Good day,My daughter is 11 years old and has been taking Serdep together Concerta since April 2014.  She is in her own world and is doing worse at school now than ever.  When she falls asleep in the afternoon it is difficult to wake here again. If she opens her eyes her pupil as as large as her brown of the eye.  She complains of feeling sick.
Hello; thanks for the query. I would like to know who has prescribed your daughter Series (Sertraline) & Concert (methylphenidate) tablets, in what doses, what time of the day & for what set of symptoms. Usually Methylphenidate is a stimulant & if taken in morning; it helps to improve attention, concentration & helps to improve tasks involving some sustained effort. So kindly let me know what time you are giving her concert; shift it to morning & NO later than 2pm. Similarly, sertraline in high doses (>100\u00a0mg) may cause sedation in some patients & hence entire dose can be shifted to prior to bedtime or given in 2 divided doses with larger chunk of dose in evening. If there is recent dose change; wait for 8-10 days as most side effects of these 2 Chat Doctor.