Posted by alohashirt on August 20, 2006, at 21:01:46
In reply to Re: Can I take Concerta and Wellbutrin at once? » Phillipa, posted by jode on August 17, 2006, at 18:59:03
Many years ago I tried a friend's Concerta when on Wellbutring for ADHD. When my pdoc later prescribed Concerta I was no longer on Wellbutrin. Two points - timing and combinations:
1. I always took Concerta as soon as I awoke - one of the disadvantages of Concerta, that Focalin XR improves on is that Concerta has greater concentration of methylphenidate (the active ingredient) in the second burst. I work very long hours an dteh nine hour effect of Concerta was never enough. I would take Concerta at 7.00am then another Metadate CD, which is a five hour "medium term" methylphenidate at 2.00pm.
2. For a long time I combined Concerta with Dexedrine which was very helpful. I couldn' be on a full dose of Dexedrine because it induced hypertension in me.I have always found it hard to get a straight answer as to whether two ADHD meds would compete, be linearly additive or be complementary/synergistic. This field of psychiatry/psychopharmacology still seems very primitive and the accepted wisdom seems rarely to be evidience based or reliable. Maybe in 400 years there will be no need for a psycho-babble because we will all have the brain equivalent of a pacemaker that autotunes our wiring for us?
poster:alohashirt
thread:677358
URL: http://www.dr-bob.org/babble/20060818/msgs/678583.html