Anyone take 54mg methylphenidate (concerta) daily (and not weighing more than say 85kg)? Is it a strong dosage? Should one be concerned with health risks of going from 36 to 54mg?

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Weight is only one factor in dosage. Everyone responds to and metabolizes drugs differently.

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That's a question for your doctor mate.
It's almost impossible for a random person here to be accurate

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I remember when I went to 54mg. I was on 36mg for a long time before being increased. If your doctor prescribed it - you should be fine.
How’s your heart history tho? Are you good? I would be concerned if that. Though if you present with good lab results at your annual wellness checkups, don’t stress it.

Have you ever decreased dosage on weekends or increased it mid week to be productive Thu/Fri?

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