Difference between Concerta and Adderall
Concerta is a drug classified under the central nervous system (CNS) stimulant drugs.
It is mainly prescribed to treat Attention Deficit Hyperactivity Disorder (ADHD). It is commonly used for ADHD patients who are 6 years of age for children and older, the adolescents, and adults who are aged up to 65 years old. [1]
Adderrall, also a CNS stimulant, is a combination of amphetamine and dextroamphetamine which both have effects on the nerves and brain. This drug is indicated for treatment of ADHD and narcolepsy [2]. Also, it has been utilized by doctors to treat severe depression, obesity, and other sleep-related disorders [3].
Comparison Chart
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Concerta vs Adderall XR
Concerta vs Adderall Dosage
For patients who are not currently taking stimulants or methylphenidate, the dose starts with 18 mg daily for children. As for the children and adolescents, the starting dose is 18 or 36 mg 1x daily. If the patient is currently prescribed methylphenidate 2-3x daily with the dose of 10 to 60 mg, it is recommended not to exceed 72 mg daily. However, the prescribed dosage will still depend on the current dose regimen of the patient and clinical judgment of the physician. As for the titration of dose, 18 mg increment is allowed if the patient has not yet achieved the desired response using a lower dose. [1]
On the other hand, Adderall is strictly prohibited for children who are below 3 years old. For children who are 3 to 5 years old, the dosage can be started with 2.5 mg daily. It can be increased with increments of 2.5 mg with weekly intervals until the desired response has been observed. Furthermore, for children aged 6 years and older, the starting dosage is 5 mg which can be taken once to twice a day. Then, the increment is 5 mg done in weekly intervals until optimal reaction is obtained. [2]
Concerta vs Adderall Side Effects:
*The common side effects associated with Concerta use involve:
Gastrointestinal Disturbances
- Abdominal pain
- Appetite loss
- Nausea
- Xerostomia or dry mouth
- Short-term weight loss
Cardiovascular Problems
- Angina
- Tachycardia
- Cardiac Arrythmia
- Palpitations
CNS/Psychological Disorders
- Akathisia or restlessness
- Dyskinesua (uncontrollable tics)
- Anxiety
- Psychosis & Psychiatric Disorders
- Depression, Suicidal Ideation
- Dizziness, Lethargy, Somnolence
- Euphoria or dysphoria, Irritability
- Pupil dilation
Other side effects
- Alopecia
- Hypersensitivity
- Increased/decreased libido
- Priapism
- Stunted growth [7, 9]
*Adderall side effects include:
Cardiovascular Problems
- Dysrhytmia (Irregular heart beat)
- Hypertension/ Hypotension
- Raynaud’s phenomenon
Gastrointesitinal Disturbances
- Loss of appetite
- Nausea
- Abdominal Pain
- Decreased or increased gastrointestinal motility
- Weight loss
- Excessive grinding of teeth
Respiratory problems
- Increased deep respirations
Genitourinary tract disorders
- Decreased bladder control
- Bed wetting
- Change in libido
Neuropsychiatric changes
- Mood swings
- Anxiety, irritability, restlessness, repetitive or obsessive behaviors
- Increased alertness, concentration, apprehension
- Less fatigability
- Increased initiative
- Insomnia [8]
Concerta Abuse
Concerta is classified to be a stimulant. Since one of its effects is stimulating the brain, most of the users of this drug can have an addiction to it when the doses taken are higher than what is advised by the healthcare provider. Usually, people abuse Concerta to either get “high” or lose weight. As a stimulant, Concerta causes increase in energy, attention, and alertness. Also, it affects the vital systems of the body by raising the blood pressure, heart rate, and breathing.
Another reason why Concerta gets abuse is due to its weight loss effect. This results from the active ingredient of this drug which is methylphenidate and its common side effect is weight loss. [10]
Strattera vs Adderall
Both Strattera and Adderall are used to treat Attention Deficit Hyperactivity Disorder. They also both come in oral form and are known to control brain chemicals. The difference between them is their mechanism of action.
Strattera is non-stimulant drug which can affect the chemicals in the brain. Its main ingredient is Atomoxetine HCl which acts by inhibiting the dopamine, norepinephrine, and serotonin. Also, this drug has less potential for abuse. So, it is not a controlled substance.
On the other hand, Adderall is a CNS stimulant drug. It contains four amphetamine salts, namely, dextroamphetamine sulfate, dextroamphetamine saccharate, amphetamine aspartate monohydrate, and amphetamine sulfate. It causes increased concentration of neurotransmissions in the brain and stimulates more dopamine and norepinephrine relesease. Adderral is classified as a Schedule II substance due to its higher potential to cause addiction. [11]
Also see : Vyvanse vs Adderall
References:
- http://www.rxlist.com/concerta-drug.htm
- http://www.drugs.com/adderall.html
- http://drugabuse.com/library/the-effects-of-adderall-use/
- http://www.rxlist.com/adderall-drug/indications-dosage.htm
- http://adhd-medications.comparical.com/i/concerta-MTM3OTIw
- http://adhd-medications.comparical.com/i/adderall-MTM3OTE4
- http://en.wikipedia.org/wiki/Methylphenidate#Legal_status
- http://en.wikipedia.org/wiki/Adderall#Legal_status
- http://concertasideeffects.com/
- http://adhd.emedtv.com/concerta/concerta-abuse-p2.html
- http://www.progressivehealth.com/strattera-adderall.htm