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Good idea to request dose increase for stimulants?

Posted by Mistermindmasta on June 6, 2012, at 17:52:31

I've been taking nuvigil for about 1.5 years for add/fatigue type issues and recently switched to generic methylphenidate bc of cost issues with the nuvigil w/o insurance. The methylphenidate is MUCH MUCH better for my add symptoms but I find that the effects tend to wear off quickly. Like a dose lasts 3 hrs or so. Btw my rx is 20mg 2x/ day. I've taken amphetamines many years ago and they lasted much longer. But anyway, to my point... So with the latter half of my day dragging a bit And not feeling as productive, I've decided to increase my dose to add a third pill per day. Now before I get ppl talking about this being the path to addiction or whatever, my decision was calculated and aware of risks. Anyway so I want to go to my doctor a week or so early for my refill and say 2x / day was a little weak on some days so I took a 3rd, and maybe suggest a dose increase. So my question is, is it a good idea (assuming my dr trusts me, which I'm pretty sure he does) to admit to taking a few extra bc I felt maybe a higher dose is needed? Or would it be better to wait until day 30 to go see him and THEN talk about a possible dose increase. So right now, I'm out of pills, which I knew was coming, and isn't that much of a big problem, but I really think 3 x / day is much better for me. However I suppose taking 1 extra per day on some days is a certain kind if misuse, I'm just hoping my doc would agree that the misuse was something that might have been justified. Thx for the tips in advance.


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poster:Mistermindmasta thread:1019342
URL: http://www.dr-bob.org/babble/20120522/msgs/1019342.html