I'm in this image and I don't like it.
this post was submitted on 13 Apr 2026
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I know, right? To whomever is also working on the XKCD image showing the giant stack professional services and verticals that ADHD brains gravitate to supported by the pharmecy refill reminder and refill pipeline: you can stop. We're already down, no need to kick us.
Is this a real xkcd? I haven't seen it
Like as careers? I know that heaps of comedians have ADHD, but not much else
Vyvanse (for ADHD and BED) plus Wegovy (for weight loss).
I no longer eat and I have laser focus.
Vyvanse makes my heart super poundy and made me feel super duper uncomfortable.
I ended up on Paroxetine. Now my husband is finding Vuvande is causing him to have 24/7 headaches.
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I tried it. All it did was up my heart rate. Doc prescribed it as an appetite suppressant. It did fuck all for me in that regard.
Same. I have tried the 4 main ADHD meds; all of them just make my heart rate spike and that's about it.
And since I'm limited to Medicaid in the US, doctors have basically told me "well that's all we can do. Other options are available but your insurance won't cover those"
Yay American "healthcare"!
What worked for me was to make sure to eat while taking it (within a 20 min window - could do 40 but that was pushing it), and go for a short run a 40-60 min after taking it.
Having my heart rate already up when it kicked in made the heartrate spike barely noticeable, and it felt like I burned through the side effects just by suffering through a run for 15-20 min. I guess biking or any cardio training could have the same effect, but running was easiest for me to fit into my schedule.
Does anyone else get a kind of euphoria with Vyvanse? Not true euphoria, just elevated mood I guess?
it's recognized as a side effect of most stimulants
it is also easier to be in a good mood when you're not thinking "WHY CAN'T I JUST DO THE THINGS I WANT TO!?" every waking moment
damn, did it worked for you? onwas at 40mg and didn't notice any difference, how much y'all take?
30mg. I sometimes have worse anxiety when it occurs, but my memory now works and I can engage in tasks for 12 hours in a row.
I dont think its a healthy thing to be able to focus on a single task for 12 hours straight.
I take 30mg in the mornings, it works pretty well for me. I took 70mg once and had an absolutely miserable time, it was way too much
Yall taking the og right? The generic is absolutely fucking garbage and doesn't work for shit.
I don't think it's quite like that, I think it's more that an important part of these drugs is the release mechanism - and any two given brands will work differently for a given person.
I take long release methylphenidate (Ritalin/Concerta being the most known brands). I started with Medikinet because that's the main recommendation from my healthcare provider. It turned out it releases most of the dosage in the short term and at 40mg doses I constantly felt like I was at an airport with my boarding gate closing in seconds.
Moved to Meflynate, which is also methylphenidate hydrochloride, and now I'm a happy bunny.
My point being - it's not that generics are bad necessarily, it's more like, only a certain brand(s) will work for you. Whether for you that's the more expensive or cheaper one, it's a bit of a lottery really.
Lisdexafetamine is somewhat unique because the slow release mechanism is more or less inherent to the actual drug itself. That is, the fact that lisdexamfetamine is a prodrug that needs to be processed into dextroamphetamine (the actual stimulant) is the slow release mechanism itself.
Methylphenidate is different because the chemical itself is the stimulant, so pharmaceutical companies need to come up with ways to physically release it slowly, e.g. via mini capsules that dissolve slowly.
Unfortunately every brand and formulation kind of does their own thing in order to differentiate themselves from generics.
IIRC Concerta was the most "advanced" in the sense that they formulated a special double release system where each dose also dissolved slowly. Ritalin LA is much jankier because it basically just released a second or third dose all once later on.
You can search "name of drug" + pharmacokinetics to get more graphs, which in combination with keeping a mood diary can help in nailing down hat works for you.
Yeah that's the thing it's all about the time release. Correct me if I'm wrong but vyvance big thing is that it.... fuck I forgot it the most of it but it slowly release through the liver because of a extra molecule on the drug. This makes it that your body only sucks it up as needed. When blood levels drop. So allegedly its damn hard to overdose on vyvance. The larger doses are only for how long of a day last for. 40mg 8hrs 60mg 10hrs etc.
Works great for me, though it took a while to find the right dose.
I'm on 70mg of Elvanse (same stuff) and I've finally started to feel it but its subtle. The appetite suppression kicked in down at 30mg but the focus and mental shift (feeling good and not resentful at completing tasks and things which seemed impossible to tackle don't look as daunting which helps with procrastination) really didnt happen until I hit 70mg.
I'll try. just once, given that it gives me high blood pressure. my max dose was 40mg, and I got frustrates and began thinking they gave me placebos or some building.
In my experience it requires a bit of mental effort to go along with it rather than waiting for it to have an obvious effect. Like with painkillers or antidepressants you can feel it affecting you without needing anything on your part. Elvanse for me has been more like, I still need to make a huge effort for things like getting out of bed or to not procrastinate but that "barrier" is lower and once you start you can just stick to the task a lot easier. So its more like an assistance or booster that doesn't do much by itself rather than an obvious "cure" of symptoms and behaviour.
Elvanse gang rise up!
I was looking for an alternative to Dexedrine and tried that for a week or two, I was so unproductive I had to move on. Tried a few different ones but nothing else worked for me.
People listen. I'm 45 years old. Don't work hard for these people. They don't give a fuck about you. When you're my age you'll regret it.
We take these meds to go against the very nature of our personality. I wish I would not have to kill my spirit to work or just to do basic shit because ADHD sucks. The world made us conform to a mold we don't fit into for too many hours a day, and it's my opinion that our capitalist overlords shouldn't be rewarded for it. Fuck 'em.
me w Phentermine (im prediabetic)
Me too 😭
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