant: The OROS technology makes it resistant to diversion (cannot be ground up or snorted), making it well-suited for adolescents 2
Possible Sources of Confusion
There may be several reasons why someone might believe Concerta has been discontinued:
Generic availability: The patent for brand-name Concerta has expired, leading to generic versions entering the market. Some patients may have been switched from brand-name to generic versions.
Supply chain issues: Like many medications, Concerta may occasionally face temporary supply disruptions or backorders at certain pharmacies.
Insurance formulary changes: Some insurance companies may have removed Concerta from their preferred medication lists, requiring patients to switch to alternatives or pay higher copays.
Confusion with other discontinued ADHD medications: Some other ADHD medications have been discontinued over the years (e.g., pemoline was mentioned as no longer available in 2).
Clinical Importance of Concerta
Concerta remains an important treatment option for ADHD across different age groups:
- For children: Provides all-day symptom control during school hours and after-school activities 3
- For adolescents: The tamper-resistant formulation and once-daily dosing are particularly beneficial 2
- For adults: Extended coverage throughout the workday without requiring multiple doses 2
Safety Considerations
While Concerta remains available, it's important to note its safety profile:
- Common side effects: Appetite suppression and insomnia 4
- Cardiovascular considerations: Should be avoided in patients with uncontrolled hypertension, coronary artery disease, and tachyarrhythmias 2
- Pregnancy considerations: Studies suggest methylphenidate does not appear to be associated with major congenital malformations, though some studies show possible small increased risks for specific conditions 2
Practical Prescribing Information
For those who use or prescribe Concerta:
- Dosing: Available in 18mg, 36mg, and 54mg strengths 3
- Food effects: Unlike some other extended-release stimulants, Concerta's drug delivery is not significantly affected by food intake, providing consistent levels of early drug exposure regardless of whether it's taken with or without breakfast 5
- Maximum recommended dose: Generally up to 60mg daily, regardless of formulation 4
In conclusion, Concerta continues to be an available and valuable medication option for ADHD treatment, with its unique delivery system providing consistent 12-hour coverage through a single daily dose.