Posted by zeugma on September 24, 2004, at 20:33:52
In reply to Re: Adderall XR versus Concerta?, posted by utopizen on September 24, 2004, at 16:00:54
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> > I thought stimulants were the best for ADD? I took Wellbutrin before and it is a "dirty" drug chocked full of side effects such as mild nagging sore throat, headache, ears ringing, etc., and doesn't work well as a stimulant for me.
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> No, I meant to say that a stimulant is appropriate, but for economical reasons, I don't think it's appropriate for docs to prescribe EXTENDED-RELEASE stimulants unless the patient has some sort of schedule in which they're around others 24/7 to the point where they can't discretely access and take a second or third dose (e.g., school children).
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> Studies have shown that compliance with a med decreases if a three-times-a-day or greater dosing schedule has to be adopted. I take ritalin LA twice a day which is equivalent to taking the IR version four times daily. It would be difficult to maintain this schedule consistently if I needed to remember to swallow the four pills within the space of ten or so hours. Ritalin's effects wear off VERY fast for me and I find even the LA version frustratingly short-lived. The IR version would be absolutely impractical.As a side note, I find provigil to be a far more effective stimulant than Ritalin, but its side effects are much worse.
-z
poster:zeugma
thread:394238
URL: http://www.dr-bob.org/babble/20040921/msgs/394724.html