Concerta stopped working on day 14 (18 mg)

The first day was awesome. The first week was full of side effects. The second week was great. At the end of the second week, it suddenly stopped working. I don't feel the difference anymore. I don't feel any difference between the unmedicated me and medicated me. I'm so sleepy and dazed/drowsy. It used to make me feel more awake.

I tend to tolerate nonstimulants easily. Am I tolerating Concerta too now? I don't want my psychiatrist to up the dosage because I know I will eventually reach the max dose.

Is there anything else I can do? Has anyone else dealt with this before and maybe found a way out/make the med start working again?

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u/aishicide — 1 day ago
▲ 33 r/FictionkinTrends+1 crossposts

My fictionkin list. AMA.

Lu Guang (Link Click), Todoroki Touya (MHA), Angel Devil (CSM), Ayanokoji Kiyotaka (COTE), L (Death Note).

u/aishicide — 9 days ago

Something is definitely wrong [please urgent advice]

Hi everyone, I (18) have inattentive ADHD and just started Concerta 18 mg. At the same time I restarted Prozac, which I had taken for about 4 years in the past before stopping last year. I'm currently on Day 3 of Concerta and Day 4 of Prozac.

One thing that's confusing me is that I suddenly feel like I have hyperactive ADHD instead of inattentive ADHD.

Before medication I barely stimmed. I mostly just zoned out, dissociated, had mental noise and struggled with attention.

Now I'm experiencing things like:

\\-Constant urge to move, especially in the evening when the Concerta supposedly wears off.

\\-Lip/tongue biting without realizing it (to the point of causing sores and even bleeding).

\\-Feeling physically exhausted but mentally unable to settle.

\\-Getting unbearably bored when sitting still.

\\-Talking way more than usual and jumping between topics.

\\-Feeling rushed and doing everything too quickly.

The weird part is that I don't necessarily feel anxious in my thoughts. During work I actually felt more functional and less overwhelmed than usual. It almost feels like my anxiety is "behind a wall" internally it's there, but outwardly I stay calm and keep working. Since I can't stim during work, the restriction might be the reason why I stim excessively once I'm not busy.

The restlessness is what bothers me the most. Yesterday I kept biting my tongue and today I switched to biting the inside of my lip until it bleeds. Both of these happened without my will. I didn't even notice them for hours. I noticed my hands start to tremble a few hours after taking Concerta but today they started to tremble in an hour. I also noticed this oral stim doesn't appear when the Concerta peaks, it happens when the Concerta starts to wear off. I also noticed my baseline anxiety returning toward midnight once Concerta fully wears off.

Another thing I'm wondering is whether this could be the combination of Prozac and Concerta. When I took Prozac in the past, I remember becoming much more extroverted, energetic and talkative compared to my usual self. Now with Concerta added, I feel like that activation might be even stronger.

Has anyone with primarily inattentive ADHD experienced something similar when starting Concerta (especially together with Prozac)? Did the restlessness and hyperactive-like stimming settle after the first week or two, or did it end up meaning the medication or dose wasn't right for you?

I'm afraid Prozac and Concerta might be too much for my body. Prozac also tends to make it take longer for the body to get rid of the medications so it may result in Concerta getting collected in my bloodstream so much that it may get to toxic levels (maybe that's why hand tremors started happening earlier? On day 1 and 2, it started 8 hours after Concerta but today it started 1 hour after. Any ideas on why this happened?). It may be my anxiety talking right now, but I'm scared. Should I wait until my next appointment (in one month)? Maybe it will get better until then?

(One important note: I only slept 1 hour the night before Day 2 because of the insomnia side effect, so I know that could have influenced some of today's symptoms. I'm mainly curious whether anyone has experienced this type of intense restlessness and oral stimming during the first few days of treatment and if it gets better)

Edit: okay my anxiety is definitely way worse right now I can't even do basic math. Am I going to get fired? What if I mess up the work? My shift starts in three hours. I think I'm gonna have a heart attack. My hands are shaking so bad how am I supposed to not knock things over during my shift?

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u/aishicide — 11 days ago

Feeling like I suddenly have hyperactive ADHD? Did the meds change my ADHD type?

Hi everyone, I (18) have inattentive ADHD and just started Concerta 18 mg. At the same time I restarted Prozac, which I had taken for about 4 years in the past before stopping last year. I'm currently on Day 2 of Concerta and Day 3 of Prozac.

One thing that's confusing me is that I suddenly feel like I have hyperactive ADHD instead of inattentive ADHD.

Before medication I barely stimmed. I mostly just zoned out, dissociated, had mental noise and struggled with attention.

Now I'm experiencing things like:

-Constant urge to move, especially in the evening when the Concerta supposedly wears off.

-Lip/tongue biting without realizing it (to the point of causing sores and even bleeding).

-Feeling physically exhausted but mentally unable to settle.

-Getting unbearably bored when sitting still.

-Talking way more than usual and jumping between topics.

-Feeling rushed and doing everything too quickly.

The weird part is that I don't necessarily feel anxious in my thoughts. During work I actually felt more functional and less overwhelmed than usual. It almost feels like my anxiety is "behind a wall" internally it's there, but outwardly I stay calm and keep working.

The restlessness is what bothers me the most. Yesterday I kept biting my tongue and today I switched to biting the inside of my lip until it bleeds. Both of these happened without my will. I didn't even notice them for hours. I also noticed this oral stim doesn't appear when the Concerta peaks, it happens when the Concerta starts to wear off.

Another thing I'm wondering is whether this could be the combination of Prozac and Concerta. When I took Prozac in the past, I remember becoming much more extroverted, energetic and talkative compared to my usual self. Now with Concerta added, I feel like that activation might be even stronger.

Has anyone with primarily inattentive ADHD experienced something similar when starting Concerta (especially together with Prozac)? Did the restlessness and hyperactive-like stimming settle after the first week or two, or did it end up meaning the medication or dose wasn't right for you?

(One important note: I only slept 1 hour the night before Day 2 because of the insomnia side effect, so I know that could have influenced some of today's symptoms. I'm mainly curious whether anyone has experienced this type of intense restlessness and oral stimming during the first few days of treatment.)

reddit.com
u/aishicide — 11 days ago

First day on Concerta 18 mg, can't sleep.

It's my first day on Concerta (took it at 8 am) and I've been working all day (woke up at 6 am and it's currently midnight). I'm physically tired, my body aches. But I don't *feel* sleepy. I have a history of insomnia and now I'm scared that my insomnia is coming back.

Will it get better over time? My tomorrow shift starts early in the morning and I have to sleep but I just can't. I know this feeling. I used to feel this a lot when I was insomniac. I don't want to be insomniac again it's terrible.

What should I do right now to sleep? I can't take sleep meds or melatonin because I get addicted to them. I had a hard time dropping them during my insomniac phase.

Edit: it's morning now, I only slept for an hour.

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u/aishicide — 12 days ago
▲ 1 r/prozac

Expiration date

My doctor started prozac again after one year break since I started to get worse. I only have the Prozac from last year because it's currently not available in the pharmacy. Its expiration date is one/two months later. Is it still safe to use? Would it still give effects properly?

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u/aishicide — 13 days ago

Am I gonna be unemployed?

My parents keep saying that Concerta will make me unemployed. I know it's an obstacle for being police/soldier etc but I'm a language student. Is it still an obstacle for me too? I can't take my pills because of my parents and ADHD is ruining me. I don't know what to do. My parents don't believe me when I say it doesn't affect my possible jobs.

Edit: the reason behind this is because Concerta is a red receipt medication so it'll be saved in my medical history which is necessary for job application documents. In my region most companies don't hire people who have used a red prescription medication.

Edit again: I finally managed to convince them. Getting my 18 mg Concerta eventually, took me a long time but was worth it. Thank y'all for your comments. It was all thanks to you.

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u/aishicide — 13 days ago

Becoming dependent on stimulants

I'm about to start Concerta for ADHD and I've noticed a thought pattern that worries me.

I tend to have a very all or nothing/black andwhite mindset. Recently I've been putting off tasks and telling myself things like "I'll do it when I get my medication."

For example, I need to tidy my wardrobe but I keep postponing it because part of me is thinking "What's the point? I'll be able to do it once I start stimulants."

The thing is, I haven't even started the medication yet and it already feels like I'm mentally conditioning myself to believe that I can't do things without it.

I'm worried that after starting stimulants, I might become psychologically dependent on them. Not in the addiction sense but in the sense of attributing all of my ability to function to the medication and losing confidence in my own capabilities.

I know medication can be a useful tool but I don't want to fall into the trap of thinking "No meds=impossible, meds=possible."

Has anyone else experienced this mindset before starting treatment or after beginning stimulants? How did you maintain a balanced view of what the medication was actually helping with versus what you were capable of on your own?

reddit.com
u/aishicide — 16 days ago

Becoming dependent on ADHD meds

I'm about to start a stimulant for ADHD and I've noticed a thought pattern that worries me.

I tend to have a very all or nothing/black andwhite mindset. Recently I've been putting off tasks and telling myself things like "I'll do it when I get my medication."

For example, I need to tidy my wardrobe but I keep postponing it because part of me is thinking "What's the point? I'll be able to do it once I start stimulants."

The thing is, I haven't even started the medication yet and it already feels like I'm mentally conditioning myself to believe that I can't do things without it.

I'm worried that after starting stimulants, I might become psychologically dependent on them. Not in the addiction sense but in the sense of attributing all of my ability to function to the medication and losing confidence in my own capabilities.

I know medication can be a useful tool but I don't want to fall into the trap of thinking "No meds=impossible, meds=possible."

Has anyone else experienced this mindset before starting treatment or after beginning stimulants? How did you maintain a balanced view of what the medication was actually helping with versus what you were capable of on your own?

reddit.com
u/aishicide — 16 days ago
▲ 20 r/ADHD

Becoming dependent on ADHD meds

I'm about to start a stimulant for ADHD and I've noticed a thought pattern that worries me.

I tend to have a very all or nothing/black andwhite mindset. Recently I've been putting off tasks and telling myself things like "I'll do it when I get my medication."

For example, I need to tidy my wardrobe but I keep postponing it because part of me is thinking "What's the point? I'll be able to do it once I start stimulants."

The thing is, I haven't even started the medication yet and it already feels like I'm mentally conditioning myself to believe that I can't do things without it.

I'm worried that after starting stimulants, I might become psychologically dependent on them. Not in the addiction sense but in the sense of attributing all of my ability to function to the medication and losing confidence in my own capabilities.

I know medication can be a useful tool but I don't want to fall into the trap of thinking "No meds=impossible, meds=possible."

Has anyone else experienced this mindset before starting treatment or after beginning stimulants? How did you maintain a balanced view of what the medication was actually helping with versus what you were capable of on your own?

reddit.com
u/aishicide — 16 days ago

I'm a total failure

I'm nothing more than a failure. I have university entrance exams tomorrow and guess who will mess up the whole thing? Correct answer, me. I took a gap year because I entered the exam for the first time last year and I messed it up too. Turns out I had ADHD back then. And now, I still have ADHD since it's a neurodevelopmental disorder, and I'm still unmedicated because of late treatment.

I tried so hard I swear on my life I tried so damn hard. I tried to study while I had untreated ADHD. I did study for the first few months. But I studied too much. I was too harsh on myself I was too disciplined. Then I got the burnout. And now I haven't been studying for almost half a year and I have the exam tomorrow.

I'm disappointed both in myself and others. Trying to function while having untreated severe anxiety and ADHD is like trying to hear without hearing aids while being deaf. I'm tired of the expectations. And handling the embarrassment of failing for the second time is going to be really hard.

I'm very anxious for tomorrow, and the day of result announcements. I don't know what to do anymore. It feels like my life is ruined. I am already running late because of the gap year and I don't want to fail again.

I know it's probably not a huge issue, at least not as big as my anxiety is making me believe in. But I still feel like there's no way out and the rest of my life is gonna be miserable.

Everybody keeps saying "You were smart, you were hardworking, what happened to you? Gather it together. We have high expectations from you. Don't disappoint us."

Can someone just listen to me instead of dumping all the weight on my shoulders?

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u/aishicide — 17 days ago
▲ 30 r/prozac

Anyone else need to stay on Prozac long-term?

Hi everyone, I've been struggling with anxiety and depression for several years. I was prescribed Prozac and stayed on it for about 4 years. During that time, it helped me a lot and eventually I felt stable enough that I thought I had recovered.

Last year, with my doctor's guidance, I stopped taking Prozac because my doctor genuinely felt like I didn't need it anymore. Unfortunately, a few months after stopping, my anxiety returned stronger than before. I have never felt it get this worse before.

Because of that, I'm now starting Prozac again. The medication itself doesn't really worry me since I've taken it before and know it helps. What worries me is the future.

I keep wondering, if I improve again and eventually stop taking it, will I just end up in the same situation? It feels like I got better while on Prozac but once it was gone, the anxiety came back.

Has anyone else experienced this? Did you find that your symptoms returned every time you stopped? Have any of you stayed on Prozac long-term? How did you decide whether to continue medication indefinitely versus trying to come off it again?

Thanks for reading and thanks in advance for the replies. Have a great day/night.

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u/aishicide — 18 days ago

Starting Concerta soon, anything I should know?

I'm starting Concerta soon for ADHD and wanted to hear about other people's experiences before I begin.

My main ADHD symptoms are difficulty focusing, executive dysfunction, mental fog, racing thoughts, burnouts, afternoon crashes and constantly getting distracted. I also deal with anxiety and use Prozac (Fluoxetine) for it, so that's something I'm a little concerned about.

For those who have taken Concerta, what was your first week like? How long did it take to notice benefits? Did it affect your anxiety? Any side effects that caught you off guard? Do you have any tips regarding food, sleep, hydration, timing, or anything else you wish you had known before starting?

I know everyone's experience is different, but I'd love to hear both positive and negative experiences so I can have realistic expectations. Thanks in advance.

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u/aishicide — 18 days ago

How do I get rid of the "eat until my plate is finished" mindset?

!!Potential trigger warning!!

​

My parents have forced me into finishing my plate for my whole life. It now stays as a habit/trait of mine. I feel like I have to finish my plate or the pack of snacks I'm eating. It's an all or nothing mindset. I just did it again. I had a pack of biscuits and I started feeling like it wasn't even tasty halfway. But I finished the whole pack anyway and ended up feeling nauseous. And then I had my dinner but I started feeling full halfway again. But I kept eating until the plate was finished. Now I feel very uncomfortable because I'm very bloated. I just want to be able to say "No, I'm full." for once instead of people-pleasing.

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u/aishicide — 19 days ago

Starting Medikinet MR, anything I should know?

I've been diagnosed with ADHD for a year now and after no results from non-stimulants, my psychiatrist prescribed Medikinet MR. I'll be starting it soon and this will be my first time taking a stimulant.

I'd love to hear from people who have personal experience with Medikinet MR. Is there anything you wish you had known before starting it? Any advice, tips, common mistakes, side effects, or things to watch out for? What was the biggest surprise you experienced after starting Medikinet MR?

I'm especially interested in how it affected your focus, motivation, anxiety levels (I'll be taking the stimulant with an SSRI so I think the anxiety will be okay?), appetite, sleep, mood, and daily functioning. Did the benefits appear immediately or did it take some time to adjust?

Any experiences, warnings or recommendations would be appreciated. Thanks for reading.

P.S: I'm especially curious whether it causes addiction? Has anybody gone through something like that?

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u/aishicide — 20 days ago