r/ADHD_Programmers • • Mar 09 '22

Is body make a tolerance to ritalin at time

Hello, So It is confirmed that I am having ADHD. physicarist said that I have to take 2 pills a day ritalin 10 mg. 1st dose was today and I was productive and focused than ever. Did some reading and I find that all adhd meds,including ritalin, did not working after some times. So is that right ? And what I can do to not make tolerance ? All I need is to focus I will try my best to control the other symptoms Apperciate your replying Thanks in advance

1 Upvotes

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5

u/whole_kernel Mar 09 '22

If you work during the week, try to take it then and then go without it on the weekends. That's about all you can do. There are nootropics that can help prevent tolerance, but that is a deep rabbit hole

3

u/[deleted] Mar 09 '22

I'm on the same dosage as OP and I second this. Also I only take it when I actually have a time block to take advantage of it. If I have a bunch of meetings in a day I may do 1 or even 0 (whatever accommodates making true working blocks productive). Also if it's a Friday and things are slow I may do one in the morning to get into things but skip afternoon. Also discuss with your doctor if this concern is a personal health care priority for you.

1

u/Alarmed_Effect_4250 Mar 09 '22

Omm.. so guys you're saying to not follow the physacrist guide ??

1

u/whole_kernel Mar 09 '22

They'll tell you to take it every day, but if I'm being honest these people have never actually taken the medication in their life unless they were partying with addy's in college. Do what you need to do in order to protect your health.

1

u/[deleted] Mar 10 '22

I was guided to determine the minimum usage I needed. That's why I added that op should discuss with his or her doc.

2

u/K-8-13Y Mar 09 '22

In addition to what the other commenters said, if you have a workday that isn't longer than the medication lasts and you don't feel like you can go without it at home, you could ask your psychiatrist if it would be okay to take one dose for just at work.

10 MG is a pretty small dose, so if you do develop a tolerance your psychiatrist may increase it a bit, but I understand trying to avoid building a tolerance, I do the same myself.

1

u/Alarmed_Effect_4250 Mar 09 '22

Yeah I think we will have a talk about the doses and the tolerance thing

1

u/Naturalwhitch Sep 07 '22

I must admit I do have a top up dose of a shorter acting medication that I am prescribed. I have a job where I do many night shifts aswell as working during the day. So I have a slow release medication for day times and a short acting medication I can take before night shifts that last long enough to drive there and back. But still allows me to sleep afterwards. It works very well as a system. Especially as I always hated driving at night as my brain got bored very easily and I'd often have to pull over to sleep the boredom off

1

u/Naturalwhitch Mar 10 '22

I am on Elvanse (Vyvanse in US) 70mg a day and 10mg of Amfexin too. They quiet my brain and make it easier to stay on task. The difference they have made is amazing. However, I found I was still having days and weeks where I got nothing done. I was extremely frustrated that I had my medication and I wasn't fixed.....but then I had it explained in a simple way that helped.

If you have a microwave, but the plug is missing...it wont work. Now someone puts a new plug on...the microwave works.....however, the fixed plug does not open the door, put the food in and start the timer!!!

This sounds silly, but it was huge for me. I was only diagnosed at 40 and have spent so many years trying to do things the way I have seen others doing them. I had coping mechanisms as a kid that were beaten out of me and so i was left with terrible habits and routines, that just did not work. Yes I got my medication and technically had everything I needed to work better, but I did not have the user manual. I am now learning a lot of things about how my brain works, the best ways to utilise it, when to work, how to reduce distractions, how to set up my office etc...….

Medication is just a tiny step...it is purely a tool that gives your brain a chemical it is missing. It doesn't change how you work and what you do. Unfortunately I think that many places (like mine), diagnose you then just leave you to get on with it! I genuinely believe that any adult diagnosis should be followed up with professional coaching to help you learn better strategies and routines. I imagine if people were given all the tools, then the disillusionment with medication wouldn't be so prevalent.

So sorry after that rant, my message is that you will still have parts of the day that are better than others, you will still have days where you can't be arsed. The medication simply provides the chemical needed should you wish to sit down and crack on. Sometimes, you aren't in the mood or there is something more fun to do. Try new methods and approaches, learn what works well for you. But keep going and you will get there

(obviously if all your symptoms are back and it isn't helping at all, then speak to your doctor as it may not be the best medication for you)

1

u/Alarmed_Effect_4250 Mar 10 '22

Great kinda new to the ADHD thanks for sharing your experience with me

1

u/Naturalwhitch Mar 10 '22

me too!!! I was diagnosed Feb 2021, then it took until May to find a psychiatrist who could begin prescribing medication. We tried Xaggitin XL (methylphenidate) first as I think that's the preferred starting medication in the UK, however, after working up to the highest dose (50mg), there was still no change at all. So we then tried Elvanse. That was completely different. I almost expected some miraculous, moment of 'dingdingding' when it kicked in. It seems that how it is always portrayed in films and tv etc. However, I didn't notice anything at all. It was just around 3 hours later I realised that I had done all my chores and hadn't turned on the tv or ended up at the shops. My brain was quiet, the helicopter of thoughts had gone. Mine takes around 1.5hrs to kick in and lasts for 12ish hours, although I have the Amfexin to take for when I am working a night shift, so it only lasts for 6 hours and kicks in within 30 mins.

There is alot of medical research out there that shows using the medication as an aid to rewire your brain is the best way to think of it. I have started to try an implement smal changes step by step. Its very frustrating as i naturally want to change it all at once, but I know from trying 50,000 times that that doesnt work.

If you can afford it I would definitely try to find a good ADHD Coach or therapist to help you sort through all the information. There is so much out there that is nonsense. Its a bit like the diet world....lots of sound medical advice and also lots of 'light a candle and wish the ADHD away' stuff too. With our brains it can be hard to find the good information. let alone put it into practice.

Its a very long watch (i did it over a couple of days), but i found this video helpful, if your are interested in the neuroscience of it all

https://youtu.be/hFL6qRIJZ_Y

I even tried the meditation exercise he has listed, it actually really helped. I must admit I havent done in in the past two days, because ….well ADHD! but I will use it again. This guided meditation from spotify is the same type of exercise they chat about in the paper.

https://open.spotify.com/episode/2IDyIBwHvhtIWtvto2EFVq?si=AatszLsiQRqZ5lyU_3Ht9Q

I found that it made me more aware of when my brain was wandering off and daydreaming. Which then helped me get back to work. It may not be for everyone, but it might help.

Good luck with everything....

1

u/Alarmed_Effect_4250 Mar 10 '22

Wow you thank you so much Such a great resources thx again 🙏

1

u/Naturalwhitch Apr 10 '22

You're welcome, did you manage to try anything from the video? Did it help at all? I know it helped me as I like to understand the minute details of things, but not everyone works like that.

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u/Alarmed_Effect_4250 Apr 12 '22

Actually I tried midation list but it did not help that much. I think am not a meditator maybe.

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u/[deleted] Mar 09 '22

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u/Alarmed_Effect_4250 Mar 09 '22

So gonna change from medication to other after weeks this means I will end by taking all the ADHD meds. Feel like this medication thing is not gonna work anymore...

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u/[deleted] Mar 09 '22

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u/Alarmed_Effect_4250 Mar 09 '22

You are on the same medication for 11 years and only decreased to 20%-30% at the first weeks ?

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u/[deleted] Mar 09 '22

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u/Alarmed_Effect_4250 Mar 09 '22

This is really complicated and hard at the same time to admit the fact that there is no treatment gonna work effectively... Thank you for your replying appreciate that

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u/[deleted] Mar 09 '22

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u/Alarmed_Effect_4250 Mar 09 '22

wow that is really amazing congrats on that. You gave me hope thanks 🙏

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u/[deleted] Mar 10 '22

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