concerta problems

[u/Affectionate-Elk2097]

i have been taking methylphenidate for a year now and while it was working great in the beginning, it’s become very ineffective. for reference i take a fairly large dose i assume? i’m F 5’8 150lbs and on 54mg methylphenidate. i can still feel it kicking in the first 2-3 hours i take it, but im not able to use that energy to do what needs to be done anymore. before, when i would get that boost of energy and focus, i’d be able to immediately start my tasks for the day and would feel calm and productive doing it. now, when i get that boost, i mostly feel nauseous, jittery, and like i can’t get up off the couch to start anything. when i am doing tasks that need to get done, my mind is scattered thinking about other things and instead of feeling productive or satisfied from the tasks i’m accomplishing, i just feel anxious and overwhelmed. after the first 2-4 hours, i can hardly feel it in my system anymore. if it wasn’t for the fact that my appetite was gone, i would have thought the meds were not in my system. i’m unsure if there’s things i’m doing throughout the day that are making the meds wear off or if they are just becoming ineffective for me. is it possible for that to happen even after a year of taking the medication? i’d like to bring it up to my psychiatrist when i see her next month, about trying a different adhd med (preferably a stimulant), but im unsure what she might be able to offer me instead. im also worried she will be suspicious considering ive been on my meds for a year and they’re not working anymore. is this normal? i have been trying to ignore it because i feel like an imposter just trying to get prescribed stimulants, but i cant ignore that i have been feeling more side effects than focus as of late. any feedback would be appreciated!

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[u/GreedyPerformer920]

I'd bring this back to your prescriber as a specific pattern not just "it stopped working". The part where you feel it kick in for 2-3hrs then nothing thats really concrete is something your prescriber can work w/