Index Support Center Forums Treating Narcolepsy Thoughts on Ritalin? (& citric acid)

  • This topic has 8 replies, 4 voices, and was last updated 1 month, 2 weeks ago by Laces1989. This post has been viewed 737 times
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  • #7115
    AvatarDailyah
    Participant

    Saw my most excellent sleep doc yesterday and I’ve now got 5mg short acting generic Ritalin tablets in hand to try since my NuVigil doesn’t seem to be cutting it anymore.

    Obviously she gave me the basic ins and outs. I’ve done a good bit of research, too. It seems like a perfectly reasonable option to give a whirl, but I figured I’d check in and ask if there’s anything those of you who take it or have taken it think I should know.

    I also know that citric acid will break the stuff down. Unfortunately, I’ve been eating three mandarin oranges each morning for years now! I’m too much a creature of habit to change that if at all possible not to. Looks like it’s better to take the med at least a half hour before meals anyway, but is that same 30-45 minutes enough of an offset with my breakfast citrus?

    Curious to hear about others’ experience!

    D

    #7119
    Avataruser
    Participant

    Hi @dailyah

    I was on methylphenidate for a little bit. I also LOVE citrus fruit, like you. You’re right, foods rich in Vit C, citrus, and citric acid can interfere with the breakdown of ritalin before it can be absorbed in the body, and make it less effective.

    Being a creature of habit and routine myself, you don’t have to stop eating your deliciousness at all. I just wouldn’t want to eat it for at least an hour before or after you take your medication. I think that would be safe. Even 30-45 minutes is a little too close I think, I would give it the extra 15 minutes to half hour wait.

    Good luck with your new medication!!

    -Johnna

    #7124
    AvatarDailyah
    Participant

    Thanks @tinyelephants

    I can give it an hour. That’s not too bad. I can play with it later if it’s working, but I’d hate to decide it’s not working when really the problem was my standard breakfast. Looks like the interaction is pretty legit. My brother is a little concerned because I’m already tiny and have to make a deliberate effort to keep weight on. The Xyrem already comes with eating restrictions! I may have to bite the bullet and get serious about things like smoothies and protein shakes while I sort this out. I’ve eaten my funny 3 mandarins every morning for breakfast for years, literally. It’s like priming the pump or something because post mandarins I’m more able to eat other things without nausea. Of course, part of what was causing the nausea may well have been the NuVigil the Ritalin is replacing! Gotta love it! LOL!

    D

    #7132
    JasonJason
    Keymaster

    @dailyah and @tinyelephants I checked a physician only resource on vitamin C and ritalin (methylphenidate). There’s absolutely no interaction. It does not alter the breakdown of the medication at all. Antacids on the other hand, alter the controlled release forms of methylphenidate. Generally you are supposed to take the medications 45 minutes before eating, however.

    Vitamin C and acidic foods/beverages DO interfere with amphetamines like Adderall/Dexedrine, which are a different class of medication. Oftentimes amphetamines and the phenidates get confused and the first three hits on Google all provided inaccurate information about vitamin C and ritailn. Basically Livestrong is a garbage source of information πŸ™‚

    Eat your mandarins and enjoy!

    #7139
    Avataruser
    Participant

    Thanks for the correction @jasonm!

    -Johnna

    #7143
    JasonJason
    Keymaster

    Welcome! Wasn’t trying to sound like a know it all or anything! It just drives me nuts that the top 3 Google hits were totally wrong. Medscape is free I think if you download the app and is a much better source of medical information. It’s no Uptodate but it’s 100x better than Googling.

    #7146
    Avataruser
    Participant

    No worries. I don’t think correcting someone makes anyone sound like a know it all. I don’t use Google for much of a source of info, but i do sometimes. I have access to Galileo, which is the University of Georgia internal online library system through the board of regents. It has so much information, including access to medical periodicals and journals and things many people would be drooling to have access to.

    But I’m lazy and I eat citrus and I’ve taken methylphenidate and I always wait an hour before I eat. πŸ™‚

    #7188
    AvatarDailyah
    Participant

    That’s huge! Thanks, @jasonm!

    And, far from making you sound like a know-it-all, posts like yours are exactly why I posed the question! I’m a Ritalin newbie. It was my sleep doc who warned me about the citric acid. Go figure. I’ve just been around (and in) the medical field long enough to know that: a) Nobody, not even specialist MDs, can stay on top of every little detail. b) Specialists are almost never patients in their field of specialty, so talking to patients who’ve actually tried/done/taken whatever med or treatment is often useful. c) Bright people endeavor to research and learn about their own issues, so it pays to compare notes. πŸ™‚

    It makes a certain sense that my doc may have gotten the pharmacology mixed up. If you’ll cite a source, I’ll pass the data along to her. She’s the type who will appreciate the information as long as I can point her to the science. πŸ˜‰ TIA!

    Mmmmm…morning mandarins…LOL

    #20532
    AvatarLaces1989
    Participant

    I never knew that vitamin c can reduce the effectiveness of adderall. I’m glad I read this as I take vitamin c, adderall, Zyrtec, Wellbutrin, and iron together right when I wake up! It’s hard because I’m also hypothyroid and I have to take my synthroid apart from these drugs so I take that at night with the Wellbutrin.

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