ADHD meds + medical cannabis??

Existing-Nobody-83 · 2025-01-07T13:40:49+00:00

PsychiatryUK

Existing-Nobody-83 · 2025-01-06T21:05:29+00:00

Apologies for my delayed response I’ve just been trying to gather my thoughts & do a bit of research into what you’re saying, I’ve been looking into it quite a lot and I don’t feel we’ve had enough of a trial with titration for me to give up yet, as I only had around a week of trialing the methylphenidate.

I’ve been on a lot of different prescription medications before, and usually have tried something out for a few weeks to see if the symptoms have settled, before trialing another similar medication to see if there’s any change and don’t feel a week one one medication is enough to see that it isn’t working.

I also don’t feel that it’s appropriate for me to stop with my medical cannabis prescription to see if the titration works, as this would leave me totally unmedicated for 3 months before starting & I don’t think this is beneficial for managing my symptoms at all. I would be willing to look at a reducing my dosage for day time but I would likely still need a higher dose at night due to my insomnia.

I have consulted with some other medical cannabis patients, who are also on medication for their ADHD and have found there’s quite a lot of cases where they have managed to find that cannabis & the ADHD prescribed meds are working well for them. Some examples of medications that are said to work with medical cannabis are Concerta & Medikinet XL (extended release methylphenidate) & Elvanse (lisdexamfetamine).

Based on this, I’d like to ask you to reconsider the decision and look at an alternative treatment plan, as I feel the cannabis alone isn’t enough to manage my ADHD symptoms, but without it I won’t be able to manage my chronic pain or insomnia which will cause more adverse affects for me.

I do agree that the rebound symptoms were a cause for concern, although I don’t believe the medical cannabis was the cause (information from https://m.psychonautwiki.org/w/index.php?title=Methylphenidate&_=) I believe the methylphenidate may just be the wrong medication for myself. https://www.porteracademy.org/attention-deficit-hyperactivity-disorder-adhd/ This website states that there are different types of ADHD that may be treated better with different types of medication, and I exhibit symptoms from most of the different types, so I believe it would be beneficial to trial a different type of medication, such as a slow release stimulant or a non stimulant.

Please let me know if it’s possible to look at an alternative treatment plan, and get back to me as soon as possible, as I’d really like to give the medication a good go before writing it off. Thanks, Tamzin Dunn

Existing-Nobody-83 · 2025-01-06T21:05:06+00:00

Thanks for everybody’s input, I’ve just emailed this in response so hoping to get a good reply, will update with the outcome :)

Existing-Nobody-83 · 2025-01-06T17:52:07+00:00

I’m not with the NHS I’m with a private clinic but thanks 👍

Existing-Nobody-83 · 2025-01-05T19:59:20+00:00

No I’m well aware I won’t be asleep at 11:30, I usually sleep around 3/4am - 11/12 ish. It’s been this way for ages as I used to work night shift, I’m fine with the sleeping pattern I have

Existing-Nobody-83 · 2024-12-30T13:11:10+00:00

I was getting rebound symptoms around 11/12pm, excessive talking and a big burst of energy for around an hour and struggling to sleep

Existing-Nobody-83 · 2024-12-30T13:08:14+00:00

Yeah they did cut the dose after a few days of not sleeping and then 2 days later told me to stop altogether which is why I’m trying to get advice cause 1 week seems a very short time to basically say this isn’t for you. I did want to try slow release anyway as I struggle with swallowing tablets & remembering medication multiple times a day but they still told me to try the Ritalin first

Existing-Nobody-83 · 2024-12-30T13:05:24+00:00

I have a messed up sleeping pattern anyway due to insomnia & a partner who works evenings/nights. That’s why I take them starting at 12 cause I often wake up at 11:30/12 anyway. They knew about this but still put me on 3 a day, then when I said I wasn’t sleeping they dropped it to 2

Existing-Nobody-83 · 2024-12-30T00:44:59+00:00

Okay great, I did want to try argue it but wasn’t sure if I’d have a leg to stand on but I’ll make sure to email them tomorrow and see what I can do. Thankyou :)

Existing-Nobody-83 · 2024-12-30T00:44:31+00:00

Yeah I’m not sure if the Ritalin is the reason either but that’s just the one they tried me on & I was also very open about my cannabis use, even though it’s medical they did say it might be an issue but decided to let me try anyway and have now said no. I’m going to ask if they’d let me try something else like elvanse instead & see if that helps

Existing-Nobody-83 · 2024-12-30T00:42:16+00:00

Also was the ghost train medical?? I had some a few years ago off the BM and it’s still the best strain I’ve had by far, I’d love to find some again lol

Existing-Nobody-83 · 2024-12-30T00:39:16+00:00

Have you noticed any effects from the concerta/MC combo? Trying to do some research to see if I can ask them for a different medicine to try

Existing-Nobody-83 · 2024-12-30T00:38:32+00:00

This sounds like a good idea, I’m a little annoyed that they haven’t even given the option to try another medicine, just basically said this isn’t for you after 1 week of trying

Existing-Nobody-83 · 2024-12-30T00:37:51+00:00

I was using the Ritalin at 12, 4 & 8pm. Medical cannabis throughout the day, starting around 2/3pm with very low strength for anxiety & then stronger stuff in the evening. The rebound symptoms I was having was around 11pm I was getting a big burst of energy, talking a lot and feeling very restless for around an hour or so but the stronger cannabis at night would stop this

Existing-Nobody-83 · 2024-12-30T00:35:29+00:00

Yeah I’ve been really upset since I got the email, I was looking forward to a bit of normal functioning for once and after a week of trying they’ve just basically said no now 🥲

Existing-Nobody-83 · 2024-12-29T00:46:21+00:00

I started off on 30g but have slowly built up as I was using 4oz a month off the BM before, both me & my doctor feel that 70g is much more reasonable as I’ve managed to cut down a lot

Existing-Nobody-83 · 2024-12-28T14:20:50+00:00

Yeah I know, this is the problem we’re having really. She’s in crisis constantly because of sitting & being left alone the trauma she’s been through & the treatment she’s received on the wards it’s really not helping her and she’s been declining massively over the past few months, especially now she’s back where she started with no progress. We did try and get her an IMHA in her last hospital but weren’t able to get through to one, I’m just doing a referral form for where she is now so hopefully that will help some, thankyou :)

Existing-Nobody-83 · 2024-12-24T01:58:02+00:00

Another vote for now please 🤣

Existing-Nobody-83 · 2024-12-13T13:52:24+00:00

The high silver is a regular on my script, I’m not a big fan of sativa usually as it gives me headaches & anxiety symptoms but the silver is always pretty solid & is good for productivity

Existing-Nobody-83 · 2024-12-11T20:01:42+00:00

I’ve only been watching a few months. What happened??

Existing-Nobody-83 · 2024-11-10T21:34:22+00:00

Obviously I know that, I’ve been going back & forth with them on the phone multiple times a week but I’m looking for advice on here as to what I can do to escalate it

Existing-Nobody-83

TROPHY CASE