this post was submitted on 06 Aug 2025
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ADHD

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i read that you build a tolerance and some dont. Do most med stop working after x time?

kinda sucks to think about tho, i dont know how i would live without it haha

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[โ€“] AddLemmus@lemmy.ml 2 points 1 day ago (1 children)

It is my understanding that stims have two effects:

They work a bit like a recreational stim in that they make you alert, awake (or calm, with some types of ADHD) and euphoric. This effect can very much help with symptoms, e. g. in a euphoric state, it's easy to get on a task. This effect fades over time, very much like caffeine or a recreational stimulant drug.

But they also regulate noradrenaline and dopamine in the prefrontal cortex in other ways which may not directly lead to a heightened state nor effect the vegetative system, but help with many ADHD symptoms. This effect does not fade, possibly not even a little bit!

For the patient, it's hard to distinguish, and a patient may even "mistake" the "recreational high" for all it does, but it's actually kind of a side effect. I believe that this is where the notion of "needing a break" comes from.

The docs & society kind of wants us only to have the 2nd therapeutic effect anyway, and they only grudgingly tolerate that we might also get the high for a while, because we are not supposed to have good things.

[โ€“] Edvard@endlesstalk.org 2 points 1 day ago

ah thanks! ye i just need to improve my remembering and fucos mostly, and stop thinking so much,