Seeking advice navigating titration
Hi Looking for some advice ahead of my final titration review in a couple of weeks.
- I'll preface this by saying that cost is a major factor for me so my clinician has been working with me to navigate best options on my budget
- I was prescribed Xaggatin XL - 18mg for week 1, then 36mg for week 2. On my second day on 36mg, I went to a birthday party and drank probably way too much; I ended up fainting at home and was sore for a few days. I went back to 18mg.
- On the 18mg, I noticed the basic side efffects: raymaud's symptoms (cold fingers and toes) but brain fog tended to kick in after about 5 or so hours.
- With Xaggatin XL, my anxiety symptoms nearly disappeared (though I have been taking anxiety meds for years). I forgot what it was like to not be on the edge 24/7 and 'happy'.
- I mentioned the fainting spell and brain fog to the clinician. They recommended Medikinet XL 10mg for one week, then up to 20mg for the following week.
- On 10 mg Medikinet XL, the anxiety was horrible - I felt a heaviness in my chest, and the sense of hyper focus was not as 'direct' as it was on Xaggatin XL. On 20 mg, the anxiety is slightly better but I still don't find the focus as serious.
Has anyone else experienced anything similar? I am considering a few options:
a.) Up my dose to 30 mg on the Medikinet XL ahead of my next review and see how it goes.
b.) Wait and ask for an increase or a change to another one of the generic Concerta meds.
c.) Switch back to Xaggatin XL on 18mg.
Seeking any advice around this! I would be so grateful to hear from others, especially on the anxiety piece.
u/llamawayslainte23 — 1 day ago