About a week ago I finally noticed that my melatonin tablets were "sublingual", meaning I was supposed to be putting them under my tongue this whole time. Once I started doing that at bedtime as directed, sleep improved considerably. I'd say it is close to normal at this point.
Focus during the day continues to be good. I think the peak level of focus has decreased somewhat, but at the same time the feelings of tension/irritability/anxiety have gone away. I'll have to keep track of the focus and decide whether I need to up the dose.
Other than the insomnia, there have been no noticeable side effects. No mood problems in the evenings, no stomach issues (I have read they are common with Concerta).
In general, I'd say Concerta is working well for me. I have an actual physical appointment with my doctor in about a month, we'll see how things go until then.
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