Ritalin Vs Concerta: What’s the Difference?

What Is Ritalin?

Ritalin is a central nervous system (CNS) stimulant that works on chemicals in the brain called norepinephrine and dopamine. By increasing the amount of these chemicals in the brain, they help to reduce symptoms associated with ADHD, such as decreased focus, hyperactivity, or impulsive behaviors. Ritalin is a Schedule II controlled substance due to its high potential for abuse or misuse.^1,2

Ritalin is FDA-approved to treat attention deficit hyperactivity disorders (ADHD) in pediatric patients 6 years and older and adults, as well as narcolepsy. Ritalin LA (long-acting) is FDA-approved to treat ADHD in pediatric patients 6 to 12 years of age. FDA approval is granted based on evidence of clinical benefit seen in large research trials. Ritalin can also be used off-label for medically ill patients with severe fatigue or major depressive disorder. An off-label use of a medication is a use that is not specifically FDA-approved. Prescribers can decide to use a medication off-label because, in their professional judgment, they believe it may offer a benefit to someone.^1,2

What Is Concerta (Methylphenidate)?

Concerta (methylphenidate) is a central nervous system (CNS) stimulant that works on chemicals in the brain called norepinephrine and dopamine. By increasing the amount of these chemicals in the brain, they help to reduce symptoms associated with ADHD, such as decreased focus, hyperactivity, or impulsive behaviors. Concerta is a Schedule II controlled substance due to its high potential for abuse or misuse.³

Concerta is FDA-approved to treat attention deficit hyperactivity disorders (ADHD) in pediatric patients 6 years and older and adults up to the age of 65. FDA approval is granted based on evidence of clinical benefit seen in large research trials. Concerta does not have any off-label uses.³

What Are the Differences Between Ritalin & Concerta?

Ritalin and Concerta are both oral medications that are central nervous system (CNS) stimulants used to increase chemicals in the brain to help reduce symptoms of inattention, hyperactivity, and impulsive behaviors in patients with attention deficit hyperactivity disorder (ADHD). Although they contain the same active ingredients, they can be used for different things, have different dosing instructions, and have different durations of action in the body. Ritalin starts working quickly and wears off faster, while Concerta is designed to have a steady and longer duration of action in the body.^1,2,3

Here are the key differences between Ritalin versus Concerta:^1,2,3

How Do Ritalin Vs. Concerta Work?

Ritalin and Concerta have the same active ingredient called methylphenidate. Methylphenidate is a central nervous system (CNS) stimulant that works on chemicals in the brain called norepinephrine and dopamine. By increasing the amount of these chemicals in the brain, these medications help to reduce common symptoms of attention deficit hyperactivity disorder (ADHD), such as decreased focus, hyperactivity, and impulsive behaviors.^1,2,3

Ritalin and Concerta come in different forms, so they have different dosages and different onset and duration of action in the body. Concerta only comes in a long-acting form that is meant to last longer and be taken earlier in the day, while Ritalin comes in both a long-acting and short-acting form. The short-acting form can be taken later in the day to boost focus since it does not last as long in the body.^1,2,3

Are Ritalin & Concerta the Same?

Ritalin and Concerta are different brand names for the same generic active ingredient, but they work differently in the body. Although they contain the same active ingredient and similar benefits and risks, they vary in their costs, uses, and duration of action.^1,2,3

Is Ritalin More Powerful Than Concerta?

Ritalin and Concerta come in different strengths and dosage forms. Concerta lasts longer than Ritalin, but that does not necessarily mean it is more powerful. Each individual reacts differently to medications. Some people may benefit from the short “bursts” of improved focus with Ritalin, while others may benefit from the longer and more steady control with Concerta. Talk to your doctor or pharmacist about which medication would be best for your symptoms. ^1,2,3

What Are Ritalin & Concerta Used to Treat?

Ritalin and Concerta are most commonly used to treat attention-deficit hyperactivity disorder (ADHD) to help improve symptoms such as inattention, hyperactivity, or impulsive behaviors. Ritalin is also FDA-approved to promote wakefulness in patients with narcolepsy.

The table below compares the medical and mental health conditions Ritalin & Concerta are used to treat:^1,2,3

Which Is Better for ADHD, Ritalin or Concerta?

Ritalin and Concerta are both effective medications for ADHD. They work in similar ways to help reduce symptoms of ADHD, and they have similar side effects, benefits, and effectiveness. The biggest difference between the two medications is how long they act in the body. Each person reacts to medications differently. The best way to determine which medication is best for you is to talk to your doctor or pharmacist about the pros and cons of both medications.^1,2,3

Ritalin Vs. Concerta Dosages

Ritalin and Concerta doses are longer-acting medications, so they are typically taken once daily in the morning. The short-acting form of Ritalin can be taken up to two or three times a day since it does not last as long. Your provider will likely start you with a lower dose so you can begin tolerating the medication. From there, your provider can increase your dose as needed based on improvement in your symptoms. Doses will vary for each individual, and there are no standard doses recommended. It is important to take your medication exactly as prescribed by your doctor.^1,2,3

Ritalin is available in the following forms and strengths:^1,2

Oral tablets

• 5 milligram (mg)
• 10 mg
• 20 mg

Extended-release capsule

• 10 milligram (mg)
• 20 mg
• 30 mg
• 40 mg

Concerta is available in the following strengths as an oral extended-release tablet:³

• 18 milligram (mg)
• 27 mg
• 36 mg
• 54 mg

Side Effects of Ritalin Vs. Concerta

Ritalin and Concerta side effects are similar. Each individual responds to medications differently, so if a side effect is listed, it does not guarantee a person will experience it. Commonly experienced side effects are often mild, though some side effects can be more serious and require medical attention. ^1,2,3

Common side effects from taking Ritalin may include:*^1,2

• Rapid heartbeat
• Trouble sleeping
• Headache
• Anxiety
• Increased sweating
• Weight loss
• Decreased appetite
• Dry mouth
• Nausea

Serious side effects from taking Ritalin may include:*^1,2

• Signs of heart problems such as chest pain
• Large changes in blood pressure or heart rate
• Difficulty breathing or shortness of breath
• Hallucinations or other unusual sensory perceptions
• Uncontrolled movements, such as twitching or uncontrolled shaking
• Signs of circulation problems, such as numbness, coldness, or discoloration in the extremities
• Priapism (painful and prolonged erection)

Common side effects from taking Concerta may include:*³

• Rapid heartbeat
• Dry mouth
• Nausea
• Irritability
• Decreased appetite
• Headache
• Depression
• Trouble sleeping
• Anxiety
• Increased sweating

Serious side effects from taking Concerta may include:*³

• Large changes in blood pressure or heart rate
• Arrhythmias (abnormal heart rhythms)
• Manic symptoms
• Aggression
• Seizures
• Tics or involuntary muscle movements
• Peripheral neuropathy
• Changes in vision

*All medications, including Concerta and Ritalin, have a risk of side effects, including serious side effects. This is not a complete list of side effects. You should talk with your healthcare professional about the benefits and risks of any medication before starting treatment.

Warnings & Precautions for Ritalin & Concerta

Ritalin and Concerta may be effective for treating symptoms of attention deficit hyperactivity disorder (ADHD), but they still come with risks. It is important to use the medication exactly as prescribed by your doctor. These medications may not be safe for everyone, depending on each individual’s medical history or if they are not used correctly. If you experience any of these side effects, it is important to seek immediate medical care.^1,2,3

Risks to consider when taking Ritalin & Concerta include:^1,2,3

• Allergic reactions: True allergic reactions are extremely rare, but serious. If you experience difficulty breathing, hives, or swelling of the lips or tongue, seek medical care immediately.
• People with serious heart disease: Ritalin and Concerta should not be used in patients with known structural heart abnormalities or serious heart disease.
• Potential for abuse, misuse, and addiction: Ritalin and Concerta have a high potential for abuse and misuse, which can lead to the development of a substance use disorder, including addiction. It is important to store these medications in a safe place, preferably locked, and to not give them to anyone else.
• Increased blood pressure and heart rate: Ritalin and Concerta can cause an increase in blood pressure and heart rate. Some patients may have larger increases than others.
• Psychiatric side effects: Ritalin and Concerta may worsen previous psychiatric symptoms or cause psychotic or manic symptoms (e.g. hallucinations, delusion thinking, or mania) in patients without a history of psychiatric disorders.
• Priapism (prolonged and painful erections): Prolonged and painful erections, sometimes requiring surgical intervention, have been reported with Ritalin and Concerta use in both adult and pediatric male patients.
• Growth suppression in children: Ritalin and Concerta have been associated with weight loss and slowing of growth rate in pediatric patients. Pediatric patients who are not growing or gaining height or weight as expected may need to have their treatment interrupted.
• Increased intraocular pressure and glaucoma: There have been reports of an elevation of intraocular pressure (IOP) and glaucoma associated with Ritalin and Concerta treatment.
• Uncontrolled movements and people with Tourette syndrome: Ritalin and Concerta have been associated with the onset or worsening of motor and verbal tics, as well as the worsening of Tourette syndrome.
• Peripheral vasculopathy: Ritalin and Concerta are associated with peripheral vasculopathy, including Raynaud’s phenomenon. Signs and symptoms usually come and go and are mild.
• People with a history of seizures: Ritalin and Concerta may increase the risk of seizures in patients with a prior history of seizures.
• Blood count monitoring: Periodic monitoring of blood counts at your doctor’s office is advised during prolonged therapy with Ritalin and Concerta.
• People with narrow gastrointestinal tracts: Concerta should not be administered to patients with preexisting severe gastrointestinal narrowing (e.g. “short gut” syndrome).

Potential Drug Interactions With Ritalin & Concerta

Ritalin and Concerta have the potential to interact with different foods, prescription medications, and over-the-counter supplements. It is important to always talk about your current medications with your doctor or pharmacist to make sure there are no unsafe drug interactions.^1,2,3

Medications that interact with Ritalin & Concerta include:^1,2,3

• Monoamine oxidase inhibitors (MAOI): Ritalin or Concerta in combination with MAOIs can increase your risk of hypertensive crisis (dangerously high blood pressure). Using these medications together or within 14 days after stopping MAOIs is contraindicated.
• Antihypertensive drugs: Ritalin or Concerta may decrease the effectiveness of drugs used to treat high blood pressure. You may require a higher dose of these medications while taking Ritalin or Concerta.
• Risperidone: Ritalin or Concerta in combination with risperidone can increase your risk for extrapyramidal symptoms or unwanted movements.
• Warfarin, anti-seizure medications, and antidepressants: Ritalin or Concerta may inhibit the breakdown of warfarin, anti-seizure medications (e.g. phenobarbital, phenytoin), and some antidepressants (e.g. selective serotonin reuptake inhibitors like sertraline). You may require a lower dose of these medications while taking Ritalin or Concerta.

Disclaimer: Taking certain medications, herbs, or supplements alongside Ritalin & Concerta can change how these medications work in your body or increase the risk of serious side effects. This article does not consider all the possible interactions. Please let your doctor, psychiatrists, and pharmacists know about all the products you currently use, such as prescription medication, nonprescription drugs, and herbal supplements. Do not start, stop, or change the dosage of any medicines without your doctor’s approval.

Ritalin Vs. Concerta Cost

The average cost of Concerta in the United States is higher than Ritalin, without insurance coverage. The average cost of a one-month supply of Ritalin without insurance is $96. The average cost of a one-month supply of Ritalin LA without insurance is $191. The average cost of a one-month supply of Concerta without insurance is $479.The cost of the medication varies based on your insurance coverage.

Some insurance companies may not cover the medications, but there are generic alternatives available, and other discounts, coupons, and savings programs that may help you get the medication for a lower cost. If you are concerned about the cost of your medications, talk to your doctor or pharmacist about generic alternatives or see if you are eligible for savings programs.^1,2,3

Which Is Right for You: Ritalin or Concerta?

Many factors are considered when determining which medication is right for you, including your symptoms, desired effect, medical conditions, side effects, tolerability, insurance coverage, and cost. The best way to determine which medication is best for you is to talk to your doctor about both medications.

How to Get a Prescription for Ritalin & Concerta

You will need a prescription from your provider in order to begin taking these medications. Healthcare providers, such as a psychiatrist, can prescribe these medications and determine if they are appropriate and safe for you. Prescriptions can be obtained via both online psychiatry services and in-person office visits. It is important to always have an open and honest conversation with your doctor about your medical history, current prescription and over the counter medications, and goals of treatment.

Questions to Ask Your Health Team About Ritalin Vs. Concerta

You may have questions for your doctor and pharmacist about Ritalin, Concerta, or other medications. You are able to best take care of yourself when you have an understanding of your health conditions and the medications used to treat them.

Questions to ask your prescriber about Ritalin & Concerta include:

• Is it safe to take Ritalin & Concerta with my other medications?
• Will Ritalin & Concerta be covered by my insurance?
• Which one has the best results as a treatment for ADHD between Ritalin & Concerta?
• Does my medical history increase my risk of side effects for either Ritalin or Concerta?
• How long can I expect side effects to last for Ritalin or Concerta?
• How often should I see you for checkups while taking Ritalin & Concerta?
• What should I do if I am unsure whether stimulant medications are right for me?
• How soon should Ritalin & Concerta start improving my symptoms?