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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]
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18 mgs is a really low dose....that's probably why.  [/quote]

Thanks.  That is what I was thinking, although I've read that for the inattentive type, the low doses usually work best so I wasn't sure whether the next step was to try a different med at a low dose or bump the current one up a notch.  I guess it makes sense to do the latter.

I also want to say thanks to all of you for sharing your information and experiences here.  So helpful to a mom that is trying to make the best decision for her child.  Please please please lets not drag this forum down with bickering and name calling.  This is such a lifeline of support and if it becomes ugly people may be driven away and that would be a real shame.   I'm as guilty of the next of jumping into the fray on the Off Topic forum, but this is a nice little island of civility that is desperately needed.[/quote]

For what it's worth I take 54 mg of Concerta for primarily inattentive ADD.  I have a very severe case that was diagnosed in the second grade in the 80's which is astounding given that I'm female.  I was a very quiet daydreamer as a child.  Anything less than 54 mg doesn't do much for me.  I can actually take a nap mid-day on this dose.

Also, Concerta's dosing can be confusing.  Basically 18 mg's of Concerta doesn't equal the same dosing as 18 mg's of short acting Ritalin.  It's 18 mg's total and it's released slowly throughout the day. The equivalent would be 6 mg's of short acting Ritalin given 3 times a day, every 4 hours.  I've heard that non-psychiatric doctors commonly under-dose Concerta because they aren't aware of this.[/quote]

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