Over the last several years, we have had the influx of very well designed long-acting stimulants that really completely change the way that we can treat patients with ADHD. The first one that came to market is OROS methylphenidate, or Concerta. This is a very sophisticated tablet, has an osmotic membrane and overcoat of methylphenidate, 2 compartments of methylphenidate, and a push compartment. It also has a laser-drilled hole that allows the release of medication at a prespecified pace.
This medication was specifically developed to replace 3 doses of immediate-release methylphenidate given 4 hours apart; therefore, this treatment is active for about 12 hours. This treatment really changed the way that we treat children with ADHD, because we recognize that the day does not end in school.

This medication was specifically developed to replace 3 doses of immediate-release methylphenidate given 4 hours apart; therefore, this treatment is active for about 12 hours. This treatment really changed the way that we treat children with ADHD, because we recognize that the day does not end in school.This medication was specifically developed to replace 3 doses of immediate-release methylphenidate given 4 hours apart; therefore, this treatment is active for about 12 hours. This treatment really changed the way that we treat children with ADHD, because we recognize that the day does not end in school.This medication was specifically developed to replace 3 doses of immediate-release methylphenidate given 4 hours apart; therefore, this treatment is active for about 12 hours. This treatment really changed the way that we treat children with ADHD, because we recognize that the day does not end in school.This medication was specifically developed to replace 3 doses of immediate-release methylphenidate given 4 hours apart; therefore, this treatment is active for about 12 hours. This treatment really changed the way that we treat children with ADHD, because we recognize that the day does not end in school.