Posted by Mark H. on October 10, 2000, at 21:02:07
In reply to manic depression and ritalin (concerta)?, posted by Christy Sales on October 7, 2000, at 12:18:26
Hi Christy,
I'm bipolar and take methylphenidate; in fact, I probably couldn't hold down a responsible job without it. During the two times of year when I'm "up," I just naturally take less of it -- I don't even have to think about it; my need for it just falls off, sometimes to zero. In my system, it's more gentle than caffeine. I had to quit drinking coffee 12 years ago.
For those of us who need it, methylphenidate can be paradoxical in its action, which is an incentive to keep the dosage as low as possible. A small amount stimulates, but a larger amount (past a point that is different with each person), it can make me very tired and put me right to sleep. To remain effective, I have to take a bit less than might feel optimal on a given day. Likewise, I can't use it as a sleep replacement, or it just isn't there for me when I really need it.
My stock advice is to take 1/4 of whatever your doctor prescribes to start, until you know how it will affect you. Among people I've discussed this with, all knew within a day or two whether they were helped or hindered by methylphenidate. If you listen to your body, you'll probably be fine.
Among "normals," abuse potential for methylphenidate is high, but I have not seen that among those who need it. That's one reason why trying it may be the only way to know whether it's appropriate for you to take.
Pullmarine's caution is correct, however. Potentially, a strong stimulant can bring on mania and psychosis. However, starting with a low dose and listening to your body will reduce the danger.
So we all learn something, please let us know how it works for you.
Best wishes,
Mark H.
poster:Mark H.
thread:45916
URL: http://www.dr-bob.org/babble/20000926/msgs/46092.html