ADHD

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Titration question - Elvanse (feddit.uk)

submitted 4 weeks ago by KumaLumaJuma@feddit.uk to c/adhd@lemmy.world

17 comments fedilink hide all child comments

Hi everyone!

I’ve just recently started titration, I’m now on 50mg of Elvanse (Lisdexamfetamine).. curious if anyone has had the same effect as I am having now.

On the 30mg I felt like the static/shouting/noise whatever in my brain was muted but I had access to it, like it was in a cabinet in my head. I was able to focus on tasks at work and all that, although it didn’t last all day, maybe until about 2pm (taking the dose between 830 and 9).

A couple days ago I moved up to 50mg and the first day was… okay. I have definitely been able to concentrate on work. Yesterday was like I was a zombie. During the work day I got plenty done. It was like I was in a controllable hyper focus all day, but I didn’t feel like myself, and I feel like the personable side of me is not there. I’m not sure if it’s lack of emotion or what.

I had volleyball practice last night and honestly I felt like a zombie. A completely empty shell by that point, which I have had pre-medication after coming out of a particularly long hyper-focus before, but I am a bit worried about this because it was not pleasant. I’m not sure if I could face that every day.

I am due to increase to 60mg from next Wednesday and it is making me nervous. Will the impact of the medication reduce a bit over the next few days or is this what it will be like?

Out of curiosity, is anyone on a lower dose like 30 or 40mg? If you are do you do a booster in the afternoon?

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[–] Uranium_Green@sh.itjust.works 3 points 4 weeks ago (1 children)

30mg daily with an optional booster of 5mg instant release has been the sweet spot for me.

Over the span of like 6 years I started on 30mg, went down to 20mg for a while until a bit of a tolerance kicked in then back up to 30mg, eventually got the 5mg booster which I normally only take a 1/4 of a pill for the actual boost I need without effecting my sleep too much, but even then if I take the booster for a week I'll certainly start to feel drained, so it's an option not a requirement for me.

I imagine you're probably going to be better off feeling a little bit of the randomness associated with you being on the lower dose. The medicine is supposed to help you function a bit more like a regular person, not a robot. Humans have got randomness/noise in their thoughts, we aren't supposed to be robots.

I've had what you're experiencing but on methylphenidate; it doesn't really go away until you lower the dose or stop.

Other things that can impact the robot feeling is excessive caffeine before bed, and nicotine usage.

I think if you're asking this question; you already know that you want to go back down and just need some confirmation that it's a good idea 👍

[–] KumaLumaJuma@feddit.uk 2 points 3 weeks ago

Thank you for this, really appreciate the feedback and your experience!

I think you are right, and I like the idea of having a booster available but not necessarily something to take daily unless it’s needed.