Harm Reduction Ritalin and Dexamfetamine in the same day?

[Slayer0344]

So I’ve been on my prescribed Ritalin IR for 2 months now. At first it worked really well (the usual story) and now that I’m up at 50mg per day dose I notice it wears off far too quickly for my liking(not interested in switching to sustained release)

I spoke with my psych yesterday and he said he’d be happy to change me over to Dexemfetamine to trail but not until August when he returns from surgery and can fit me in for an appointment(he currently has cancer and is getting surgery to get it removed)

So I have a buddy who gets prescribed Dex and hasn’t taken his meds for years so he just stockpiles it. I told him I wanted to try Dex to see if it would work better than the Ritalin and the maniac went ahead and gave me x400 5mg Aspen Dexamfetamine tablets(these don’t expire till June next year)

So to my question - is it safe to take the Ritalin and Dex in the same day?

For instance - if I had my morning instant release 15mg Ritalin dose then waited till lunch time or the afternoon would I be safe to try the Dex for my afternoon dose? I can’t seem to find much information online regarding this

(This is all pharmacy Dex by the way - all legitimate prescription stuff)

I’ve just taken my morning Ritalin dose and just remembered I had all the Dex sitting here

Is Dex even better than Ritalin?
Ritalin gives a lot of side effects imo with not the greatest return.

Would it be better to just go through my day today on Ritalin then try tommorow on Dex? My psych is going to be switching me anyway so really I’ll just be preempting the switch by doing it now.

 

[ageingpartyfiend]

Probably best not to mix stimulants

Also gotta say it sounds like you may be chasing a buzz as opposed to medicinal perhaps

 

[Slayer0344]

Yeah no I’m not chasing a buzz. Neither Ritalin nor Dex get me high. I have adhd. They both make me functional. My question was based around how functional one vs the other was going to make me

 

[Pickledlemons]

You'd probably be fine as long as we aren't talking recreational doses, but might be better to wait till the next day because mixing stims can... make you feel like shit.

 

[emkee_reinvented]

So I’ve been on my prescribed Ritalin IR for 2 months now. At first it worked really well (the usual story) and now that I’m up at 50mg per day dose I notice it wears off far too quickly for my liking(not interested in switching to sustained release)

I spoke with my psych yesterday and he said he’d be happy to change me over to Dexemfetamine to trail but not until August when he returns from surgery and can fit me in for an appointment(he currently has cancer and is getting surgery to get it removed)

So I have a buddy who gets prescribed Dex and hasn’t taken his meds for years so he just stockpiles it. I told him I wanted to try Dex to see if it would work better than the Ritalin and the maniac went ahead and gave me x400 5mg Aspen Dexamfetamine tablets(these don’t expire till June next year)

So to my question - is it safe to take the Ritalin and Dex in the same day?

If its safe is up to you to do some research on NCBI or Mindmed, might be of use. Or Duckduckgo it.

If my psychiatrist was right or wrong about the safety? But I was on Dextro-Amphetamine, when he suggested Medikinet. Methylphenidate (MPH) SR, in the middle of IR and Concerta (extended time release). But when I had a appointment and told him the MPH wasn't cutting it and asked for Dextro-Amphetamine. He prescibeb me both. Medikinet/ MPH SR and Dex IR. at the same time.

Technically MPH would block Amphetamine's effect (as a DRI) but I didn't notice it at therapeutic dosage's, neither potentation. The rebound of MPH did disappear, hated that, and Dextro-Amphetamine imo at the end is the better alternative. Lesser/ to no side effect's. Way better pharmakinetic's, slow come up, long plateau gentle comedown.

 

[Slayer0344]

Yeah so I’ve made a full switch to Dex and it’s honestly so much better than Ritalin.

Ritalin felt like some homeless man high on bath salts trying to rob me and Dex feels like a white collar ceo offering me a job (I do apologise if I have offended any homeless people here)

I’m on 35mgs of IR dextroamphetamine per day. Smooth onset, no crash. Just in general a much better medication. Being treated for adhd has honestly changed my life. The craving I had for opioids for years that has ended up with me on Suboxone has completely disappeared since starting stimulant treatment for my ADHD. I truly believe that my substance abuse issues throughout my life have just been a manifestation of my untreated adhd.

Now begins the long task of trying to come off the Suboxone with minimal withdrawal. Has anyone had experience with a very slow taper? Volumetric dosing? Withdrawal aids for opioids that make it bearable enough to run my business with 8 staff members?

 

[someguyontheinternet]

What side effects did you experience with methylphenidate?

 

[Pickledlemons]

What side effects did you experience with methylphenidate?

Everybody is different but I personally get terrible side effects from ritalin. When insufflated anyway there's a decent 5 second rush, followed by hours of crippling anxiety. When taken orally its weird, its like I can't talk. I can think of what I want to say but the words just don't come out. Its not a nice feeling. I would avoid. Dexedrine is a much better drug, but of course that also makes it more abusable.

 

[someguyontheinternet]

Everybody is different but I personally get terrible side effects from ritalin. When insufflated anyway there's a decent 5 second rush, followed by hours of crippling anxiety. When taken orally its weird, its like I can't talk. I can think of what I want to say but the words just don't come out. Its not a nice feeling. I would avoid. Dexedrine is a much better drug, but of course that also makes it more abusable.

Do you have ADD or ADHD?

 

[emkee_reinvented]

What side effects did you experience with methylphenidate?

Well ime vasoconstriction (which might aggrivated by my Raynaud's) but my extremities were ice cold (inc. my shrunken dick), elevated heartrate, sweating, feeling like your some kinda speed freak, supression of appetite/ got skinny as a bone after a while, the rebound and the incredibly short duration.

Add to that the erratic dosing, as its pharmakinetic's are way more reliant on personal chemistry. Its 'kiddie-Coke'. Dextro-Amphetamine seem's way more constant among different people and actually behaves like a med not a drug.

 

[someguyontheinternet]

What dose did you experience those at? I'm at a super low dose so I haven't had anything like that unless I combine with THC and then do some adrenaline inducing activity, if I do that then my heart rate goes over 100 and I get light headed and shaky which is a sign of too much norepinephrine

 

[emkee_reinvented]

What dose did you experience those at? I'm at a super low dose so I haven't had anything like that unless I combine with THC and then do some adrenaline inducing activity, if I do that then my heart rate goes over 100 and I get light headed and shaky which is a sign of too much norepinephrine

Some point in time perhap's 5/ 7.5 mg MPH every 2 hour's to avoid the short duration. Don't remember how much daily I got, but alway's had surplus. So never took more then prescribed. I did however refuse to dose according to the schedule the kinda force upon you.

And Cannabis was alway's consumed with the MPH. As it relieved part of the annoying side-effect's but as you mentioned probably also caused some. Which I alway's pretended weren't there, there alway's an excuse to take drug's.

As long as i was 'functional' it was internally approved. Wonder what it looked like for the outside world during work. No way it was unnoticeable

Edit: the choice to use MPH as 1-st line was made by the Psychiatrist. My request to start with dextro-Amphetamine was not even a point of discussion. They at the end even called it alternative-medication as if it was something like Ginseng. A independent Psychiatrist gave an 2-nd opinion and switched me over on it. Which solved the MPH problem.

 

[gordonliddy]

They at the end even called it alternative-medication as if it was something like Ginseng.

Dude, I don't know what's wrong with doctors but I'm getting the feeling that they get some kind of a rush out of not giving you the exact thing that you ask for. Like by subtly thwarting your plans, they have achieved some kind of invisible milestone. It makes absolutely no sense.

 

[emkee_reinvented]

Dude, I don't know what's wrong with doctors but I'm getting the feeling that they get some kind of a rush out of not giving you the exact thing that you ask for. Like by subtly thwarting your plans, they have achieved some kind of invisible milestone. It makes absolutely no sense.

There is just a plain negative view and a problem medically toward's dextro-Amphetamine. As if its inferior to Methylphenidate, which is first line treatment.

Dextro-Amphetamine officially is only 2-nd for kid's not adult's. For adult's its off label use?

Couple that with the fact Health Insurance company's no longer pay for Methyl-Amine. Which resulted in only one pharmacist who makes his own making dextro-Amphetamine. And only 1 insurance company that cover's the cost's, the one I am with. Or you paying the full monty, if you even find out/ know there is an alternative for MPH. Same pharmacist also makes dextro-Methylphenidate.

 

[someguyontheinternet]

Is the vasoconstriction worse for you with adderall compared to mph?

 

[emkee_reinvented]

Is the vasoconstriction worse for you with adderall compared to mph?

Adderal is actually no excistent, so closest would be DL-Amphetamine a.k.a. speed. Yeah, that certainly is more vaso constrictive. But the usage also different, snorted vs oral. recreative vs therapeutic. Adderal is kinda in the middle, but at therapeutic dosages doubt its worse the MPH.