u/IRedShift

I’m currently taking 75mg of Ritalin IR per day - 25mg TDS but I’m thinking about asking my psychiatrist whether going back to Vyvanse might be a better option.

I was previously on 70mg Vyvanse with dexamphetamine top-ups. Vyvanse was much better for my task paralysis, motivation and actually starting things, but it wore off after 4-6 hours. The dex top-ups became a problem because I kept wanting to take more. I don’t want to put myself in that situation again, so I’d only consider Vyvanse without dex boosters or with some other safer plan. My psych did suggest going to 90mg Vyvanse but I never tried that.

Ritalin has been noticeably better for my emotional regulation. I feel calmer, less reactive and more emotionally stable, but I still struggle badly with task paralysis and sometimes feel a bit robotic or emotionally flat while it’s working.

Has anyone had a similar experience where Vyvanse was better for executive function, but Ritalin was better for emotional regulation? Did you return to Vyvanse without boosters, combine it with a non-stimulant, adjust the timing, or find another option that worked better?
Also what is the adjustment like? Do I need to titrate down from Ritalin or do I just switch to Vyvanse? Would I need to start from scratch titrating the dosage up from 30mg again?

I’m not looking to change anything without my psychiatrist. I’m mainly wondering what questions or options would be reasonable to discuss at my next appointment. Cheers

Hi,

I am on Ritalin 30mg 3 times a day. I picked up my last script on the 20th of May which said to titrate 10mg 3 times a day and increase it to 15mg 3 times a day after a week. My psych plan was to increase by 5mg per dose each week to a max of 30mg three times a day if no side effects which I have followed - I was already on 20mg three times a day when picking it up on the 20th. However the pharmacy says I cant pick it up until the 14th of June - assuming because this is the interval from the previous script. Is there anything I can do about this? Or i need to contact Dokatela and try and get them to get ahold of my doctor to ammend the dispense date? It was my understanding that a new script would superseed the old one and therefore I could dispense it. Is there anything else I can do?

Cheers

Update: I went in and talked to the pharmacy in person. They said their hands were tied and I’d need to get a letter from the doctor. I mentioned I tried to contact my doctor and couldn’t and asked if they could, which they did and he approved the dispense and my new script has the pick up date for my next script on it. Thanks for all your help everyone!

Hey everyone,

Wondering if anyone's been on a similar dose and how it went for you. I'm working with my psychiatrist and will follow up with them either way.

I've been titrating Ritalin IR over the last couple of months. Started around 30mg/day and have slowly worked up. My psychiatrist said I can try 30mg three times a day if I feel like I need it, so 90mg total.
I know that's on the higher side, especially for IR, so I'm curious if anyone else has been prescribed something similar?

I tried Vyvanse with dex boosters before and it didn't really land for me. I felt manic and overstimulated at times, and I kept getting pulled into impulsivity, dopamine chasing, the urge to redose so we switched because of that.

Ritalin's been a lot better. My emotional stability is way better, which is honestly the biggest win. Side effects are minimal, maybe a bit emotionally blunted sometimes, but much less reactive and more grounded.

What I'm still really stuck on is task paralysis. I can feel more stable, less all over the place, but actually starting things is still hard. That's the wall I keep hitting.

Social anxiety's still there, but it's shifted. It's less about being anxious around people and more about not messaging them or making plans in the first place.
Sleep's been fine. I get tired around 9pm and I space the doses about 4 hours apart.

Has anyone else been on this kind of Ritalin IR dose? Did it actually help with task initiation and executive dysfunction, or did you hit a ceiling where more just didn't do anything?

Just want to hear how it went for people as I know it’s a high dose and I don’t want to get in a spot where I’ll build tolerance, it will be counterproductive and I’ll be at the max dose with decreasing effects in the future.

Cheers

View Poll

Recently prescribed Ritalin but unfortunately lost my meds a week later while travelling. I tried to contact my psych but they said it can take 10 days for them to get back to me. However the same day my escript labelled ‘Artige 10mg’ got cancelled and I got prescribed a new script labelled ‘Methylphenidate Hydrochloride 10mg’. My pharmacists hasn’t tried the escript but because they said they need a letter but I’m wondering if I get it from another pharmacy will they fill it because it’s a different script and medication name? Worried about safe script flagging me. In NSW, cheers.

Has anyone heard from the GOAT of DraftEPL? Last I heard he stopped posting due to his league mates poaching his picks due to his weekly write ups but I think it’s wild he just stopped completely. Just wanted to check in that he is okay, thank the legend for his help and let him know he is missed!

I hope you’re having a bloody good time in life big dog if you read this!

Cheers u/pejtan_66