ADHD

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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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[–] BilboBargains@lemmy.world 5 points 1 year ago

I don't have much of a tolerance to any amphetamine based stimulants. 40mg of lisdexamfetamine at 6am works fine until I'm ready to sleep at 10pm. No break in this routine for two years. I mentioned tolerance effects to my psychiatrist and he considered them to be minimal with respect to the cognitive component.

I wonder what is going on in your case, perhaps you are metabolising the drug much faster than average? Is the stimulant effect noticeable within an hour of dosing and then it rapidly diminishes?