ADHD

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A casual community for people with ADHD

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Relevant Lemmy communities:

Neurodivergent Life Hacks

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a full dose of stimulants for the first time put me to sleep for 4 hours (lemm.ee)

submitted 4 days ago by tilefan@lemm.ee to c/adhd@lemmy.world

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I've been experimenting with modafinil and armodafinil for my adhd, and this morning I took the largest dose of armodafinil yet (250mg). I took it at 10am, and went back to sleep with an alarm set for 11am, and just woke up at 2:30pm.

ADHD is fun

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[–] leverage 7 points 4 days ago (3 children)

I've narcolepsy, modafinil (200mg daily) eliminates undesirable dozing for me. It doesn't prevent sleep altogether, just the kind of falling asleep while driving I was dealing with before.

It's weird to classify it as a stimulant, you can see them pussyfoot around it on Wikipedia. No one gets amphetamine like energy from this drug. Neurologists don't understand the mechanisms at play, only that it's effective at treating symptoms of narcolepsy. They've given it to pilots to have them fly for 48+ hours without sleep fatigue, but that's not the same as being wired. College kids abuse it to trade sleep for study time. Plenty of countries don't prescribe it for ADHD.

Why are you going to sleep at 10am? Why are you taking a drug that primarily treats narcolepsy, and then going to sleep? Outside of being sick, the only way I can pull that off is if I'm suffering deep depression, and use sleep as an escape from it all. I hope you're ok, that you have a fulfilling purpose.

[–] tilefan@lemm.ee 3 points 4 days ago (2 children)

I have an alarm that goes off an hour before I need to get up to take my stimulants. I find modafinil increases my dopamine levels. helps me focus, reduces drowsiness. I've used it for 24+ hour drives as well, and if i use it to stay awake that long on purpose, i am definitely wired.

I technically have a diagnosis of "sleep work shift disorder", which is one of the only things that's approved for, and there's no test for it other than, "are you working when you'd rather be sleeping? and are you sleeping when you'd rather be awake? okay you have it." I don't like Adderall or Ritalin or Strattera

I definitely can't get high on it, they only made it controlled because college students were trading around like you said, but honestly you could make this stuff available over the counter, you can already get ephedrine that way and I'd say that's considerably more dangerous

[–] leverage 1 points 3 days ago (1 children)

My flavor of sleep disorder, I fall asleep when I'm bored. On modafinil I get through the boring activities like driving without falling asleep. Without the drug I've no issues staying awake for hours after regular sleep if I'm really hooked on something, like a good show, game, or project. At the end of the day once the drug starts wearing off, I'll fall asleep watching shows if they aren't engaging enough.

They say it promotes wakefulness, but I don't buy it. I think they've misidentified some key mechanism, at least in neurodivergent brains.

When I fall asleep, I hit REM within 15 minutes, compared to the 2 hours it takes NT brains. This was per an EEG taken during my sleep study, overnight and through forced naps the next day. I swear I'll be in REM while awake sometimes, if I'm fighting sleep, like I perceive the movement.

[–] tilefan@lemm.ee 1 points 3 days ago

I think it's got something to do with dopamine, but I really couldn't tell you anything beyond that.