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Effects of Concerta - Methylphenidate - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Medicines and Side Effects
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1729 Questions
User :   Is it possible that my 15 year old boy may have an increased sex drive or abnormal thinking due to withdrawl from 108mg of Concerta a day?
Doctor :   Hi
User :   hi
Doctor :  
Since when is he taking Concerta
User :   He has been taking it for about four years now and takes it once in the morning
Doctor :  
ok
Doctor :  
usually the common symptoms reported by the parents of the children who take Concerta are
Doctor :  
upper abdominal pain
Doctor :  
There is no evidence to say it increases the sexual drive
User :   Could I explain a little more in depth so that you understand why I am asking this?
Doctor :  
Yes
Doctor :  
Please go ahead
User :   Today he did something he would never do and is now facing legal trouble. He was caught touching his 6 year old niece and trying to have intercourse with her. However, when asked about it he stated that he knows he did it, but at the time was "out of it" or blacked out.
User :   When he started to realize what he was doing he stopped before he actually did penitrate her sexually
User :   He shows complete remorse for it, and I would like to say that this is not the first time. I have caught him touching our animals and doing things to them too.
User :   I was researching the sideeffects to this drug because he did not take it today and has stated that around midnight everynight he feels the overwhelming sensation to masterbate.
Doctor :  
I am wondering if this is because of drug dependence or an sexual attitude that few develops at this age
User :   I mentioned the interaction with the animals to his physician this summer because I was worried about it and he told me to buy magazines for him, sexual movies, and he should be ok
User :   I was just thinking that maybe his body had gone into a withdrawl type of state when not on it due to the sexual activity when it is not in his system.
User :   Side effects I have found listed phychosis and abnormal thinking
Doctor :  
The siginficicant effects are the above
Doctor :  
there are very few cases noted or reported to have increased erection while taking Concerta
Doctor :  
that too intravenous
User :   you mean these cases are found for intravenous medication?
Doctor :  
yes
User :   So you do not believe that withdrawl from such a high dose may cause him to think abnormally like this?
Doctor :  
Concerta cause sexual side effects in Adult population that too only in 5 to 10 percent of ones who use
Doctor :  
it for ADHD
Doctor :   As I told you this is a sexual behaviour developed by many children at that age. Your doctor could have noted the same and did not look concerned about it
Doctor :  
Usually adults stop taking these tablets on Friday so that they can have normal sexual activity on weekend
Doctor :  
I have reports on adults but not on children, I can help you in other way by putting across to a specialist in Adolescent medicine
User :   Thank You that would be very helpful
Doctor :  
This is a direct service to the Pediatricina
Doctor :  
so this is different from the live chat
User :   ok
Doctor :  
You get an email from the Doctor
Doctor :  
WWW.WWWW.WW Doctor :  
Please proceed from the link
Doctor :  
I gave you
User :   do i get the response right away?
Doctor :   It is within 24 hours
Doctor :  
I am sorry I could not help you completely for the problem you have. As far as my knowledge
Doctor :  
I could answer your queries
User :   ok
Doctor :  
I have only few reports yet with people mentioning
Doctor :  
about their sexual drive while on Concerta
User :   the sexual drive would jump back up then he normally has then when he is not on it though right?
Doctor :   can yu repeat the question

User :   Sure
User :   In other words his sex drive would increase on days he does not take his medication right? seeing that the medication has a tendency to supress it?
User :   On WWW.WWWW.WW I had found that they noted "phychosis or abnormal thinking and manic thinking such as abnormal or extreme moods"
Doctor :   Ok
Doctor :  
The effect of Concerta, the problem is generally difficult obtaining an erection, sustaining an erection, or delayed ejaculation. Methylphenidate increases both dopamine and norepinephrine, and it's the norepinephrine part that cause sexual side effects.
Doctor :   By that way he should have more erection on withdrawl
Doctor :  
of the drug
Doctor :  
So if the medicine is low dosed and as the it is short lived in the system, by the time the effect is gone
Doctor :  
One can have normal or slightly increased sexual drive or erection
Doctor :   Coming to the Web Information, it is really not wise to interpret what is available on internet
Doctor :  
every person is different from one another
Doctor :  
It is always good and intelligent to ask a Pediatrician
Doctor :  
about the same
Doctor :  
or even a Neurologist should be able to help

Doctor :  
I can return back your payment if you take a specialist opinion
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