You take all of that on the same day? Not alot of psychiatrists would prescribe that combo, in fact I can't think of one that would since some of the medications compete against one another (ie, make one another less effective).
Combining those types of doses of reuptake inhibitors (methylphenidate and modafinil) with amphetamines (vyvanse) makes both drugs less effective while massively increasing peripheral side-effects, like increased blood pressure and risk of stroke, etc. Occasionally its done, but usually taken separately, and at low dose, for instance 20mg of adderall in the morning and say 10mg of methylphenidate in the afternoon.
