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Although the drug company claims that Concerta lasts 12 hours, I have found that it only lasts 8-10 hours. I would suggest you ask your son's physician to prescribe generic Ritalin (methylphenidate) 5-10mg at 3-4 PM. Generic Ritalin has a shorter half-life than Concerta and lasts approximately 4 hours, so it will give you coverage for the last afternoons and evenings with the level being low by bedtime. Also, chronic anger and oppositional behavior can be a sign of chronic, low-grade depression in a child. I would also suggest your son's doctor consider prescribing Prozac 5mg every morning. I would also suggest family therapy. I agree that if 27mg of Concerta works better than 36mg, stick with the 27mg rather than adding Clonidine. For insomnia due to the afternoon Ritalin, I would suggest Sonata 10mg, which is very short-acting, so doesn't cause any morning sedation, but is effective for difficulty falling asleep. Smoothies (apple juice, yogurt, frozen fruit, honey, and protein powder) is good for the weight loss secondary to Ritalin.





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