Posted by alohashirt on March 25, 2006, at 6:27:06
In reply to Re: Tolerance to Adderall or Ritalin?, posted by Johnny B. Linux on March 23, 2006, at 20:34:00
Tolerance seems to be a much bigger problem with amphetamines than methylphenidate. I have been on methylphenidate for two years, no tolerance. Important not
to confuse higer expectations with tolerance - For me a day
w/o my ADHD medication is more unfocused than I am
willing to put up with yet for years I put up with it.Focalin allegedly less of a problem than Ritalin because its a single isomer. I wonder if this means dexedrine would be less of a problem than Adderall?
> > I have been concerned about taking adderall or ritalin - mainly beause I worry about developing tolerances, needing more and more - then finding that standard doses don't work any more.
> >
> > Anyone who has been taking these meds for years like to comment? Can you take them for long periods of time (months, years) and not have to deal too much with tolerance issues? If so, what are "stable" doses that tend not to require more and more?
> >
> > I'm talking about these meds from an ADD standpoint and not depression. Thanks.
> >
> > Jon
>
>
> Hi Jon, good question. The stimulants used for ADD/ADHD are safe, effective and have a good track record. Now, tolerance to Ritalin or Adderall can't be entirely avoided. I've heard of patients and their doctors making use of a drug holiday, switching to a different stimuant or class of medications to deal with tolerance issues. There are pros and cons to becoming tolerant to any medication. The pro is that you may become tolerant to annoying side-effects, such as nervousness or high blood pressure. The con is that you may become tolerant to the therapeutic effects. If you do indeed become tolerant, you and your doctor can take measures to deal with it.
>
> You always have the stimulating antidepressant Wellbutrin or the non-stimulant Strattera if you want to curtail the issue of tolerance altogether.
poster:alohashirt
thread:623794
URL: http://www.dr-bob.org/babble/20060322/msgs/624423.html