Pdoc FINALLY upped Ritalin (LA) to 30mg in morning, and I take 10mg (IR) in afternoon. Been on consistently about 1.5 years (note, it’s a real pain to get it here, they treat it like street meth & it’s the most benign stimulant!!)
I have bad energy crashes within 5 hours, then crave chocolate (which I usually dislike), I have more coffee. The IR 10mg in afternoon seems to do nothing. Trying the 20mg IR in afternoon, which might be better, but wears off in 2 hours, I don’t want to mess up my sleep or jack up my heart rate.
Note, I’m not taking for ADD (but for depression add-on) my physical energy, alertness & motivation just crashes now. I just get tired & need to nap.
Any ideas? (I’m 50kg) Pdoc says they dose per kg, usually 50mg-60mg max for me. If I increase again, I’ll quickly be screwed (it initially worked so well!). I know Adderall is more potent, but worried about neurotoxicity and irreparable brain damage when I eventually go off (don’t plan on being on forever). I’ve heard Adderall is more “speedy” and can be agitating as well.
So I've been taking an added afternoon dose of Ritalin (10mg IR) the last few days. I usually take only 20mg (extended) in morning, but was told I could add a bit in afternoon (for boost) if necessary.
I literally feel more tired/drained after taking it. WTH. I don't regularly take any afternoon dose, so why would it have already pooped out? I feel like coffee gives me more of a boost that this! Grrr. I hate to take double, because my pdoc didn't prescribe it that way. I also don't want to effect my sleep (I have no sleep issues at moment)
Why is it making me so tired? This afternoon dose is not apparently working at all? Does this mean I actually need more?
I am taking stimulants for numerous reasons--primarily for ADHD and idiopathic hypersomnia, but also because I'm obese and trying to lose weight (with diet and exercise of course) and because amphetamines heretofore have been the only thing that really make me a functioning human being.
I was curious though. From y'all's experience, which stimulant inhibited appetite and/or caused more weight loss, that is, between Ritalin (and all their products), Focalin, Adderall, Dexedrine, or some other stimulant. I have actually even taken Desoxyn, twice, and to be honest, it's nowhere near as potent as Adderall or Dexedrine.
To my understanding, appetite inhibition can be extricable from weight loss; i.e., one can lose weight from a medicine without experiencing much appetite suppression, one can experience drug-induced anorexia without losing much weight, or both at the same time, or neither.
IME, so far, this is what I've experienced... I'll list the stimulant/anorectic and max dose taken.
Dexedrine (60 mg) Adderall (60 mg) Dexedrine Spansules (30 mg) Adipex-P (37.5 mg) Adderall XR (90 mg) Wellbutrin IR/SR/XL (450-500 mg) Bontril-PDM (210 mg) Tenuate (75 mg) Desoxyn (15 mg) Vyvanse (70 mg) Adzenys XR-ODT Metadate CD (20 mg) Ritalin (30 mg) Focalin XR (25 mg) Evekeo (20 mg) Belviq XR (20 mg) Tenuate Dospan (75 mg) Contrave (32 mg/360 mg) Weight loss:
Dexedrine (60 mg) Adderall (60 mg) Adipex-P (37.5 mg) Tenuate (75 mg) Dexedrine Spansules (30 mg), Adderall XR (90 mg) Wellbutrin IR/SR/XL Desoxyn (15 mg) Bontril-PDM (210 mg) Metadate CD (20 mg) Belviq XR (20 mg), Evekeo (20 mg), Focalin XR (25 mg), Ritalin (30 mg), Vyvanse (70 mg) Contrave (32 mg/360 mg), Tenuate Dospan (75 mg), Adzenys XR-ODT So I've not tried very high doses of the (dex)methylphenidate meds, and have been curious about trying a higher dose (40-60 mg, maybe higher). Focalin might be okay, but it gave me tremors, anxiety, and panic attacks at 25 mg. Vyvanse did nothing much at all except jack my resting heart rate up to 120+ BPM.
This list was very hard to compile, and I don't really know if it's too accurate.
I'm heavily considering trying methylphenidate again, specifically Metadate CD, because I actually felt something on it as opposed to regular Ritalin. I was considering asking my NP for a Metadate CD dose of 30-60 mg, or maybe 30 mg x2 or something like that, with some Ritalin 5-10 mg, maybe 20 mg, to take 1/2-1 up to three times per day prn.
The tried and true med is Dexedrine for me, specifically the IR, but I want to give that a break for a little while.
I'm curious to see how (dex)methylphenidate affects my ADHD more than it affects my weight loss/appetite suppression as well.
I know this post was rather scattered and long, but if you made it through it, any input would be much appreciated!
Just to preface, I don't take Ritalin for ADHD...it's more for Depression, motivation, procrastination, mental stamina purposes.
Has anyone found that you get TOO focused on it? Maybe because I don't actually have ADHD, but I start working on 1 thing and become OBSESSIVELY focused on it (like it brings out the uber perfectionist in me). I forget to eat, I don't take breaks from my desk, and then my brain just shuts off from exhaustion. At the end, I've accomplished only 1-2 tasks.
I have great difficulty switching tasks or getting all "priority" things done, because I get so stuck on working for HOURS on the same little thing!
Basically, my processing speed is much slower, I can't adjust to "fast paced" situations, because I mull on things, make revisions over & over & over etc. On the other hand, if i go without taking it, I lay around, procrastinate, lack all motivation, and I'm unable to start anything at all. Not sure how to solve this? Do other stimulants work in the same way?
I often travel internationally and I've made several longer-term international moves. I bring my doctors current original prescription, and try to request a dated letter which lists my monthly medication regimen, current dosage and diagnosis.
My concern is: I have "stockpiled" additional stimulants (@2 months worth now) due to the fact that I move frequently, have gaps in medical insurance and don't have regular access to see my psychiatrist in person. Someday soon, I will need to switch doctors and in my experience, he's been the only pdoc that will prescribe me stimulants (and insurance means, no out of pocket cost right now). I'm worried about traveling through the airport and being stopped as a "drug trafficker" due to having 2-3 months worth of extra prescription of schedule 2 drug on me, all at once.
Any advice? What do authorities do in this case - do they call your psychiatrist to verify, before you can fly?