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Blahblah

Ritalin IR like a sugar pill?

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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?

Edited by Blahblah

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39 minutes ago, Blahblah said:

Why is it making me so tired? This afternoon dose is not apparently working at all? Does this mean I actually need more?

Are you taking the afternoon dose (IR) on an empty stomach?......Ritalin absorbs better if taken without food.

Is the extended-release Ritalin still working well for you?

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20mg extended is not equivalent to 20mg IR. More like a 10mg that lasts longer. It is a 20 divided to 2 (or 3?) doses that are released at different times.

Taking another 10mg, if it is late enough, is prolonging the effect but you are still “on” 10mg.

I would ask about switching to 30XR once daily.

Also, Ritalin may develop tolerance, so a few days off of it could theoretically reduce that back to normal level and make it effective again.

I don't take Ritalin these days, but in the past I started on 20XR, then it pooped out after less than a month. 30XR worked for a long time daily.

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4 hours ago, CrazyRedhead said:

Are you taking the afternoon dose (IR) on an empty stomach?......Ritalin absorbs better if taken without food.

Is the extended-release Ritalin still working well for you?

Good to know! I didn't think it made a difference. I've always taken my morning dose with breakfast (and coffee) and the afternoon dose after lunch. I'll try adjusting (is 30-40 minutes before or after a meal OK?) . The extended is less effective now than it was, but I think it at least helps (a bit) for 4-5 hours. I notice a difference when I don't take it!

4 hours ago, HydroCat said:

20mg extended is not equivalent to 20mg IR. More like a 10mg that lasts longer. It is a 20 divided to 2 (or 3?) doses that are released at different times.

Taking another 10mg, if it is late enough, is prolonging the effect but you are still “on” 10mg.

I would ask about switching to 30XR once daily.

Also, Ritalin may develop tolerance, so a few days off of it could theoretically reduce that back to normal level and make it effective again.

I don't take Ritalin these days, but in the past I started on 20XR, then it pooped out after less than a month. 30XR worked for a long time daily.

This is really helpful! Yeah, I've been on it awhile and it's definitely not nearly as noticeable of an effect (the extended seems to last shorter duration than it used to also) But I've heard that 20mg extended is a very low dose, so I'll try 30mg extended.

The IR used to effect me more noticeably in the past (but i would get the crash after 2 hours, so extended is smoother)

Do you think taking only 2-3 days "off" will actually reduce the tolerance?

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28 minutes ago, Blahblah said:

Good to know! I didn't think it made a difference. I've always taken my morning dose with breakfast (and coffee) and the afternoon dose after lunch. I'll try adjusting (is 30-40 minutes before or after a meal OK?) . 

I have read that taking it 30-45 minutes before a meal is better than taking it after a meal.....But I suppose you could try taking it 30-45 minutes after a meal, and see how it affects you.

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I was digging around online, and read that the IR should definitely be taken 30-45 min before meals, and the extended you could do either.  I probably also need to think about what I'm eating. Since foods can affect the aborption of meds (like vitamin C, juice).

I always drink 2 cups of coffee with breakfast and wonder if that would either diminish or potentiate the effect? Maybe it even increases the excretion of the med, or makes it wear off faster? Eeek, I've probably been doing this all wrong. I'm not good about waking up 45 min early to take meds.

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According to research, Caffeine enhances the effect of Dopamine on postsynaptic Dopamine receptors. The mechanism of this action is not fully understood/documented.

Ritalin is a Dopamine reuptake inhibitor.

They are metabolized by different enzymes.

In theory, Caffeine would enhance the effect of Ritalin to some extent.

I don't know how long a break is needed to reduce tolerance, but I remember some difference in effect with after 2-3 days off.

Edited by HydroCat
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