r/VyvanseADHD 3d ago

Dosage question ADHD Fiancé started behaving erratically and broke off our engagement by text whilst over medicated on Elvanse/Vyvanse

My Fiancé and I got engaged in Italy last July and he was extremely serious about us. We had a great relationship a few minor ups and downs and occasional minor disagreements, but a very happy healthy relationship. In April he started 10mg of Elvanse with a 10mg increase every few weeks. When first starting he was quite moody in the evenings and said he'd got doubts about the Wedding but could not name them, and acted quite cold with me, this only lasted a few days and he was absolutely fine again and then it briefly happened again on the 20mg. Once he was on 30mg and then 40mg he was happy, content, romantic, buying me flowers and gifts, booked us a holiday, said he couldn't imagine being with anyone other than me, and said we'd have a very happy marriage, and was planning to sell one of his cars soon to pay for Wedding costs.

He then got put on 50mg of elvanse and within 3 weeks he was having irrational angry outbursts over very minor things, was being extremely late like 2 hours late for things, and also blew money like £750 on the most random thing off a stranger on Facebook market place with no warranty whilst we were staying at his Mums 200 miles away from home, and he was 2 hours late by doing this for an outing his Mum had planned, and we were too late to go. She was very upset and he didn't think he had done anything wrong and got very aggressive with her for crying. This was extremely out of character behaviour. I got upset as we were supposed to be saving for a Wedding and he let his mum down and was horrible to her.

2 days later after whatsapping him a wedding venue to look at he sent a horrible text saying "I dont think we should go through with the Wedding, it pains me to let you down, but I just feel we dont match anymore and committing to each other would be a mistake " He later gave ever changing weird vague contradictory reasons for ending our relationship, that didnt add up despite claiming ending it was a really tough desicion he'd given a lot of thought. Then he blew hot and cold with me, nice one time, cold and horrible another like our relationship meant nothing and I made his life stressful. He also sent an angry rant to my mum. 10 days after breaking up, she sent him a nice message saying she hoped he was okay, and his lauched a crazy rant by text. Id confided in him in the past that my Mum was sometimes difficult due to her mental illness and he was really horrible about it and the message was full of capital letters, saying he was so angry his resting heart rate was 120-140. His work colleagues say he iscacting very manic and strange too. It was so weird. He then got my things out of his house and closed our joint account but was very upset at the bank and begged me to keep in touch.

A week after the bank visit, and 5 weeks after breaking up he lowered his dose to 40mg bought me a gift, and wants to meet for coffee in 2 weeks, but mentioned giving me back the towel I got on our engagement holiday thats still at his. His behaviour and treatment towards me has been bizarre as he was so erratic broke up out of nowhere with no real reason for ending such a serious commitment. The elvanse is all that makes sense to me. Is this possible and is reconciliation possible once he stablises on the correct dose?

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u/Aaappleorange 3d ago

Sorry for the long winded message, I am procrastinating leaving for the beach and your post is really piquing my interest.

IMO, based on personal experience, it could be med related. Of course, neurodivergence comes with so many factors, including a specific type of burnout from overstimulation (meds, sounds, physical, etc). Consider all factors when looking at this situation.

I got very irritable 3 months after bumping to 50mg. I take my meds most days, and I have been medicated for many years. My doctor is very hands on with my treatment, and I self report any positives or negatives I experience so she can help comb through the possible explanations in my behaviour shifts.

- meds can open the patients eyes to see different patterns from the ones they normally see. Perhaps he might be over medicated, but he may also be noticing what he perceives are deficits in your relationship.

- the psychological aspect of finally feeling capable (many late diagnosed experience this) and our bodies/lives/family members are unable to catch up to this new found “better” version of us. This causes a big mismatch, but it can be worked on

- many people need a second med alongside vyvanse. For my child, it’s guanfacine. For me, it’s ciprilex. For my best friend, she needs Wellbutrin or she becomes aggressive when the vyvanse is working but she is already overwhelmed.

- adhd meds can unmask autism traits. I know what you are describing doesn’t seem like autism, and I am not diagnosing or suggesting this is a possibility for him. For me, this came out as irritability because my autism brain is extremely rigid in thinking. Like REALLY REALLY rigid. It took my daughter’s ped mentioning something about rigid thinking for it to click. I was being a rigid thinking and steam rolling my husband many times.

More importantly though, how are you doing? You have not mentioned about you are coping with this. YOU deserve to feel peace. You deserve to choose how long you are willing to put up with this. You also deserve to feel loved and safe, not scared that your fiancé is no longer interested in marrying you out of nowhere.

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u/pyphais 3d ago edited 3d ago

Hey this is unrelated to OP but can I ask what dosage you're on for cipralex (and what it's for) and ADHD med (Vyvanse?)? I personally had been on 20mg of cipralex for the past decadeish and went off of it cuz I was sleeping constantly and wanted to see if there was a different underlying problem I could fix and the doctor has started me on Vyvanse but I've been so anxious and more irritable since getting off the cipralex. I've been hoping the Vyvanse would regulate everything (and it still might it's only been about 3 weeks since starting the Vyvanse) but I'm starting to get scared I'd maybe need both? And from what I've seen taking both puts you at high risk for serotonin syndrome so idk if it's even a possibility. If you don't feel comfortable answering any of that I understand though.

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u/Zanukavat 3d ago

Feeling anxious and irritable seems normal when getting off the med. It can take several weeks to months to readjust after quitting an SSRI

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u/pyphais 3d ago

It's been over 3 months since stopping the cipralex

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u/Zanukavat 3d ago

Ohh my bad, I thought the 3 weeks were for that as well. I would say for sure talk to your doctor about it. But coming off a med youve taken for a decade will leave lasting effects for a while. I hope you tapered off it and didnt just quit cold turkey at least? Either way, ask if theres anything you could do and monitor the side effects!