It's essential to discuss any concerns or side effects you experience with your prescribing doctor. They will be able to provide personalized guidance based on your medical history, current condition, and specific response to the medication.
That being said, here are a few things you can consider:
Talk to Your Doctor: Reach out to your prescribing doctor as soon as possible to discuss the symptoms you're experiencing in the evenings. They may decide to adjust the dosage, change the timing of the medication, or explore alternative treatments based on your individual needs.
Monitor Your Symptoms: Keep track of your symptoms and how they change throughout the day. Note the specific times when you experience the crash, anxiety, and depression. This information will be helpful for your doctor in making treatment decisions.
Consider Splitting the Dose: Depending on your doctor's recommendation, you could discuss the possibility of splitting the dose of Concerta to take half in the morning and half in the early afternoon. This might help to provide more even coverage throughout the day.
Address Anxiety and Depression: If the anxiety and depression symptoms persist or worsen, it might be helpful to consider adding or adjusting other treatments to target these symptoms specifically. Your doctor may recommend therapies or medications to manage anxiety and depression alongside your ADHD medication.
Lifestyle Factors: Examine your lifestyle to ensure you are getting adequate rest, eating well, and engaging in stress-reducing activities. Maintaining a healthy lifestyle can support your overall well-being and complement the effects of medication.
Counseling or Therapy: Consider seeking support from a mental health professional who can help you develop coping strategies for managing anxiety and depression.
Avoid Stimulants: In the evenings, try to avoid other stimulants like caffeine, as they can exacerbate anxiety or interfere with sleep.
Remember that finding the right medication and dosage for ADHD can be a process of trial and error. It's essential to work closely with your doctor and communicate openly about any side effects or concerns you experience. Medication adjustments may be needed to ensure that you receive the most benefit with the fewest side effects.
In the meantime, practice self-care, and reach out to friends, family, or support groups if you need someone to talk to. Mental health is vital, and there are resources available to help you manage ADHD and any associated challenges.