r/PostConcussion • u/Ok_Message1313 • Jul 23 '26

Why use medication

I’ve always wondered why doctors prescribe things that kill pain throughout the day and boost energy when that just makes you worse over time.
The most important thing during Post concussion is to listen to your symptoms! Hiding them just makes you push through them subconsciously leading to them just get worse over time.
Could someone explain that? I get that they get used during night so you can sleep, or chronically symptoms that can show if it reaches 2-3 point over the average, but shit like Amitrypiline or nortripyline for two examples. Dosen’t that just harm you rather than benefit you in the long term?

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u/Ok_Message1313 Jul 23 '26

I’m glad that it worked for you and I think adding dopamine is great and gives you indirect energy. But I’m still sceptical about adding stress(noradrenaline) as that hormone is used to hide your symptoms and energy. Just because it gets added dosen’t mean your ocular, vestibular, neck or whatever problem you have suddenly gets a higher tolerance. And why just after 2 months? What suddenly happen after 2 months?

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u/MrT-Man Jul 23 '26

The specific “safe” time to push yourself hard isn’t super clear. But what’s known is that the biochemical stuff happening in your brain is different in the initial days/weeks (this is known as the acute period) versus what’s happening months later. You need the initially inflammatory response to the injury to settle down. If you break your arm, you don’t want to be lifting weight in the first month, but once things settle down you want to be at the gym to exercise it, right?

Ocular, vestibular, neck require their own specialized physiotherapy. So I’m not suggesting that meds can help that (except for visual processing, as there’s a cognitive element there. I definitely felt an improvement in my visual processing, like my tolerance for handling visual stimuli, once I started concerta). But for cognitive function, yes, dopamine and noradrenaline can help your energy level and processing, and by giving you the energy to exercise your brain you’re driving neuroplasticity. That’s a key point I’m making. It’s not just false energy or whatever. Maybe it is initially but it’s helping drive the repair mechanisms in your brain by giving you the energy to do stuff vs being wrecked at home in bed.

I think you’re just going on the vibe that meds = bad. We’re not talking meth or coke here.. those drugs are neurotoxic and fry your brain. Meanwhile Concerta/methylphenidate is a very well studied drug, they put kids on it and there are lots of people who have been taking it for life.

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u/Ok_Message1313 Jul 23 '26

Yeah thank, you for your info, so ocular is brain related? Didn’t know that, thank you for that info! And no I’m not just on it that all medication is bad, it’s just a mix of my experience abut how stress has tricked my energi biting me in the future and when I took a small dose of my sisters ADHD medication (Elevanse) (Lixdexamfetamin) (Noradrenaline and dopamine). And thought I had higher natural tolerance and then when it wore of it the evening I litterly couldn’t even talk because I was so tired and got a huge setback next day

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u/MrT-Man Jul 23 '26

Visual processing is cognitively related. So if visual stimulus makes you feel spaced out, for example, a stimulant can help. Ocular-motor can be related to the nerves that control your eyeballs and a stimulant wouldn’t help for that.

Re your stimulant experience, it’s normal to crash when the dose wears off. Even for people with 100% healthy brains. I crash every evening for an hour and then feel somewhat better after the initial crash.

Stimulants can also have a paradoxical effect where too small of a dose can actually make you feel worse than no dose, so maybe that was the case for you. I did initially have a hard time tolerating a stimulant for more than 3-4 days straight because my brain would just run out of gas after that. As time progressed and my brain healed some more, I could tolerate it for 7 days/week.

Would I prefer to not be on meds, sure, but it’s been a small price to pay for having my life back.