I have narcolepsy...Have had it since childhood...and since 1984 I have taken 20 mg of ritalin 5 times a day....(5 pills at 20 mg each) I have always worked and supported myself....Ive retired 3 Dr.s over the years..lol...But my current Dr to whom I was refferd to from my former dr does not want to prescribe the 5 pills a day....So to keep the peace(and get my script filled) I agreed to take 4 a day ......This is not working for me.....At 5 a day my meds would take 15 min to kick in,,,,Drowsy for 15 min then alert for about 3 hrs...At 4 pills a day i wait about 4 hrs then take a pill...It takes about 30 to 40 min to kick in....This is no good...as I drive allot with my job ect,,,,,This dr I currently have did no test to come to his conclusion of lowering my dose....29 years it has worked the same for me (Im 50 yo)What can I do...I really need help...signed AAAAA