Well, I started at 5, then 10, then 15, but after years it becomes less effective. Yea, I wish they had put me on wellbutrin right from the start. I tried ritalin once, it made me feel like I was on a ton of caffeine. I'm sensitive to norepinephrine related side effects.
Yeah me too, and the same thing happened on and off with wellbutrin. I already knew I had this history of rage on wellbutrin (most of it was caused by the generic I was taking, it was manufactured by one of the companies that got busted by the FDA for making the SR tablets release the drug too quickly, triggering anxiety and irritation in a lot of people) and I feared adding ritalin would bring the anger back (which is really my response to anxiety; in fight or flight mode I tend default to fight which is not exactly a good thing), the same fear I had with adderall, so I watched myself closely.
So the norepinephrine side effects start kicking in around 2 hours after taking ritalin (5 mg, nonextended release), or so it just seems to me. I've found that it's best to stagger my wellbutrin and ritalin doses several hours apart, and then take around 200 mg theanine 1.5 hours later, along with some potassium, taurine 500mg, GABA 500mg, tryptophan 500mg. Sometimes eat a handful of spinach (my go-to snack food). I'll also switch up the theanine with .5 mg ativan or 100 mg phenibut or 25mg picamilon, I just rotate this shit around but often theanine is best in general and ativan is best when the irritation is strong. I might be cutting out the phenibut though when my supply runs out because even 100 mg can have a nasty comedown that I get with none of the other anxiolytics.
I usually don't tell people what take because they don't understand anything about being a migraineur and get all sanctimonious on me like I'm in danger of getting hooked or screwing my brain up. It will never happen. My migraines began when I was 21, nearly 12 years ago, and since then I've learned more about the brain, its neurotransmitters, and legal drugs than most can imagine simply because I have a very very strong drive to control migraine and you cannot do that without insane hours of research. I've honestly think I've forgotten more than what most around here know about this stuff.
The migraine brain is hypersensitive to change. Nearly any kind of change but the threshold can vary day-to-day. I've always been able to easily resist addiction for two reasons:
1) I low dose nearly everything to test the waters, if any drug triggers migraines, or if any drug triggers a migraine on the comedown, I drop it like a hot potato. I do not ever increase the dose of anything if it seems to losing its effectiveness and risk additional downregulation which can easily put me in migraine hell.
2) I rely on sumatriptan to kill migraines. I'm only allowed 12 tablets a month, or 6 nasal sprays a month (I do tablets only now). Drugs used to abort migraines should not be used more than a few times a week without risking triggering even more intractable rebound migraines (medication overuse headaches). Triptans especially should not be used this way. Additionally, if you run out of your script before the month is up, you are fucked until you can get your refill (this is why I began looking into supplements to prevent migraine, because before I did this I was constantly running out within 2-3 weeks). My sumatriptan use must be spaced out, my migraines triaged to see if I should take a dose now or hold off and hope it's gone by the next day. I'm actually pretty good at resisting the strong impulses to take a triptan when I should abstain. And stay in pain and be miserable until the time is right or the migraine worsens and completely incapacitates me. That is true willpower. I think I might even get off on it some small pathetic way by feeling powerful and proud of myself. Like anorexics and their absurd power tripping over how much control it takes to resist impulses to eat.
Resisting desires to take more and then more of the "feel good" substances is a fucking cakewalk by comparison. It's nothing, it's effortless, it's laughable. I think that's the primary reason I tend to have a low opinion of people who lose control of taking their meds; I don't understand how they lost their willpower. It's not fair of me to see things that way but I don't think I can fix that particular flaw in myself.
I'm sorry if my blathering offended anyone.