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ADD Med Dosage?

Posted by BLPBart on March 11, 2002, at 11:11:03

I have a question for any of you who can shed some light for me. I've been on ADs for a couple of years now. Started on celexa, then prozac, then prozac + wellbutrin, now wellbutrin SR 300 mg/day. This works pretty well for the depression although I'm a bit moodier than I was on the prozac. Recently, my doctor and I discussed adding a pstim to my AD because I was feeling very lethargic. I was doing some reading about Adderall, started reading about ADD, and just about fell over when I realized they were describing me. I fall into the category of inattentive, definitely not hyperactive. When you read the descriptions about girls who are quiet and unobtrusive, often depressed and have a difficult time staying on task and focusing, but somehow manage to get through life despite all of the difficulties-that's me. Anyway, I took the survey, my doc said I met the diagnostic criteria and we started down the stim path. He started me on dex spansuls 10 mg/day. I upped that each week by 10 mg. When I got to 30 and felt nothing he decided to try something different. Initially he was going to give me Adderall, but since it's fairly close to dexedrine in composition, he decided to go totally different and put me on concerta. So far I've been taking 36 mg/day, I just doubled that dose this morning and still can't tell I'm taking a stimulant. What I'm wondering is what would be a typical adult dose of Concerta? My usual self-doubts are starting to creep up on me and I'm wondering if being ADD is all in my head. Maybe all of the things that have occurred in my life that I finally thought had an explanation might be just me looking for excuses for my poor grades in college, etc. My doc told me that ADD types don't get hyper from stims, rather they don't have any response to them until they hit the right dosage and then it's like a light switch being flicked on. What I'm wondering is since my ADD (if I really and truly have it) is not severe enough to be noticeable to other people, i.e. I'm not hyper and doing a lot of things people associate with ADD, that maybe the effects of the drugs will be much more subtle than I've been led to believe. Does anybody out there have any words of wisdom for me?


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