I was diagnosed with ADHD when I was 19. My psychiatrist prescribed me Concerta, and it has worked pretty well. I metabolize it pretty quickly though, to I have to take 2 18mg in the morning, and one in the afternoon to last me throughout the day. Recently, I've noticed that it's losing its effectiveness (this is not the first time I've had to increase my dose) but I'm concerned because I've been told the max dose it 72mg per day. I'm afraid to switch meds, but I can't focus. Any advise?
Other long-acting forms of methylphenidate could be beneficial; different delivery mechanisms mean that they could work well at a lower dose. It’s worth trying.