The question came up during therapy.
Reasons:
- The lisdexamfetamine is completely out-of-pocket, while the methylphenidate could be paid for by insurance. Even tried, failed and documented, future lisdexamfetamine would be paid for by insurance.
- There might be a co-occuring autism spectrum disorder, and methylphenidate sometimes does a better job / less side effects, then.
- While the Elvanse/Vyvanse completely fixed two symptoms, ability to focus and getting started with a task, more would be nice.
But, I’d like to stay functional, so is this attempt worth it?
I was on atomoxetine before it suddenly stopped working, then on methylphenidate which only fucked me up and then on lysdexamfetamine which worked best. I have been off medication for a few years now.
Interesting, thanks! What was the reason go get off?
Side effects became too annoying. My job is currently not sufficiently stressfull, so I can do without. Not getting stuff done is a tradeoff, but I’m too old to care.
I see. Modafinil was decent at getting things started & done without the “high”, but it is certainly not shy of risks and side effects itself.