View Full Version : ADD Medication Burnout? Advice?


SuddyBuddy
06-27-17, 05:38 AM
Was diagnosed with ADD (inattentive) a little over half a year ago and this has been my confusing experience...(TL;DR at bottom)

First 2-3 months - 18mg Concerta
(one a day in the morning, none on the weekends)
The clouds had been lifted and I had an attention span. I could actually sit down, focus and get my college assignments done and felt I had actually learned something from them and the classes I sat in at. I could remember, actually REMEMBER things the Professor said in class. Study sessions were so beneficial and I wasn't struggling in school for once in my life. Not only in college classes, but in life, it felt so much fuller. I picked up hobbies and projects, made a bunch of new friends, enjoyed life like I had never before.

~4 months - 36mg Concerta
(one dose in the morning, none on weekends)
The meds didn't seem to be working anymore. My mind was cloudy, memory was hazy and focus was that of a goldfish. Doctor recommended I upped to 36mg, worked for about a week, then it went back to how it had been the week before. Doc prescribed me what he thought was Metadate IR, so he told me to take 1 or 2 in the afternoon along with the 36mg. It was Metadate ER(CD).

5 Months - 20mg Metadate CD & 36mg Concerta
(concerta in the morning, metadate at about noon, none on weekends)
Meds still not really working, better than before, but still not really getting back to that sweet spot that I initially mentioned. If anything, it works for the 1st hour and a half, then fuzzy brain. Doc figured out after I mentioned it that he wrongly prescribed me Metadate CD(ER) not IR. Decided to have me on just the 20mg Metadate.

6 Months - 20mg Metadate CD
(one dose in the morning, not weekends)
Meds not working at all. Brain feels fried, tired all the time, gave up on them for about 2 weeks. Decided to take a vacation. Did some research, found some vitamins, minerals and meals that potentiated the affects and started to take them. Learned to avoid acidic foods. When I started back up the Metadate CD it still wasn't helping at all even after giving it a 2 week trial.

Present - 20mg Adderall XR
(one dose in the morning, none weekends)
Switched to Adderall XR about 2 weeks ago and it helps every few days, but most days I have difficulty concentrating or buckling down and doing anything. Feel like a monotonous zombie with -50 brain power.

Basically, I'm at the end of my wits. I've read so many articles about so many various things about all kinds of ADD medication that I'm not even sure I have ADD anymore because I'm so horribly jumbled up inside. I was diagnosed by an ADD specialist but maybe it was a fluke? I'm just not sure

Does anyone have any advice?
Should I try a non-stimulant? Swap to a different stimulant?
How do you know your meds are working?
What would you do if you were in my shoes?

TL;DR - Meds initially worked quite well for 2-3 months, but after the quality began to decay and now I'm not sure if I should swap meds, drop them all together, take the ADD test again. I am a hot mess.

I doubt I can stay awake much longer, I'll check back first thing in the morning. Thanks in advance for anyone willing to share their time with me.

-SuddyBuddy

sarahsweets
06-27-17, 07:23 AM
a couple of things come to mind. Firstly your dosing frequency. I have found it way better to take multiple smaller doses throughout the day-even with xr meds. I take adderall xr 20mg three times a day with 2 5mg xr boosters. For me the xr doesnt last more than 4 hours so I dose it sort of like you would an ir medication. It may not be the total mg dose but how often you take it.

The other thing is, are you sure you arent expecting too much from the medication? a saying "pills dont teach skills" comes to mind. There is only so much meds can do. They are meant to help treat symptoms of adhd, not give you an edge or as a performance enhancer.

Emre22
06-27-17, 07:52 AM
My advice for you,

try to not use it when you don't need, if you dont have something to do , if it is freeday etc.
Because some breaks would help to not build tolerance to it
You may use few ritalin pills when u really feel it isn't enough for u
for example when i take 56 mg at the morning, it keeps me focused on during day but when i gotta do something important like assignment , i just take 20mg ritalin do my work in 4 hour ( only for important reasons i do not do it anytime i want)

Drinking coffee helps me a lot , also using thermogenic fat burners(dont do it more than 3 weeks , easy to build tolerance,they include many stimulants)

Also any additional pill may help you, important point is that additional pill must have effect on dopamiinergic system

for instance , zyban/wellbutrin(it really worked well on me) - stablon(it really works well on me)



try to find sustainable solution instead of increasing doses all the times

i know it is illness, i am not talking about some kind of doping

but if it builds tolerance , it will steal from ur future so be %100 fueled only when u need
because u can't stay at %100 all the time

think of your body as a stock , there is no bullish market forever

try to live on between %50-70

reach %100 only when u really need

SuddyBuddy
06-27-17, 08:11 PM
@sarahsweets
Concerning "pills don't teach skills" I would agree entirely. I'm not taking this medication to get an edge so to speak, but because a specialist believes I have an inattentive type of ADD. That being said, the pills were working at one point: I could concentrate in class, remember the study sessions I had and take care of business without my mind wandering about with constant thoughts.

I felt relieved when I initially started taking the medications. I had never known such clarity and focus before, so I guess I'm just trying to get back to that. The meds don't seem to be helping anymore though. If anything they make it easier to focus but they cloud my thinking process and make it difficult to understand things.

I find it interesting you take XRs as IRs. I usually don't have trouble at all sleeping on the medication but I gotta wonder what that would be like at the end of the day.

Is it alright if I ask why the XRs don't seem to last as long for you?
Thank you for your feedback btw, I appreciate it.

SuddyBuddy
06-27-17, 08:19 PM
@Emre22
I just came off of Viibryd, an anti-depressant, and am hesitant to go back. I don't like anti-depressants because after a while on them (1 year-ish usually) I start to wonder if it's me anymore and struggle to get past that thought. Is Wellbutrin commonly paired with ADD medication?

The %50-70 thing though is definitely something I should keep in mind though, thanks for that. I think I'll talk to my doc about lowering the dose and take a couple weeks off to reset a bit.

sarahsweets
06-28-17, 05:12 AM
My advice for you,

try to not use it when you don't need, if you dont have something to do , if it is freeday etc.
Because some breaks would help to not build tolerance to it
You may use few ritalin pills when u really feel it isn't enough for u
for example when i take 56 mg at the morning, it keeps me focused on during day but when i gotta do something important like assignment , i just take 20mg ritalin do my work in 4 hour ( only for important reasons i do not do it anytime i want)
I completely disagree with you. These medications are prescribed for daily use. Adhd is a daily thing. I dont think there is a time where any of us can say:
"wow my adhd isnt even around today! I dont need my medication"
We have adhd 24/7. The idea of breaks is debateable anyway IMO. On one hand it seems like it could break the cycle of tolerance if you obstained from medication for a significant amount of time and then resumed it. So say you stop for 3 months and then start again, you would notice it working because for three months you have had untreated adhd. A day here or there doesnt help tolerance IMO, it just makes it so you "feel" the medication again which is similar to feeling the euphoria you can sometimes get from it.

Emre22
06-28-17, 08:01 AM
@Emre22
I just came off of Viibryd, an anti-depressant, and am hesitant to go back. I don't like anti-depressants because after a while on them (1 year-ish usually) I start to wonder if it's me anymore and struggle to get past that thought. Is Wellbutrin commonly paired with ADD medication?

The %50-70 thing though is definitely something I should keep in mind though, thanks for that. I think I'll talk to my doc about lowering the dose and take a couple weeks off to reset a bit.


Well-butrin is also prescribed for ADHD

You are welcome

Emre22
06-28-17, 08:06 AM
I completely disagree with you. These medications are prescribed for daily use. Adhd is a daily thing. I dont think there is a time where any of us can say:
"wow my adhd isnt even around today! I dont need my medication"
We have adhd 24/7. The idea of breaks is debateable anyway IMO. On one hand it seems like it could break the cycle of tolerance if you obstained from medication for a significant amount of time and then resumed it. So say you stop for 3 months and then start again, you would notice it working because for three months you have had untreated adhd. A day here or there doesnt help tolerance IMO, it just makes it so you "feel" the medication again which is similar to feeling the euphoria you can sometimes get from it.

I know we have adhd 7/24 but i read that stimulants build tolerance after 20 days , so we cant increase dosage forever we need break at some point.

You are right , I agree with you untreated ADHD may make us feel euphoria difference and how affective is it
But I can handle life without treatment ( It lowers my life quality)
So i created a start-break cycle
But you made me feel i m doing wrong
I will discuss what you said with my doctot , thank you

sarahsweets
06-29-17, 08:06 AM
I know we have adhd 7/24 but i read that stimulants build tolerance after 20 days , so we cant increase dosage forever we need break at some point.

You are right , I agree with you untreated ADHD may make us feel euphoria difference and how affective is it
But I can handle life without treatment ( It lowers my life quality)
So i created a start-break cycle
But you made me feel i m doing wrong
I will discuss what you said with my doctot , thank you

Im sorry, I wasnt trying to make you feel wrong, thats not what I meant. Of course you can discuss this with your doc and do what you doc recommends. I just hear very often people being advised not to take their medication daily over tolerance fears and I want people to know that that is not as typical as people think it is.

Emre22
06-29-17, 08:23 AM
Im sorry, I wasnt trying to make you feel wrong, thats not what I meant. Of course you can discuss this with your doc and do what you doc recommends. I just hear very often people being advised not to take their medication daily over tolerance fears and I want people to know that that is not as typical as people think it is.

I meant in a good way

i have never thought or discuss in that way , so you gave me new idea

not in a bad way feeling wrong