ADHD

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Titration question - Elvanse (feddit.uk)

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

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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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[–] ijustlookatpictures@feddit.uk 2 points 3 weeks ago (1 children)

I started on 20, went to 40 and I've been here ever since. I get a bit of a lull at about 6pm, but it's not so bad.

During the shortages a while ago I managed to get prescribed some 50 and it was just a bit too much. I like a coffee or 2 in the morning and 40 works well with that for me. Any higher and it would buzz a bit.

I have the occasional break, usually when I forget to get my repeat. generally 3 days of aching and complete lack of concentration, then when I take it again I'll have a very very productive and late night.

Find what you're comfortable with, It sounds like you already have!

[–] KumaLumaJuma@feddit.uk 1 points 3 weeks ago

I like the idea of having a morning coffee again (I did a couple of days on the 30 and just took the dose a bit later), which made my mornings feel a bit more relaxed..

Getting the timing right is a bit tricky as my workday can vary but that’s something I will (hopefully) get better at over time…

Do you have any issues taking a break? I have been wondering if skipping a day or two would be a bad idea once I’m settled in a bit, although if I get the dose right maybe I won’t feel that need.