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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 8 of 8. This is the beginning of the thread.
Posted by cybercafe on March 7, 2003, at 17:53:20
i don't feel like i could hold down a fulltime job, and i'm wondering what options (raising dose?) i have
Posted by Questionmark on March 7, 2003, at 22:41:33
In reply to is 20 mg twice daily ritalin SR a lot?, posted by cybercafe on March 7, 2003, at 17:53:20
Everbody's different of course, but i personally think that 40mg ritalin a day is a lot. Ask yourself if you're too nervous, moody, paranoid or mildly delusional at your current dose. If not, and it's helpful, maybe an increase might be good. i know i wouldnt like that much ritalin (40+ mg) in me on a daily basis though.
Posted by fachad on March 7, 2003, at 23:28:32
In reply to is 20 mg twice daily ritalin SR a lot?, posted by cybercafe on March 7, 2003, at 17:53:20
I think 40mg/day of methylphenidate is fairly average.
How long have you been at that dosage?
Also, my previous pdoc HATED Ritalin SR, he would not write for it. He told me I could have Ritalin IR, or Concerta, or Metadate, but not the SR. He said that it was basically a wax tablet and that it's dissolve rate and delivery of MPH was very erratic and unreliable.
So, if you can afford it, you may want to ask your pdoc for the 54mg Concerta tablet. That would be a slight dose increase, plus a top quality controlled release mechanism.
> i don't feel like i could hold down a fulltime job, and i'm wondering what options (raising dose?) i have
Posted by cybercafe on March 8, 2003, at 21:23:53
In reply to Re: is 20 mg twice daily ritalin SR a lot?, posted by Questionmark on March 7, 2003, at 22:41:33
> Everbody's different of course, but i personally think that 40mg ritalin a day is a lot. Ask yourself if you're too nervous, moody, paranoid or mildly delusional at your current dose. If not, and it's helpful, maybe an increase might be good. i know i wouldnt like that much ritalin (40+ mg) in me on a daily basis though.
i have read 20 mg ritalin SR is equivalent to 7 mg regular ritalin ...
so i should ask -- is 7 mg twice a day a lot?
do psychotic symptoms come on gradually for a bipolar?
Posted by cybercafe on March 8, 2003, at 21:26:44
In reply to Re: is 20 mg twice daily ritalin SR a lot?, posted by fachad on March 7, 2003, at 23:28:32
thanks for replying> I think 40mg/day of methylphenidate is fairly average.
>
> How long have you been at that dosage?a couple months :(
> Also, my previous pdoc HATED Ritalin SR, he would not write for it. He told me I could have Ritalin IR, or Concerta, or Metadate, but not the SR. He said that it was basically a wax tablet and that it's dissolve rate and delivery of MPH was very erratic and unreliable.
>
> So, if you can afford it, you may want to ask your pdoc for the 54mg Concerta tablet. That would be a slight dose increase, plus a top quality controlled release mechanism.unfortunately in canada metadate and concerta are not available...
hence i am considering a move to the UK (where psychiatrists are not available) :)
Posted by kara lynne on March 9, 2003, at 2:17:45
In reply to Re: is 20 mg twice daily ritalin SR a lot?, posted by cybercafe on March 8, 2003, at 21:23:53
I don't know where you get those numbers from; it doesn't sound right to me (20mgER equivalent to 7IR). 7mg. of ritalin IR twice a day is not a lot.
Posted by baracuda on March 9, 2003, at 14:39:16
In reply to is 20 mg twice daily ritalin SR a lot?, posted by cybercafe on March 7, 2003, at 17:53:20
my pdoc had me taking 60 mg of ritalin daily - not sr though. i only can handle 20 mg in the morning now though due to increased sweating, a crazy sugar craving and 2-3 naps a day. im thinking about stopping altogether though because im starting to binge on high sugar snacks and have gained 30 lbs since introducting ritalin to my prozac treatment.
Posted by cybercafe on March 10, 2003, at 0:24:50
In reply to Re: is 20 mg twice daily ritalin SR a lot?, posted by baracuda on March 9, 2003, at 14:39:16
This is the end of the thread.
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