Aa
A
A
Close
Avatar universal
concerta dosage for 8 year old
My son was diagnosed with ADHD when he was 6 and has been on concerta since that time which has helped him tremendously until recently.   It's as if the concerta has no effect on him anymore.
his doctor said he can't up his dosage to 36 mg because of his weight (he weighs approx 65 pounds).   Has anyone ever heard of this?  I didn't think the dosage was based on weight.

Cancel
8 Answers
Page 1 of 1
Avatar universal
In general, no -  the dosage is not based on weight. However, perhaps your son's doctor is concerned about increasing the dosage because of the appetite-suppressing side effect, and if your son is too thin for his size, he may be concerned about that.
Having said that, if the medication is not helping him, then something needs to be done. Continuing to give him medication that is not working is not a good idea.
You should take this back to your son's doctor and get specifics about why his weight and an increased dosage don't mix. If the dr responds that its because of the recommended dosage because of his weight-- then get another dr, cause that is just not the right answer.If the dr thinks that a switch to a different medication may be more beneficial, then ask why, and if the answer makes sense, you can take that approach. But continuing to give him a dosage of medication that does not work -- well, that does not make sense in any case, I don't think.
Comment
Cancel
Comment
Avatar universal
Comment
Comment
Submit Comment
Avatar universal
yes as the child grows and yes in weight particularly they dosage has to be increased or it will not work how it should and has in the past i know with the concerta they roughly work it out 1mg for each kilogram,so my child is on 36mg but weighs 40kg we went just under as apposed to giving to higher dose. hope that helps
Comment
Cancel
Comment
Avatar universal
Comment
Comment
Submit Comment
305180 tn?1279720347
TALK TO YOUR DOCTOR ABOUT ADDING CLONADINE AT BED TIME. WE HAD TO DO IT FOR MY 7 YEAR OLD DAUGHTER BECAUSE SHE WAS ACTING LIKE HER MEDS WEREN'T WORKING ANYMORE, AND IT HELPED ALL THE WAY AROUND. IT HELPS MAKE THE CONCERTA WORK LIKE IT SHOULD, IT HELPS THEM SLEEP INSTEAD OF THE CONCERTA WEARING OFF THEN THEM NOT BEING ABLE TO FALL ASLEEP UNTIL LATE AT NIGHT, AND IT IS SUPPOSED TO HELP WITH THEIR APPETITE. THAT SEEMS TO BE PRETTY NORMAL TOO. GIVE IT A SHOT. IT WAS MY OTHER OPTION BECAUSE THE DOC THOUGHT HER BODY HAD GROWN IMMUNE TO THE MEDS, AND i AM NOT ABOUT TO UP HER DOSE SINCE SHE ONLY WEIGHS ABOUT 50 POUNDS.
Comment
Cancel
Comment
Avatar universal
Comment
Comment
Submit Comment
Avatar universal
My son is also 8 and he is on 54 mg.  He weighs a little less than your son.  I always push food into him.  We did the clonodine for a while but it made his heart race at night when he took it.  It scared me.  He has a hard time falling asleep.  Basically, I wouldn't be concerned with 36 mg.  
Comment
Cancel
Comment
Avatar universal
Comment
Comment
Submit Comment
Avatar universal
My child is 54 lbs and is taking 36mg. The only problem I have had with her is in the evening the "come down" is horrible. She is very irritable. She has improved in school tremendously but I'm still concerned about the let down.
Comment
Cancel
Comment
Avatar universal
Comment
Comment
Submit Comment
Avatar universal
my daughter  is 7 year old and she weights 48.5 she was on 27 mg of conerta and now the doctor  had put her on 36 mg  i was wondering if you any parent had this happen to your child and how they have react
Comment
Cancel
Comment
Avatar universal
Comment
Comment
Submit Comment
Avatar universal
The exact scenario as you. My daughter is 7 and 48lbs. Her doctor just increased her dose to 36mg of Concerta a few days ago. I have seen an increase in sadness and uncontrollable emotional outbursts ( to the point of being right down mean).
Comment
Cancel
Comment
Avatar universal
Comment
Comment
Submit Comment
189897 tn?1441130118
Tell your doc.  Sounds like it's too much.
Comment
Cancel
Comment
Avatar universal
Comment
Comment
Submit Comment
Your Answer
Avatar universal
Answer
Know how to answer? Tap here to leave your answer...
Answer
Submit Answer
A
A
Recent Activity
1236893 tn?1408490528
Blank
1816154 tn?1463433618
Blank
hansen20 16 days to csection day... ... Comment
7 hrs ago
1236893 tn?1408490528
Blank
Top Children's Development Answerers
189897 tn?1441130118
Blank
San Pedro, CA
ADD / ADHD Community Resources
RSS Expert Activity
233488 tn?1310696703
Blank
Marathon Running Done Over Many Yea...
05/15 by John C Hagan III, MD, FACS, FAAOBlank
233488 tn?1310696703
Blank
New Article on Multifocal IOL vs &q...
05/15 by John C Hagan III, MD, FACS, FAAOBlank
748543 tn?1463449675
Blank
TMJ/TMJ The Connection Between Teet...
01/15 by Hamidreza Nassery , DMD, FICOI, FAGD, FICCMOBlank
Top Children's Development Answerers
189897 tn?1441130118
Blank
San Pedro, CA