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by mwpmaybe 760 days ago
> I found that medication have definitely helped me focus, but the direction of what I'm focusing doesn't always yield productive results (hyperfocusing on reddit for example).

I had this problem (and others) with Adderall. Vyvanse (Lisdexamfetamine) has been much better for me. I've also found that I get better results when I take my ADHD medication with protein, and about an hour before any caffeine intake. YMMV.

> I've also started worring that what I've really done is created a dependence, where eventually ill have to up the dose as what I'm currently on will make me feel like I did pre meds, and stopping will make me feel worse.

I worry about this too. I've been on 30mg Lisdexamfetamine for about two years and haven't felt a need to up my dose. But if I skip a day it hits hard. I don't know whether it's worse than before I started medicating or if it's just that my bar for mental function has been raised.

1 comments

> I've also found that I get better results when I take my ADHD medication with protein, and about an hour before any caffeine intake. YMMV.

Regarding eating protein, lisdexamfetamine is basically just dexamfetamine bound to an amino acid. Your liver has to break the amino acid and dexamfetamine apart before the dexamfetamine is bioactive. That's basically how the time-release works; your liver can only break them apart so fast, resulting in a steady stream of dexamfetamine. It's part of why doctors like it, because opening the capsule and snorting it does basically nothing.

Eating protein occupies part of your liver's processing abilities, which should result in a "smoother" come up.

> I worry about this too. I've been on 30mg Lisdexamfetamine for about two years and haven't felt a need to up my dose. But if I skip a day it hits hard. I don't know whether it's worse than before I started medicating or if it's just that my bar for mental function has been raised.

I don't take mine on the weekend, generally. I find it helps keep me grounded in terms of my capabilities on vs off the meds, as well as giving me some non-amphetamine-d time to work through emotions. The meds make me almost too focused, and I'll end up neglecting how I'm feeling to plow through another hour of coding.

I also occasionally get worried about my medication, my tolerance and generally the effect it has on me. I typically ask my doctor to switch me to a non-stimulant medication. Atomoxetine is what I usually get, which is a norepinephrine modulator rather than an amphetamine. I don't find it as helpful, but it's good enough to keep me afloat at work for a month and it lacks the "speed" feeling amphetamines can have.

> I don't take mine on the weekend, generally. I find it helps keep me grounded in terms of my capabilities on vs off the meds, as well as giving me some non-amphetamine-d time to work through emotions.

I did this up until about six months ago and definitely appreciated the chance to reconnect with my "nominal" self, but unfortunately it was causing significant issues for me and my family. I would crash and be tired (which was not unusual in and of itself, but more exaggerated), I would have extreme executive dysfunction, and I would be completely unable to get anything done around the house and/or spend quality time with my wife and kids. It was all the misery of my pre-medicated working life compounded and condensed into the most precious hours of my personal life.

I was reluctant to start taking meds seven days a week because I feared even more that it would start losing its effectiveness over time, but fortunately that has not happened (yet) and my weekends are much more productive and happier for everyone.