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Re: Ritalin And/Or Concerta - Which Works For You? » Brainbeard

Posted by pedr on April 27, 2011, at 13:35:19

In reply to Ritalin And/Or Concerta - Which Works For You?, posted by Brainbeard on April 23, 2011, at 6:18:43

Hi BrainBeard,
great post - very illuminating. I'd been looking for such graphs since I have been experiencing very pronounced highs and lows on generic Methylphenidate (i.e. immediate release) which I started taking recently for daytime somnolence from 90mg Nardil. I had previously very happily been taking Provigil but it's effect lessened and ceased, sadly.

My experience exactly fits that of the graph. I feel activated, less down and optimistic about MPH from T+30 through T+120 minutes (T is Time taken). However, from T+120 onwards I start to feel anxious, I get tremors, I feel under threat and sometimes I feel pretty depressed too. If I take another dose at this point, this rapidly changes back to optimism and activation.

Seemingly so far, the higher the dose, the more intense these feelings are. 10mg can provide a gentle alertness rather than mood-altering functions. T+120 onwards at that dose often is not that noticeable - no horrible dip into anxiety and negativity. However on other days it provides no alertness at all and I fall asleep at work as usual. Other days it gives me pretty bad Acid Reflux. I think this is to do with how empty my stomach is when I take it.

I'm seeking some kind of stability (aren't we all) and am thinking 120 minute duration up's and down's aren't it. So the ER version seems the next logical step. However I can't get hold of generic MPH ER/LA/CD due to this crazy shortage the US is experiencing. Every pharmacy I've tried has it on back order and do not know when it will next be available!

Cheers,
Pete


Treatment Resistant depression, anxiety, OCD: 13 years
IBS-C & GERD: 8 years
Current meds: 90mg Nardil, 300mg Zantac, 20mg Prilosec


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