Posted by Peter on September 6, 2003, at 5:27:44
In reply to Re: adderall dose after concerta wears off?, posted by utopizen on September 6, 2003, at 0:23:14
> You can ask your doc to adjust your concerta dose to a higher one, split the concerta up so you take most in the AM and then a bit in the noontime, or you can try immediate release ritalin or desoxyn for use in the early evening, which should last 'til bedtime.
> I'm curious about the first option - increasing the concerta dose. I thought that adderall was more likely to last longer when you increase it's dose, but that ritalin really lasts a fixed amount of time no matter what its dose it. Is this not correct? I thought that this would especially be the case with the very specific time-release nature of the advanced osmosis release in the Concerta - that it would last the same amount of time regardless of dose.
I'f I'm mistaken, and the concerta will last longer with a higher dose, that would be the easiest option for me, as I wouldn't have to get another script - my pdoc wants me to begin concerta at 18mg and then start taking 2 caps anyway (probably after a few days). So it would be great if that higher dose would in fact elongate the perceived effects.
> It's difficult, but you want to try to get the dose high enough and long enough not to drop off your mood, yet lowering enough near bedtime so that you can sleep and your sleep waves aren't too affected...
>
> as for adderall after 4 pm or so, I'd discourage that-- the affects adderall will give you on your mood and concentration will only last so long, but there's 75% of the stuff that mostly lasts all day, yet it tends to really just give side effects-- blood pressure increase, palpations, etc., even after your good effects aren't there.
> Wow! That's really interesting. When taking adderall IR tid, I'd always take my 3rd dose around 6 or 7 p.m, because by then I FELT like a zombie, and thus thought the 2nd dose wore off. But that must have just been the benefits (concentration+mood) wearing off, while the med was still in my system probably far into the night. I wouldn't know if it would have interfered with my sleep, since I take 2mg klonopin + 15mg temazepam at night (insomnia has always been a problem for me). But after hearing this, it sounds like the adderall probably has in one way or another negatively affected my sleep architecture, since I laways took the 3rd dose that late.
> In fact, I'm switching back from Adderall IR to Desoxyn 'cause I'm so sick of having to dose before like 6 just to go to sleep by midnight. Desoxyn is out in 3-4 hours, great stuff.
> I've heard only great things about desoxyn, but I really doubt my pdoc would prescribe it; I even doubt my pharmacy carries it!
> And you can always have an immediate release made into a time-release by a compounding pharmacy, you don't need to wait 8 years until some company feels like it. That's silly!
> didn't know that either.
> I wouldn't suggest a Concerta-like release on the Adderall XR-- you wouldn't want it that way, the side effects would persist too long.
thanks,
Peter
poster:Peter
thread:257457
URL: http://www.dr-bob.org/babble/20030902/msgs/257526.html