cram,

There could be other factors that make it appear your Adderall is quiting on you.

I've been on Ritalin for I don't know how long now. Today, I can't focus, I should be working rather than doing this post, but can't get myself to focus which makes the second time I said I can't focus. Oh, I took my Rit.

The real problem is I AM TIRED. I am suppose to have today off. Neither Rit or Add can manage fatigue for any length of time. The fatigue always wins with a vengence in the long run. And upping the dose ups the vengence with which the fatigue returns.

[My boss just called and got me focused, but I'll finish this first]

Fatigue may or may not be your problem. It could be drug tolerance. Tolerance for most takes several years. You could be an exception. But you owe to yourself to consider other reasons. Why? Cause if Adderall pooped out on you, it is unlikely Concerta will pick up the slack.

Finally, med management is very difficult because we all respond uniquely making it impossible to come up with standard. So, before doing anything, see if the Concerta works for you. Give it a week or two.

Bob
PS Re: "Cram" Good handle. It's how I end up in these predicaments.

Cram,

Concerta is a long-acting formulation of methylphenidate (which is Ritalin). "Take one as needed" is an odd way to prescribe it. It's normally prescribed as one in the morning. It's best to take it first thing in the morning so that it is less likely to interfere with your sleep.

Generally speaking, methylphenidate is thought to be less strong than Adderall. BUT, if you can tolerate a higher dose of it than Adderall, it may end up being more effective for you.

One other difference that you *may* find is that the let-down from Concerta is smoother than that of Adderall.