{"type":"rich","version":"1.0","provider_name":"Transistor","provider_url":"https://transistor.fm","author_name":"Actually ADHD | Medication Strategies & Clinical Wisdom","title":"Extended Release Stimulants for ADHD | Side Effects Ride Out or Bail?","html":"","width":"100%","height":180,"duration":448,"description":"The Ride Out or Bail framework for the first month on an extended-release ADHD stimulant. Jonathan Murphy, PMHNP-BC, reads from The Process and walks through the eight most common side effects, week by week, so patients and prescribers know when to hold the course and when to switch.\nThis episode covers:\nWhy the first four weeks are the assessment window and how to think about tolerable side effects inside \"all good, no bad\"\nDry mouth: ride out weeks one and two, bail at week four, and why prolonged dry mouth signals overstimulation\nWhy caffeine, cannabis, and nicotine muddy the read on any side effect and have to be pulled out to assess the medication alone\nLow appetite versus appetite suppression, and why the ADHD-food-dopamine relationship changes on medication\nProtein and calorie strategies for the first weeks and when persistent low appetite becomes a real problem\nMild insomnia and the first-place-to-look rule: take the medication as soon as you wake up, consistently\nWhen mild insomnia after four weeks signals the wrong extended-release capsule or the wrong dose\nJitteriness as a mild overstimulation signal, and the caffeine-elimination step before considering a medication change\nEuphoria in week one as honeymoon period versus euphoria at week four as a mania signal\nHypersexuality as a possible mood-irregularity signal versus a baseline personality feature\nHeadache: hydrate first, and why headaches are usually not caused by the medication itself\nIrritability as a new-skill side effect versus true agitation\nThe automatic bailouts: persistent agitation, anxiety, and complete zombification, most commonly on methylphenidate\nThis is the fourteenth episode of Actually ADHD. \nThe book The Process: An Adult's Guide to ADHD Medication is available on Amazon: https://www.amazon.com/dp/B0H2Z6PM4T\n\nFocus Path | PMHNP-BC for the Ride Out or Bail video and the full clinical education catalog. https://www.youtube.com/@focuspathsystems\nFor educational purposes only. Not...","thumbnail_url":"https://img.transistorcdn.com/TQ0cdwY1LDRCErv0owrNaxd6zJJuqtQCa3NYWW3JqR4/rs:fill:0:0:1/w:400/h:400/q:60/mb:500000/aHR0cHM6Ly9pbWct/dXBsb2FkLXByb2R1/Y3Rpb24udHJhbnNp/c3Rvci5mbS8yY2Vj/MzI1NGM3NGJkMzhm/YTFhNGUzZWMzMjg3/NTQ5MS5qcGc.webp","thumbnail_width":300,"thumbnail_height":300}