Click for information on side effects that might happen, or for information about long term safety. Use the site search top right to find answers to other questions you want answered. Here’s a link to information on ADHD stimulants and addiction.
If you don’t have drug coverage, ask about free medication trials, or lower cost alternatives.
If the medication you are prescribed is hand written on one of the duplicate or triplicate prescription pads, remember, IT MUST BE HANDED IN WITHIN THREE DAYS – I suggest dropping it off the same day as your appointment since most pharmacies are open late these days.
Ok, you’ve got the prescription, you’ve picked it up from the pharmacy, and now you are ready to start. What’s next?
Most people have little difficulty starting stimulant medication and don’t need to wait for the weekend, or back from holiday, or for school to start again.
A typical schedule might look like the following:
- Day 1-3: take one pill a day, first thing in the morning
- Day 4-11: if one pill did absolutely nothing, no good, no bad, then increase to two pills, both in the morning.
- Day 12-14: if two pills did absolutely nothing, then increase to three pills each morning.
If, on the other hand, one or two pills a day has some effect, maybe, you think, sorta, then don’t increase the dose for a week or two. This might mean you are still at one pill a day when I see you – that’s just fine. If after one pill a day for 10 days, not much is happening, then if you are comfortable, increase to two pills, or even one and a half (might mean emptying half the beads, or dissolving powder, and can’t be done with Concerta.
If on day one you find single pill a bit much, agitating or causing mood problems or messing with your sleep, then try taking half a pill if you can, or contact me if you can’t.
My email is george dot barr at shaw dot ca
Don’t worry about it not working, that happens sometimes, or if it wears out mid day – we’ll fix that later. For now, just take it as prescribed. Sometimes, usually for cost we’ll use dexedrine spansules and might well get you to add a second dose even in the first two weeks if it’s clear it’s needed.