metadate question

iVillage Member
Registered: 03-26-2003
metadate question
7
Sat, 04-19-2003 - 12:42am
My daughter takes 36 mg concerta in the AM. This is okay on days I can wake up and give it to her at 6am. However, on weekends when she doesn't get up until 8:30, if I give her concerta then, she'll be up until midnight.

The Dr. has perscribed 20mg Metadate CD, which is supposed to last 6 - 8 hours, rather than 10 - 12 hours. We are going to try this on days that can be "short". He told me that her dose should be between 10 - 15 mg to be equal to what she was getting with 36mg concerta. He said to open up the Metadate and portion our 1/2 to 3/4 and give it to her that way. However, according to the literature and the pharmacist, you can't open up the capsules...????? Also, the pharmacist said the lowest dose is 20 mg. I am worried that this will be too much.

So does anyone have experience with using Metadate CD vs. Concerta, and what dosages are you using?

Thanks,

Wendy

Avatar for keke0116
iVillage Member
Registered: 03-26-2003
Sat, 04-19-2003 - 7:02am
No experience on Metadate, but I do know that (1) you are not supposed to open a capsule or split/cut a time release pill, and if you do, the dose you'll be giving is NOT exact so I'd be hesitant about doing that at all, (2) not all meds work the same for all kids so if she is doing well on Concerta, it doesn't mean she'll do well on the other, or even on a different type of stimulant, and (3) changing meds on the weekends might actually throw off the results you get during the week. When Kevin was on Concerta, he also was on 18 mg dose. Like you, I'd wake him early to give him the pill so that it was in his system before he actually had to wake up. The difference, however, was that we'd do 2 18-mg doses. SO, I'd give him one at 6:30, and then the other at 7:30 after he ate breakfast. Is it possible that the doc can give you samples for 18 mg. and see what happens if you just give her 1 18 mg tablet on the weekend. Since she isn't having to concentrate and such at school, perhaps she doesn't need the full 36 mg. (But, I wouldn't get a full prescription filled until I knew this would work, thus the benefit of samples.) Also, since it's the same med just a different dose, you know it will not have the negative side effects. I can't fathom that a 1 1/2 hour time difference on taking the pill would have such a drastic effect on sleep patterns ... but only because we didn't have any sleep problem on the med ...

Note, the warning or directions for Metadate says to swallow whole, do not crush or chew. So, I'd be very hesitant about opening a capsule and estimating a dose.

Nancy

Nancy 

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iVillage Member
Registered: 03-27-2003
Sun, 04-20-2003 - 10:56am
My son went from Concerta 18mg to Metadate ER. He takes Metadate ER 10mgs in the a.m., with a half a ritalin (2.5mgs) booster in the morning. Try the lowest dose first is my opinion. I am not sure you are supposed to break Metadate ER's because they are extended release tablets and they need to be whole to work that way!
iVillage Member
Registered: 03-27-2003
Sun, 04-20-2003 - 10:58am
Also we had MAJOR sleep disruption on Concerta. So metadate is a good option but I'd switch to it completely if i were you. Just my opinion.
iVillage Member
Registered: 04-20-2003
Sun, 04-20-2003 - 9:15pm
My son just started taking Metadate 20 mg from Aderrall xr 20 mg. We had some concerns of him focusing at school on the Aderrall. Since being on the Metadate he has started being more agressive and being riled up all day. I think he may go back to Aderrall, since it was the only drug that seemed to work. I would like to say I agree with the other ladies about not not splitting the capsules. I hope this helps you out.

Melinda

iVillage Member
Registered: 04-21-2003
Mon, 04-21-2003 - 10:05am
My son went from concerta to metadate approximately 2 years ago. It was for the exact reason you are seeing....the not being able to fall asleep at night.

Metadate has been wonderful! It is 6-8 hours, as the information indicates. It gets him through school, but sometimes we have to add a 5 mg tablet of ritalin after school, depending on what is going on.

I am very happy with this med, and we have run the gamut of medications.

Good Luck!

Lori

iVillage Member
Registered: 03-27-2003
Mon, 04-21-2003 - 6:09pm
Our dr. said it was okay to split the capsule and feed it to Tyler with some honey since he would not swallow the pill. I think it might be per the dr's descrestion. Metadate kind of sedated my son and made him too serious. We lowered his dosage with ritaling and he did better. I noticed that my son would get headaches with the metadate as well as stomach aches. I took him off of it after 6 months. However, there were no problems with sleeping. He went to bed just fine.
iVillage Member
Registered: 04-21-2003
Mon, 04-21-2003 - 7:17pm
Hi, we have had experience with metadate in the past. I know that one should'nt break the pill in any way or else it damages the "delivery" system. There is a 27mg concerta out now. Why not try that for the weekends? or else just try the metadate only on weekends.