July 6, 2019 at 12:20 pm #121885
I was recently diagnosed with innatentive type. I was initially prescribed 20mg XR for 14 days and then 30mg for 14 days with first DR. follow up on day 28. Overall I felt great starting the med at 20mg. I had some negative effects at 30 mg (numbness, neck muscle tension). At follow up appt we decided to continue at 20mg. After a couple weeks I notice it is not lasting long enough. I am feeling good at work but when I get home I have no motivation extremely tired hungry and irritable. Dr says I can try 30 again or 2 x 20mg per day. I chose the 2x20mg XR and after 3 days feel terrible. I am not eating or sleeping well and am have a zooming sensation during the overlap time that I dont like. I have now gone back to one a day for last 2 days and feel much better but not sure where to go from here. My thought is it would make sense to go to 10mg IR 3x a day? Or do you think trying different meds would make sense?
I was diagnosed by the hospitals Behavioral Health Department Head then referred to this doctor as a specialist for medication, once dose is correct I will go to my GP regularly for prescriptions. As the medication specialist, he hasn’t really given me many options so I’m confused what to do.
July 7, 2019 at 4:04 pm #121919
Could you maybe try a 5 or 10mg immediate release tab that you could take instead of repeating the 20mg dose, that might give you the support you need to finish your day without wrecking your sleep?
July 8, 2019 at 11:13 am #121948
Sounds to me like trying a different type of stimulant may make sense now. There are two types of stimulants: amphetamine (Adderall, Vyvanse, Evekeo…) and methylphenidate (Ritalin, Concerta, Quillivant…). Almost everyone does well on one type or the other, but not both.
ADDitude Community Moderator, Parenting ADHD Trainer & Author, Mom to teen w/ ADHD, LDs, and autism
July 11, 2019 at 10:01 am #122147
Since I was diagnosed with depression & ADHD st age 54, I have adapted my life to accepting that my brain needs a stimulant medication. What it difference it made when I took that first dose!
It was like I put glasses on after squinting to see better all my life
When my psychiatrist had me on the extended release form of Adderall, I really had a struggle when it wore off & I could tell that I was more apt to feel depressed, irritable and overwhelmed. To have the choice to take 10 mg of generic Adderall IR gave me another four hours to delay experiencing the challenges of living with ADHD
I prefer the immediate release stimulant because I can tell when it is most effective more easily but I have needed to train myself to always set my iPhone alarm for four hours right after swallowing it. I keep proof that it’s a current prescription for me in the mediset kept in the zippered inside pocket of my purse (just in case I need to show it to the police).
It’s almost 7am & it’s time for me to brush my teeth, take my meds right afterwards and then set my alarm for four hours instead of “talking” with you using my thumb on this tiny typewriter in my hand
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