this post was submitted on 15 Jul 2025
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ADHD

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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?

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[–] Almonds@mander.xyz 8 points 1 month ago

If it's not a hassle to switch, then it would be worth trying. Everyone is different in how they react to things, and it's okay to try a few just to see if you like one better

I really preferred vyvanse to other stimulants, because I didn't crash as soon as it wore off. But I struggled with how long it lasted in a day, and kept going back to Adderall because that was easier to control

You didn't ask this, but I'm on clonidine now and it's everything I wanted out of an ADHD med plus it helps with anxiety. And, I can have coffee again without feeling like my heart is going to fly away lol. Just mentioning that to point back to my first paragraph, what works for me might not work for the next person and vice versa