It appears you have not yet Signed Up with our community. To Sign Up for free, please click here....



ADD / ADHD Message Board


ADD / ADHD Board Index
Board Index > ADD / ADHD | 0-9 A B C D E F G H I J K L M N O P Q R S T U V W X Y Z


I was recently, few days ago, diagnosed add (possibly seeking 2nd opinion) and am on 18mg Concerta 1-4 pills each morning and focalin XR 10 mg 1-2 each morning.

How do I know if the medicine is working? I talked to a friend of mine whose son is ADHD and she was concerned that I was taking both meds at the same time. I left a messge for the doc to call me back about it, but I'm pretty sure he did tell me to take both. Anyhow, my friend said that if the medicine makes me hyper and full of energy then I don't have ADD and that the meds are doing nothing but making me high. I don't really feel that, but I don't feel "mellow" either.

How long does it take for these meds to work, I thought it was almost instantaneous. Also, I have a follow-up appt in 2 weeks to discuss the meds. We discussed several at my first visit and the psychiatrist decided these 2 would be good starting points. Will I know if I need to ask to change the doseage or type of medication?I just want to be prepared as possible.

Thanks in advance.
So your dose can vary between 28 and 92mg of Methylphenidate every morning? Wow.

Talk to your doctor again, and you may need a second opinion. 72mg (4 18mg tablets) is the maximum recommended dose for Concerta for treatment of ADHD. For Focalin, the recommended dosage for adults is 20-40mg daily. I'm afraid your doctor is pushing the limits awfully quickly without taking the time to evaluate your response to the meds and/or doses.

You may, on the advice of your doctor, decide to mix these meds, but because the active ingredient is the same for both Concerta and Focalin (methylphenidate) I would not recommend taking both at the same time, especially when you're taking the maximum recommended dose of one of those meds.

Generally, with ADHD meds, you start low and work your way up, 3 days to a week at each dose to evaluate how it's working for you before you consider stepping up. I would recommend starting with the Concerta at 1 tablet in the morning to see how things go, and give it a few days before stepping up to two tablets. Rinse and repeat . . . until you get the effect you're looking for. If you've reached the maximum dose of the Concerta and find that it's not working for you, discontinue taking the Concerta, and repeat the same process with the Focalin, but do not exceed the prescribed dose.

If you go through both of these meds to the maximum prescribed level and are still not happy with the results, then I would report these results to the doctor who may then choose to adjust your dose again, or consider a different medication.

To answer your original question, with stimulant medications for ADHD (both Concerta and Focalin are stimulants), you should see results on the first day, and they should happen quickly, certainly within the first 2-3 hours. Unfortunately, I'm not sure what you should expect to gain from ADHD meds, considering your symptoms, though you may find you're more alert and able to concentrate better on a single task, rather than moving on to other tasks before completion of the first.

I'm going to put up a response to your original thread once I post this, I apologize that I haven't already, I didn't notice it until today.
Thanks for the insight to this. All I know is that I don't really feel anxious any more; however, my house has never been cleaner, my kitchen floors shine and I am caught up on laundry.......as you can see, the meds are making me very hyper, but the anxiety is going away (I think). I guess I will just have to wait until my followup visit and go from there.

If I remember, I'll try to post the update. I do appreciate your reply to this and the other post.
[QUOTE=magpie1970;4053127]... All I know is that I don't really feel anxious any more; however, my house has never been cleaner, my kitchen floors shine and I am caught up on laundry.......as you can see, the meds are making me very hyper, but the anxiety is going away (I think). I guess I will just have to wait until my followup visit and go from there.[/QUOTE]

Hi there, superwoman.

It is so sad, it is criminal.

BTW, I posted to your other thread before reading this one.
My daughter has ADD. She took her meds and her grades at school improved. Her sleeping problems also improved. There was no difference in how she felt or acted. When she became pregnant she was taken off her meds. Her comment was, she felt sloppy without her Adderall. Her grades started falling and she barely graduated. I guess when you notice changes you will know your meds are working.
I finally called and got ahold of the doc today regarding the amount of meds I was taking. When I told the nurse that I was taking both as prescribed, she almost had a coronary. She told that I was NOT to be taking both at the same time and that it was an either/or. I told her that at no time was that explained to me, or if it was, obviously I didn't retain it AND it was not written on any of the paperwork that he gave me.

She spoke to the doc and told me that I needed to use each for about a week then see which worked better or if neither did then they would go a different route. I told her that I would not have enough of either med to make a week, so they upped my appt from the 20th to the 12th. I'm going to take the focalin this weekend and then the concerta mon-wed.

I also never really asked what the meds would do since I was astounded at the diagnosis. From what I understand, please correct me if I'm wrong, if I truly have ADD then the stimulant medicine will not make me into a housecleaning spaz, but slow me down and make me more focused. Is this right?
[QUOTE=magpie1970;4053737]
I also never really asked what the meds would do since I was astounded at the diagnosis. From what I understand, please correct me if I'm wrong, if I truly have ADD then the stimulant medicine will not make me into a housecleaning spaz, but slow me down and make me more focused. Is this right?[/QUOTE]

magpie,

I can't recall another instance where I felt so strongly that a unsuspecting person was put on the fast track to drug addiction by a bozo shrink.

Thank God you got the medication issue straightened out.

Your shrink is not a physician. I haven't heard of anyone being given two meds to test one against the other. It takes time for our brains to adjust to any one med. Even if one does work better than the other you wouldn't be able to tell.

To your question: Response to a stimulant med is an unreliable ADHD diagnosis. Some are sedated by stimulants and others are spazed out whether ADHD or not.

I opted for an ADHD evaluation that is composed of two days of diagnostic testing even though I display nearly every symptom listed by the DSM-IV.

The DSM-IV is the latest list of psychiatric disorder definitions. Just like the flu has an observable cluster of symptoms, so do mental problems. The ADHD evaluation is designed to help rule out other possible causes of attention problems (there are zillions) and narrow the probable cause down to the ADHD subtype. Medication solutions, if any, can then be targeted.

Your history is the one test that most likely will show up ADHD. At the very least, your bozo fool (I can't refer to him as a doctor) should have gotten your history. How were you in grade school, high school, etc? How long have you had attention problems? How have they interfered with your life in the past?

Dump the head shrinker and get a psychiatrist.

Bob
[QUOTE=addprogrammer;4053797]To your question: Response to a stimulant med is an unreliable ADHD diagnosis. Some are sedated by stimulants and others are spazed out whether ADHD or not.
Bob[/QUOTE]

magpie,

As Bob mentioned, reaction to ADD meds are different.

My daughter has ADD and the medication just makes her feel more focused, not hyper or spazzed out. She is able to sit still and pay attention. Her grades are better when using ADD medications. When she does not use her ADD meds she either can't get all of the school work done or fogets to turn it in.

In my case the ADD meds make me tired. Yes, for some stimulants cause drowiness. Yet, I don't sleep very long and I am more clear headed when awake.

I have only been taking ADD meds for a few months but I have been told for the past six years (2 psychiatrist, 1 psychotherapist) that I have ADD. I have never been very accepting of this diagnosis even though ADD can be hierditary.

My daughter certainly didn't get ADD from her father and she reminds me of me when I was in school.

Because I am not in school any longer what I notice is different - when cleaning I am able to stick to one area at a time. In the past I would do a little bit in each room never really getting any one room completely done before moving on. My checkbook was a mess and getting worse, now it is always up to date ( just a couple of examples).

I know of some who do not have ADD but use the meds for fatigue. The most common thing I hear from those people is how their energy level has increased.
I'm going to be checking into a different doc for my panic attacks and anxiety issues. The psychiatrist did ask about how I was in school and I told him that I didn't fidget, talk a lot, was able to stay on task (except when their was a project that I would put off, but what high schooler didn't do that on occasion). Also, I have no problems cleaning, managing my life from a certain perspective, I'm just a nervous person; however, as I told him, that was from being brought up in a household with a father who had undiagnosed severe PTSD from Vietnam and being a mean drunk. I guess since I have the 3 little ones at home, a husband getting ready to deploy overseas, go to school and take care of the house and generally have way too much on my plate to get it all done at one sitting, that's where the ADD comes in.

I'm now feeling kinda leary about seeing another doctor about this because I feel kinda stupid for just listening to him and not saying anything or asking questions. I get intimidated by doctors because they are, well, doctors and should know what they are talking about.

I'll do a little more research about the DSM symptom thing and go from there I guess. I think I am also going to take my husband with me to the appt next week for some moral support.

Thanks again, I appreciate it...now it's off to do some landry, feed the kids, wash the dishes, make the bed---not all in that order :dizzy:
magpie,

Have you ever considered you might have PTSD?

Agoriaphobia, alcoholic parent, anxiety, stress, childhood trauma (such as dealing with an alcoholic parent) might point to PTSD. I am assuming since your father had PTSD you know something about it?

I think it's a good idea you are getting a second opinion. Be very open about your childhood and your life now. The ADD meds might be the wrong choice for you at this time but I'm not a professional.
Magpie,

Re: Snoopy's post PTSD.

I have a friend with PTSD also from his Vietnam experieces. His symptoms are nearly identical to mine. Negative childhood experiences caused PTSD is frequently misdiagnosed as ADHD.

Let's add environmental factors and life changes to the list of possible causes behind attention deficit problems:

I was doing well with ADHD medication and life management up until about 7 months ago. My father became seriously ill and I noticed my ADHD symptoms getting worse. Yet at the time, I could not clearly see the connection to the stress, worry and daily hospital visits.

I ran to my shrink and got me a 10mg Adderall increase. It was not long after shrink's visit that my aunt's health headed south too. I'm close with my aunt, who lives 150 miles away, and felt compelled to help out. My ADHD symptoms went out of control. I called shrink's office, got an appointment, and took my wife as backup. "Give me more speed. The 10 mg isn't cutting it." I told him. Wife verifies. Shrink hands me a prescription for Celexa. "Speed" is not spelled c,e,l,e,x,a, I told him. We went a few rounds. I lost. Shrink tells me to go back to see my psychologist who he knows well. I like Larry (the psychologist) too. I dislike his 90 bucks an hour fee.

In the thick of it, I could not see the overwhelmingly obvious cause for my mental health setback.

A good psychiatrist is needed by everyone with mental health problems. I'm not qualified to make psychiatric medical decisions as evidenced above. Mismanagement, in my case, of unexpected life events amplified my ADHD symptoms. My pdoc recommended an ADHD manangement teacher - my psychologist.

I'm back on course. Good direction from my pdoc is why.


Bob
"shrink tells you to see psychiatrist" -- aren't they the same thing?

pdoc -- is that the primary care doctor or psychiatrist

Sorry for the dumb questions. The more I'm reading about things, I think that I may have some PTSD issues, but not sure. I go to see the psychiatrist Wednesday and go from there. Since I changed to the correct dose of meds, I am able to concentrate more and get things done. However, I still think that I am just an overworked mom of 3 little kids, with too much on her plate.

My dad retired early and finally got in to the VA and was in the inpatient treatment program for PTSD, has stopped drinking for the most part and is a changed person. For him, it's a drug combo that works for him and he's a nice guy who can finally put some of his demons in his past.

I'm going to give the meds a shot, but I'm going to find out if I need to take them every day or just when my mind starts to fill up and I can't concentrate.

Thanks again for the advice and keep it coming, I need all the help I can get ha ha ha
[QUOTE=magpie1970;4055636]"shrink tells you to see psychiatrist" -- aren't they the same thing?

pdoc -- is that the primary care doctor or psychiatrist

[/QUOTE]

pdoc = [B]p[/B]sychiatric [B]d[/B]octor. I apologize for assuming everyone knows the politically correct term for shrink. Someone said "shrink" is derogatory. Could have fooled me.

I wrote [COLOR="DarkSlateBlue"]"Shrink tells me to go back to see my [B][I]psychologist[/I][/B]" [/COLOR] "Psychiatrist" does look like "psychologist." What's the diff?

I think of psychologists as therapists who focus on the mind side of the brain-mind connection. My psychologist attempts to show me how to work with my ADHD mangled brain. A physical therapist would teach how to work with an accident mangled leg. Like physical therapists, psychologists cannot prescribe medications.

Psychiatrists are medical doctors who center their attention mostly on the brain side of the brain-mind connection. Psychiatrists, like all other MD's, can prescribe medications.

I don't doubt that you are experiencing ADHD-like symptoms. Who knows, perhaps after all is said and done, you get a positive ADHD diagnosis.

Still ...

I've never heard another case like yours where a psychiatrist freely hands out TWO Schedule II meds on a history that turned up ADHD negative.

Be careful with those meds. They are not strictly controlled for no good reason.

Bob
I guess it did say "psychologist" and not "psychiatrist" didn't it? :eek: I was doing a lot of reading for school yesterday and the words were starting to blur on the page for me.





All times are GMT -7. The time now is 02:59 PM.





© 2021 MH Sub I, LLC dba Internet Brands. All rights reserved.
Do not copy or redistribute in any form!