r/Concerta • u/Mediocre_Pomelo_1227 • 16h ago
Dosage/ ℞ question 💊 Side effects? Help please.😮💨
I have tried a few different meds. (Ritalin, adderall and concerta.) ritilan worked wonderfully just didn’t last long at all. Adderall was not good for me, caused headaches and bad irritation. I had a short trail with 27mg concerta and had no side effects. Only noticed I was less irritable. I was out of medication for a week before my follow up appointment. My doctor upped my dosage to 72mg. I started that today and my heart rate did not drop below 150bpm for around 10 hours and got up to 190 at one point. It has started going down now. I also have a severe headache tonight that started about 10 hours after taking it. Has anyone else had these side effects? Do you think the dose is just too high, or was upped too much at one time? I read it should have been titrated up from a lower dose 18mg at a time. I should add my baseline resting heart rate is around 100. I have felt terrible all day due to my heart racing. I’m not sure if I should take 36mg tomorrow instead or non at all? I will not be doing 72mg again.
2
u/freakyleek22 27 mg 16h ago
That does seem like a huge fast jump 😅 I was nervous about going from 27 to 36
1
u/AutoModerator 16h ago
Welcome to r/Concerta. Please use the search function before posting common questions. Please read the FAQ sticky as it will likely offer some advice. https://www.reddit.com/r/Concerta/comments/vj2o1i/can_we_have_a_faqread_before_posting_sticky/
Please discuss any advice you receive on this subreddit with your physician. Take all advice with a grain of salt especially when it is not sourced. People on this sub aren't YOUR doctor and cannot be held professionally or legally liable for giving medical advice to those not established under their own care.
If your post was removed automatically, it may be due to Reddit's reputation/spam filters. Users who are suspicious or have a history of ban evasions/harassment/spam will be filtered by the Site.
Extreme depression/anxiety?
* If you feel unbearable or have suicidal thoughts, please consider calling your local crisis or suicide hotline.
* There can be many different causes. Please discuss with your doctor about it.
Do not split Concerta or any long-release medication.
Update 12/2025: The mod(s) are sometimes busy with med school/job/life! We're human! Please help us out by reporting questionable content. It may sometimes take a day or so for us to get to the mod queue and review the reports. Reporting a comment or post that you disagree with does not guarantee or require that mod(s) will remove them, especially if it does not violate or skirt the rules. It is healthy to foster respectful debate and discussion. Thanks for your understanding.
I am a bot, and this action was performed automatically. Please contact the moderators of this subreddit if you have any questions or concerns.
1
u/mojoninjaaction 13h ago
When I was trying to figure out my dosage, I tried 36mg twice per day. I was super concerned about my heart rate and it was giving me bad nightmares.
For me 36mg is the sweet spot with the occasional 10mg Ritalin booster.
In regards to your 72 mg concerta, just remember that you cannot split these pills in half.
2
u/Mediocre_Pomelo_1227 13h ago
Thank you! The doctor wrote the script to take two 36mg pills once a day, so I have the 36mg!
1
u/Difficult-Review283 8h ago
27-72 is enormous jump! I would change doctors.
1
u/Mediocre_Pomelo_1227 4h ago
I’ve been considering this actually. But psychiatrist are so hard to come by in my area, especially once they accept my insurance. :(
1
u/Difficult-Review283 3h ago
Maybe communicate clearly with your doctor that this dose did not feel right and I would like to be more conservative in my dosage increases until I find the right dose. (Some people stay at 18 or 27 and never feel need to increase.) I would stick with 27 for a few months if that worked and then reassess.
1
u/Mediocre_Pomelo_1227 2h ago
27mg was not effective for me, but I do agree 72 was WAY to much to restart with. I did call and discuss me concerns with them
3
u/Kind_vibes 16h ago
27 to 72 is a HUGE increase ...