this post was submitted on 04 Sep 2024

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ADHD

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Medication lasting 8h, not 3 or 14? (feddit.org)

submitted 3 months ago* (last edited 3 months ago) by [email protected] to c/adhd

36 comments fedilink hide all child comments

Hey, first day with Elvanse!

Was pretty crazy, and tbh 30mg are also too much for me. I find it crazy that this is the standard dose people get.

I had 110+ BPM (If my Mi Band 8 is reliable), slight nausea, 0% appetite etc.

I used Modafinil before to cope with my (then unknown) ADHD and there I took ¼ pill, so also really little.

I prefer to be in control, and this was a lot!

The pills are not delayed (retarded??) and a possible consumption way is powdering over a Joghurt etc.

So I will firstly just try 10mg, maybe 15 or 20. I have a pretty good body awareness, that should be enough.

But still, that stuff lasts 14h+ ! That is intense, longer than a lot of other drugs, even LSD.

This also means that my evening today was kinda gone, because I was so exhausted, like in my brain, a pretty strange feeling.

The alternative, Medikinet, lasts 2-3h which is kind of a joke.

Is there something that lasts 8h? A whole work day would be way better.

Why are 3 comments deleted?

I didnt find anything in the modlog, while my other post was removed as it links to Mastodon.

I find this pretty bad, because deduplicating writing effort is not sustainable

Update: now at least 4 comments are deleted.

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[–] Treczoks 8 points 3 months ago (2 children)

The big problem with ADHD medication is that basically every patients reacts differently. There is no real general formula. With some patients, even small dose changes can make a vast difference.

Basically all you can do is try a medication/dose combo, observe and record what happens, maybe tune the dose slightly, and talk to the doc again if one medication does not work for you.

[–] [email protected] 3 points 3 months ago (1 children)

Thanks yes I can imagine that.

I am generally very sensitive against drugs, noise, bad swimming water, ...

So I react way more than others.

Two issues here. It is no problem to just split a pill. I open it up in a good vessel, shake it a bit and eyeball ⅓ of it. No atom science.

And I would like to tell my doctor that I want to increase the dose, if I dilute anyways, I wouldnt need to go that often.

There is a 40mg 100 capsules package, which would last like a year for me!

But at the same time I would like to tell him that 30mg is not a safe dose, he should teach first time patients to open the capsule and dilute themselves. You can easily do that.

But then he might not prescribe me what I need, because some garbage argumentation that it is not safe to split yourself or whatever.

I might just try it, and explain my reasoning. He is kinda nice.

[–] Treczoks 1 points 3 months ago (2 children)

But at the same time I would like to tell him that 30mg is not a safe dose,

Leave it to the medical people what a "safe dose" is. If the capsules have 40mg, they have achieved this value not by just eyeballing, but by amazingly intensive testing.

he should teach first time patients to open the capsule and dilute themselves. You can easily do that.

If you have doubts on or problems with the prescribed dosage, please discuss this with your doctor. It helps if you can give detailed information on the effects it has. I have to admit that I have no first-hand experience with ADHD medication, but I closely followed the struggles of my daughter to find the right medication, dosage, and application method, and it took her quite some trials and changes of medications to find what helps her best.

[–] [email protected] 2 points 3 months ago

Yeah and the professional didnt tell me that I can ust open the capsule, mix the powder and take a third, then a half, then 2 thirds etc.

So having that data would be very valuable.

[–] [email protected] 1 points 3 months ago

Your comment seems to have been deleted

[–] [email protected] 1 points 3 months ago (1 children)

Your comment seems to have been deleted

[–] Treczoks 1 points 3 months ago (1 children)

On lemmy.world, both comments are still there.

[–] [email protected] 1 points 3 months ago

Strange... this may be a Jerboa issue