Just coming back to this thread to update/document.
Hope everyone else is getting on OK?
I have been on 10mg Medikinet Adult (XR) and I have some days tried 2x of this to see if it's better.
I found the 10mg alleviates my constant exhaustion and lifts me just enough to allow me to cope and seems to help a bit with time blindness relating to tasks. However, 20mg seems to make me almost TOO focused and I get really irritated with the DC interrupting me and get hideous brain fog especially in the late afternoon.
I told her: To me, as a layperson, it kind of feels like thr 20mg is too strong and I can't tolerate it, but I had read that a slightly-too-low dose can result in worsened symptoms, and really all of these things aren't side effects so much as worsened symptoms, so she agreed and said yes, it's worth trying 30mg. Glad to have a green light for that, so I will (probably tomorrow).
However the other thing she mentioned is that it may be rebound. When the medication wears off it can cause a kind of "crash" and worsened symptoms. And this may be what I'm feeling on the 20mg. So she has prescribed me an instant release 10mg (even though it's only approved for children) so I can experiment with this and find out how it works for me.
So I have 3 new options to try out over the next 4 weeks before my next appointment.
3x 10mg XR - to see if a stronger one is better
2x10mg IR morning + 1x lunchtime - to see if the instant release is better
1x 10mg XR morning + 1x lunchtime IR - to see if a stronger "boost" in the afternoon is better.
At the very least the 10mg XR is helping. I ran out before I got my refill and I really missed it!