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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 4 of 4. This is the beginning of the thread.
Posted by BrittPark on January 11, 2003, at 15:22:26
I'm currently taking generic methylphenidate 10mg t.i.d as an augmentation to my antidepressants (yes I'm on two). I'm not ADD, but I actually find that methylphenidate is actually calming as well as mood elevating. However the t.i.d. schedule is a bit roller-coastery. My psychiatrist and I are considering one of the controlled release formulations of methylphenidate (Concerta, Ritalin SR, Metadate ER, Metadate CD).
Does anyone have experience with these drugs? In particular I'd like to find out how long lasting these different drugs really are. I'm, in general, a hyper-metabolizer (I usually need larger than average doses of most psychopharmaceuticals), and would prefer trying the longest acting drug. Any experiences with other long-lasting stimulants would also be greatly appreciated.
Thanks,
Britt
Posted by Noa on January 11, 2003, at 16:01:09
In reply to Experiences with long acting stimulants., posted by BrittPark on January 11, 2003, at 15:22:26
My story:
I also take stim as augmentor to ADs, also for low energy from depression, and some add-like symptoms of depression.
Started on generic methylphenidate two and a half doses a day ( I think of 5 mg--can't remember!). It helped, but lots of rebound, like you are experiencing.
Then, switched to ritalin sr--slightly better--effect lasted about 3.5 hours instead of 2.5 but still lots of rebound--spacy, anxious when due for next dose, and let down at end of day.
Then, on to adderall 2.5 x 10 mg. This was much better--I noticed right away that I felt calmer and more focused than before, and it lasted longer than the ritalin sr (4-5 hours), so less rebound. Bt still some rebound--around mid-day before I dosed, I felt kind of spacy and anxious. I stayed on this for about 1.5 years, with one increase in dose to 3x10 mg/day.
Switched to (and currently still taking) the adderall xr when it came out--30 mg in the morning. Same good effects, but much smoother action--no mid-day rebound, and don't feel the let-down at end of the day. Also, of course, more convenient.
Posted by Ritch on January 11, 2003, at 20:49:45
In reply to Experiences with long acting stimulants., posted by BrittPark on January 11, 2003, at 15:22:26
> I'm currently taking generic methylphenidate 10mg t.i.d as an augmentation to my antidepressants (yes I'm on two). I'm not ADD, but I actually find that methylphenidate is actually calming as well as mood elevating. However the t.i.d. schedule is a bit roller-coastery. My psychiatrist and I are considering one of the controlled release formulations of methylphenidate (Concerta, Ritalin SR, Metadate ER, Metadate CD).
>
> Does anyone have experience with these drugs? In particular I'd like to find out how long lasting these different drugs really are. I'm, in general, a hyper-metabolizer (I usually need larger than average doses of most psychopharmaceuticals), and would prefer trying the longest acting drug. Any experiences with other long-lasting stimulants would also be greatly appreciated.
>
> Thanks,
>
> BrittBritt, I tried Ritalin-LA that comes in 20/30/40 mg strengths. It is divided into two immediate release activities. I was given the 20mg capsules. 10mg would be released straight away and then four hours later an additional 10mg would be released straight away. It still wasn't a real once a day med however. It was probably designed for kids who take it once in the morning the minute before they hop on the bus to go to school, and don't have any major troubles after they get home (needing a stim at that time). If methylphenidate is the stim that works the best for you, I would try Concerta.----Mitch
Posted by Phil on January 11, 2003, at 23:30:23
In reply to Re: Experiences with long acting stimulants. » BrittPark, posted by Ritch on January 11, 2003, at 20:49:45
I'm a fast metabolizer. I used to average 40-50mg of Ritalin a day, The generics suck BTW.
I switched to Adderall XR and at 90mg, I like it the best overall.
This is the end of the thread.
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