Recently Answered Questions
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Is it likely to develop tolerance within a week to Concerta XL?
Query: Hello doctor, 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 toleranc... Read Full »
Answer: Hello, Welcome to icliniq.com. 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 t... Read Full »
Why is there loss of smell and taste in chronic rhinitis even after medication?
Query: Hello doctor, I am diagnosed with chronic rhinitis by an ENT doctor. I cannot sleep at night and barely eat anymore because I cannot taste or smell anything. My nose is always stuffy. I tried Neti pot, sinus irrigator, herbs, and steam inhalation. I cannot seem to find anything that helps except... Read Full »
Answer: Hello, Welcome to icliniq.com. I understand your problem. It can be a bothersome problem in your case. Chronic rhinitis should be evaluated, and any condition causing it should be addressed specifically. If you could show me the findings of the nasal endoscopy it will be useful for me to make a deci... Read Full »
Query: Hello doctor, I am a 30-year-old obese male who has not taken any previous medications. I have a normal BP of 145/85 mmHg and my heart rate has been 55 to 65 bpm. Now after the initiation of the stimulant Methylphenidate, my systolic BP stayed at 145 mmHg but my diastolic fell down to 61 mmHg an... Read Full »
Answer: Hi, Welcome to icliniq.com. Thank you for writing and I understand your concern. I suggest you should stop taking Methylphenidate and then your blood pressure will come to a normal range. If still high then I would suggest you change the medicines you can go for a tablet of Amlodipine 5 mg once a ... Read Full »
Who is the best person for diagnosing and treating ADHD in a 12-year-old child?
Query: Hello doctor, I want your opinion on who is the best person (or where to start) for diagnosing and treating ADD in a 12-year-old child. The information and opinions are mind-numbing and confusing. I have the choice of taking my daughter to a pediatrician or a psychiatrist, after having her tested by... Read Full »
Answer: Hello, Welcome to icliniq.com. You have asked a very pertinent question. I am not sure about the medical system in your area. Usually, young children in primary school are seen by pediatricians. Once they move to secondary school and if they have any co-morbid conditions like depression or anxiety... Read Full »
I am on Concerta for ADHD and it makes more hypersexual what to do?
Query: Hello doctor, I was diagnosed with ADHD. I was on Ritalin from 9 years to 14. I am 30 years old now and feel like I need some help. I have started retaking Concerta last year as it improves my concentration but also makes me even more hypersexual. I have a major problem with being over sexual to the... Read Full »
Answer: Hello, Welcome to icliniq.com. If you think that your sexual need is increased by Concerta (Methylphenidate), I have a few advice for you, which you should discuss with your psychiatrist. Can he slightly decrease the dose? Till your symptoms of ADHD (attention-deficit hyperactivity disorder) does n... Read Full »
How to stop Zoloft and Concerta without side effects?
Query: Hello doctor, For the past three years, I have been taking 100 mg of Zoloft and for the past five years, I have been taking 36 mg of Concerta. While taking them, my mood was pretty consistent with only a few times of feeling slightly depressed. But while I took them, I still was overthinking and had... Read Full »
Answer: Hello, Welcome to icliniq.com. Firstly, regarding Zoloft (Sertraline), it is an antidepressant medicine which increases the level of serotonin in the brain which in turn aids in a normal mood. If such a medication is tapered suddenly or stopped suddenly then rebound symptoms of anxiety and depress... Read Full »
Will no other stimulants work for me if I do not respond to Phentermine?
Query: Hello doctor, I have ADD and narcolepsy as well. I have not been on any medications for either. I consulted a sleep specialist and psychiatrist in two weeks separately. I have taken Phentermine 37.5 in the past for weight loss which did not work. I would take two pills and still be tired and go to s... Read Full »
Answer: Hello, Welcome to icliniq.com. Phentermine is a stimulant drug, but its use is mainly limited to weight loss. If that does not work for you, it does not mean that other drugs will not work. If you have been diagnosed with ADD (attention deficit disorder) and you have narcolepsy, then other stimu... Read Full »
I have ADHD and I feel sleepy after having Concerta. Kindly help.
Query: Hello doctor, I was diagnosed with ADHD two years ago, and I have tried different medications at different dosages. And each has not felt optimal. I have attempted to (in order) Concerta 18 mg (Methylphenidate Hcl), Vyvanse 10 mg (Lisdexamfetamine), Adderall IR 10 mg ( Dextroamphetamine-Amphetamine... Read Full »
Answer: Hello, Welcome to icliniq.com. If ADHD symptoms continue to affect your daily functioning negatively, it will be worthwhile to try other options. It looks like you were tried only on small doses of different stimulant medication but were discontinued as you did not tolerate it well. There are non... Read Full »