I'm struggling to adjust my Ritalin dosage. It really helps with cognition/focus (and even mood balance), pdoc recently increased my dose. I take 30mg (LA) morning, and now 10mg (LA) in late afternoon. I'm OK on morning dose until about 2pm after I eat lunch...then energy really tapers off, I start to get more distracted, then I take afternoon dose by 4pm.
The afternoon dose makes me immediately sleepy. This effect seems really paradoxical! Is there something I can do to reduce this? Caffeine?? IR form only lasts like 2 hours & I crash, so I want to avoid that. Where I live, its tough to get anything other than Ritalin...
I read that some stimulants (such as Ritalin & Adderall) are better for reducing Hyperactivity - which may be why I feel so sleepy/dazed when taking it in afternoons? I've never been hyperactive....
Would Vyvanse be better in this regard (helping with both focus + causing less sleepiness)?
Started using my new fitness tracker. Tracks sleep & heartrate also. I'm not sure how accurate it is (500 great reviews said it was). But I'm quite worried with results I'm getting. My resting Heartrate jumps around erratically from 70-100. After sitting at breakfast it's like 90-115. I am healthy weight/slim, eat really well, usually fit (though really inactive last 3-4 mos).
Literally, when I woke up today (before any meds), I tracked, and it jumped all around from 68-95. I hadn't even got out of bed!! The other day, I did 5 minutes of jumping jacks, then tested....it was 120-130, heart pounding in ears, really tight chest, with slight cough/phlegm congestion in throat....I do some stretching, forward bends then feel very dizzy.
Is this normal or am I just really out of shape? I have low blood pressure and when I run lately, HR goes up to 180 which is max. Is this dangerous? @mikl_pls ? How long do you have to be doing fitness in order to get it down to fit/normal??
Oh, too add, I did an ECG a couple years ago, and nothing abnormal was found. Also did a "Fitness test" on a bike with oxygen mask (5 years ago though) doctor just said I was unfit.
3 years ago, I tested as "subclinical hypothyroid" and was put on Levothyrox. TSH went down to around 2, with slight improvement of symptoms (can't say it was dramatic).. but coldness and fatigue went away a bit.
Fast forward, I ended up going off over a year ago (moved, new docs etc), didn't notice a huge difference after I stopped the Levo. A year ago my TSH was 3. Then when I started Ritalin, I initially wasn't fatigued, my bodytemp is warmer/sweatier with Effexor. Does Ritalin affect your Thyroid? I was told some A/Ps and A/Ds can. I'll soon get a blood test.
I sleep a ton yet NEVER have energy, my vision is suddenly awful very blurry, dry eyes...I have itchy, red, dry skin that is not helped by moisturisers and sensitive skin products. I guess I don't know if these things are Thyroid-related symptoms, or side effects from my psych meds or both!
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.
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!