Is There a Difference between Concerta and Ritalin?

Central nervous stimulants, like Concerta and Ritalin, have been prescribed for decades to help treat the effects of ADHD in adolescents and adults. Many people wonder “is there a difference between Concerta and Ritalin?” Read on to learn more about these medications, how they work, and what to do if you or someone you love is struggling with prescription stimulant misuse or addiction.

What Are Central Nervous Stimulants?

Central nervous system stimulants are the most commonly prescribed medications to treat attention deficit hyperactivity disorder (ADHD). Concerta and Ritalin both contain the same active ingredient, the psychostimulant methylphenidate.

Because both Concerta and Ritalin contain the same active chemical (methylphenidate), they are listed in the same controlled substance category (Schedule II) and essentially treated the same according to authorities in terms of illicit possession and misuse of the drugs. Both drugs have the potential for abuse and the development of physical dependence.

How Do Concerta and Ritalin Work?

Despite these drugs being classified as stimulant medications, when administered to children and adults with ADHD, they have a calming and stabilizing effect. It is hypothesized that people diagnosed with ADHD have different levels of resting brain activity than people without ADHD; the levels of resting brain activity in these people are lower than they are for people without ADHD. When the stimulant medication is given to people with ADHD, it increases the resting level of brain activity to a more functional level. As a result, they are able to pay attention and do not need to engage in impulsivity and hyperactivity as a form of self-medication.

The Basic Differences Between Concerta and Ritalin

The basic difference between Concerta and Ritalin is in the way the methylphenidate is released and how long the individual needs to wait before taking the drug again.

• Concerta is an extended-release form version of methylphenidate. When taken, the methylphenidate is released slowly over time, and it is active for 10–12 hours. Concerta is typically taken in the morning, and there is no need for the person to take it again until the next day (unless the person takes it again in the evening). Because Concerta is an extended-release drug, the available dosages are typically higher for Concerta than they are for immediate-release drugs like Ritalin.
• Ritalin is the short-acting form of methylphenidate. It requires frequent dosing throughout the day in order to experience its effects. When taken, the methylphenidate is released immediately, and its effects last for 4–6 hours in most cases. For example, a child in school would need to take another dose of the medication around lunchtime and then again later in the day for the medication to remain active.

There are more extended-release and sustained-release forms of Ritalin available on the market now, and these are essentially the same as Concerta regarding how they work and the need for dosing. Because Ritalin is released immediately and its effects are felt quickly, it is also approved for the treatment of the sleep disorder narcolepsy.

Side Effects of Concerta and Ritalin

The side effects of Concerta and Ritalin is similar because they contain the same active ingredient. Side effects can include:

• Gastrointestinal issues, such as stomach pain, nausea, vomiting, and loss of appetite
• Cardiovascular issues (which are rare), including increased blood pressure and heartbeat irregularities
• Dry mouth, dizziness, headache, and jitteriness or anxiety
• Blurry vision, skin rash, sweating, tingling or numbness in the hands or feet
• Irritability, aggressiveness, and hallucinations (rare)
• Problems with sleep, particularly when the drug is taken in the late afternoon or evening

Because Concerta is an extended-release version of methylphenidate, side effects may not be as severe as they would be with Ritalin.

Concerta and Ritalin Misuse

Both Concerta and Ritalin are potential drugs of abuse. When methylphenidate products are abused, the pills are typically ground up and snorted, or mixed with water and injected. This negates the extended-release properties of Concerta, and the medication is delivered to the brain much more quickly than it would be if taken in pill form.

Abuse of methylphenidate products occurs across all generations, but it is more likely to occur in younger individuals who are in college or who work in very demanding and high-performance jobs. The use and abuse of methylphenidate products to assist with weight loss is more often observed in females than males, whereas the abuse of methylphenidate to assist with studying for school or performance on the job is more often observed in males.

Prescription Stimulant Withdrawal Symptoms

All methylphenidate products have the potential to produce both tolerance and withdrawal symptoms in individuals who use them on a regular basis. Abusers of methylphenidate are more likely to develop significant tolerance and withdrawal symptoms than individuals who use the medication for medical reasons and under the supervision of a physician.

The withdrawal process from methylphenidate products is similar to the withdrawal syndrome associated with other stimulants. Symptoms include:

• Lethargy and fatigue
• Sleep problems, such as insomnia or excessive sleeping (hypersomnia)
• Increased appetite and/or weight gain
• Very vivid and unpleasant dreams
• Irritability, hyperactivity, or lethargy
• Feeling as if one is moving in slow motion
• Apathy, depression, decreased mood, or mood swings
• Significant cravings to use stimulants

In rare cases, individuals withdrawing from chronic stimulant abuse have been known to experience hallucinations (seeing, hearing, or otherwise experiencing things that are not really there) and other psychotic effects, such as delusions (significant paranoia). This appears to be associated with the development of psychosis as a result of heavy stimulant abuse or having a previous diagnosis of a mental disorder. In most instances, hallucinations and delusions that occur during withdrawal can be treated and will eventually resolve in chronic stimulant abusers

Get Help for Prescription Stimulant Addiction

If you or someone you love is struggling with addiction to prescription stimulants like Concerta or Ritalin, there is effective help that can get you on the road to recovery and back to living the life you deserve. Call us today at to learn more about your treatment options and to find the help you need. Recovery is possible, so don’t wait.

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