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Mood shifts. Ritalin IR vs SR??

Posted by delna on July 7, 2010, at 10:40:05

Hi everyone,
I need some advice:

I have started noticing a pattern to my moods. Although I know I rapid cycle(etc), within the same day I notice a very predictable change that I think is linked to my medication dosing. I wake up in an okay state but every evening I get negative, irritable and my nerve pain starts and gets unbearable(which is definitely tardive pain syndrome) I feel this all has something to do with Ritalin. Ritalin also plays a role in the pain, apparently.
I take Ritalin 20mg at 7am (otherwise I cannot wake up ) and then 20mg at 12 noon. I need this amount to stay awake (plus 400mg modafanil too) because of my crippling fatigue.
I would assume that the Ritalin peaks and then falls again (because it has such a short half life)but I *feel* like it (or something) is building up during the day and by evening is making me agitated, negative and uncomfortable. Then I need clonazapam to make me feel better. It's become an obvious pattern
Is this possible that Ritalin is causing this? I am thinking of switching to SR but I am afraid since I need that immediate 'kick' to actually wake up and stay awake.

Any ideas?
Thanks
D

 

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poster:delna thread:953603
URL: http://www.dr-bob.org/babble/20100628/msgs/953603.html