When I take Ritalin, I need to take an initial dose of 15-20mg for it to be effective (and then taper it down every 50 minutes otherwise I get jittery). But when I was on Concerta, 18mg was not enough, even though it is roughly the same dosage. Is the Concerta dosage not comparable to that of the Ritalin as it is spread out over a longer period? I know 30mg of Ritalin would be way too much for me – but does that necessarily mean that 36mg of Concerta would too?
You must log in or register to comment.
Create a post
You are not logged in. However you can subscribe from another Fediverse account, for example Lemmy or Mastodon. To do this, paste the following into the search field of your instance: [email protected]
A casual community for people with ADHD
Values:
Acceptance, Openness, Understanding, Equality, Reciprocity.
Rules:
- No abusive, derogatory, or offensive post/comments.
- No porn, gore, spam, or advertisements allowed.
- Do not request for donations.
- Do not link to other social media or paywalled content.
- Do not gatekeep or diagnose.
- Mark NSFW content accordingly.
- No racism, homophobia, sexism, ableism, or ageism.
- Respectful venting, including dealing with oppressive neurotypical culture, is okay.
- Discussing other neurological problems like autism, anxiety, ptsd, and brain injury are allowed.
- Discussions regarding medication are allowed as long as you are describing your own situation and not telling others what to do (only qualified medical practitioners can prescribe medication).
Encouraged:
- Funny memes.
- Welcoming and accepting attitudes.
- Questions on confusing situations.
- Seeking and sharing support.
- Engagement in our values.
Relevant Lemmy communities:
lemmy.world/c/adhd will happily promote other ND communities as long as said communities demonstrate that they share our values.
- 1 user online
- 49 users / day
- 168 users / week
- 211 users / month
- 394 users / 6 months
- 1 subscriber
- 551 Posts
- 8.36K Comments
- Modlog
My understanding (and it’s relatively poor even though I take Concerta myself) is that the mg is the total dosage that will be gradually released from the XR capsule over the day - so for the majority of the day (especially in the morning) you’re feeling far less than 18mg of methylphenidate in active use.
I think this is a discussion to have with your doctor but I’d suggest not coming in overly rationalizing - just tell them how you’re feeling on the dose (i.e. it’s less impactful) and see what they suggest.
Personally, I’ve found a different efficacy in Concerta vs generic methylphenidate XR at the same dosage and that tracks with my general impression of any neurological pharmaceutical agent… some things randomly work better for some people and violate common expectation or reason because brains are really fucking complicated, everyone is different, everyone has different brain chemistry, ADHD (and all other neurodivergences) are diagnosed by symptom rather than cause, and, most importantly, we really don’t have a fucking clue why things are effective and the entire field of neurochemistry is really just vibes based.
I hope you find a good resolution!
Ah I see, I suspected the dosage labelling might work this way.