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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founded 1 year ago

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Those who have been on prescribed stimulants for many years (>5), how do you manage tolerance and crashing? (lemmy.world)

submitted 1 year ago by tonystark29@lemmy.world to c/adhd@lemmy.world

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I have been on ADHD meds for about 7.5 years now. I started with Vyvanse and my dose was at 70mg in the first year. I was having bad crashes at night, so I switched to Adderall 40mg with 10mg Dexidrine and stayed on it for a few years. Recently, I switched to Concerta 90mg because my tolerance was getting too high and it wasn't working anymore, hoping that by switching it will reset my tolerance. It didn't. In fact, my tolerance drops to being feeling depressed/unmotivated in about 3 days now. So that sucks.

Taking breaks is agony for me. I have the worst stimulat headaches, no motivation, and can't sleep. My doctor knows this but does nothing. He won't raise my dose.

How do you guys manage? Thanks.

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[–] Hydrogen@lemdro.id 10 points 1 year ago (1 children)

Consider a lower dosage of a long-lasting stimulant instead. You won't feel a rush like instant release, but it'll manage symptoms much more sustainably in the longer term. Shouldn't be any issues for your heart this way (I'm monitored regularly and have never been healthier).

[–] transientpunk@sh.itjust.works 6 points 1 year ago

After being on stimulants for almost 30 years to treat my ADHD, I've tried every variation you can think of. I appreciate the suggestion though.