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Dr. Thomas, MD
Dr. Thomas, MD, Board Certified MD
Category: Medical
Satisfied Customers: 63757
Experience:  Board certified Internal medicine and Integrative medicine. Many years of experience all areas.
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I have noticed that I have less effectiveness from my ADHD

Customer Question

I have noticed that I have less effectiveness from my ADHD medication ( Ritalin, 60mg per day) I do not know why. I have been taking it for 2 months. Any suggestions?
I also find the come down really hard in the evening. Is there anything I can do to prevent such as feeling of low mood, tiredness ? Normally I would not have such an effect if i did not take the medication and would have pretty sustained energy during the day and not the complete drop in energy at 5 pm.
Submitted: 1 year ago.
Category: Medical
Expert:  Dr. Thomas, MD replied 1 year ago.
Hello
If you are not doing so, the dose should be divided. 3 times a day.
If this is being done, you are maxed out, and the drug should be changes.
A study shows adderral to be more potent and sustained, for example.
There are other options as well, but your doctor needs to help you make this choice.
OK, so that is an initial answer….
Please use reply to expert if you have further questions. When you are ready, please click a positive rating [hopefully excellent]. If you forgot something, come back. I am here daily.
Customer: replied 1 year ago.

Ok I appreciate your answer. I am taking the Medikinet XL 40 mg in the morning.

Adderral is not legal in the UK,

so are there any other better option than methylphenidiate?

Elvyanse has been discussed with my doctor but he want to wait 3 months before trying it.

What works better the Medikinet IR or the XL. Any difference?

Customer: replied 1 year ago.

Ok I appreciate your answer. I am taking the Medikinet XL 40 mg in the morning.


Adderral is not legal in the UK,


so are there any other better option than methylphenidiate?


Elvyanse has been discussed with my doctor but he want to wait 3 months before trying it.


What works better the Medikinet IR or the XL. Any difference?

Expert:  Dr. Thomas, MD replied 1 year ago.
You are asking the wrong question.
Each individual responds differently to each drug.
It is what works better for you.
If the medikinet is not working, you should switch sooner, and I would discuss this with your doctor who knows you.
It is quite impossible for you, or someone who has not examined you and taken care of your medical situation, to predict which drug is best for you.
please click a positive rating [hopefully excellent]. If you forgot something, come back. I am here daily.

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