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the med is Concerta, and according to his mother the dr didn't have a prob with it.
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Concerta is a Methylphenadate..... Methylphenadate is a Central Nervous System Stimulant. It will cause cascades of CRH. It comes with the package of 'alertness'. As a result, he is actually using his body to fuel himself. Methylphenadate, like amphetamine salts are also a diuretic! The less water he is holding, the higher the levels of Cortisol he'll be having... Staying well hydrated should help a bit with the appetite.
Is he doing the 18's, 27's or the 57mg's? You may want to consider a dosage change. The contera (as a methylphenadate) is significantly less 'harsh' than the Adderal, Adderal XR, Focalin and other amphetamine salts. What he can do in the mean time is try to keep his cortisol levels down by antagonizing with a bit of an insulin response. He will need to force himself to eat 'small' portions of carbs through the day instead of meals. These portions should include as little fat as possible. Also... pick up some sublingual B12. That crap makes me hungry. He should most likely try to advoid moderate to higher levels of simple carbs. With this medication, he will have an increased insulin resistance as well as a slightly more worked liver. *on the dosage change subject, he should also try to asses wether he is getting more frequent headaches.... and or a decline in vision (this one might be really slight though.) This is also a result of the dehydration. *If he is doing the 18mg, you might want to consider switching to another methylphenadate like Daytrana or Ridalin. |
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