Sorry this might be a dumb question, I tried googling it but nothing seems to come up...
Just started Xaggatin 36mg yesterday from previously on Concerta 54mg as it wasnt working...just wondering if I should have started with 18mg and work up to 36mg?
I have been given both 18 +36mg dosages to take the 18mg as a booster in the afternoon, but this medication doesn't seem to be doing anything for me either!! 😕
I've heard mixed information.
Typically, a doctor starts the patient at a lower dose, then works up to higher dosages in order to find what's most effective.
However, I have heard of doctors who would start at higher dosage, to try to find the most therapeutic dosage sooner.
Doctors vary in their experience with patients taking ADHD medication, and they lean on their own experience to guide them. (Some follow very strict recommendations. Others are more willing to try something new.)
When on doubt about medication questions, ask your doctor. Be partners with them in your care.
Thanks STEM_Dad
The next follow up I have is in a couple of weeks, and I was just worried I had missed a piece of vital information regarding changing medication!
concerta didn’t work for me either. They have me on amphetamine mix (I think that’s adderall). The mg dosages can be way different. The pharmacist can help you compare dosages. One med would be high at 27 and the other won’t be high until 52. Talk to your doc about low to high dosages and compare them. I was on 10 of the amphetamine mix immediate release and the doc just moved me to 15mg extended release. It was a comparable dose since one goes that much med over 24 hours and the other does 10 over 3-5 hours.
This is a good conversation to have with your doctor. Starting on the lowest dosage establishes a baseline to assess how you are tolerating the dosage and the effect. It established a baseline to determine what symptoms are treated and what you may still be struggling with. If you notice symptoms are still getting in the way of work and relationships and other areas of your life— then that merits an increase of dosage or change of medication. Start a medication journal. It will help with anxiety and knowing when to contact your doctor for a change or increase. With ADHD there may be overthinking or analyzing. There may be time blindness that does not notice that you need an increase or change. The journal is a good daily or weekly check-in to make sure you don’t overthink or overlook symptoms that may be worsening or no longer treated. Diet and exercise and rest can impact the effect of medicine. You may also want to log and check in with lifestyle. You can use activities to test your medicine or medicine dosage like a sport, computer game or task, chores, and other things that you do or must accomplish. Use activities that you are interested in and not interested in. You need to be able to accomplish a task that you are not interested or need hyperfocus to complete. If you can’t do that then that is a good time to go to your doctor and talk about how your life is impacted. If you have strategies (some living with ADHD use strategies and some don’t), your strategies should not exhaust you. If strategies exhaust you then you need a new medication or dosage. Strategies should enhance and improve your life and make life easier and better. A journal is a great way to introduce yourself to your ADHD on a more personal level. If you introduce and keep re-introducing yourself you will uncover meaningful insights and get to know yourself in ways that will validate your identity with ADHd and may even surprise you.
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