Anyone using both Dex and Ritalin? (lemmy.sdf.org)

submitted 1 month ago by pfr@lemmy.sdf.org to c/adhd@lemmy.world

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So I've tried both, and they both work, but with different effects. The dex is the only thing that helps with executive function, that kick start to actually initiate tasks. But Ritalin is more effective in muting the mental noise which helps me stay focused longer. It also helps me regulate my emotions much better. I have young kids and life gets hectic, so ritalin helps be keep my cool in this moments. But I'm reluctant to give up the Dex (what I'm currently prescribed) because I need it most work days to get things moving.

I wonder if anyone has the same experience and whether they've managed to work with their prescriber to use both on lower doses?

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[-] Broadfern@lemmy.world 3 points 1 month ago

Not entirely identical, but I know what you mean.

I was on long release dex combo (Adderall) for a while and it gave me the “drive” like you mentioned. But it screwed with my sleep and I had to get away from it since I reacted badly to the fillers in generics. I also found certain formulations wore off fast and left me with the infamous “ADHD crash” and made my afternoons and nights miserable. This is down to individual brain chemistry, though.

On a long release Ritalin now and my brain is quiet too. I don’t necessarily get the “reward” from starting or finishing tasks and have to push myself to initiate but once the process is started I’m okay.

For comparison unmedicated the whole thing is like walking through glass barefoot and soaking my feet in lemon juice after.

You might be able to get a dual script, depending on where you live. Like have Dex first thing in the AM, then short acting Ritalin later in the day to keep even. Only way to know is to ask your psych.

[-] pfr@lemmy.sdf.org 2 points 1 month ago

Yeah I plan to ask at my next review. But that's a little while down the track. My prescribing Dr might be able to though

this post was submitted on 08 Jun 2025

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