Hi, I can't help but feel more than a little apprehensive now that my psych is insisting on switching me to Concerta from Adderall IR (which I was taking a good and strong heroic dosage of 150-200mg/day, in addition to Provigil at 400-500mg/day). I had tried Adderall XR and found it wanting -- i.e. 3/4 of the time it wouldn't work at all, which the other 1/4 would kick in whenever it wanted. The cocktail of Adderall and Provigil worked well enough. I knew that we'd change up meds, but I thought we move over to something stronger but was surprised that this was the route he was suggesting (not that I knew much about Concerta at the time). After looking around some on the net it seems like I was right to be a little worried. (Note: in general, XR meds have never worked well for me -- from Fentynal to the Nic patch -- it's as if my body metabolizes the drug faster than said drug is delivered. Additionally, on 50mg IR dose). Most folks I've come across have said Concerta was a major step down from Adderall. Is there anyone out there with a different experience? I also want to say that this is not a matter of tolerance, but threhold. I started out high to begin with. I want to keep an open mind, but I'm starting to get a little ****ed, too. I've been down that road before where the wrong drug is prescribed and it doesn't work at all or atleast as well as it should and then getting a switch-up is like pulling teeth -- every single time. I'm supposed to see the psych day after tomorrow. So far he hasn't justified his reasoning. So, in the meantime, can anyone impart some wisdom about what I should do, ask, etc. Plus it seems like Concerta is expensive, which is one less thing I want to deal with. I'm also getting that feeling that it might be time to look for another psych, but I just got this guy, and I don't want to whine too much but J_C what's the point of doing this if nothing going to happen or get better. I mean, it isn't as if we were just starting off. It seems like my history with Adderall would be a good basepoint from which to make a determination.

Again, I would very much appreciate anything anyone can tell me. I get depressed just thinking about "Oh yeah, great, another c-ck teasing doctor who shows me something that works, but now wants to take that away from me in lieu of something lesser that would basically put me back where I was without the meds, expect more ****ed off.