Help with Meds | ADHD Information

I phoned my original doctor, not the Psych Eval. requesting doctor and am seeing him on Thursday at noon.  I remembered seeing a poster on his wall about ADD, so I called and asked if he is able to help with Adult ADD - his assistant said absolutely!  Woo Hoo, I think that he will be the one to get me on the right path.  I feel so lethargic right now.  In the morning when I take the 20mg ER - I feel very focused.  Then if I take a second dose in the afternoon (around 3:00pm when I feel the meds starting to leave my system) about an hour after taking the meds I feel tired and unfocused other than surfing for answers online.  I just don't understand why the prescribing doc would not want to see me on a more normal basis to make sure the meds are working and I am not having any problems.  If I call and inform her of the side effects or ask questions - I feel guilty for bothering her.    Thanks for listening.It does sound like you're rebounding. I was like that when I was on 60mgs Strattera..wore off around 5pm and then I was totally drained and worthless.  I'm glad you got another appointment with a different Dr that's able to help. I can't stand my Psych and my GP won't treat my ADHD said it's best if I go to a specialist. Unfortunately I can't get into see any other Psych before July. I may go ahead and make an appointment for whenever and just deal with this quack until then   I wish you the best of luck with the appointment! 

Hello Everyone:

I was recently diagnosed with ADD and my psychologist has requested that I start a physcho stimulant (no strattera) to help with my symptoms.  My GP started me on 18mg of Concerta two weeks ago.  The side effects were awful (headaches, feelings of a sinus infection, ear ache, etc.) and I have a very demanding job as a Marketing Director - so side effects that interferred with my every day life is a huge factor.  I finally got her to change my medication to Ritalin LA - she started me off at 10 mg once per day in the am.  None of the pharmacies in my area supplied or provide Ritalin LA in the 10mg form.  They have the 20 and 40 LA, but not the 10mg.  So, she authorized them to change it to metadate 10mg ER (generic for Ritalin LA?).  I think the med is wearing off too soon.  Although it is better than the Concerta - I start to feel really drained and unfocused about 5-6 hours later.  My doctor stated that she wants me to stay at 10mg Ritalin LA for a month (which was on a post it note attached to the prescription).  I have done some research and it states online that the symptoms I am having later in the day could be rebound and my dose should be increased by 10mg per week until a suitable dose is found.  Unfortunately, I believe that this clinic deals with drug seekers all of the time and I am wondering if she is afraid to increase my dose as recommended or if maybe she does not have the experience to treat adult ADD.  She has no problems treating my daughter - but with me, a complete different subject.  She wanted to try me on Strattera - but the Psychologist insisted on no Stattera - not sure why but that was her firm recommendation.  Please help me, I feel like crap during the mid and late day, which I can not stand.  I use to be so energetic - which I am my normal self in the morning after meds, just more focused.  During the afternoon- I am irritable, tired and have no drive.  Thanks for reading this and any suggestions. 

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