Is my medication not working ?

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This topic contains 7 replies, has 8 voices, and was last updated by  MScHealth 6 months, 3 weeks ago.

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  • #88257


    I was diagnosed with ADHD about 10 weeks ago and was prescribed 10 mg ritalin twice a day, at first I found the affects of the medication great i was finding my work easier i was more focused and engaged and being my best self and of course had the euphoria. However about 2 weeks ago the euphoria began to fade and one day it was like i had a glimpse of it for half an hour and then it disappeared and hasn’t come back. From the reading i’ve done online the fading of the euphoria is quite common and isn’t the ritalin no longer working. However since the disappearance of the euphoria I have experienced really bad headaches and have found that I must consume at least 750 ml of water per hour in order to keep these headaches at bay. I have further noticed that i’m not as productive as i used to be and when reading i have relapsed back to my old ways of reading without absorbing what i’ve just read having to re-read over and over to understand what’s going on?

    Not sure what these symptoms mean but i’m wondering should i be looking to change medication, increase dose or am are these new affects just due to the initial euphoria dissapearing?

  • #88272


    For any given stimulant, there are two distinct effects: the euphoria which is strongest in the first hour after the effects kick in, and then the wakefulness, focus, and concentration feeling that will last a few hours to many hours depending on the dosage and delivery method (i.e., extended release vs. instant release).

    The euphoria is not what helps, but can feel like it since having such feelings is so rare for ADHDers. This is why these medications have an abuse potential. It’s easy to start chasing the euphoric feeling rather than accepting the focused feeling that it leads into. And since tolerance to the euphoria feeling happens pretty quickly, many fall into the trap of taking more and more to try to get it back, thus running out of their supply long before the next script can be written.

    Some doctors will tell you that if you feel euphoria at all in the beginning, that your dose was too high. However, I think everyone feels it in the beginning no matter the dose. What is true though, is that it should go away fairly quickly.

    In the beginning, I almost fell into the trap. I thought of the euphoria as being the therapeutic effect. And kept complaining about my dose not being high enough.

    I found, once I accepted the follow up focus is the more therapeutic effect, that the euphoric feeling still comes once in a while when it’s a genuine reaction to something in real life (as opposed to just the drug causing it). Which is to say, the medication makes it easier to respond appropriately to life’s real pleasures with a euphoric feeling.

  • #88285


    The following articles offer some insights that will help you determine where to go from here:

    10 Medication Fallacies Even Doctors Believe

    Is Burn Rate Making Your ADHD Medications Less Effective?

    ADDitude Community Moderator, Parenting ADHD Trainer & Author, Mom to teen w/ ADHD, LDs, and autism

  • #88310


    In response to the headache issues, the only time in my life that I was on Ritalin was in elementary school. The medication made me so sick with massive headaches that I was in the nurse’s office begging to go home every day. I have been off medication for the last 20+ years since and managing my special brain via behavior only.

    Definitely discuss the headaches with your doctor. The fact that you’ve found water helps might be enough of a strategy to manage them if you find the Ritalin helpful, but a good doctor should be able to discuss that with you to make sure it isn’t something more serious and help you tweak treatment as needed.

  • #89184


    I am on Concerta and went through the euphoria and noticed it was hard to focus again too. I thought my dosage needed to be increased. I did have some headaches but the big thing was I could hear my heartbeat in my ears and my heart was beating fast. So, I went to the doctor the other day and my blood pressure is high. Turns out Concerta and other stimulants like Ritalin can make your blood pressure go up. She increased my blood pressure medicine and I am doing better now. You might want to check your blood pressure to make sure that isn’t what is happening.

  • #89204


    I started out on vyvanse, and had headaches if I got at all dehydrated also. I loved it as a med, but I think I just loved the feeling of focus and relative normalcy. I didn’t really have euphoria with it. I did get a tolerance for it quickly though, and finally decided it wasn’t for me, even with a low dose booster for the afternoon.
    I’m on adderall now, and I think it is superior for my body. I take an xr then an ir in the afternoon for breakthrough symptoms. Again, no euphoria, and no real noticeable side effects otherwise either.
    Ritalin works great for many people’s physiology, but it’s definitely not the only medication out there. The newer ones tend to have less side effects, but that’s not a rule.

  • #89293


    I was recently diagnosed with adult ADHD. My doctor prescribed Concerta, 36 mg. No change. He upped to 54 mg, no change. He Upped to 72 mg, still no change. I don’t feel focused, I just feel like eveyone goes too slow and they irritate me, but I swear I can’t get anything done. I can’t focus. I am fairly sure I need to get a different medication. What do you think?

    oh, and I never felt any kind of euphoria on Concerta, in none of the different dosages; don’t get me wrong, I’m not chasing that feeling, I just think it’s weird everyone feels a little euphoria at first, and I’ll I’ve felt is irritation

  • #89414


    I went through the same highs and lows with Adderall in Med School. I switched to a natural alternative and it keeps me balanced. Here is some good information on Probiotic Enzymes: A Natural Alternative to Methylphenidate & Amphetamine:

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