Ok great thanks for the info. With this private clinic I can have a review a minimum of 7 days from starting on new meds so thats what I am doing and hopefully the process will be kinda sped up. I think I should consider potentially 45mg if they do them or 50mg as 60mg was great and I got a serious amount of work done but it was also euphoric and could be classed as recreational, definitley a speed high and the problem with that is that of course I want more after. My metabolism is naturally fast and although I am aware my heart rate and blood pressure will be elevated for the 10 - 14 hours of its duration of effects, after only 5 hours once I begin the decline, my reward circuits give me the nudge for more, and I am very familiar with this feeling, do not "take it personally" and know how to deal with it. However, although I get that it's kinda just part of the game when using these medications to treat ADHD symptoms, I would like to "play keepy-uppies" with my pleasure stimulus levels as little as possible. I have played that game plenty for one life time. In this case, I have taken one 30mg XR ritalin about 6.5 hours after taking the 60mg elvanse dose to ease off, and I'm not going to take 60mg again as although it was super effective with symptom releval, my goal here of course is to not get high. It's just going to be a case of finding the balance. Again I am no expert but your titration sounds like you have found a fantastic balance between trying to be as less euphoric as possible while relieving symptoms as much as possible. But it also sounds like you had to go down a long journey to find that. Im glad I now know this as hopefully it enables me to get the most effective titration as quickly as possible.
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BDD Moderators: Keif’ Richards
Stimulants How To Shift From Lisdexamphetamine script to Dexaphetamine In UK?
- Thread starter sp00ks
- Start date
Shinji Ikari
Bluelighter
How it feels on day one isn't how it's going to feel on day 7 or 20. It will fade into the background more and the initial euphoria you may feel will dissipate, but as you say you're not after a buzz you're trying to get shit done and stay on task.
See now that is more or less equivalent taking another 60mg of elvanse which is a bit concerning. The highest dose of elvanse they're going to prescribe you is 70mg a day, possibly with a low dose of dex as a booster if you're lucky (not all clinicians will agree to prescribe boosters once you're already on the max dose if elvanse) so you are currently relying on a higher dose of stimulant to be functional than is ever likely to be prescribed, which could be a problem long term.
Ideally (imo) if you are planning in giving elvanse a decent shot then you need to take the methylphenidate out of the equation entirely.
That's always been the goal. I'm not going to say I never abuse my stims, I've accumulated quite the stash over the years, but I'm always aware that every time I take more than my prescribed dose I risk pushing my tolerance up and reducing it's day to day effectiveness.
And you're not wrong it has been a journey. I think I was 9 or 10 the first time I was medicated and I'm in the second half of my thirties now. I have tried for years of my life to function without stimulants and I've had consecutive years where I've been on them with only a few short tolerance breaks. Each way of living has its pros and cons but ultimately I've realised that if I'm going to effectively manage my career and personal life (not to mention illicit/recreational substance use) then I'm probably going to be dependent on stimulants to some extent for the rest of my life.
Well anyway. Best of luck and keep us posted on how things go.
I'm glad you mentioned as thats definitley something for me to keep in mind. I will admit the 60mg dose was definitley a bit ambitious as I always am with these kind of things. I would say I bit off more than I could chew but thats a bad analogy as that feeling was very blissful and would be very easily abusable for me if I didn't have other goals I am chasing. My point being that I tend to try to bypass the gradual change in reaction from the start by going bigger, which leads me to get more than I bargain for, not just in substances but everything. I think the approach here is to definitley creep up. My go big or go home behavioural pattern can end up shooting me in the foot sometimes.
I think you mentioned before about methylphenidate being counteracted after amphetamines which seemed to be the case when I took it after the elvanse. I wouldn't have guessed that equivelancy as 60mg of elvanse feels highly pleasurable to me where as 30mg of XR methylphenidate feels almost inperceptible in many ways as in the recent days I have gone from enjoying the fact that it does a decent job of eleviating my symptoms to just being used to my symptoms being lessened as a baseline and feeling like I have a belly full of pills all the time. What I mean to say is that my differing perceptions in pleasure of the two substances / doses lead me to falsely believe that taking 30mg of methylphenidate would have been much less in equivelancy to elvanse, where as now I know that's not the case. My redosing of methylphenidate was an attempt to level out the feeling of decreased pleasure and increase in symptoms, but after experiencing it I can certainly say the two just don't work that way (for me at least) and I definitley would not do that again, not just because it did not work and just make me more jittery but its also a waste of resources. I just put my body under more than double the stress and do not level out or experience a second decrease of symptoms after the initial elvanse dose. But taking methylphenidate although does relieve symptoms in the morning does make me feel like shit and just jittery and nasty, and would leap at the chance to do away with it and stick strictly with elvanse, but the 30mg caps don't eleviate my symtoms and 60mg is just to euphoric so I'll have to just try 40 for now and see how it goes. To describe what I actually want in terms of what I know now is the eleviation of symptoms I experienced from the 60mg of elvanse minus roughly 80% of the euphoria / mood boost but with that feeling lasting longer. For me as soon as I begin to level and drop I am aware of what is to come, which is why I feel that I would make great use of boosters. Anyway, this is all speculation and much of it likely unrealistic so I will just have to titrate and find out. Regardless of this I think I'm going to lay off the methylphenidate except for monday and tuesday mornings when work is at its peak as a back up as they really don't feel good.
I cant imagine how that must shape your perspective on life and I'm greatful to have a place where people can share this information so that people like me can benefit from it instead of learning entirely from first hand experience which is a much longer road I am sure. Do you feel like shit on tollerance breaks, or do you just percieve a missing of the pros and a relief from the cons? I am always trying to treat medication as just that, a medication, but the reality is that all of these substances are addictive in terms of the fact that they make you feel pleasure and shape your brain and perspective on life. I think if I hadn't had prior experience with substance use / abuse I would be far less cautious and probably sucked straight into the cycle of pushing it as far as it can go. After experiencing that and coming out the other side with substances that I would say that do not as perfect as elvanse, I would say I know never to blindly trust euphoria as a metric how positive something is for you, and that you always get what you paid for in terms of genuine enjoyment. Computers are great for that because they're really annoyingly difficult to make work, but the feeling of getting a crazy exploit to work fills you with an indescribable ammount of euphoria, and you paid every penny for it fair and square all up front.
Thanks for all the advice, it's much appreciated
Also something I haven't asked is do you take elvanse when you whake up or after a meal? Of course the official adivse from my doctor is "with a meal" but I have heard some people say they set they're alarm for 8:00 and take it and snooze until 9:00 to sleep while meds start to kick in, and some people take with a proteinous breakfast. Also for me as I began to crash after 12 hours I am considering attempting to experiement with a split dose of 40 / 30 mg morning and then another 30mg around 2pm to avoid hitting a wall at 6. When I took the 60mg at 10.13AM I began descent around 4PM and was quite useless at 6PM though I pushed through and carried on working up until around 3AM on that particular day as I had much to get completed. Today is saturday and I think I'll be working till midnight. I have absolutley no intention of taking methylphenidate today and neither do I have any future plans. I took a total of 60mg methylphenidate yestarday starting with a 30mg XR pill around 10:20AM and then 20mg IR aroud 8PM and another 10mg around 10PM as I had again a huge workload. So because of the fact that I took that yestarday I am debating whether even taking any medication today, or just having the weekend off as you suggested before to see if this causes 30mg elvanse to be more effective on monday. If I did take it today, I think if I do take it, I will attempt to take it quite late in the day, maybe 2 or even 3 PM I think taking at time will cause me to begin descent around 8 - 9 PM and be in full crash by 10PM - 11PM. Any suggestions would be welcome.
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