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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 6 of 6. This is the beginning of the thread.
Posted by zonked on January 29, 2010, at 13:34:50
Hey,
As I pointed out in a previous post, I'm taking Concerta 36mg (time release ritalin) - according to the monograph the peak plasma levels due to the time release mechanism was ~6 hours - however, I find that the initial effects wear off after about 4. After 4 hours, I get VERY irritable and "wired" in a way that is not productive or pleasant (norepinepherine vs. dopamine?). I am wondering if the release mechanism just isn't very even, or if my brain "runs out" of usable dopamine at that time.
Anything I can do about this? Are there dopamine precursor amino acids that might help?
I am still going through the Medicaid process to get Dexedrine spansules and/or Adderall XR approved, which also has unpleasant wear-off effects but not nearly as soon.
thx
zonked
Posted by linkadge on January 29, 2010, at 17:20:57
In reply to Methylphenidate (Ritalin/Concerta) wearing off, posted by zonked on January 29, 2010, at 13:34:50
You could split the tablets in half and perhaps take a half and then time the second half to avoid unpleasentness?
Linkadge
Posted by zonked on January 29, 2010, at 18:32:08
In reply to Re: Methylphenidate (Ritalin/Concerta) wearing off, posted by linkadge on January 29, 2010, at 17:20:57
That is _impossible_ with Concerta - the things are hard as a rock. My MD is out of the office until Monday; I want to be off this drug as soon as possible.
Posted by linkadge on January 29, 2010, at 20:27:22
In reply to Methylphenidate (Ritalin/Concerta) wearing off, posted by zonked on January 29, 2010, at 13:34:50
Well certainly, if you feel no benificial effects of the drug than discontinue it.
Other options are the IR version, or a different time release preparation. The beaded XR versions can more easily be split.
Also I think there is an 18mg concerta that could be used.
Linkadge
Posted by mtdewcmu on January 29, 2010, at 22:05:36
In reply to Methylphenidate (Ritalin/Concerta) wearing off, posted by zonked on January 29, 2010, at 13:34:50
It sounds like you might be on too much, or maybe methylphenidate is just not a good drug for you.
Posted by Helena24 on January 31, 2010, at 12:18:50
In reply to Methylphenidate (Ritalin/Concerta) wearing off, posted by zonked on January 29, 2010, at 13:34:50
I took both these drugs Ritalin 40-60mg/day and Concerta 18,36,56mg at different time-periods.
In my oppinion Concerta can't be compaired to IR Ritalin.
Ritalin was much better for me for motivation and mood.
It gave me a sense of optimism.
Concerta made me moody,with no motivation,very pessimistic and robot-like.
It gave me agitation too,witch Ritalin didn't.
I think that's why it's considered much less ''abuseable'' as an euphoriant and is more easilly prescribed.
In my country,Greece,it's almost impossible to get a prescription for stimulants,ecspecially for adults for add (or any kind of diagnosis or treatment for adult add).
I searched 10 long years to find a doctor to prescribe it,but I discontinued shortly.
Doctors never prescribe Ritalin here,they think it's pure evil.
I think most of them don't want to get trouble with stupid rigorous drug-laws.
Some of them are simply retarded! (sorry,I'm really depressed this moment!)
Can you get a prescription for Ritalin/have you ever tried it?
This is the end of the thread.
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