It's important to consult with your prescribing doctor or healthcare provider about any concerns or side effects you may be experiencing with your medication. They are best equipped to assess your specific situation and make any necessary adjustments to your treatment plan.
That being said, feeling great during the first 8 hours of the day on Concerta and experiencing a crash, anxiety, and depression in the evenings could be indicative of the medication's effects wearing off as the day progresses. This is not uncommon with extended-release medications like Concerta, which are designed to provide a steady release of the medication over an extended period.
Here are some steps you can consider:
Talk to your doctor: Schedule an appointment to discuss your symptoms and experiences. They can assess whether the dosage needs to be adjusted, or if an alternative medication might be more suitable for your needs.
Consider split dosing: Sometimes, splitting the daily dose into two smaller doses can help maintain a more consistent effect throughout the day. For example, you could take half of the 54mg dose in the morning and the other half later in the afternoon.
Explore additional treatments: In some cases, adding other medications or therapeutic interventions (e.g., therapy, counseling) can complement the effects of Concerta and help manage anxiety and depression symptoms more effectively.
Lifestyle adjustments: Adopting healthy lifestyle habits can also play a role in managing anxiety and depression. Regular exercise, proper nutrition, adequate sleep, and stress-reduction techniques can be beneficial.
Keep a journal: Track your symptoms and moods throughout the day to provide your doctor with a comprehensive understanding of how you're responding to the medication.
Remember, it's crucial to work closely with your healthcare provider when adjusting medication dosages or trying different treatments. They will guide you based on your individual needs and ensure you receive the most appropriate care. Always follow your doctor's advice and never make changes to your medication regimen without consulting them first.