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Concerta (methylphenidate) Time released Ritalin - 10 hour long acting tablet. |
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#1
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Concerta;every day or some days for not to develop tolerance?
I went a new doc today. He prescribed me concerta 54 mg and fluvoxamine 100 mg. I told doctor that i've already developed tolerance to methylphenidate. He recommended me to take concerta every day even if doesn't work. I said doc that i wasn't taking concerta every day for not to develop tolerance at my previous use. He said me you're wrong, you should take it every day.
My previous doc had told me to take it only when i need, not every day. To my knowledge if it's took every day it increases dopamine levels, so dopamine receptors decrease in the brain. What's your idea? Should i take every day or only when i need? (Unfortunately in Turkey methylphenidate is the only licensed stimulant med. So I have no other chance. ![]()
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Born in 1989. Treated for major depression and anxiety since 21 yo. Tried almost all of SSRI's (none of them worked) Predominantly inattentive adhd, diagnosed in 2018. Started with ritalin (worked only for two weeks) Also tried wellbutrin and strattera Now: ritalin and medikinet For about three years local corticosteroid pomades for atopic dermatitis. |
#2
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Re: Concerta;every day or some days for not to develop tolerance?
Take it as prescribed.
Cheers, Ian
__________________
@>~,~~'~ Voici mon secret. Il est très simple: on ne voit bien qu'avec le cœur. L'essentiel est invisible pour les yeux.❤ “Well, look who I ran into,” crowed Coincidence. “Please,” flirted Fate, “this was meant to be.” ❦ |
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Little Missy (06-08-19) |
#3
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Re: Concerta;every day or some days for not to develop tolerance?
I don't know about Concerta, but my daughters on Adderal XR and her child psychiatrist told her to only take it on days that will be challenging, and to take days off, even the entire summer off if she can (she's a student). I am not sure if concerta needs to build up or not though, which Adderal does not, which might mean a different approach.
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#4
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Re: Concerta;every day or some days for not to develop tolerance?
I think if its prescribed as daily then it should be taken that way.
__________________
President of the No F's given society. I carried a watermelon? |
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stef (06-14-19) |
#5
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Re: Concerta;every day or some days for not to develop tolerance?
According to a reddit page I saw, Russell Barkley has mentioned that the practice of taking drug vacations is obselete.
I'm uncertain. Why most of stimunlant users take a break (drug holiday) ? Is drug holiday required to prevent dependence or to prevent tolerance ?
__________________
Born in 1989. Treated for major depression and anxiety since 21 yo. Tried almost all of SSRI's (none of them worked) Predominantly inattentive adhd, diagnosed in 2018. Started with ritalin (worked only for two weeks) Also tried wellbutrin and strattera Now: ritalin and medikinet For about three years local corticosteroid pomades for atopic dermatitis. Last edited by namazu; 06-15-19 at 04:03 PM.. Reason: removed link to reddit -- please see ADDF guidelines on links to other forums/communities |
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stef (06-14-19) |
#6
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Re: Concerta;every day or some days for not to develop tolerance?
Quote:
Dependence is normal and to be expected. Cheers, Ian
__________________
@>~,~~'~ Voici mon secret. Il est très simple: on ne voit bien qu'avec le cœur. L'essentiel est invisible pour les yeux.❤ “Well, look who I ran into,” crowed Coincidence. “Please,” flirted Fate, “this was meant to be.” ❦ |
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Little Missy (06-14-19), stef (06-14-19) |
#7
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Re: Concerta;every day or some days for not to develop tolerance?
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President of the No F's given society. I carried a watermelon? |
#8
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Re: Concerta;every day or some days for not to develop tolerance?
According to my daughters child psychiatrist, she said some docs do not believe holidays should be taken with Adderal, but others do and she does. She said the reason she believes so is in her experience her patients typically need higher and higher doses over the years. To slow this tolerance down, she finds taking days off has this benefit.
I certainly believe those on this site who have reported taking the same dose, with no decrease in benefits, for years. But I have also ready plenty of reports on this site where the effectiveness has decreased and higher and higher doses are needed, sometimes reaching such a high dose that a switch in meds is needed as they can't go any higher. So it seems people react differently & I see no good way to tell how you will react. So if it were me, I would take days off if it didn't negatively impact me too much. But if I needed it every day, then I would take it every day, and deal with tolerance when/if it comes. |
#9
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Re: Concerta;every day or some days for not to develop tolerance?
In fact, I absolutely need stimulant every day. Because i'm an academician and i have to study every day. You can guess how hard for me w/o drug. But i had developed tolerance in 1-2 weeks even though not taking every day, in my previous usage. So i'm afraid of tolerance. Nonetheless, i'll take it every day who knows it may work.
Also i think methyph. and amph. are unlike about tolerance. It seems much less amph. users develop tolerance than methp. users. I read too much tolerance problems for mph. but rare for amph.
__________________
Born in 1989. Treated for major depression and anxiety since 21 yo. Tried almost all of SSRI's (none of them worked) Predominantly inattentive adhd, diagnosed in 2018. Started with ritalin (worked only for two weeks) Also tried wellbutrin and strattera Now: ritalin and medikinet For about three years local corticosteroid pomades for atopic dermatitis. |
#10
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Re: Concerta;every day or some days for not to develop tolerance?
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1-2 weeks) or if you were just feeling your body adjust to the med so you didn't notice it as much. There is often a brief "honeymoon" or euphoria time before you adjust to the meds and I do wonder if that's what you actually felt.
__________________
ADD is not a problem of knowing what to do; it is a problem of doing what you know. -RUSSELL A. BARKLEY, PH.D. As far as I know, there is nothing positive about ADHD that people can't have w out ADHD. ~ ADD me |
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aeon (06-15-19) |
#11
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Re: Concerta;every day or some days for not to develop tolerance?
I've taken 54 mg concerta for four days. It's effect decreased day by day. Even though I intended to go on to use. But i've found an article (https://www.ncbi.nlm.nih.gov/pmc/art...ne.0033693.pdf). In brief according to it methylphenidate caused a significant loss of dopamine neurons in mice in long term. I know mice and human are very similar generally but also may be different. But i'm in doubt and so took a break.
What do you think about this article?
__________________
Born in 1989. Treated for major depression and anxiety since 21 yo. Tried almost all of SSRI's (none of them worked) Predominantly inattentive adhd, diagnosed in 2018. Started with ritalin (worked only for two weeks) Also tried wellbutrin and strattera Now: ritalin and medikinet For about three years local corticosteroid pomades for atopic dermatitis. |
#12
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Re: Concerta;every day or some days for not to develop tolerance?
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you to see what kind of changes they have seen. It's possible the Concerta is still working and you're not aware because you're just getting used to the way it feels. As to whether long term use of stimulants cause a loss of dopamine neurons, it's possible. There are probably other unknown changes. Some research shows that when used in early childhood (elementary age) these meds can increase growth in parts of the brain that have delayed development. As with anything, we can only look at the benefits and the risks and make our own decisions.
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ADD is not a problem of knowing what to do; it is a problem of doing what you know. -RUSSELL A. BARKLEY, PH.D. As far as I know, there is nothing positive about ADHD that people can't have w out ADHD. ~ ADD me |
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aeon (06-28-19), PI-ADHD 29 (06-29-19) |
#13
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Re: Concerta;every day or some days for not to develop tolerance?
This reads as a continual problem for a year with you. Perhaps actually take it as prescribed for a year and then give a self report.
__________________
The only true currency in this bankrupt world is what you share with someone else when you are uncool ~ Lester Bangs And in the end, the love you take; is equal to the love you make...Beatles Abbey Road 1969 |
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PI-ADHD 29 (06-29-19) |
#14
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Re: Concerta;every day or some days for not to develop tolerance?
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__________________
Born in 1989. Treated for major depression and anxiety since 21 yo. Tried almost all of SSRI's (none of them worked) Predominantly inattentive adhd, diagnosed in 2018. Started with ritalin (worked only for two weeks) Also tried wellbutrin and strattera Now: ritalin and medikinet For about three years local corticosteroid pomades for atopic dermatitis. Last edited by namazu; 06-29-19 at 01:14 PM.. Reason: Replaced link to commercial website/blog without link-backs with a print-friendly version of page. |
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Lunacie (06-30-19) |
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