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Old 04-11-2012, 04:53 AM   #1
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austtm8 HB User
Adderall to Vyvanse to Concerta...help!

Hi, I need some input. I am a 21 year old college senior, and last year I went to see one of my school's psychiatrist because I was having trouble focusing on my school work. My attention problems were worsened because I was going through a rough time in my personal life, so I thought that maybe that was the only cause. We talked for a while and he told me that I might have ADD. He put me on 10 mg of Adderall, and once I began taking it my life improved tremendously.I was seriously excited to study, and my whole mood just improved (he also told me that I may have depression and anxiety issues). After taking the Adderall steadily for a few days, I noticed that the effects started to wear off, so I stopped taking them every day and only took them when I needed them. I made 120 adderall 10 mg last for about a year, and gradually their effectiveness was gone altogether. About a month ago, I went back to see the psychiatrist to talk about the pills not working any more, so he put me on 20 mg Vyvanse. For about the first week, the pills worked, but I didn't get the same mood lifting effects as with Adderall. My focus and attention was better, but I was still depressive and down and even sleepy. I went back to him last week and told him that on vyvanse I was also starting to have "negative" thoughts, just basic pessimistic thoughts, which kind of scared me because sometimes my thoughts got really intense and all I wanted to do was cry. So last week, he switched me to 27 mg of Concerta. I've been taking it every day for the past week, and I notice the effects (increased attention), but still the mood effects are not the same as when I was on Adderall. I'm still really sleepy and I'm not as happy as when I was on Adderall, but with the Vyvanse and the Concerta I do like that the "come down" is smoother and I have less irritation while the medicine wears off. My question is, should I go back to the psychiatrist and just ask him for more Adderall, but maybe at a higher dosage since 10 mg stopped working? Or does Concerta take a while to start working at its peak, because I don't think I should be feeling so sleepy and worn out. Any personal experiences with this and/or would be so helpful, I'm tired of changing medications!

 
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Old 04-12-2012, 01:12 PM   #2
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dmlew HB User
Re: Adderall to Vyvanse to Concerta...help!

I'm kind of struggling with this but not really. Ha...I was diagnosed with ADHD when I was 12 and did fine on Ritalin (IR Concerta) for a while and then was switched to Strattera because "teenage girls tend to abuse stimulants..." [whatever.] At 23 I switched back to stimulants because Strattera did NOTHING. I started on Adderall IR 20 mg 2x day and am now on Vyvanse 50 mg.

Here's what I've figured out with stress, ADHD, and meds: Stress produces cortisol ("the stress hormone") which can lead to decreased brain function. It also affects mood, sleep patterns, weight...you name it, cortisol can mess it up. If your cortisol levels are messed up because of adrenal fatigue (SUPER common for college students...me included..) then stimulant medication is a lot less effective and upping the mg is an extremely temporary fix.

Something else to consider...use of stimulants if your brain chemistry isn't actually ADD/ADHD (low dopamine/norepinephrine) can increase adrenal fatigue as your body tries to compensate, putting you even farther away from a solution.

BTW I'm just in law school...absolutely NOT a doctor. This could all be wrong and if it is I hope someone chimes in.

Last edited by dmlew; 04-12-2012 at 01:14 PM.

 
Old 04-12-2012, 01:14 PM   #3
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dmlew HB User
Re: Adderall to Vyvanse to Concerta...help!

I'm kind of struggling with this but not really. Ha...I was diagnosed with ADHD when I was 12 and did fine on Ritalin (IR Concerta) for a while and then was switched to Strattera because "teenage girls tend to abuse stimulants..." [whatever.] At 23 I switched back to stimulants because Strattera did NOTHING. I started on Adderall IR 20 mg 2x day and am now on Vyvanse 50 mg.

Here's what I've figured out with stress, ADHD, and meds: Stress produces cortisol ("the stress hormone") which can lead to decreased brain function. It also affects mood, sleep patterns, weight...you name it, cortisol can mess it up. If your cortisol levels are messed up because of adrenal fatigue (SUPER common for college students...me included..) then stimulant medication is a lot less effective and upping the mg is an extremely temporary fix.

Something else to consider...use of stimulants if your brain chemistry isn't actually ADD/ADHD (low dopamine/norepinephrine) can increase adrenal fatigue as your body tries to compensate, putting you even farther away from a solution.

BTW I'm just in law school...absolutely NOT a doctor. This could all be wrong and if it is I hope someone chimes in.

 
Old 04-22-2012, 09:30 PM   #4
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kaylasmomma HB User
Re: Adderall to Vyvanse to Concerta...help!

The Vyvanse also made my daughter just like you described except she is 6 so she did literally cry about EVERYTHING it was a nightmare she was even insistent that she thought we were going to leave her forever at church one day BAD,BAD drug

My Adult husband is on 20mg of Adderall, my cousins 8yr old however is on 70MG the max apparently
everyone is different try til it feels the right fit.
have you tried the patch?

 
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