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by bootstrapping 1963 days ago
> Take regular breaks from the medication

As others have said, this is definitely something you must discuss with your personal brain care specialist first.

What others have not suggested, and again this is something I have been able to arrange in conjunction with my shrink, is medication switching. Since each has slightly different benefits, I use a different medication on a workday than at the weekend or holiday/social time.

In this regard I've been fortunate to have access to a healthcare system, and specialists, that respect the individual and aren't reflexively invoking a) cookie-cutter solutions, or b) contrived histrionics about substances with abuse potential. The only raised eyebrow came from my pharmacist: "You're on both of these?" "Yes, but on different days, not together." "No worries".

NB: I'm hesitant to specify which medications, because individual responses vary dramatically, and advice gleaned from one person's experience may be exactly wrong for another.

2 comments

Everyone always says "consult your doctor", it's safe advice, but the consensus from doctors I've spoken to, books I've read, and the fact sheets that come with medication make it very clear that you can totally take a day off. This is nothing like medication for bipolarity, epilepsy, or HIV where you can't miss a dose without terrible consequences.

On the other hand, you may forget to take your medication, that can really be a problem. The rule of thumb is, if you forgot if you took it, it's because you forgot to take it.

Since this may benefit others suffering from adhd, can you tell us the class of meds so at can discuss the combo with our specialists? I've never heard of switching meds this sounds beneficial to me, thanks.
They are both CNS stimulants, but one is believed to be primarily a NDRI and the other a slow-release prodrug for a TAAR1 agonist. I have somewhat dissimilar responses to each, and the variation in utility is sufficiently well correlated to the varying needs of work vs life, that I can allocate one to workdays, and the other to the weekend and holidays, and find myself maximising the benefits.

What's more, holidays from either (inadvertent or otherwise) have not provoke the catastrophic withdrawal sometimes described, for me it's more of a reversion to type.

And at the risk of labouring the point, this all comes with a whopping YMMV notice. In particular, I am not reliant on self-assessment; I am privileged enough to have access to both psychiatric and familial help that is willing, able, and qualified, to provide external observation.