21 doctors weighed in:

Adderall no longer works for my adhd. Should I try ritalin (methylphenidate)?

21 doctors weighed in
Dr. Kimberly Erway
Psychiatry
9 doctors agree

In brief: Maybe, indeed.

Dr ashley's answer is excellent.
I agree that many times, onset and duration of action are important. Also, make sure your weight hasn't changed considerably since you started on the dose you are on. Ritalin (methylphenidate) is also a very effective stimulant and is available in numerous doses and formulations with different pharmacokinetics. Trying something new isn't a bad idea.

In brief: Maybe, indeed.

Dr ashley's answer is excellent.
I agree that many times, onset and duration of action are important. Also, make sure your weight hasn't changed considerably since you started on the dose you are on. Ritalin (methylphenidate) is also a very effective stimulant and is available in numerous doses and formulations with different pharmacokinetics. Trying something new isn't a bad idea.
Dr. Kimberly Erway
Dr. Kimberly Erway
Thank
Dr. Timothy Ashley
Internal Medicine & Pediatrics
7 doctors agree

In brief: Maybe

The evidence in studies suggests that different stimulants are essentially equivalent (with duration of action being the main difference), but individuals sometimes benefit from changing.
Be sure that you are maximizing non-medication interventions, e.g. Making lists, optimizing your environment, addressing stressors, adequate sleep; without this support, no medication is optimal.

In brief: Maybe

The evidence in studies suggests that different stimulants are essentially equivalent (with duration of action being the main difference), but individuals sometimes benefit from changing.
Be sure that you are maximizing non-medication interventions, e.g. Making lists, optimizing your environment, addressing stressors, adequate sleep; without this support, no medication is optimal.
Dr. Timothy Ashley
Dr. Timothy Ashley
Thank
Dr. Taliba Foster
Pediatrics - Psychiatry
5 doctors agree

In brief: Adderall (dextroamphetamine and racemic amphetamine) no longer w

Before changing medications, discuss increasing the dose of medication that you are currently taking.

In brief: Adderall (dextroamphetamine and racemic amphetamine) no longer w

Before changing medications, discuss increasing the dose of medication that you are currently taking.
Dr. Taliba Foster
Dr. Taliba Foster
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Dr. Alan Ali
Psychiatry
4 doctors agree

In brief: Adderall (dextroamphetamine and racemic amphetamine)

I am wondering if you took the Adderall (dextroamphetamine and racemic amphetamine) for long enough time at optimum dose, questions your prescribing doctor can answer.

In brief: Adderall (dextroamphetamine and racemic amphetamine)

I am wondering if you took the Adderall (dextroamphetamine and racemic amphetamine) for long enough time at optimum dose, questions your prescribing doctor can answer.
Dr. Alan Ali
Dr. Alan Ali
Thank
Dr. Andres R Villar
Pediatrics
4 doctors agree

In brief: Things could change

How long have you been on ritalin (methylphenidate)? Has there been any social, enviromental, or phisiological changes? Why do you feel that the medicine is not working? These and many other questions need to be asked and assessed by your md.
Periodic reassessment of symptoms, monitoring medication safety and efficacy are mainstays of a proper management program.Get re-evaluated...Things could have changed!

In brief: Things could change

How long have you been on ritalin (methylphenidate)? Has there been any social, enviromental, or phisiological changes? Why do you feel that the medicine is not working? These and many other questions need to be asked and assessed by your md.
Periodic reassessment of symptoms, monitoring medication safety and efficacy are mainstays of a proper management program.Get re-evaluated...Things could have changed!
Dr. Andres R Villar
Dr. Andres R Villar
Thank
Dr. Alan Ali
Psychiatry
2 doctors agree

In brief: Adderall (dextroamphetamine and racemic amphetamine)

Agree with my colleagues, except that i would also suggest to try vyvanse (lisdexamfetamine) first if you were on extended release adderall, since both are of same group.

In brief: Adderall (dextroamphetamine and racemic amphetamine)

Agree with my colleagues, except that i would also suggest to try vyvanse (lisdexamfetamine) first if you were on extended release adderall, since both are of same group.
Dr. Alan Ali
Dr. Alan Ali
Thank
Dr. Alan Ali
Psychiatry
2 doctors agree

In brief: Adderall (dextroamphetamine and racemic amphetamine)

Another option, if Adderall worked before, is to supplemet Adderall with Clonidine or Kapvay or wellbutrin (bupropion).
Discuss with your md.

In brief: Adderall (dextroamphetamine and racemic amphetamine)

Another option, if Adderall worked before, is to supplemet Adderall with Clonidine or Kapvay or wellbutrin (bupropion).
Discuss with your md.
Dr. Alan Ali
Dr. Alan Ali
Thank
Dr. Jane Steiner
Psychiatry
1 doctor agrees

In brief: What has changed?

Before making a switch, would want to know what might have changed.
Are you taking some new medication, such as a benzodiazepine( klonopin, (clonazepam) xanax) that is exerting an opposite-type effect, has your job changed so now you are sleeping less, is alcohol playing some role here, etc? If not, increasing the dose is good next step before switching completely. Discuss honestly with your doctor -good luck!

In brief: What has changed?

Before making a switch, would want to know what might have changed.
Are you taking some new medication, such as a benzodiazepine( klonopin, (clonazepam) xanax) that is exerting an opposite-type effect, has your job changed so now you are sleeping less, is alcohol playing some role here, etc? If not, increasing the dose is good next step before switching completely. Discuss honestly with your doctor -good luck!
Dr. Jane Steiner
Dr. Jane Steiner
Thank
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