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Old 01-21-2004, 09:47 AM   #1
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54mgs Concerta=how much Adderall??

I've been experiencing a lot of benefits from the Concerta, but am still unhappy with the inconsistency-- Taking 36 in morning and another 18 in afternoon, to try to alleviate the ups and downs and while more days are good than bad, there are still some days where it just feels like a roller coaster ride! I'm reluctanct to switch to something else because I don't want to lose the benefits I AM experiencing, and I've heard it may take awhile for other meds like Adderall to take effect. (My doctor has indicated that Adderall would be the next step.) Would like to hear from anyone who has made the switch from Concerta to Adderall- Did it seem to last longer for you, or did the effect seem more stabilized or even? What about the Adderall XR--anyone with any experience there? How much Adderall effectively replaced the Concerta for you? I know everyone is different and just because something works for someone doesn't mean it will apply to me. But I'd like to hear some success stories in case we do decide to go that route. Thanks in advance!!

Last edited by Jeffie010603; 01-21-2004 at 09:50 AM.

 
Old 01-21-2004, 09:55 AM   #2
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Re: 54mgs Concerta = how much Adderall??

Please study up on ADHD and the medications used. I don't know where you heard that it takes a while for adderall to work. Adderall is a stimulant, it works almost immediatly. Adderall aka amphetamine salt combo is stronger than methylphenidate (ritalin, concerta) so the highest daily dose recomended is 40mg.

I was medicated when I was young and I suggest that if you have not already done so you give the safer more natural treatments a try before moving from rx to rx. There are tons of options, biofeedback, nutritional interventions, and many more. Please try them if you havent already done so.

As for comparing adderall and concerta. For most people concerta lasts 8-12 hours. For some people regular adderall lasts about 7 hours, XR lasts 4-9 hours. For me regular adderall lasted about 3/4 hours.

Please try other options (if you havent already) before continuing with all of these RX.
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Old 01-22-2004, 08:56 AM   #3
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Re: 54mgs Concerta = how much Adderall??

Thank you for the thoughtful reply.

 
Old 01-26-2004, 08:29 AM   #4
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Re: 54mgs Concerta = how much Adderall??

Hi, I've recently been prescribed 54 mg of concerta for inattentive ADD. I've been taking it for the last four days and find that the ups and downs are very difficult to endure during the day at times when i need to be attentive. The medication has been encredibly beneficial when it doesn't seem to put my head in a vice (up and downs? anyone experience a similar affect?)

Jeffie, has the split dosage been noticably effective for you in controling the ups and downs?

Before I started taking the meds I could maintain a constant level of inattention and have never been too disruptive before. Recently I find myself cringeing and cranking my neck and gritting my teeth at inopportune times during the late afternoon. I understand this from some quick research as "rebounding."


I'm a full time student, with a fairly sturdy course load, and my day last longer than the 8 hrs the med seems to be effective for. I find myself "traveling to far and distant lands" at times when I should be actively participating in classes.

Have you found other effective ways to deal with the ups and downs toward the end of the day?

I start downing strong coffee but it seems to give me the shakes now, (never did before) and is only marginally effective.
Thanks for your help
doonsbury

 
Old 01-26-2004, 09:37 AM   #5
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Re: 54mgs Concerta = how much Adderall??

Most doctors advise against drinking coffee or a lot of caffeine while you're on this med. You might be better off avoiding the coffee and just letting your body adjust to the med.
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Old 01-26-2004, 12:13 PM   #6
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Re: 54mgs Concerta = how much Adderall??

Yes, Doonsbury, I have found that taking 36mg in the morning and then another 18mgs in the PM IS helpful, for me at least. I'm still wondering if Adderall wouldn't be more effective, but have decided to stick with this regimen for a while longer before switching. Since I've been unsuccessful in finding any comparisons--other than what Free Spirit offered--of the two, as far as milligram per milligram of each, I don't want to risk losing what benefit I am deriving from the Concerta now. But the split dosing does seem to carry me through most days without the sudden and drastic "down" that one dose in the morning did. I also wish I could afford some ADD coaching, because while the meds ARE helping, I'm still overwhelmed with the mess I made before I got on them--where to start? That's the question that I get stuck on, with regard to the mess my life is.

 
Old 01-26-2004, 04:38 PM   #7
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Re: 54mgs Concerta = how much Adderall??

The problem is, Jeffie, that because Concerta and Adderall are different drugs there just isn't any way to compare them mg to mg.

Ritalin, Ritalin LA, Concerta, Metadate plus the generic forms are all methylphenidate so tables exist for how to convert from one to the other.

But Adderall, as freespirit pointed out, is composed of mixed salts of amphetamines. Individual responses vary. If you switched, your doctor would probably want to start you on a fairly low dose and ramp it up as needed. I'll also second what freespirit said with regards to Adderall (like Concerta) being a stimulant medication and will, therefore, work immediately. It's not like Straterra where a blood level has to be built up.

I personally don't have any experience with Adderall, but what I've read makes me think others tend to have an even harder time when it wears off than what we experience with Concerta. My son's psychiatrist says that, in her experience, there is less rebound with Metadate than anything else, but again, I can't speak from experience.

Have you considered counseling along with the medication? Perhaps you could get some useful tips to help you not feel so overwhelmed. The counselor I see now has helped me tremendously!

 
Old 01-26-2004, 05:18 PM   #8
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Re: 54mgs Concerta = how much Adderall??

Although as I said earlier, I reccomend trying safer more natural treatments, I will tell you that as far as rebound goes for many people ritalin/concerta are the worst. For many people adderall has very little rebound or none at all.
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Old 01-27-2004, 05:04 AM   #9
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Re: 54mgs Concerta = how much Adderall??

Quote:
Originally Posted by * Free ~ Spirit *
For many people adderall has very little rebound or none at all.
Hmmm... that's interesting...

The complaint that I hear commonly with Adderall is exteme emotions and sensitivity as it wears off. I hear alot of parents complaining that their kids who take it are crying or having "meltdowns" late in the day. I've been a bit leary of it for that reason.

With the methylphenidate products, I hear more about rebound hyperactivity, inattention and anxiety than the moodiness.

Hmmmm....

 
Old 01-27-2004, 09:41 AM   #10
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Re: 54mgs Concerta = how much Adderall??

Doctors tend to prescribe adderall doses that are too high for children. When a child is on a dose thats too high adderall certainly does cause some emotional problems. But for many people its the med of choice because it has no rebound effects. It's very interesting that so many people youve talked to have had trouble with adderall rebound. What doses were they on? Do you know?
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Old 02-06-2004, 10:32 PM   #11
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Re: 54mgs Concerta=how much Adderall??

Actually I was discussing this with a doctor not too long ago. According to him Mg/Mg Adderall is essentially twice as potent as regular Ritalin.

when comparing Concerta and and Adderall XL, the mechanism and rate of release of each would have to be considered as well.

 
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