So I’m in titration and I’m currently on Vyvanse 50mg. I’ve already tried methylphenidate up to around 60mg I think, but they just made me jittery. The Vyvanse doesn’t seem to be a whole lot better. I guess I feel ever so slightly better but it’s somewhat of an out-of-body experience and I feel the crash before the end of the work day. What I really wanted help with was my memory and context switching, and to be able to speak more clearly. I think that might have fixed all the other disorganisation issues, etc.

I’m considering asking to try the non-stimulant ones but I can’t really find anecdotal evidence of their effectiveness. Anyone tried them?

  • Arcanepotato@crazypeople.onlineEnglish
    1·
    3 hours ago

    Maybe the key is that you feel the crash. I don’t feel the crash and I thought the drugs were making me anxious but that happened even when I forgot to take them 😐 turns out it was burnout lol.

    Others have mentioned eating with the vyvanse and I did find that helped, as well as taking it later in the day (before I leave for work vs as soon as I wake up).

    I understand that some people cannot tolerate stimulants because they do cause anxiety in some people. I’m not trying to suggest this can’t be what’s happening for you but rather sharing that I thought it was the case for me and it wasn’t.

    I wish the drugs could fix me but they can’t and that sucks pretty bad. Apparently that’s expected. I’m not discouraging you from trying other meds but caution you against thinking there will be a med that will take away all your challenges. Stimulants were lifesaving for me, but they didn’t fix me.

    While it’s not personal experience maybe this counts as actually answering your question a bit. Some discussion and evidence about the effecicacy of non stimulant meds:

    Non-stimulant ADHD medications are considered second-line or third-line treatments because the level of benefits and response rates are significantly lower. Meaning, stimulant medications are more effective at relieving symptoms for a larger percentage of people.

    This means they aren’t the go to because when you are scatter shotting the stimulants are a better bet. It doesn’t mean they work less for the people they work for!

    This one talks about the different types, how they work and their effectiveness.

    Today, the clinicians have a wide variety of non-stimulants for the treatment of ADHD. A large amount of research and data support the use of non-stimulants in ADHD. Although stimulants still remain the primary treatment, there is a growing trend in using non-stimulants, especially if the stimulants do not adequately treat the symptoms, are not tolerated, or are in the presence of contraindications for the use of stimulants

    Stimulants have earned their reputation as the go-to drug of choice for ADHD. They are among the most effective medications in psychiatry, reliably reducing core ADHD symptoms and improving daily functioning when properly titrated and monitored. However, when stimulant and non-stimulant medications are compared more closely, the gap between them appears smaller than commonly assumed.

    Hope you find something that helps you!

    • twinnie@feddit.ukOPEnglish
      1·
      3 hours ago

      Thanks. I think I’m going to ask for a top-up for early afternoon and if that doesn’t work I’ll ask to try non-stimulants.