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Old 07-04-2008, 06:30 AM   #6
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Re: Interesting . . .

Thunor,

I really enjoyed reading what you wrote about the differences of how you feel on one vs the other. I hope you'll continue to share that information. It's not often that we get someone as insightful/self aware and articulate as you are who can elaborate on the details.

Yes, methylphenidate is the generic for Ritalin. Hopefully, what they gave you is the SR version.

Regarding your anger, it would be interesting if you could moniter the times of day that you seem most short-fused. Ritalin SR has peaks and valleys in it's efficacy, so it may be that your anger is related to coming down from it.

Since you've been on stimulants, I seriously doubt that you would be happy with Strattera. It isn't as effective and can take a l-o-n-g time to work. Since you are wanting to experiment with the different ADD drugs, you might want to try Concerta or Metadate (assuming they are available in Canada). They are both methylphenidate like you are taking now, but with a different delivery system that evens out the peaks and valleys more and give a smoother let-down.

Good luck to you!
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Old 07-04-2008, 09:00 AM   #7
rheanna
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Re: Interesting . . .

Thunor,

Welcome to the adventure of trying out different meds and dosages to see if you can find one that "fits" -- one that gives adequate improvement without too many side effects.

Yes, if it doesn't say "Ritalin" in prominent letters on the package, then it's a generic version. One thing to keep in mind is that different manufacturers produce meds with different effects, even if they all say 10 mg Methylephenidate or whatever. Pharmacists will all claim that they are exactly the same as the original, because they have the same active ingredient. But it ain't so. I have been given generic Methylephenidate from two different manufacturers in the last year, and it's like two completely different drugs. One of them acts like the brand-name Ritalin that I took 13 years ago, and the other is like some trippy other-worldly experience that doesn't help my ADD symptoms at all. I have learned to save the packages so that I can insist on getting my prescription filled from Company A rather than Company B. Please keep that in mind when you are evaluating the effectiveness of a drug.

The others have given you several things to think about regarding the short temper. It might be that this particular drug has this unhappy side effect, it might be that the dosage is too high (!!!), it might be an effect of the drug peaking and crashing too abruptly, it might be low blood sugar from forgetting to eat. It will take a while to find the right balance.

Yes, I find that my working memory is vastly improved (read: existant!!!) while the Methylephenidate is in my system.

I agree with Bob -- I think that the concern about withdrawals and addiction is for people who are taking much higher than prescribed dosages, or who are taking it for the express purpose of getting high. I have had no withdrawal symptoms from Ritalin. I have the regular variety -- it takes effect within 15-20 minutes, and wears off in 4-5 hours. I am mentally functional while it's in my system, and I revert to space-cadet "normal" status when it wears off. No high while I'm "on" and no crash when it wears off. No cravings for it on my days off.

Keep us posted.

--Rheanna
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Old 07-04-2008, 05:00 PM   #8
Thunor
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Re: Interesting . . .

Thank you all for your replies, as always, the support I feel when I'm here is immense. My time is short, atm, but I'll try to answer any/all questions I've seen.

Bob,

You're right, I might have made it seem otherwise, but I've always had a short fuse. The difference I've found on the Methylphenidate is that not only is the fuse much shorter than before, but my reactions are much stronger; for example, instead of cursing silently to myself and moving on, I've caught myself shouting explitives and punching/kicking inanimate objects, it's almost like being a teen again. :P Fortunately, I work in a warehouse, so these behaviours may not be quite as innappropriate as if I were working in an office or a store, but they're something to be brought under control nonetheless.

All that said, there are stressors outside of the norm as well. My mother is dying of cancer in a rather unpleasant way at the moment, money is tight as always and things at work are unusually frustrating atm, my bosses have a lot of sympathy for our team right now and are expressing some outrage at times themselves.

I'm not overly concerned with the addiction/withdrawal symptoms. I'm on the SR version, and I don't feel I'll have problems keeping it in it's place. I convinced the doctor by telling him that he needn't worry if I'm not in for another prescription in half the expected time. Curiously, Ritalin is more tightly controlled in Canada than is Dex, my doctor had to fill out a special prescription in triplicate that had to be filled in a specific period of time. I never had that problem with my dex.

Jane,

I will admit that I'm not eating as much as I used to, but I'm not finding the lack of hunger effect of the Ritalin as pronounced as it was on the Dex. I don't think though that my diet is the culprit here, because I've been eating the exact same way on workdays for a couple of months now, and didn't have the anger problems before.

Thank you for the suggestion though, I hadn't considered that angle.

Index,

You make an interesting point about the peaks and valleys and that the anger may be coming when I'm on a low . . . I'll try to pay more attention to the timing of my outbursts and see if there's a correlation.

Rheanna,

Thank you. As always there's someone here to make me feel a little less insane. I just had another prescription filled for an allergy med, and find that the generic I was given to be FAR less effective than was the brand name med.


Another thing I've noticed on the Ritalin is that I'm extremely absentminded again! Yesterday I left my pen sitting on a box and walked away from it. I didn't miss it until I passed that same box again and said to myself "hey, that's my pen!" It took me exactly 15 seconds to pick the item I was there for and forget about my pen again, and didn't grab it until the third time I was by that box . . .

As things stand, I'm not thrilled with the Ritalin so far, but I'll give it till the end of the month to see if things improve. After that, I may go back to the Dex, I'll take calmness and . . . non-absentmindedness (is that a word??) . . . over the short temper and improved working memory any day.
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Old 07-05-2008, 11:07 AM   #9
addprogrammer
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Re: Interesting . . .

Thunor,

RE: "My mother is dying of cancer in a rather unpleasant way at the moment."

I am so sorry to hear that. I have a rule. "Don't say I know how it feels unless I've experienced it." I have.

When I was going through my mother's last couple of months, all my other so-called problems were non-existent in comparison. My heart goes out to you, my friend.

Bob
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Old 07-06-2008, 05:51 AM   #10
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Re: Interesting . . .

Oh, Thunor, I am so sorry about your mother. My heart aches for you.
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