(It might be a change in perception or a change in lifestyle issues, among other things.). goodrx.com can help you locate the best pharmacy prices in your area. Adderall is a drug commonly used in the treatment of ADHD. WebMD chart for the side effects of various types of ADHD medication. ", "Comparison of ADHD Medications" by titration schedule and price (2013, US). (Sleep issues might stem from medication timing, comorbid issues, or ADHD itself. So now, your 'good' days that you think are 'due to being medicated' only seem like a 8/10, which is 'only' a 33% percent increase. (The 'side effects' could also be manifestations of grief, of being a grad student, or comorbidities like anxiety or depression, so I'm doing counseling to rule out some of the possibilities. Both the positive and negative effects of these drugs will vary greatly from person to person as they are dependent on your own chemical biology. (PDF). It is not an adverse effect of the medication however. Looks like you're using new Reddit on an old browser. I basically spent the first 34 years of my life trying to compensate for a tragic lack of dopamine in any way possible. An example titration process for ADHD medicine. For most families, that means the beginning of a long trek through the world of pharmaceuticals. A (good) doctor and a (good) patient will have a thorough discussion about what treatments are right for the patient given the medical history and current medications and issues. These two things happened, but one did not cause the other, and you don't know all the parameters of the situation. Worst. I never did have a chance to try physically splitting the pills in half and taking half of one every two hours--this would mimic the XR release pattern better. ", Compiled from our community's experiences :). Neither patient nor doctor should push for just medication as the sole treatment. An adverse effect of some medication is appetite suppression. Anyway, going totally untreated for a lifetime of ADHD had a load of troubles, including treatment for bulimia nervosa, substance use disorder, and on and on. Adderall may also be used for purposes not listed in this medication guide. (There are too many other variables in life -- metabolism, schedules, life emergencies, food and water intake (quantity, quality, and frequency), sleep quantity and quality, exercise intensity and frequency, etc. This is a 4 point increase, or a 300% increase from your 'average'. A patient's weight is not a good indicator of the type or dosage needed to achieve good effect. It's key to maintain consistent lifestyle habits throughout this process. “I don’t know which medication is right for you,” I say, “but I know how to help you find the right one(s).” I discovered “combination therapy” by accident. Titration speed and optimal dosage vary patient by patient, and each step can only (safely) be done after patients carefully observe any changes in their own lives, and discuss the result with their doctors. My newest doctor (after a couple of geographical moves) put me on Ritalin while I waited for re-approval from the patient assistance program for Concerta. Another possibility is that sitting still for six hours triggered a tension headache. But, once the diagnosis has been made, it’s equally as important to get on a continuing care plan. There are treatments for adult ADHD, and not all of them require medication. My first doctor first put me on Strattera 'because it was a non-stimulant'. Stimulant medication is generally the first line of treatment for adults but CBT has also been found to be effective at addressing the complex needs of this population. Non-pharmacological interventions should become increasingly focused on the individual as patients mature and become ‘agents of implementation’ in their care.8 Psychosocial interventions play a particularly important role during key life transitions, e.g. 34 votes, 124 comments. There are two types or 'classes.' "Your child has ADHD.". The Conners test for ADHD is just one step on the way to diagnosis, however always keep in mind that occupational therapists do not make diagnosis. your doctor, and not a bunch of random internet strangers. There are many formulations of medications for ADHD with varying durations, common adverse effects, and interactions with other medications and medical issues. A healthy diet is one way to treat adhd without medication. The term refers to using a stimulant and a non-stimulant to reduce ADHD symptoms. A place where people with ADHD and their loved ones can interact with each other exchanging stories, struggles, and non-medication strategies. (Hypertension may need to be treated first, or an ADHD medication might be chosen that lowers blood pressure, prescribed alone or in conjunction with a stimulant. I am newly diagnosed after more than a decade of anxiety and depression treatment. A (good) doctor will start the patient on the titration process. Medication isn't black and white; they affect each individual differently, so you can't compare experiences one-to-one. We are a pioneer in treating ADHD without medication, and we've helped thousands of patients reduce their ADHD symptoms. After finishing the test, you will receive a brief. In order to have access to online refills, you are required to give your provider an update on your health. High-quality ADHD care starts with a diagnosis. Were they pushed? Medication is an important part of your ADHD treatment.Doctors can choose from many types of drugs to control symptoms of the disorder. With treatment, children with ADHD are better able to live with and manage their symptoms. "I drank a glass of water and fell out of a plane" is an anecdote. Currently available ADHD treatments focus on reducing the symptoms and improving mental functions. (Are jitters from caffeine, the medication, or an interaction? Online Refills Treatment for ADHD is only granted 30 days at a time to prevent potential abuse. This is why eating, drinking, sleeping, and exercising well and frequently enough are key. ConsumerReportsHealth.org: Best Buy Drugs is a PDF download that should help you out (unfortunately, the link changes occasionally so use google if it's broken, and let us know). The speaker described a cognitive-behavioral group therapy treatment for ADHD. Finding the right medication is a process of trial and error as all meds seem to work differently for each patient, and is best done through open discussion with your doctor. No pseudoscience, alternative medicine, or misinformation. How can ADHD be treated? This is also why the titration process can take weeks or months; it's necessary to monitor behaviors and medication effects over a week to confirm whether an issue is caused by the medication or not. A better measure would be to realize that "100%" is superhuman, or impossible/unrealistic. TL;DR: You will have to try many different medications in a range of various dosages to find the ''best'' ADHD drug ''for you''. If it's outside office hours, call or visit your pharmacy and ask for clarification from a pharmacist. Research, AMAs, and surveys require prior mod permission. With the prices of Adderall (IR and XR) I will likely not try them (grad student; no prescription coverage), but I may try Vyvanse, or other medications as well, ''just to find the'' '''best''' one. It’s all too easy to eventually drop off of your ADHD treatment, whether due to rising medication costs or forgetting to call in a refill. ADHD Treatment Without Drugs. This is routinely done with a follow-up appointment but may also be done with a written narrative of your health for them to review. ADHD medication is largely trial and error so you will need to work with your doctor to find the medication best suited for you. "The latest version of the Canadian ADHD medication [dosage and titration] chart is available in a Canada-wide (English) PDF here or Quebec (French) PDF here adaptation," from the CADDRA website. I’ve missed WEEKS of work in the past due to a sudden medication change. Looks like you're using new Reddit on an old browser. As a promising treatment for ADHD, EEG training gets ever-increasing popularity in our time. Links go to drugs.com - if you want to check for interactions with a specific drug, use their Interactions Checker tool. We have a Discord server - come chat with us in real time! Unless you have a true allergy or your doctor indicates otherwise, don't totally discount all in the methylphenidate class because you didn't like just one of them. Over a million users here say they 'feel at home' and 'finally found a place where people understand them'. No memes, media, title-only, DAE, low-effort, or off-topic posts. These ADHD treatment options include medication, psychotherapy, education and training or combination of treatments. generic and Vyvanse, which is sold outside the US as Elvanse, Venvanse, or Tyvense. My problems are not gone, not by a long shot, but they are greatly diminished. An 80% state is phenomenally good day, well above average or "reasonably to be expected. Their efficacy may not have been scientifically tested to the same degree as the drugs listed in the table above. Other medication options are sometimes preferred as the first medication attempted for treating ADHD if the patient as has primary or comorbid depression or anxiety, has insomnia, migraines, tics, or wishes to stop smoking, among other condistions.. Time-Release Technology Abbreviations -- CD, CR, DR, ER, IR, LA, MR, SA, SR, TR, XL, XR, XT. This treatment is one of the safest alternatives to ADHD medication in recent years. Now that I’m learning about my disorder, I’m eager to solve it in the best way possible. Don’t ask what you should say to your doctor to secure a diagnosis. Experience. Medications are listed with generic names first; common brand names are listed in parentheses. Is there something I don’t understand about SNRIs that makes them less challenging than stimulants? The pre-medicated state was 20% (which made ''me'' feel like 'slime'). Keep in mind that if you try a medication like methylphenidate IR (brand name Ritalin), methlyphenidate XR (brand name Concerta), or dexmethylphenidates IR and XR (brand name Focalin IR and XR), they can have totally different effects on the same person. Conclusion: Current research has largely ignored that ADHD is a developmental disorder that spans the preschool to adult years. Each time a new medication is prescribed, the patient will start from the doctor's 'best guess' low dosage, and slowly increase it until the side-effects are overwhelming, then back down to the next lower dosage. There are 5 types of medicine licensed for the treatment of ADHD: methylphenidate; dexamfetamine; lisdexamfetamine; atomoxetine; guanfacine; These medicines are not a permanent cure for ADHD but may help someone with the condition concentrate better, be less impulsive, feel calmer, and learn and practise new skills. The patient still must work on skills and techniques for getting things done. 'Traditional' CNS stimulants may be eschewed if the patient has a history of heart problems or substance abuse, or if the medications would interact badly with current prescriptions. There are some assistance programs detailed in the wiki that may help with medical and prescription costs, depending on your location, income, etc. Both children and adults with ADHD are treated with psychotherapy, medication or both. Medication isn't a magic pill, it just lowers the 'effort' barrier. For the majority of people, no other treatment is very effective without also taking medication. There is no indication of how much a starting dosage might need to be increased, or that it will need to increased at all. 1) The research evidence so far supports only the fact that stimulant medications (the mainstay of ADHD treatment) work well over the short term, about 70% of the time. Or is the reason my doc is hesitant to prescribe because of the potential for abuse? I understand that SNRIs are different, but the warnings and side effects seem very similar. Dextroamphetamine sulfate, aka dexamfetamine sulfate, ConsumerReportsHealth.org: Best Buy Drugs, Here is a PDF from Consumer Reports Health comparing ADHD medication, Has medication/therapy changed your life? Track any changes carefully. Don't rush to judge the new medication, just be alert and call your doctor with any questions. 18mg did nothing, but 27mg did, so we stopped there. Weekly threads to plan and notice the positive in our lives. Weekly threads to plan and notice the positive in our lives. ADHD+severe dyslexia has usually been my Achilles heel for most of my life. Is there something I don’t understand about stimulant medication? Adderall IR was better because it's a mix of ingredients that have different half-lives, so less 'bumpy'. There is no empirical evidence suggesting that any one ADHD medication will be more effective than another medication. Non-stimulant ADHD medications are an effective second-line treatment, especially for people who have trouble with stimulants. They also offer links to assistance programs, discount cards, and information about alternatives and generics. Your doctor may have different procedures, but you can make requests about your treatment, and provide links to the science via this link. Read the label on the medication bottle and read the medication guide the pharmacist gave you with the filled prescription. Medication isn't a magic pill, it just lowers the 'effort' barrier. If you are experiencing strange unlisted symptoms or more serious side effects such as bloody stool please call your doctor IMMEDIATELY, do not stop and take a picture for reddit karma. Now I'm back on Concerta; I've been bumped to 36mg and now 45mg. Most minor side effects such as dry mouth or appetite loss will decrease or completely go away with extended use, however you should still let your doctor know about these side effects and how severe they are. As … The only part of my personality that has changed are the negative aspects: I'm less socially anxious and awkward. After you've been on your medication for a while, you start thinking your average day is a 6/10, and after you start realizing how much more you can get done, you raise your expectations of what a 10/10 would be like. The same goes for all the medications in the amphetamine class. Life. ADHD Medications and Treatment without Drugs. Treatment can help your child with ADHD in school, ... has recently given approval to the first non-drug treatmenet for children ages 7 to 12 who are currently not taking ADHD medication. 5-hydroxytryptophan Medication is the most effective treatment for the core ADHD symptoms. From what I've heard (from my doctor) there's not much chance of an actual 'tolerance.'. Then I got lucky with Concerta, an extended-release (XR) form of the ingredient of Ritalin. (I never felt the 'high' some patients speak of when I went back on my medication. Over a million users here say they 'feel at home' and 'finally found a place where people understand them'. It just made me feel somehow 'normal' and like life was much easier; I could easily be productive without being detrimentally anxious about the infinity of things I had to do.). However over the past year and a half I've started focusing on whatever random thing the ADHD drives me toward and focusing in on it. (Use a systematic rubric recorded on paper or in an app. Recently I've learned that's still technically a "child's dose", but I'm starting to wonder if I'm getting side effects, so I'm not sure if I want to go to 54mg. Do not claim that ADHD is a gift or otherwise beneficial. ), There is no indication how quickly improvments might be seen. Some believe that levo-methylphenidate contributes more of the adverse effects and dextro-methylphenidate provides most of the therapeutic effect. =P. You can’t get the treatment that you need without it. If you felt like a ‘zombie’, your medication is probably not the right drug or "dosage" for "you". It's really only an issue for those abusing the medication or who are 'chasing the rush'. ), High blood pressure is not necessarily a reason to avoid stimulants. (There are height/weight charts that are meant to protect growing children from being prescribed too high of a dosage.). Medication and Non-Medication Treatment Options. My conjecture is that it's more a change in the patient's perception: Before medication your 'average' day feels like a 2/10, for example. For the majority of people, no other treatment is very effective without also taking medication. The site may not work properly if you don't, If you do not update your browser, we suggest you visit, Press J to jump to the feed. I was accepted to the patient assistance program for Focalin XR, so I tried that next, at the suggestion of my ADHD cousin who is a pediatric OD--she prefers it over the racemic form in Concerta. I met with my doc again today and we agreed to raise my dose rather than change meds. I'm not sure I can tell the difference between the two. the transition between adolescence and adulthood.9 Treatments should be modified for key developmental stages, reflecting both the most problematic behavioural symptoms at th… This will vary greatly for each patient and is a question best answered by your doctor. There is no conclusive evidence that one medication class works better for a given subtype, though many doctors may make a claim based on anecdote compiled from their patient base. Making lifestyle changes can help maintain an even mood and energy level throughout the day. Your best bet is to discuss it with trained professionals, i.e. /r/adhd is not a substance abuse community. A place where people with ADHD and their loved ones can interact with each other exchanging stories, struggles, and non-medication strategies. Each time I try a different medication, I will have to ''titrate'' it, that is, start from the doctor's 'best guess' low dosage, and slowly increase it until I feel the side-effects are overwhelming, then back down to the next lower dosage. I wish doctors would discuss that possibility with their patients in something other than an open-ended "We'll just try things until we get it right," but it can be expected to take months in most cases. Did the person jump out with a parachute? I'm at a point right now where I'm considering whether or not I want to try medication to help manage my ADHD symptoms. The treatment's not a good fit for everyone (people with more severe disorders on top of ADHD might need to have those treated first, for instance) but it's been adapted for use with college students, veterans, etc. Your first few days on the right medication feel like an 6/10 in comparison. The following products are considered to be alternative treatments or natural remedies for ADHD. ), Switching from a stimulant to a non-stimulant may not alter sleep issues in ADHD patients. One doc even had me on antipsychotics for a while because the idea of an “incessant voice in my head” was misunderstood. It's common for people with ADHD to have other psychological and medical issues -- no two patients are going to have the same combinations of issues, diet, biochemistry, and medications, so anything found on the internet (including the people in discussion forums) is either statistical averages or anecdotes. If that doesn't clarify how you're supposed to take it, talk to your doctor! The benefit of using non-medication options with medication is that you can possibly take a lower dosage, and thus have less adverse effects from the medication. Of. "Titration schedule is similar for all formulations and every 7 days they can be increased up to their maximum doses, which are outlined [here]. Take notes on when and how much you eat, sleep, drink, and excercise, as well as when you take medication(s) and summarize them for your doctor. Press question mark to learn the rest of the keyboard shortcuts, Medication and Non-Medication Treatment Options, Medication and Titration Mistakes Even Doctors Make. The most common medications prescribed for ADHD, which are various formulations of amphetamines or methylphenidate, have been used for decades and have been shown to be very well-tolerated and safe when taken at therapeutic doses. Non-medication treatment options work best in conjunction with medication, but if medication isn't an option for other reasons, these techniques will still help. Instead of trying to learn to ride a bike uphill, medication 'flattens the ground'—learning to ride it still takes practice and energy. Did they trip while exiting a demonstration cockpit on the ground? Now I’m diagnosed and beginning the process of treatment with a great doctor. Learn about different treatment options in this WebMD slideshow. many formulations of medications for ADHD, generic, Concerta, Metadate, Methylin, Quillivant, Daytrana, and Ritalin. The newly medicated state was 60%, or about average/realistic. My. If you suddenly have a headache, it could be because you haven't eaten in six hours. I was off and on Concerta as I could get it over a few years, and always felt like I would do okay the first week or two off of it. The most common form of ADHD medications are Central Nervous System (CNS) stimulants. Tolerance is unlikely to be an issue at therapeutic dosages. Here is a PDF from Consumer Reports Health comparing ADHD medication. You can call the doctor's office and leave a message with a nurse who will speak with the doctor and return your call with the information you need. ), Wean off caffeine before starting stimulants in order to more easily pinpoint the cause of any adverse effects. Adverse effects are usually mild and can usually be compensated for with some tweaks to lifestyle habits. Then life would crash down around me. The patient still must work on skills and techniques for getting things done. /r/adhd is not a substitute for any kind of doctor, psychologist, psychiatrist, or therapist. If you would like to learn more about Adult ADHD and coping strategies, please visit my website at www.scottshapiromd.com. I ''do'' think I want to change and get someone who has ADHD as I don't feel understood when I'm trying to describe how I feel misunderstood.) In the usual session of the EEG biofeedback, a child may play a special video game and get a task to concentrate on the game which teaches him or her new focusing techniques required over time. Here are notes from a CBT course. I now jokingly call my ADHD my "chaotic ambition". However there may be historical, cultural or anecdotal evidence linking their use to the treatment of ADHD. (Weekly via email or phone, and in-office visits at least monthly.) Medication is the most effective treatment for the core ADHD symptoms. Medication is the most effective treatment for the core ADHD symptoms. Press question mark to learn the rest of the keyboard shortcuts. "Comparison of ADHD Medications" by titration schedule and price (2013, US). ), The 'novelty' of improvment in life might wear off; that doesn't mean the medication stopped working. Any changes should be discussed with doctor(s) before every dosage increase. Ritalin was better than nothing, but just "bumpy." Here is my question - as someone with a lot of experience dealing with SSRI medications, I know that decreasing or stopping your SSRI can mess your life up in a very real way. Treating ADHD can include: education and skills training for parents, children and youth, strategies for understanding and building your child’s social skills, classroom management strategies and study skills, and; medication. There is no correlation between height, weight, and a patient's optimal dosage. When people ask me about the latest, greatest ADHD medication, my answer often disappoints them. The most common adverse effects are dry mouth, reduced appetite, and sleep issues (which tend to subside as you adjust to the medication). Medication isn’t the only way to treat ADHD. I’m not unhappy with my current medication, but hearing from the doctor that stimulants are typically more effective when I’m already committing to a drug that seems dangerous and habit-forming seems like a waste. Medication is not always used, but it's best used with non-medication treatment options. Cognitive Behavioral Therapy (CBT) is one non-medication technique. Medication is not always used, but it's best used with non-medication treatment options. Eating, hydrating, sleeping, and exercising routines can also have a surprising effect on the perceived efficacy of medication(s). You learn to find a planner style that works best for you and how to stop runaway or extremist negative thinking amont other things. It's designed to take place over 12 sessions of 2 hours each, for a group of 6-10 people with ADHD. This includes ‘neurodiversity’. She has me on an increasing dose of Strattera that is making a big difference. Lets hear some success stories, Free Vyvanse If You're Moderately Poor (cross-post from r/Drugs), AMA with Dr Russell Barkley - February 2021. I don't panic that there was some implied snide meaning behind a casual comment or joke. For the rest of us, tolerance is a perception that a stimulant medication becomes less effective after long-term use. She told me that the stimulant medications, while usually more effective, lead to dependency and stopping or changing doses can have a negative impact. 1 of 12 Natural Remedies for ADHD: Alternatives to ADD Medication. Since people with ADHD tend to have unrealistically high expectations for themselves, they might feel bad that they're no longer experiencing that '300% increase'. I don't interrupt as much and I'm more aware of it when I do. Absolutely NO advertising or self-promotion. The site may not work properly if you don't, If you do not update your browser, we suggest you visit, Press J to jump to the feed. I was afraid ADHD medication would zombify me, so I avoided it for years -- in retrospect I think of all the angst I would not have suffered over the years. The Drake Institute is a world-class ADHD treatment center founded in 1980. 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Using new Reddit on an old browser medication guide the pharmacist gave you with the filled.... You want to check for interactions with a written narrative of your ADHD treatment.Doctors can choose from types... Water and fell out of a long trek through the world of pharmaceuticals stories struggles! Supposed to take place over 12 sessions of 2 hours each, for a while because the idea an. Xr ) form of the potential for abuse live with and manage their symptoms eating... For just medication as the sole treatment may not have been scientifically tested to the same degree as the treatment... 12 sessions of 2 hours each, for a group of 6-10 people with are! S ) and side effects seem very similar chart for the rest of disorder. To your doctor to find a planner style that works best for you and effects. Triggered a tension headache provider an update on your health for them to review,... 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Effective after long-term use, medication or who are 'chasing the rush ': ) efficacy not... N'T rush to judge the new medication, or about average/realistic without it gets ever-increasing popularity in our.... Doc even had me on antipsychotics for a group of 6-10 people with ADHD and their loved can... Tested to the treatment of ADHD medications '' by titration schedule and price ( 2013, )... Consumer Reports health comparing ADHD medication, just be alert and call doctor! Much chance of an “ incessant voice in my head ” was misunderstood 've helped thousands of reduce! Non-Stimulant ' m eager to solve it in the best pharmacy prices in area! More easily pinpoint the cause of any adverse effects provider an update on your health for them to.! Pressure is not a good indicator of the adverse effects and dextro-methylphenidate provides most of life. Amas, and in-office visits at least monthly. ) or joke there something I don ’ understand. Was a non-stimulant to reduce ADHD symptoms the test, you will need to work with your doctor,,! There was some implied snide meaning behind a casual comment or joke especially for people have! Best bet is to discuss it with trained professionals, i.e professionals,.!, it just lowers the 'effort ' barrier effective after long-term use both children and adults with ADHD and strategies... The core ADHD symptoms ever-increasing popularity in our time specific drug, use their interactions Checker tool changes. Claim that ADHD is a perception that a stimulant medication been made, just! M learning about my disorder, I ’ ve missed WEEKS of work in the table above generics... Ask me about the latest, greatest ADHD medication is n't a pill! Because of the ingredient of Ritalin ADHD are treated with psychotherapy, and. Perception that a stimulant medication and how to stop runaway or extremist negative thinking amont other.! Better measure would be to realize that `` 100 % '' is,... 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A decade of anxiety and depression treatment potential for abuse did, so we there! Discord server - come chat with US in real time can also have a headache, just... Drugs listed in this WebMD slideshow routinely done with a specific drug, use their interactions Checker.. Or impossible/unrealistic pill, it just lowers the 'effort ' barrier is very without... My dose rather than change meds, an extended-release ( XR ) form of ADHD '' by schedule. Issue at therapeutic dosages my dose rather than change meds ' ) filled prescription each... Other treatment is very effective without also taking medication Natural Remedies for is... Met with my doc again today and we agreed to raise my dose rather than change meds place where understand. Or in an app label on the ground, cultural or anecdotal evidence linking their use to treatment. Less socially anxious and awkward degree as the sole treatment the US Elvanse. Medication feel like an 6/10 in Comparison you can ’ t ask what you say. In treating ADHD without medication, my answer often disappoints them supposed take! The diagnosis has been made, it ’ s equally as important to on. Families, that means the beginning of a plane '' is superhuman, or therapist before stimulants! To compensate for a while because the idea of an actual 'tolerance. ' a tension headache 'because was. Bumpy. medication becomes less effective after long-term use options include medication, be. More effective than another medication to secure a diagnosis while exiting a demonstration cockpit on the right feel. Adhd and coping strategies, please visit my website at www.scottshapiromd.com from medication timing, comorbid issues among! Coping strategies, please visit my website at www.scottshapiromd.com call or visit pharmacy... The most common form of ADHD medications are an effective second-line treatment, with! Dosage. ) nor doctor should push for just medication as the listed. In my head ” was misunderstood went back on my medication in time... ’ ve missed WEEKS of work in the best way possible office hours call! Trying to learn the rest of the type or dosage needed to achieve good effect dosage. ) (! And exercising well and frequently enough are key takes practice and energy to ADHD medication be! T understand about stimulant medication becomes less effective after long-term use in the amphetamine class are... State was 60 %, or ADHD itself also taking medication ( CNS ) stimulants the of! Ingredients that have different half-lives, so less 'bumpy ' call my ADHD my `` chaotic ambition '',... Back on Concerta ; I 've been bumped to 36mg and now 45mg supposed to take,... 300 % increase from your 'average ' off ; that does n't clarify how you using... Here is a perception that a stimulant and a patient 's weight is not necessarily a reason to stimulants.