Since I've been on Effexor for 7 months, I've had zero emotional depressive symptoms (like the crying, sadness etc) negative ruminations have lessened, no anxiety whatsoever either...
Issue is, I've become more & more lethargic. I sleep a full 10 hours per night and then I cannot get out of bed. I'm not really tired, I just literally cannot get myself to do anything. I am super content just laying in bed for hours. I read crap online for hours, I often take 2 hour naps in afternoon. It pains me to take a shower & go outside. I procrastinate on work/everything... I avoid doing things I need to do just so i can lay in bed! No interest, motivation, pleasure in anything. How can I light a "fire under my ass" again? The same issue happens with other meds that work for depression, but then they cause this!
And no, my doc won't increase my Ritalin (which I have a tolerance to & it stopped working). She won't put me on any other stimulants which seem to be the only thing that help me in this state. Yes, I've tried Abilify add-on...not sure if I want to keep adding more meds or if there something better I can switch out in my situation?
Seems my choice is to either be emotionally depressed or a complete apathetic sloth!!! Any ideas?
Just an observation...I have had Ritalin (20mg extended) as part of my cocktail for maybe 9 months now. My pdoc advised me to take as needed during work week, with breaks on weekends to maintain the same efficacy. After several months, I was wondering if it was even doing anything at all...i mean, very early on, the increase in energy, or lack of appetite, high motivation went away, and I was often questioning whether it was actually doing anything anymore.
Well I was wrong! Due to a date error on my prescription, I couldn't get it filled at the pharmacy and I've been off of it for a full 7 days now, waiting for a revised RX. I've felt much more tired this week, apathetic, major brain fog, lazy, it has been extremely difficult to get out of bed. (I didn't have work this morning, and I stayed in bed until noon! When I'm usually up at 8am)!! I am eating/snacking much more this week. Do you guys think this is all do to being off Ritalin 1 week? To note: I've also increased Effexor (112-150mg)...
I have been on Ritalin LA (20mg) for about 9 months, mainly as an add-on for depression/apathy. Pretty regular in taking it everyday. I've noticed within a month, it wasn't doing nearly as much (as far as increased motivation/energy/better mood), although my focus/concentration is still very good. Also, despite eating a similar diet (taking it on same schedule), it works really inconsistently, like somedays it does nothing at all....
I just took a week-long break from it during vacation, and now that I've restarted, the effect is better again. Is this normal for everyone with stimulants? My doc doesn't want to increase my dose. Maybe I should just start taking my additional IR PRN everyday or take week-long breaks? I worry about tolerance...
Is IR taken twice per day more effective? I worry that if I just switch to IR dosing, i will feel a bit of a "crash" in between, it won't be as smooth...Any thoughts??
I'm currently taking Vyvanse, and I've heard that straight amphetamine-based stimulants like Adderall and Vyvanse can be stronger stimulants than the methylphenidate class like Ritalin, Concerta (Ritalin XR), and Focalin. I'm considering talking to my doctor about something more mild, and I'm looking at the methylphenidates as an option.
What I know about Adderall and Vyvanse is that there are differences. Even if Vyvanse is just the dextro- enantiomer of the amphetamine molecule. What I also know is that dextroamphetamine (along with lisdexamfetamine) has more of an effect on dopamine than levoamphetamine which is found mixed with dextroamphetamine in Adderall, and levoamphetamine has more of an effect on norepinephrine.
Are there similar differences between methylphenidate and dexmethylphenidate? Where one may effect a certain neurotransmitter more than the other would? I'm curious specifically about pharmacology differences and even the slightest differences in mechanism of action. Curious as to what anyone might have to say here.
From what I understand, RitalinSR is intermediate-acting (lasts up to 5 hours) where RitalinLA and Concerta are both longer-acting (like up to 8+ hours) Other than this, is there any other difference between the 2?
Do you feel different on each of them? For me, with RitalinSR, the effect was fairly quick, peak action within 2 hours, but would wear off usually within 4 hours. The good thing though, was that I would get tired in the afternoon/early evening and sleep really really well. If I were to go on Concerta, would it wreck my sleep schedule?