I have been on Concerta ER 54mg and went off for over a year. Now I'm restarting and still had a half bottle from a year ago that I brought to my appointment with my GP. He's not the one who prescribed it. I don't think he's comfortable prescribing it so he told me to just start that old bottle. I'm not comfortable going from zero to 54. I can't cut it in half as it is extended release. Or is there a safe way to cut a 54 in 4 equal pieces to start out?
Do not cut it. 1) it’s not evenly distributed throughout the pill and 2) cutting it makes it immediate release. Therefore you’d end up with either 0 or 54 mg of immediate release Ritalin in you which is bad news. I think you’d survive starting at 54 since you’ve taken in the past but you might be really anxious.
Call the pharmacist to get the doctor to prescribe a lower dose to start. It’s been too long since you stopped.
- Concerta Information for Consumers
- Concerta Information for Healthcare Professionals (includes dosage details)
- Side Effects of Concerta (detailed)
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