It is not uncommon for individuals with ADHD to experience varying responses to medication like Concerta (methylphenidate) over time. The initial response to a medication can differ from the long-term response, and this is something that your healthcare provider should be aware of during the treatment process.
There could be several reasons why Concerta seemed to work on the first day but appeared less effective in the following days:
Placebo Effect: Sometimes, the expectation of improvement can lead to a perceived positive response when starting a new medication. This effect might wear off once the initial excitement subsides.
Dosage Adjustment: The initial dosage of 18mg might have been sufficient on the first day, but it may not be the optimal dosage for your long-term treatment. Your healthcare provider may need to adjust the dosage based on your response and symptoms.
Tolerance Development: Some individuals can develop tolerance to the effects of stimulant medications over time, leading to a reduced response to the same dose.
Metabolism Differences: People metabolize medications differently, which can influence how the body processes and responds to the drug.
Stress or Environmental Factors: Factors like stress, changes in routine, or other environmental influences might impact your perceived response to the medication.
If you experience any concerns or changes in your response to the medication, it's essential to communicate with your healthcare provider. They can help monitor your progress, make appropriate adjustments to the dosage or treatment plan, or explore alternative medications if necessary.
It's worth noting that medication alone might not be the only solution for managing ADHD. Behavioral therapies, lifestyle adjustments, and other forms of support can complement medication and help manage ADHD symptoms effectively. Your healthcare provider can provide guidance on these aspects as well.