Recently Answered Questions
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Is it likely to develop tolerance within a week to Concerta XL?
Query: Hello doctor, I have been taking Concerta XL for ADHD for 10 days now. I have started taking 18 mg per day and after seven days I increased it to 36 mg. However, I do not feel the effects anymore, initially, when I was taking 18 mg it was working, but it no longer works. Can you develop a toleranc... Read Full »
Answer: Hello, Welcome to icliniq.com. Concerta XL needs to be gradually titrated up according to your age, body weight and clinical response, i.e improvement in symptoms and any side effects. I note that it is still early days since you commenced on Concerta. XL. You will not be developing tolerance in t... Read Full »
How to fix my long term concentration problems with excessive mood swings?
Query: Hello doctor, I have trouble concentrating. It feels like my mind is always in a thousand different places at once and it is hard to keep in it one place or thought. I have excessive moods and sway from one thing to next all the time. I also have a constant voluntary shaking of my leg. I need some... Read Full »
Answer: Hello, Welcome to icliniq.com. How long have you been having trouble with concentration, mood swings, and restless legs? There are several different possible reasons that can cause these symptoms. For example, if these symptoms were present since childhood we may need to consider ADD/ADHD (attentio... Read Full »
Will someone get ADHD in teenage years? Kindly suggest.
Query: Hello doctor, I am a 16-year-old male. I am concerned about my mental health. I have symptoms of ADHD like fidgeting, restlessness, being very talkative, losing focus or attention, but I am very extroverted, and my academic ratings are good. Does someone get ADHD in their teenage years? And am I on... Read Full »
Answer: Hello, Welcome to icliniq.com. ADHD (attention-deficit hyperactivity disorder) is a developmental condition which is noticeable since early childhood. Symptoms like hyperactivity, impulsivity, inattention will be present before the age of 12 years. Parents and teacher would have commented about it... Read Full »
Is it safe to take Propranolol with Adderall for ADHD?
Query: Hello doctor, I have been prescribed Adderall 10 mg two tablets daily for ADHD and 10 mg Propranolol as needed for anxiety. Adderall is helping my ADHD. However, I have experienced increased anxiety and all the physical symptoms that come along with it, including chest tightness since taking the Ad... Read Full »
Answer: Hello, Welcome to icliniq.com. How long are you taking Adderall? It is known that some people experience increased anxiety when taking Adderall ( Dextroamphetamine, Amphetamine). If the excessive stress continues to be problematic and has not settled in few weeks, discuss with your psychiatrist ab... Read Full »
Can Strattera and Effexor be taken together?
Query: Hi doctor, I have been taking Effexor XR 300 mg for depression. It has been working really well. My psychiatrist has now prescribed me Strattera for ADHD. I am about to start 25 mg and work my way upto 80 mg over a few weeks. Strattera and Effexor both seem to inhibit Norepinephrine reuptake. Is i... Read Full »
Answer: Hello, Welcome to icliniq.com. You may know that Effexor XR is effective against depression and Strattera is used to manage ADHD. Sometimes both are prescribed together when you have ADHD along with depression. Your psychiatrist is following a safe approach of starting on a low dose of Strattera (... Read Full »
I get frustrated easily with low tolerance. Kindly help.
Query: Hello doctor, People called me stupid and annoying it is not that I do not understand. It is that I cannot focus, I have a tough time focusing, and I would not deny I am annoying. I never sit still I am wandering around the house all the time I told my dad I would not sit still even if I was glued t... Read Full »
Answer: Hello, Welcome to icliniq.com. You are reporting symptoms which are suggestive of ADHD (attention-deficit hyperactive disorder). How are you managing at school? Further assessment, including developmental history from parents, corroborative information from school will help to clarify the severity o... Read Full »
Who is the best person for diagnosing and treating ADHD in a 12-year-old child?
Query: Hello doctor, I want your opinion on who is the best person (or where to start) for diagnosing and treating ADD in a 12-year-old child. The information and opinions are mind-numbing and confusing. I have the choice of taking my daughter to a pediatrician or a psychiatrist, after having her tested by... Read Full »
Answer: Hello, Welcome to icliniq.com. You have asked a very pertinent question. I am not sure about the medical system in your area. Usually, young children in primary school are seen by pediatricians. Once they move to secondary school and if they have any co-morbid conditions like depression or anxiety... Read Full »
Please guide me to get some idea about my concentration issue.
Query: Hi doctor, I have been noticed some of my symptoms for a few years. A few people make comments that got ADHD and so I searched about it. I feel difficulty in finishing a task in an appropriate time. I am always late and tired. I also interrupt other people for help, and my senior shouted me for this... Read Full »
Answer: Hello, Welcome to icliniq.com. You report difficulties with attention, poor concentration overactivity, and impulsive behavior. These may be suggestive of ADHD (Attention Deficit Hyperactivity Disorder). ADHD may present since childhood but is more evident in the adolescent stage, as the academic de... Read Full »
I find it hard to complete a task after starting it. Do I have ADHD?
Query: Hello doctor, I am a general practitioner doctor, and I want to know if I have ADHD. I want to start anything and finish it because I never finish it every time I start something. This problem has been with me ever since I can remember. I do not want to label myself, but I want to know what is happe... Read Full »
Answer: Hello, Welcome to icliniq.com. Your brief description mentions the inability to complete a task which is just one of the several features of ADHD (attention deficit hyperactivity disorder). You may have some relatively common traits of ADHD. We need more information about the constellation of sympto... Read Full »
Is it appropriate to prescribe stimulant medication after an episode of psychosis?
Query: Hello doctor, Is it ever appropriate to prescribe stimulant medication after an episode of psychosis? I am a patient that has done well on them in the past and is struggling to mange my ADHD without them. The psychosis happened last year during a period of social isolation. Read Full »
Answer: Hello, Welcome to icliniq.com. You have raised a very pertinent question. Stimulant medication can raise the risk of relapse in psychotic symptoms. If psychotic symptoms were clearly treatment-emergent, generally it is not advisable to try stimulants again. If ADHD symptoms are problematic, you ca... Read Full »