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Which Is Better ?? SERIOUS HELP NEEDED!!!

Posted by aazospiro on December 9, 2004, at 17:55:43

Metadate ER, Focalin or the Amphetamine Salts Like Adderall XR.

I currently use Metadate ER 20 mg twice a day and 20 mg immediate release in the early evening if necessary. Methylphenidate has made such a positive impact on my life that I can hardly find the words to explain.

However, it seems to induce or unmask a latent mild depression and also it has become somewhat shorter acting. I used to be on 10 mg ER twice a day and 10 mg at the 3rd daily dose if necessary. I do realise that 60 mg is the max daily dose, but also know that sometimes individuals use a slightly higher dose.

The troubling part is that I have had to use an antidepressant lately which I cant seem to tolerate and never could in the past either. The SSRI's do improve mood but at the expense of making my hyperactivity and irritability worse and me having to raise my MPH dose. The antidepressants in general seem to work like a stimulant would in a 'normal' non-ADHD person. My brain chemistry is just different. Its a paradox that really puzzles me to this day [6 months after I started taking MPH]. With MPH I can really focus the extra energy [psychic drive] that antidperessants provide in a productive and rational manner. It also shockingly reverses the severe insomnia induced by these agents. WEIRD!! I can actually fall asleep on methylphenidate when taken in the evening. Very VERY VERY strange effects.

I realise that I might have to use MPH for the rest of my natural life.

Having said all that, I am very concerned about tolerance and longterm effects and the troubling depressionogenic nature of this compound.

I live in the Caribbean and to the best of my knowledge Adderall XR is not yet available on my island. We only have MPH as Metadate, IR Methylphenidate, just recently Concerta XL which is horribly expensive, and the potentially lethal Pemoline.

From what I have read and the opinions [both personal and professional] the amphetamine salts [especially mixed]although more addictive [not even an issue in my case] seem to be better tolerated, slightly longer acting, smoother, and possess less rebound/ 'wearing-off' effects than any other of the agents in this therapeutic class. It also has a very long usage history. Also seems to be less anxiety provoking.

Can anyone provide their honest opinions on this?

Can Adderall XR and MPH be used together?

I would so very much appreciate your inputs.

Thank You in advance.


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poster:aazospiro thread:426876
URL: http://www.dr-bob.org/babble/20041206/msgs/426876.html