Thanks to an ADHD insurance coverage issue that I need to get around to working on (sound familiar?), I’ve been taking Concerta for a few weeks now instead of my usual mega-dose of Adderall (generic). A nice side benefit is that I can write first person review of another ADHD medication from personal experience. You can check out my Vyvanse Review from the time I tried that as well.

As always, the best ADHD tips and tricks are here.

What Is Concerta ADD Prescription Medicine?

Let’s start from the beginning. As it turns out, most ADHD medications are versions of either Ritalin or Adderall in their generic forms. The generic form of Adderall is mixed amphetamine salts, and the generic of Ritalin is methylphenidate. Both medications are stimulants that increase the levels of neurotransmitters in the brain. In a standard brain, this causes overstimulation. In an ADHD brain, this creates the so-called paradoxical affect of being calming and focusing.

Concerta is a methylphenidate based ADHD medication. In fact, in pretty much all respects, Concerta is nothing more than a long lasting form of Ritalin, or if you prefer, a slow-release form of Ritalin.

If you’re thinking, that there is already an extended release form of Ritalin, you are sort of correct.

It turns out that both the extended release form of Ritalin, known as Ritalin LA, and the extended release form of Adderall, known as Adderal XR, are really nothing of the sort. What these ADHD drugs really are is a 50/50 mixture of ADD medication with one-half coated with something that takes approximately 4 hours to digest, and the other half not coated with anything. So, when a child with ADHD takes Adderall XR, for example, they get one-half of the medication right away, and then four hours later, the other half gets absorbed into the body. Instead of “extended release,” this is really more of a twice release. The effects, in other words, are exactly the same as taking one dose and then following that one 4 hours later. The only benefit is that there is no need to take the second pills. (If you or your ADHD child do not have any problems or issues with taking medication twice per day, then you can save money by getting the non-extended release versions as generics.)

Concerta is actually a true extended release preparation of the ADD medicine in Ritalin.

How Does Concerta Work?

A ADHD prescription of Concerta is actually very fascinating. Each Concerta tablet is composed of two parts. The first part is standard untreated Ritalin that get absorbed into the body quickly to produce the necessary therapeutic effect. The second part is methylphenidate that is encased in a shell that prevents its immediate absorption.

With Concerta, the methylphenidate is encased inside a shell that cannot be digested by the body. In each shell there is a single tiny hole. However, the methylphenidate molecule is too big to get out of the hole in any real quantity by itself. Instead, the medication must be “pushed” out the hole. This happens because the shell contains a tiny methylphenidate “pump” that absorbs, over time, water from the body. As it does so, the water takes up more and more of the space inside the pump side of the shell which forces the ADHD drug out of the tiny hole in the shell.

Over the course of the 10 to 12 hours that Concerta is effective, tiny amounts of medicine are constantly released into the bloodstream via absorption in the intestines.

Unlike the Adderall XR and Ritalin LA medicines which basically provide two full doses all at once at two different times, Concerta keeps the amount of ADHD medication in the body at a steady, level, amount throughout the entire day.

One can see the theoretical benefits of such a medication. Most importantly, would be eliminating the highs and lows caused by standard ADD drugs when they hit a peak level about an hour after ingestion, and then a low-level just before the second dose kicks in, either by taking more pills, or in the case of the extended release preparations, when the second set of chemicals is released into the body.

So, how does Concerta work in real life?

Grab the Addessories RSS Feed, or check back on Friday, when I post my first-hand experience review of Concerta.