IS CONCERTA SAFE FOR MY 4 YEAR OLD DAUGHTER? 
Ask The Doctor Dr. Leland Heller Biological Unhappiness 
IS CONCERTA SAFE FOR MY 4 YEAR OLD DAUGHTER? 
Question: Dear Sir,I have a 4 year old daughter that we just started on Concerta on the 11 of October. My question: is it safe for the 4 year old? I have noticed some changes in her daily routine. We are a military family so I am just hoping that her diagnosis gets looked at–instead of just treating and releasing. She was tested when she was 3 and then diagnosed. We didnt need meds at that time. Since then she has been zoning and acting out at school. She was diagnosed with ODD, Hypotonia and ADHD all during this visit.Thanks. Dr. Heller’s Answer: Yes, Concerta is safe for a 4 year old. After over 30 years the only long term effects of methylphenidate (Ritalin, Concerta) are a reduction in substance abuse, auto accidents and cancer. Part of your question seems to be “does she have ADHD?” While looking at the official criteria might help (http://pks.947.myftpupload.com/AD-H-Dcr.htm), Id be especially concerned whether one or both parents have ADHD because of the strong genetic component. If either biological parent has ADHD (either the inattentive or hyperactive/impulsive type) then using Concerta for likely ADHD is an excellent idea.Depression and childhood onset bipolar disorder would both be concerns. Irritability and hostility are often the major signs of depression in children. You can find out more about childhood onset bipolar at http://pks.947.myftpupload.com/BiPlrKid.htm and by reading “The Bipolar Child” by Dr. Papolos. 
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