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submitted 11 months ago by luthis@lemmy.nz to c/adhd@lemmy.world

I realised this feeling is why I have such an issue avoiding caffeine, even more after starting on ritalin.

It's that, "I'm really starting to feel awake and capable now" feeling, sometimes a light tenseness in the back of the neck.

What is going on here, neuronically?

Also a time when I really crave nicotine. I'm trying to quit the nicotine so if I can understand this feeling, I can make a strategy to avoid it.

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[-] kakes@sh.itjust.works 7 points 11 months ago

From what I've heard, it's less that the caffeine brings you "up", but more that the lack of it is pushing you down once you've become accustomed to having it.

I'm not a coffee scientist, though, so take this with a grain of salt.

[-] luthis@lemmy.nz 10 points 11 months ago

That's actually pretty common in places like Italy. A half-pinch of salt brings out the coffee flavour.

[-] cheese_greater@lemmy.world 2 points 11 months ago* (last edited 11 months ago)

With the development of tolerance, it techniclaly becomes more of a return to baseline

Where are all the coffee scientists when you need 'em?! On smoke break, probably 👹

[-] GONADS125@lemmy.world 5 points 11 months ago

Even before I got to the last part where you talk about nicotine cravings, my first thought was caffeine withdrawal. When I have a caffeine dependence (like always) I get that feeling until I've had my strong coffee.

If I don't drink coffee, I get an ache/tightness in my neck, headaches, difficulty concentrating, and irritability.

[-] key@lemmy.keychat.org 3 points 11 months ago

Ya this. Simple addiction/withdrawal cycle. Overlapping addictions can certainly magnify things.

[-] ultranaut@lemmy.world 2 points 11 months ago

From what I recall it's related to dopamine in a certain part of the brain, those drugs are all dopaminergic.

[-] Septimaeus@infosec.pub 2 points 11 months ago* (last edited 8 months ago)

What you’re describing sounds like the effects of noradrenaline. The effects are what most people imagine when they think of stimulants, in my experience; i.e. increased energy, heart rate, physical tension, alertness, etc.

Many drugs have noradrenergic effects, but especially stimulants like caffeine, nicotine, and most ADHD meds. Ritalin has a stronger noradrenergic effect than other first-line options, as well.

IANAMD but the cravings you describe might be a simple conditioned response. Since each day the physiological cues (increased blood pressure, muscle tension, etc) are quickly followed by the release of dopamine, your body now anticipates it, which may briefly amplify cravings. To get past that period of cravings, you could try timing your dose so that it passes while you’re distracted by something physical/kinetic.

[-] bigredgiraffe@lemmy.world 1 points 11 months ago* (last edited 11 months ago)

I am definitely not an expert but I remember that feeling from taking Ritalin and I didn’t like it at all so I switched to something else, it might just be a side effect of Ritalin? I eventually landed on Vyvanse because it had the least of that feeling, aderall was better but not as good as Vyvanse. All that to say, make sure to ask your doctor as well, you might be able to try a different drug if it is a side effect or something.

ETA: also, same boat here with nicotine too, its a rough one for sure but I keep trying heh.

this post was submitted on 05 Dec 2023
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