A friend of mine wanted to try Ritallin/Concerta for getting work done. SWIM is prescribed to both of these, 10 mg Ritallin and 54 mg Concerta.
This friend has some weird things that I'm not really sure I understand. Some general information that may reveal something important to someone more knowledgeable than me:
- He's in very good shape, some would say he over-trains.
- He generally eats very healthy.
- He also eats as if he has a tapeworm, and doesn't gain any weight. I think this could be due to how much he exercises? but it has raised enough concern that he plans to visit a doctor about it.
- He is a light-weight when it comes to alcohol, and he doesn't sober up unusually fast, so I gather that he has a somewhat normal metabolism.
Ok, so SWIM figured 10 mg would probably affect him plenty. He took 10mg and an hour or so later reported feeling little to no effect at all. SWIM suggested trying another 15mg at that point, but as it turned out, his time constrains would've meant that it'd waste the time on the drug -- so he ended up taking 20 mg about 2 hours later. He reported feeling focused
for about 20-30 minutes maybe, but then it wore off.
Thinking that maybe he has a naturally high tolerance, as SWIM's doctor told SWIM that dosage of ritallin doesn't very much seem to be determined by body weight, SWIM suggested the 54 mg concerta.
At this point it was too late to take concerta and expect to sleep, so my friend took the concerta at around 10am. He called SWIM at around 11 or so to report that he didn't notice any effects. He also reported that he had not eaten anything before taking the concerta, but he had eaten a lot of chili afterwards. At noon my friend entered a class for a test, and all of a sudden noticed what he described as being like 'overdosing on caffeine' (note: he has never actually overdosed on caffeine to know exactly what that's like). He found his leg shaking uncontrollably and he experienced huge difficulties in concentrating.
This only lasted for 1.5-2 hours or so. Unfortunately, he did awful on the test (2/10), even though he felt pretty much ready for it the day before. He also revealed at this point that he had gotten 2 hours of sleep the night before (not because he couldn't due to the ritallin, but because he had to finish homework for an early, difficult class), I'm not sure if this is important, but it could otherwise explain the poor test performance.
At 4:45pm (almost 7 hours after taking concerta), he didn't report feeling any effects form the time-release mechanism.
From what I understand, methylphenidate is an amphetamine and a meth molecule. The main purpose of the meth molecule is, among other things, to extend the effects of the amphetamine to last for 4-6 hours, right?
It sounds to me like either the meth molecule isn't working right in his system for some reason (? is this common or even possible?) and/or the time-release mechanism disolved and all of the drug was issued into his system upon ingestion (so, really 108 mg?).
Any ideas?
Might adderall work better for him? or does this indicate that he should NOT try adderall? (since I think it has the same mechanism, with the meth molecule?)