Bigger, Stronger, Younger..

Fourteen years ago, when I was first introduced to the mind focusing chemical Methylphenidate, there wasn't a whole lot known about it's long term effects. It had been around for quite a while, but users tended to shift substances after an extended period of time. At age 7 my prescribed dose was 5mgs twice a day, which was and is not very much. Over the years my dose steadily increased until my maximum dose of 40mgs time-released at age 19. However, the reccomended introducion dose has risen to 18mgs time released for seven year old, with a maximum dose of 54mgs for the 6-12yr old range, and 72mgs maximum for the 13-17yrs old range. Twelve milligrams over the previous maximum dosage.
There is no body of evidence available from controlled trials to indicate how long the patient with ADHD should be treated with CONCERTA®. It is generally agreed, however, that pharmacological treatment of ADHD may be needed for extended periods.

Nevertheless, the physician who elects to use CONCERTA® for extended periods in patients with ADHD should periodically re-evaluate the long-term usefulness of the drug for the individual patient with trials off medication to assess the patient's functioning without pharmacotherapy. Improvement may be sustained when the drug is either temporarily or permanently discontinued.

Essentially checkup points are used to increase dosages, and when you finally fry, they'll likely drop the whole thing or switch you to adderall.

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