Posted by fachad on July 21, 2002, at 19:19:34
In reply to Katekite/Fachad/Mitch, posted by rainbowlight on July 21, 2002, at 0:36:20
When I first started Ritalin, I felt a little too jittery and went from the 10 mg 3x day that was originally prescribed down to 5mg 3x day. After about a month I went back to the 10mg 3x day.
I was fine at that dose for years - but when Concerta came out, the 36mg tablet felt like much less than 30mg immediate release and I ended up on the 54mg tablet.
So I think you would be fine trying the 18mg tablet - it is so smooth that you will probably not even notice the jitteriness.
Regarding Ritalin SR, my pdoc wouldn't prescribe it. He thought it was absolute crap. He said it is a very "low tech" pill that is very unpredictable as to how it will dissolve.
About the morning vs. afternoon doses, I found the same thing. For me the Ritalin wear-off is a very sour, disphoric feeling. What I found was that the doses through the day were less effective at the same dose. So I skewed my doses in favor of the afternoon and early evening.
Instead of 10 mg 3x day, I would take 5mg in the AM, 10mg at noon, and 15mg at 4 PM. The total daily dose is the same, but the effects seemed more consistent. You could experiment along the same lines to see if you could get a more consistent effect.
One other thing: I think they have come out with a Ritalin patch. That might be the ultimate steady delivery system!
> Tried the spansules, yuck! I think I will stick with the Ritalin. Question - if I am taking 5 mgs. of Ritalin 2 x day and feel good, if I raise it to 10 mgs. 2 x day I get too jumpy. Is this a med you need to get used to and then go up on the dosage or should you stay with as low of a dose as possible? Pdoc said Concerta only came in 18 mgs.? She thinks it would be too much for me (too jittery/nervous) What about Ritalin SR? What is the difference between Ritalin SR and Concerta? I am finding with the morning dose I feel great, but the afternoon dose seems to bring on the physical symptoms (tired, achy, yucky). Do you guys have any dosing tricks I can try to even this out a bit? Thanks for answering my questions. You guys are the best!!!
>
> p.s. Fachad, you crack me up about taking the ****ing dosage every two hours all day long!!!! Ain't it the truth???!!!
poster:fachad
thread:113109
URL: http://www.dr-bob.org/babble/20020718/msgs/113194.html