this post was submitted on 15 Jul 2025
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ADHD

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The question came up during therapy.

Reasons:

  • The lisdexamfetamine is completely out-of-pocket, while the methylphenidate could be paid for by insurance. Even tried, failed and documented, future lisdexamfetamine would be paid for by insurance.
  • There might be a co-occuring autism spectrum disorder, and methylphenidate sometimes does a better job / less side effects, then.
  • While the Elvanse/Vyvanse completely fixed two symptoms, ability to focus and getting started with a task, more would be nice.

But, I'd like to stay functional, so is this attempt worth it?

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[–] eleitl@lemmy.zip 5 points 1 month ago (1 children)

I was on atomoxetine before it suddenly stopped working, then on methylphenidate which only fucked me up and then on lysdexamfetamine which worked best. I have been off medication for a few years now.

[–] AddLemmus@lemmy.ml 1 points 1 month ago (1 children)

Interesting, thanks! What was the reason go get off?

[–] eleitl@lemmy.zip 3 points 1 month ago (1 children)

Side effects became too annoying. My job is currently not sufficiently stressfull, so I can do without. Not getting stuff done is a tradeoff, but I'm too old to care.

[–] AddLemmus@lemmy.ml 2 points 1 month ago

I see. Modafinil was decent at getting things started & done without the "high", but it is certainly not shy of risks and side effects itself.