Like many folks, I have ADD. For the past nine months I have been taking 15 mg of Adderall XR (the XR means extended release) a day to treat it and until this week I had no idea how well it has been working. Today is day ten without the Adderall in my system.

Feeling like the medicine was not working as well as it initially did, I told my doctor and he decided it was time to try a “drug holiday” and evaluate how I felt after ten days. Honestly, I was pretty surprised how nervous I felt about going off the medicine. For the past nine months I have felt like most of my ADD symptoms were gone for the first time in my life.

Days 1-6: Getting Adderall out of my System

After stopping the medication it was all I could do to stay awake. Most ADD medications are stimulants, with the notable exception of Strattera which is stimulant free. Adderall is a form of amphetamine salt that is believed to increase the production of neurotransmitters to counteract the ADD symptoms. It took me about five unpleasant days to get to the point where I felt back awake.

I also immediately became hungrier. A very common side effect of Adderall is appetite suppression. Amphetamines were used as diet pills for a long time. I’ve a pretty good sweet tooth normally, but it went off the deep end for the last few days. I’ve wanted breakfast (very rare for me), and invariably wanted sugary things. I ended up getting desserts at meals and wanted snacks. I got cookies and M&Ms from the vending machine. At one point of desperation with the tiredness and sweet tooth I actually got a frapuccino (I HATE coffee).

Days 7-10: Just How do I Feel?

By Thursday I was conscious again. This was about the point where I could really start to analyze the effect of the medication (or lack thereof). I was stunned to see how little I got done this week (sorry co-workers reading this!). For me, the best way for me to describe ADD is that I know what I need to be doing, and I can do anything but that. I am productive, just on everything that I’m not eager to be productive on (notice the relative frequency of blog posts this week). It is deeply frustrating and troubling to not be able to do what I need/want to do.

Over the next few days I’ve been thinking to myself “Yes! this is what it felt like a year ago where I would go through a days at work getting lots done but never what I needed to get done. Now that I have had nine months of relative control, a week without it feels pretty devastating. Before, I never had any other perspective to know how bad things were. Now I know what treatment feels like and I will be very very prompt for my appointment tomorrow.

It is interesting that since I had no context for feeling any way other than I did before treatment, I had no idea how bad things were. There is really very little way for us to ever know how “normal” something is that is going on in our brain since we have no way of experiencing anyone else’s brain. Now that I at least have the context from the medicine, it is a wonder I made it through school! ;)

Some interesting behavior changes I noticed this week in both work and play:

  • I’ve blogged more
  • I’ve read blogs less
  • I’ve read novels more (I feel like I can’t put the book down even though I am tired and need to get up for work)
  • I’ve played video games more
  • I’ve been making more “To Do” lists
  • I’ve needed to listen to music at work
  • I forgot a meeting

The reading part is pretty expected for me. Non-fiction has always been very difficult for me to read. Unless I am reading something that I think of as entertainment I have a very difficult time focusing. In fact, one of the things that I am least proud of is that I rarely read in college. I made it through a few novels in English and Spanish Literature courses, but the rest I just faked it and went off listening to lectures. It is something I wish I could go back and redo. I can’t imagine how much more I would have learned! On the medication I’m still not an avid reader of non-fiction, but I can apply myself to reading documents at work without too much problem.

I am a bit more surprised about the gaming though. After spending the weekend playing Metroid Prime Echoes (a game I bought but didn’t really play right when it came out) I realized that I really have played very few games recently. I play some games with friends at work, but have played almost nothing at home in almost the whole time I’ve been on Adderall. I never really noticed until this weekend.

Day 11 (Tomorrow): What is Next?

I plan to ask my doctor to put me back on Adderall. This is pretty significant for me as I really don’t like the idea of patients requesting things of their doctors. I’m generally of the opinion that a patient should describe symptoms and the doctor should reach a diagnosis free of coaching. For this, I am pretty sure that the doctor will reach the same conclusion as me, but I am completely prepared to ask for what I want if he disagrees.

The reason I feel this way is that even though there are some trade offs for choosing to treat ADD, I like myself a lot less when I am off the medicine. I waste a lot of time and it impacts my life both personally and professionally. If taking a small blue and white capsule a day can change that, it is well worth it.

If you don’t believe in ADD, or feel like writing a negative comment, please read this “Note to Naysayers.”