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Can Ritalin Make You Tired?


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#1 In_Remission_ellethekitty

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Posted 30 August 2008 - 10:12 AM

HI there. Ive just started taking ritalin with my effexor, because I am prone to hypersomina (oversleeping). So far I am sleeping more. I read somewhere that if ritalin makes you tired then it means you DO have ADD and it is working. My shrink thinks that I am imagining it.
Anyone have any input?
Thanks




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#2 In_Remission_momma J

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Posted 30 August 2008 - 01:17 PM

My doctor told me that very thing when she first put me on Ritalin - that if I had ADD it would make me tired, and it does knock me out on occasion. I take 20 mg around eleven o'clock and usually make time to take a nap for 20 minutes or so. Ritalin also makes me less anxious, go figure. Strange thing is, that if I'm in social situation after I take it, I'm more talkative. If I'm alone, I get terribly sleepy, like sleeping pill. I take a nap and when I wake up, I'm refreshed and alert. I hate the come-down and also take Buspar, 10mg morning and night. The buspar makes the ritalin smoother and works for me.

good luck!

#3 sorrel

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Posted 30 August 2008 - 03:44 PM

The idea that those with ADD respond to stimulants differently from others is essentially a myth. Stimulants improve focus and concentration in everyone, and don't cause fatigue/sleepiness in anyone unless (maybe, although I am not aware of this) it's some bizarre, rare paradoxical thing. Sometimes someone with severe ADD may find they sleep better on stimulants -- this is not some kind of sedative effect of the stimulant, but the fact that they were so distracted/scattered before that it was interfering with their sleep.
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#4 In_Remission_ellethekitty

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Posted 30 August 2008 - 03:54 PM

The idea that those with ADD respond to stimulants differently from others is essentially a myth. Stimulants improve focus and concentration in everyone, and don't cause fatigue/sleepiness in anyone unless (maybe, although I am not aware of this) it's some bizarre, rare paradoxical thing. Sometimes someone with severe ADD may find they sleep better on stimulants -- this is not some kind of sedative effect of the stimulant, but the fact that they were so distracted/scattered before that it was interfering with their sleep.


Well, I slept the whole day. Almost 20 hours. I feel horrible.
I can feel the stimulant effect in my heart, but my brain says nap time. I wonder what thats all about.

Edited by ellethekitty, 30 August 2008 - 03:55 PM.


#5 dash

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Posted 16 October 2008 - 02:34 PM

First of all, sorry for bumping an old thread.

But, could this tiredness be the result of something like overstimulation (if something like that exists) ?
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#6 notfred

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Posted 16 October 2008 - 03:24 PM

HI there. Ive just started taking ritalin with my effexor, because I am prone to hypersomina (oversleeping). So far I am sleeping more. I read somewhere that if ritalin makes you tired then it means you DO have ADD and it is working. My shrink thinks that I am imagining it.
Anyone have any input?
Thanks



Right, it is a not uncommon paradoxical effect in ADD. Too little stimulant makes us sleepy. 15 mgs amphetamine puts me to sleep. 20 mgs is a big difference. Same with Rtalin.

My present pdoc laughed when I mentioned this effect, while making the case that I had ADD. He said I could stop, I just proved it.


nf

Edited by notfred, 16 October 2008 - 03:26 PM.

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Psyc meds: Aplenzin 522 mg, Abilify 15 mg, Vyvanse 70 mg, Lunesta 6 mg, Levetiracetam 2000 mg, Propranolol ER 60 mg
Other: Fenofibrate, Atorvastatin, Lisinopril, Hctz, Asprin, Metformin, Januvia, Ranitidine, Cetirizine, Nasalide, Montelukast
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I am in full remission (296.36) from Depression. ADD, insomnia, Epilepsy, and the Pseudoparkinsonian tremor are well controlled.

 

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#7 bunnyrabbit

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Posted 16 October 2008 - 03:45 PM

A few weeks ago, I tried Ritalin instead of Provigil (for various reasons). I felt completely exhasted!! I went back to Provigil and felt fine.
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#8 dash

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Posted 16 October 2008 - 04:26 PM

HI there. Ive just started taking ritalin with my effexor, because I am prone to hypersomina (oversleeping). So far I am sleeping more. I read somewhere that if ritalin makes you tired then it means you DO have ADD and it is working. My shrink thinks that I am imagining it.
Anyone have any input?
Thanks



Right, it is a not uncommon paradoxical effect in ADD. Too little stimulant makes us sleepy. 15 mgs amphetamine puts me to sleep. 20 mgs is a big difference. Same with Rtalin.

My present pdoc laughed when I mentioned this effect, while making the case that I had ADD. He said I could stop, I just proved it.


nf


So, contrary to what I thought, I should INCREASE the dosage instead of decreasing it, right?
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dash

#9 notfred

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Posted 17 October 2008 - 07:07 AM

HI there. Ive just started taking ritalin with my effexor, because I am prone to hypersomina (oversleeping). So far I am sleeping more. I read somewhere that if ritalin makes you tired then it means you DO have ADD and it is working. My shrink thinks that I am imagining it.
Anyone have any input?
Thanks



Right, it is a not uncommon paradoxical effect in ADD. Too little stimulant makes us sleepy. 15 mgs amphetamine puts me to sleep. 20 mgs is a big difference. Same with Rtalin.

My present pdoc laughed when I mentioned this effect, while making the case that I had ADD. He said I could stop, I just proved it.


nf


So, contrary to what I thought, I should INCREASE the dosage instead of decreasing it, right?



Yep.
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Dx: Major Depressive Disorder, Attention Deficit Disorder PI, Refractory Insomnia, CSA, Temporal Lobe Epilepsy, Dyspraxia, Tremor
Psyc meds: Aplenzin 522 mg, Abilify 15 mg, Vyvanse 70 mg, Lunesta 6 mg, Levetiracetam 2000 mg, Propranolol ER 60 mg
Other: Fenofibrate, Atorvastatin, Lisinopril, Hctz, Asprin, Metformin, Januvia, Ranitidine, Cetirizine, Nasalide, Montelukast
PRN's: Lorazepam, Alprazolam, Dextroamphetamine, Propranolol, Cyproheptadine, Patanol, Prednisone, Ipratropium, Ondansetron, Hydrocodone, Doxepin
Supplements: Fish Oil 6 g, Multi-vitamin/mineral, vitamin D 1,500 IU

I am in full remission (296.36) from Depression. ADD, insomnia, Epilepsy, and the Pseudoparkinsonian tremor are well controlled.

 

J'ai seul la clef de cette parade sauvage.
Arthur Rimbaud, Les Illuminations, Parade

"I think you are on enough medications." --my pdoc
 

Dr. Frankenstein: You know, I'm a rather brilliant surgeon. Perhaps I can help you with that hump.

Igor: What hump?

 


#10 In_Remission_chowmix

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Posted 17 October 2008 - 09:25 AM

I find the crash after Ritalin ir metabolizes is exhausting, especially since I metabolize 10mg in 2 hours. I'm mostly OK if I take 10-15mg Ritalin every 2-3 hours; a bit impractical because I teach and with ADD, I sometimes forget doses UNLESS I use a conspicuous alarm. I switched to the time release version two months ago and it helps avoid the crashing. I'm on time released ritalin via concerta 54mg at 8am and 18mg at 1pm. This provides me with all day help that gently declines by 6pm or 7pm. I do feel a bit tired when the doses wear off, but it is a much gentler let down due to the mechanical way it does the time releasing.

Concerta is supposed to last 12 hours, but even with two pills spread out by four hours, it doesn't quite make the 8 hour mark for me. I supplement with a 10mg at 5 or 6 if I have an evening event.

(No problem sleeping).

(I get fatigued during the day if I don't drink water. Sometimes I forget to eat lunch and get tired mid afternoon. There is definitely an appetite suppression on this).

#11 dash

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Posted 17 October 2008 - 03:57 PM

Ok folks, here is my report:

150mg topa, 45mg ritalin (3x 15mg): felt horrible.

150mg topa, 60mg ritalin (3x 20mg): horrible.

I guess this topa dosage was putting too much stress on my kidneys.

100mg topa, 45mg ritalin (3x 15mg):better, but not great.

100mg topa, 60mg ritalin (3x 20mg): better, but not great.

As soon as I lowered the topa, I stopped smoking (!). The "dumb effect" stopped. But still, 15mg or 20mg dosages of ritalin seemed weird.

100mg topa, 30mg ritalin (3x 10mg): great! Weird thing is, 15mg makes me sleepy, 20mg too, but... 10mg does not. I wonder if 15mg/20mg stresses my kidneys too much, or something weird absorption stuff like that. Nevermind... I'll stick with whatever works for now.

Just for the record.

Thanks!
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#12 In_Remission_always_doing_laundry

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Posted 22 October 2010 - 04:27 AM

I see that this is a very old thread, but I am experiencing sleepiness with ritalin now, after having taken it with no sleepy effect for several months. I used to take it, feel a little bit of a buzz and then be on the ball. Now, I take it, and I am *more* sleepy than if I had taken ativan (which doesn't make me sleepy) ... or any of my other meds that might sometimes have a sleep effect. I'm also on a calcium-channel blocker, gabapentin, lamictal, ativan, famotidine.

#13 bergsonisme

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Posted 22 October 2010 - 05:17 AM

You might just feel tired with Ritalin because you did a lot of stuff crazy fast while it was on. I remember getting muscle cramps after doing tons of late errands that involved a lot of walking, crazy fast.

But in comparison to Provigil, Ritalin has a very short half-life, so even if you're not ADHD enough to forget to take your pills QID, it will crash down at some time. (This gave me horrible, borderliney mood swings)

I found Ritalin stronger than Provigil, but Provigil has such a long half-life that if you take it once a day you're probably never "off Provigil" entirely, so you don't feel tired.
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#14 In_Remission_leachevil

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Posted 23 October 2010 - 04:04 AM

I have hypersomnia and Ritalin made me extremely tired even when increasing the dose. I had to switch to dextroamphetamine. Big difference.

#15 Deep Sea Philosopher

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Posted 23 October 2010 - 04:28 AM

I have hypersomnia and Ritalin made me extremely tired even when increasing the dose. I had to switch to dextroamphetamine. Big difference.


Interesting. Usually people find Dextroamphetamine to cause more drowsiness than the Mixed Amphetamines. Has to do with not hitting as much Norepinephrine. Everybody is wired differently and as we like to say, YMMV.
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#16 In_Remission_dspencer3491

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Posted 25 November 2010 - 10:43 PM

HI there. Ive just started taking ritalin with my effexor, because I am prone to hypersomina (oversleeping). So far I am sleeping more. I read somewhere that if ritalin makes you tired then it means you DO have ADD and it is working. My shrink thinks that I am imagining it.
Anyone have any input?
Thanks


I complained of the same thing to my psychiatrist with Vyvanse. It doesn't sedate me but it definitely calms me down to the point where I feel relaxed and slightly sleepy but my mind is generally too stimulated to allow for sleep.

My psychiatrist says those who have very prominent hyperactive-Impulsive symptoms tend to feel much calmer on stimulants and she says her very hyperactive patients sometimes receive a short-acting dose of their medication at bedtime which helps some of them actually sleep. Now those who mostly have the inattentive type tend to receive more physical stimulation and very frequently have insomnia.

Do you take any other medications?

#17 In_Remission_dspencer3491

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Posted 25 November 2010 - 11:05 PM

HI there. Ive just started taking ritalin with my effexor, because I am prone to hypersomina (oversleeping). So far I am sleeping more. I read somewhere that if ritalin makes you tired then it means you DO have ADD and it is working. My shrink thinks that I am imagining it.
Anyone have any input?
Thanks


One other possibility is that your Effexor is contributing. Serotonin and dopamine counterbalance each other in the brain. Many different serotonin receptors when activated reduce dopamine and norepinephrine in the brain such as the 5-HT2c receptors. We do know the reason serotonergic drugs cause sexual dysfunction and sometimes low motivation and reduced pleasure and it's because the drugs lower your dopamine levels. Remember dopamine is involved with mood/pleasure, reward, sexuality, cognition-attention, memory, learning, motivation, and movement. So maybe the serotonergic neurotransmission is causing an inhibitory effect on your stimulant. Now overtime your serotonin receptors desensitize or downregulate and these receptors will be activated less often and you should get less side negative side effects.

#18 tamagotchi

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Posted 26 November 2010 - 05:46 AM

Ritalin made me relaxed and sometimes sleepy. I think the primary effect was relaxation, but when I was actually tired, the relaxation would help me take a nap or get to sleep. It also made my mind feel nice and clear.

Unfortunately, each time I used it I had really unpleasant anxiety attacks after it wore off, so I had to stop using it.
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