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Re: Provigil for ADHD (cf Concerta)

Posted by Bowtie Bob on August 28, 2005, at 14:43:19

In reply to Re: Provigil for ADHD (cf Concerta) » Bowtie Bob, posted by alohashirt on August 26, 2005, at 22:36:43

> > The big differences between the Concerta and Focalin XR are twofold: 1) Focalin/XR is the active isomer of the Ritalin/Concerta compound--the L-isomer is pretty much inactive, and 2) The release system of Focalin XR allows a 50% release upfront, whereas it takes 2-4 hours for the Concerta to hit. I am a working adult who begins the day early. As such, I cannot wait 2-4 hours for my med to kick in. Unfortunately, I need a short acting med mid-day to carry me through the day. I guess we have to look at the trade offs. By the way, I have not had any stomach upset with Focalin/XR like I did with d,l methylphenidate. Good luck!
> >
>
> I began Focalin XR three days ago and so far it is an improvement on Concerta. Subjectively it feels sharper. What do you take in teh afternoon? Do you also take Strattera?

I take a Focalin tablet--the short acting one--in the afternoon. No, I prefer not to take Strattera; the PI states that it goes thru the P-450 system in the liver...possible drug interactions. My preference is to go with that is tried and true first, then to something else if I have problems. Between the Focalin XR and Focalin, I am covered for about 14 hours--the whole work day, and part of the evening with my family. So far, after about 2 months I still do not have any trouble sleeping or eating. Everyone is different and reacts differently.


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poster:Bowtie Bob thread:544027
URL: http://www.dr-bob.org/babble/20050827/msgs/547655.html