I have been taking Concerta XL for ADHD for 10 days now. I have started taking 18 mg per day and after seven days I increased it to 36 mg. However, I do not feel the effects anymore, initially, when I was taking 18 mg it was working, but it no longer works. Can you develop a tolerance to Concerta XL? Please help.
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Concerta XL needs to be gradually titrated up according to your age, body weight and clinical response, i.e improvement in symptoms and any side effects. I note that it is still early days since you commenced on Concerta. XL. You will not be developing tolerance in this timeframe. For your weight (92 kg), perhaps you may need a higher dose provided there are no contraindications. Discuss with your psychiatrist or treating team about titrating up to 45 mg a day or 54 mg a day. You will need to be regularly followed up, during the initial period of starting stimulants.
Also, try to follow cognitive behavioral techniques alongside medication for optimal management of ADHD (attention deficit hyperactive disorder) symptoms.
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