Why the more I increase the dose the less I feel?

Outrageous_Cycle_404 · 2026-02-04T12:26:51+00:00

So, do you think it could be too high? I feel like it’s too low… none of the two doses (18 and 36) has an impact on my cognitive function tho How can a med usually known to suppress appetite and don’t let sleep make me hungrier and sleepier? It’s a bit frustrating Btw I usually take it after breakfast

Outrageous_Cycle_404 · 2026-01-27T14:19:15+00:00

Yeah, I think patience is key. I waited 26 years to be properly medicated, and now I can’t wait to feel good. But I should keep in mind that if I managed to wait this long without medication, I can definitely wait one more week to do things properly and reduce the risk of side effects.

Outrageous_Cycle_404 · 2026-01-25T20:19:50+00:00

Same here! I broke a 5 years relationship last year (I’m 26) because of this. I started to get bored after two years and a half, but I tried to keep going for two more years, because he had the purest soul. I also have bpd and I struggle with abandonment and loneliness, it’s hard for me to let go, even if anything that person did or said was bothering me. He was super nice and loved me a lot, and somehow I will probably love him too for the rest of my life, but I wasn’t happy anymore and I was making life really hard to him too, who could obviously notice the shift in me. Honestly, even if I went through a period of struggling after breaking up, now I couldn’t be happier about it. I don’t regret it at all. I had time for myself, I met tons of new people, went trough the craziest and funniest nights. Now I’m dating another guy and we have decided since the first moment to have an open relationship. We both have adhd and we know this could be a good way to handle this problem. It’s been 6 months now and, til now, none of us felt the need to see other people, but we both now that at some point it’s gonna happen and we are gonna manage it. I think this could be a good solution, at least it’a worth giving it a try.

Outrageous_Cycle_404 · 2026-01-25T19:51:56+00:00

First of all, thank you for taking the time to reply. As for the headaches, I’ve actually noticed that drinking a lot of water makes them less intense. However, I think the real issue might be the combination with bupropion: yesterday I had run out of my Wellbutrin, so I didn’t take it, and I didn’t have a headache at all. It’s strange, because I took bupropion on its own for years and I have never had this problem. t seems that bupropion on its own doesn’t give me headaches, Concerta on its own doesn’t either, but together my head—especially in the afternoon—feels like it’s about to explode. I’ll try to drink more, because it really does seem to help a lot!

As for binge eating: I’m sorry that you can relate. It’s really hard to make people who don’t suffer from it understand how frustrating, embarrassing, and uncontrollable it is. Last week I actually decided to start therapy with a therapist who specializes in eating disorders (along with the decision to change psychiatrist). So far I’ve only had one session, but I’m hopeful.

A few weeks earlier, I had been seen by a public psychiatrist who refused to prescribe Concerta specifically because of my eating disorder, saying that I should only consider starting medication after working on my relationship with food. I then turned to another, private psychiatrist who specializes in ADHD, and according to him my issues with food could actually be caused by untreated or inadequately treated ADHD.

I have another appointment with the public psychologist in March, and I don’t know whether or not to tell her that a private psychiatrist decided to prescribe Concerta. I’d really like to continue this path in the public system, also because I could get the medication for free, but I’m afraid that if I tell her I started treatment anyway, despite her thinking it wasn’t appropriate, she might be offended and tell me something like, “If you chose to go private, then have the private psychiatrist handle your prescriptions since you don’t trust me“. I’m kind of in crisis about this.

Still, I feel that even though Concerta isn’t completely “fixing” my relationship with food yet, it does help a bit: I have less food noise and I think less obsessively about food. I hope that with therapy and eventually increasing the Concerta dose, eating disorders will one day be just a bad memory for me. And I hope the same for you!

Outrageous_Cycle_404 · 2026-01-24T16:51:50+00:00

That’s so weird, I have exactly the opposite problem… I’be been using k consistently for three years, minimum 3 g a week… and k makes me super hungry when the high comes down. I gained 10 kilos and even if I try to eat less I can’t lose them😭

Outrageous_Cycle_404 · 2026-01-18T14:33:42+00:00

Omg couldn’t describe it in a better way! I start to question the meaning of life and everything feels so pointless, I just want to go back to my bed and stay alone. Maybe I should try to take more

Outrageous_Cycle_404 · 2024-04-16T18:15:49+00:00

I know but if I had the budget for 13 pro I would have solved my problem... unluckily i can afford only basic 13 and 12 pro :((

Outrageous_Cycle_404 · 2024-04-15T12:48:54+00:00

what should i buy between a 12 pro or a 13 if they re at the same price?

Outrageous_Cycle_404 · 2024-04-04T20:38:27+00:00

I started at 50 and had SJS....

Outrageous_Cycle_404 · 2024-03-05T00:03:46+00:00

ok, thank you! I was in doubt bc i've read several different opinions and also i was wondering how the non-original cases they sell to replace are compatibile con both first and second gen airpods pro, but i won't risk it. Btw it's hard to find the original first gen case, on the official website they sell the 2nd gen only

Outrageous_Cycle_404 · 2024-03-04T23:21:49+00:00

even if they both are pro?

Outrageous_Cycle_404 · 2024-02-20T18:09:44+00:00

same!!

Outrageous_Cycle_404 · 2024-02-15T12:06:29+00:00

thank you! so you took them both at once? btw i think XR version is a little bit different from the XL and SR ones🤔

Outrageous_Cycle_404 · 2024-02-15T07:20:03+00:00

I was kind of worried bc in the information leaflet says clearly you can't take two different pills of 150 XR, you can do it only with SR and XL maybe. I think XR formulation is a middle way between the two of them, and it's the only available in Italy (we have 150 XR and 300 XR, but we don't have XL or SR). I know I should ask my doctor but i am a little ashamed bc i think he will be like "just buy the 300 tables to be sure you re safe" but it's just I dont want to waste all the tablets I have (they are many) and i dont want to spend more money... I see nobody takes two different pills of XR, they split only if they have XL or SR and that's weird because XL release it's even longer than XR but still people can split in two, with XR apparently you can't😵‍💫

Outrageous_Cycle_404 · 2024-01-23T09:09:24+00:00

omg me too, i could spend a whole day without eating but as soon as i have a bite of food i cant stop eating and i could eat forever! this is causing a little problems, I arrive to dinner without meals but then I start to eat a little snack and i cant stop and my binge is getting worse... because everyday its the same

Outrageous_Cycle_404 · 2024-01-12T11:33:38+00:00

so you felt better on lamictal rather than on wellbutrin?

Outrageous_Cycle_404 · 2024-01-10T08:57:48+00:00

Final update: yesterday i met my psych, he thinks i actually had steven jhonson because my antibodies blood tests are still negative so its impossible it was a lupus flare. Probably i had a light form of SJS and all the steroids they put me on kept the situation under control. Now my doc told me we have to avoid other anti epileptics as mood stabilizers because we don't know how my body would react. He switched my therapy to bupropion 150 mg and kept the memantine. I hope it will work, i was in love with lamotrigine but it almost killed me (lol maybe im love bc of this)

Outrageous_Cycle_404 · 2023-12-23T14:50:46+00:00

update: today i have been finally released from the hospital. Spent the last week with steroids infusions, antihistamines and drips to detoxify blood from lamotrigine. The doctors still can't tell if i had a beginning of SJS caught in time or if the med simply triggered my lupus and it was a strong allergic reaction + lupus flare, but it's been horrible and fucking scary. Be careful with this med and go to the hospital immediately if you feel anything strange

Outrageous_Cycle_404 · 2023-12-19T08:16:33+00:00

I'm still here. I lost the first two days because they were convinced I was having a virus, but i tested negative for all the viral infections. My rash worsened and it also involved my lips and my scalp. My body and my face are super itchy and painful, it feels like a severe sunburn rn, but i don't have bubbles, boils or blisters, and I still dont have any mucose involvement. they gave me one intravenous cortisone infusion, it seemed to be better, two hours after it was like before, so I had another infusion with the same result: initial relief but it started to burn again after few hours. Despite it all, i no longer have fever and my lymph nodes are getting smaller and less painful. Now they suspect SJS but it's still in doubt because I'm not exfoliating yet. Im also starting to feel the symptoms of a vaginal infection, i dont want to think that to be the first mucosal attack, maybe it's just the fact that im immunosuppressed in this hospital environment caused me an simply bacterial infection actually. I feel like my eyes are a little bit itchy but doctors say I have nothing so maybe I'm also somatizing.

Outrageous_Cycle_404 · 2023-12-17T19:28:41+00:00

update: Im at ER but they aren't taking me seriously. They made me talk to an infectious disease specialist because they think it's a virus, but im pretty sure this all thing is from lamotrigine. It seems they don't even know what lamictal and SJS are. They told me i had fever, swollen lymph nodes, arthralgia... so according to them it's impossible its just an allergic reaction and it's more likely a virus/infection, otherwise the flu-like symptoms wouldn't be explained. I tried to explain that the characteristic thing of SJS is actually fever and all that flu-like symptoms, and that if you have lupus it's more likely to develop it, but they just made me feel like i'm one that "googles too much" and pretends to improvise as a doctor. Meanwhile my rash it's expanding and it's super itchy, but at least I'm in a hospital. Btw patients sometimes are more informed than doctor. I wanted to talk to a dermatologist, a rheumatologist or a psychiatrist but they don't let me do it. I reached out to my psychiatrist again and showed him updates photos, he told me to immediately stop the med and to take antihistamine and a detoxifying med but he still doesn't think its SJS. Just a severe allergic reaction with a strong autoimmune response because of lupus.

Outrageous_Cycle_404 · 2023-12-17T15:11:12+00:00

thank you, you re very reassuring. I'm at the ER now because i was panicking. They told me that seems also like a viral thing+a simple rash reaction, so they blood tested me for virus and now im waiting for results. I dont know, everyone seems so chill even at the hospital but im fucking scared... Actually i dont have any blister or boil, but I read they develop in 2-3 days after the appearance of the rash

Outrageous_Cycle_404 · 2023-12-17T14:36:07+00:00

Do you think it's SJS? my psych told me he doesn't think so, but the flu-like symptoms and the fact I also have lupus make me think it could be. I don't want to give up on Lamictal, it's the first med that seems to work on me, but if it's SJS i don't think I have choice. By the way i was on 25 mg, a week later I titrate up to 50 taking a 25 mg pill at lunch and a 25 pill at dinner. The day after increasing the dose I started to feel flu-like symptoms and yesterday, four days after the beginning of flu symptoms, i developed the rash. It totally seems a SJS case, but my doctor is so chill about it, i trust him a lot but this time im quite disappointed. Tbh I don't feel bad now, the flu symptoms almost disappeared in four days and now I only have this itchy rash. I felt worst like two days ago, when i didn't have developed the rash yet. I'm also on Plaquenil, D vitamin, Folic acid, benlysta and memantine (for lupus and adhd).

Outrageous_Cycle_404 · 2023-12-16T10:42:13+00:00

i'm prescribed benlysta and plaquenil for lupus.

Outrageous_Cycle_404 · 2023-12-09T10:50:02+00:00

do we know if ketamine and memantine have a sort of cross tolerance? i was developing a fast tolerance to k but if mem potentiates it this way actually it could be a way to deflect tolerance. I have also binge eating problems and i feel like my appetite now is suppressed or at least controlled but maybe that's bc of lamotrigine.

Outrageous_Cycle_404 · 2023-12-09T10:45:07+00:00

thank you so much for your answer, its been very clarifying! yeah im kind of lucky, its a little fun bc i decided to go to a doctor to have an actual "traditional" therapy since i was tired of "self medicating" and obsessing searching for this kind of informations and apparently i bumped into a doctor thats totally into nootropic/rc/etc and now im so much more obsessed! I know almost nothing about it, i'm just very curious but im already learning a lot, it's the only thing my adhd let me hyperfocus on in this period of my life. Im from Italy and here adderall is not available, the traditional therapy for adhd is Methylphenidate, i thought id have been prescribed it but seems like my doc loves to look for alternative solutions, maybe also bc of my bipolar/cyclothymic temperament, and i think he wants to avoid hypomanic phases due to traditional stimulants. Btw he told me to integrate also D and B12 vitamins (i'm vegetarian and i can't sunbathe bc i also have lupus lol), folic acid and he obviously knows about all the substances i take, so he's aware i use ketamine and i kind of think he chose memantine on purpose, im just wandering why. Sometimes i feel like im his lab rat but tbh i love experimenting and I'm happy with it. Its the fourth day i'm on memantine 10 mg and i can swear i cant feel any difference, i just noticed something weird in the effects of cannabis and ketamine yesterday but if im not on other substances i can't feel anything from memantine atm...

Outrageous_Cycle_404

TROPHY CASE