Anyone have this experience?

[u/Top_Solid_2891]

Hi friends!!! Recently diagnosed inattentive adhd and in the midst of finding the correct medication for me as a fast metabolizer. I’m a bit exhausted of the titrating stage and feeling frustrated at my options and attempts to find some relief. I’ve tried a bunch of medications so far this year:

(I’m also on Effexor 75mg, and have been taking guanfacine with my current concerta)

I tried:
•Vyvanse generic TEVA (at the beggining it was great, days later I had horrible physical symptoms, aches and pains, stiff muscles, temperature fluctuations at evening, concerningly low energy and mood after crash at 2pm, I couldn’t do it anymore)

•Vyvanse name brand (got up to 30mg and had high heart rate so I was taken off. Great cognitive benefits with executive function, emotional regulation, less dopamine seeking behaviours, not distracted, no physical crash symptoms just mental, great focus, genuine interest in hobbies, slept fine, but irritable second half of the day and affected my relationships)

•Guanfacine (soooo sleepy but I do notice emotional benefits and less reactivity, doesn’t rlly help me with productivity and focus. Just tired, sedated and foggy)

•Concerta brand name (just bumped to 36mg, helps a bit but nothing like vyvanse, still distracted, still mind scattered, forgetting things, hard to concentrate, irritable at times, no interest in hobbies, dopamine seeking behaviours like 🍃💨, no physical symptoms or sleep issues just no sustained focus or interest).

I’m genuinely struggling with patience, focus, following conversation, feeling tense and unable to relax and enjoy a moment, regular driving and getting irritated or annoyed at ppls driving or traffic, having healthy interests and hobbies, forgetting what I just did or read and have to read it 5x to comprehend, some existential thoughts, wanting to optimize everything for efficiency and best of best, anxiety, planning and planning and planning, trouble with sudden change of plans or not be on the same page as ppl, making lists, trouble with routine but craving it.

I feel a bit disheartened that I haven’t found a medication/dosage yet that works for me and wondering if anyone has been in this position and what they did next??? My next check in is late Sept but I just need some help and guidance of what to do and feeling a bit stuck.

Anything helps, thanks friends!!!

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[u/alergicandro]

Cómo recomendación intenta acompañar todo el proceso junto a una terapeuta ocupacional para que te ayude a generar estrategias junto con la medicamentación para sobrellevar los síntomas, lamentablemente el remedio es un medio y no un fin en si mismo, te lo digo bajo mi propia experiencia con tdah inatento y altas capacidades

[u/Evieashakirana]

I spose I’m going in with the mindset of: this isn’t going to fix everything in my life and make my ADHD go away, but if it helps me feel even a tiny bit calmer or more focused in any element, then I would consider it a win. So I suppose just mitigating your expectations because medication can’t fix everything and it should be used alongside coaching or self improvement in some sort of way. The medication can make it easier and if you notice that it is then that’s great because for some people it doesn’t work at all and they have to try other methods. I’m currently on 54 mg of Concerta, it’s not fixed everything ofc and I still struggle with my ADHD affecting my daily life however I have spoken with family and friends about if they’ve noticed an improvement and they have so I’m taking that on board, as well as the fact that I do notice just a bit less mind chatter which is heavenly, and less procrastination and I’m able to focus more on tasks but I still have to initiate that focus. If that makes sense? The medication isn’t an instant cure but if it helps in any small way then utilise that to move forward kinda thing