Stimulants How To Shift From Lisdexamphetamine script to Dexaphetamine In UK?

[sp00ks]

So I have an elvanse (lisdexamphetamine) script here in the UK and am titrating. My first one I asked which drugs they use to treat ADHD and they said mephylphenidate, lisdexamphetamine, and dexamphetamine. I understand lisdex gets metabolised into dex but I would like to try dex. I know not to directly ask for these things obviously but when I brought up the subject the quack seemed a bit iffy and tried to kind of dodge my indirect questions about how one might get perscribed it. I never was like "what are the characteristics of a person that you would perscribe dex" or anything, i was more like "I know there is meph, lisdex, and dex. If I dont respond well to lisdex, what would the order of presedence be in terms of trying other medications?" seeing when they would bring up dex but htey didnt even though they did say to me that it is an option earlier in the convo. I am guessing the quacks dont wanna perscribe due to abuse potential (you can crush and sniff dex right?). What I am asking I guess is what do I need to say is / isn't working about the lisdex that will make them want to perscribe dex instead? I think they will try to put me on meph before dex and I would really much rather jump to dex. I have a shit load of meph here already and meh tbh. I like the fact that I can take it like 4 hours before I wanna sleep, but I dont like the fact that it doesnt help my adhd symptoms much. I want dex so that i can take it like 4 hours before I need to go to sleep and also have the releving of my adhd symptoms from lisdex (once metabolised to dex). So what do I need to do to go from early titration on lisdex to dex? is there a combination of words I can string together that will be able to get me to go striaght from lisdex to dex? or do you think they will try me on all the ritalin meds like concerta first and use dex as last option?

 

[Cheradenine]

Personally I find lisdex superior to any other stimulant I have tried. So smooth, and just the right amount of stimulation. One reason why lisdex may not work for everyone is its long duration, which can affect sleep. So if this is an issue, and you also have issues with methylphenidate, then maybe dex can be considered. Thr fact that mph does not help your ADHD symptoms is relevant. But it may be hard to explain that if you have not been prescribed it yet. But seriously I think lisdex is a better option, especially if you are going to take it regularly according to a prescription. The way I see it, is that it is better to take a pill in the morning than to deal with timing of dosages later in the day. This is just speculation, but i suspect that the stronger rush of dex may increase tolerance more quickly.

 

[Shinji Ikari]

You could ask for both. That's what I did after trying each individually because 50mg wasn't quite getting me through the work day but I was worried upping it to 60 or 70 would be too much at once so I asked to try Dex instead and they obliged.

Then I asked to go back to elvanse because I found timing the redoses with Dex a pita without there being any crash or overlap. Then after that I asked for both, 50mg elvanse with a 5mg dex booster in the evening.

THEN after that I asked for an additional 20mg of elvanse on top of my 50 with the rationale that taking the 20mg a few hours after the would 50 get me through 12 hours and then I have the 5mg booster for after work.

As long as you explain your reasoning to your prescriber (I assume you're seeing a specialised ADHD prescriber as you're in the UK) they're generally pretty flexible with this kind of thing. My last two prescribers had ADHD themselves. I'm currently prescribed 50mg elvanse AM 20mg elvanse PM and 5mg dex to take as needed.

Also in the UK.

 

[sp00ks]

Personally I find lisdex superior to any other stimulant I have tried. So smooth, and just the right amount of stimulation. One reason why lisdex may not work for everyone is its long duration, which can affect sleep. So if this is an issue, and you also have issues with methylphenidate, then maybe dex can be considered. Thr fact that mph does not help your ADHD symptoms is relevant. But it may be hard to explain that if you have not been prescribed it yet. But seriously I think lisdex is a better option, especially if you are going to take it regularly according to a prescription. The way I see it, is that it is better to take a pill in the morning than to deal with timing of dosages later in the day. This is just speculation, but i suspect that the stronger rush of dex may increase tolerance more quickly.

Thanks for the reply my man I've seen a couple of your other comments and you clearly know what your talking about. Since posting this I kinda changed my mind about ritalin. I now take ritalin pretty much daily and am not perscribed it, I get it from a friend. I start with a 30mg xr and then splitting 10mg IRs and sniffing one half and eating the other. I am a hacker and programmer so this drug goes hand in hand with my favourite thing to do of all time which is making and breaking software. That being said I have had adhd since I was a child undiagnosed. I know everyone says that but for real my teachers were begging my family member to take me to the clinic but she refused as she didnt want me on ritalin (understandable). But now I am an adult and have done a shit load of every type of drug, but the only thing I wanna do is hack (ethically) and code. Before I discovered these pharma stims I was loving hacking but still having a shit load of trouble concentrating and its like when you hack something its the biggest rush ever like 1 million times more than any stim but it takes sometimes a day or sometimes months to crack something so stims allow me to stick with it. Plus im a pentester with an enormous workload and gf so I really need to be maximising my time and when I have a little demon in my head telling me every 5 seconds to get up, go to the toilet, go get a drink, listen to music, walk aroudn the room, and generally just prevent me from maximising my time efficiency, it really screws up my work and this is of course my dream job so really gotta keep it, plus it pays all the bills for me and the lady. But so to clear up what I said before and which you kindly took time to think about, ritalin does help with my ADHD symptoms, I guess it just took a min for me to get used to it or what ever but now until maybe like evening time when my body has had enough of the stuff it really helps me stay on track and get stuff done.

My point there being that I take ritalin now and the whole take it and wait until you "crash" and need it again works for me so far like I just redose and crack on with what I am doing. Maybe i will much perfer lisdex due to the fact that its smoother and you dont have to faff around with redosing all the time, who knows, my meds will be delivered in literally half an hour so I will post with an update probs in next few days.

But the other thing is that I like to take benzos and Z drugs (xanax, valium, and zopiclone) to go to sleep, not always but maybe like 4 or 5 out of 7 nights per week because I get mad insomnia. Basically my adhd brain just can't switch off and I feel like a kid on christmas eve every night thinking about hacking which is great but problematic when I have like 3 hours sleep the next day and personally I need like at least 8 hours so yeah. I have heard that benzos + lisdex are a big no no and right now I generally just take benzos and mephs in no particular order as and when I need them but I am fully aware I'm not gonna be able to do that with lisdex. So I guess thats the other problem that I thought the straight dex would fix is that it may play nice with benzos and I dont have to stress about getting seretonin syndrome or whatever.

If you have any other info that may help me on this, particularly regarding taking xanax, valium and zopiclone while also taking elvanse and ritalin, I would be grealty appreciative.

Have a good day dude

 

[sp00ks]

You could ask for both. That's what I did after trying each individually because 50mg wasn't quite getting me through the work day but I was worried upping it to 60 or 70 would be too much at once so I asked to try Dex instead and they obliged.

Then I asked to go back to elvanse because I found timing the redoses with Dex a pita without there being any crash or overlap. Then after that I asked for both, 50mg elvanse with a 5mg dex booster in the evening.

THEN after that I asked for an additional 20mg of elvanse on top of my 50 with the rationale that taking the 20mg a few hours after the would 50 get me through 12 hours and then I have the 5mg booster for after work.

As long as you explain your reasoning to your prescriber (I assume you're seeing a specialised ADHD prescriber as you're in the UK) they're generally pretty flexible with this kind of thing. My last two prescribers had ADHD themselves. I'm currently prescribed 50mg elvanse AM 20mg elvanse PM and 5mg dex to take as needed.

Also in the UK.

Thanks for the reply mate, my thoughts have changed on ritalin and I explained them to the best of my abilities in my reply to Cheradenine so I won't ramble them at you again but if they for any reason interest you they're there. Yeah their like a private clinic and when discussing with the quack they were just kinda vague about what would happen if titration didn't go well with the lisdex and of course I am kinda trying to steer it towards dex so I was kinda just trying to figure out what to say. I guess if I really wanna get dex I will have to do the lisdex, say I dont like it and then go through the multiple meph formulations they vaguely mentioned they would try after that and then finally be like the lisdex was the best for symptoms but it lasts too long so I can't sleep, can I try dex so that I can get dosing timings right please? or something like that. Also I take xanax, diazepam and zopiclone pretty regularly so if you have any info on combining those with ritalin and lisdex, or info on combining lisdex and ritalin without the benzos that would be super helpful. btw, I dont like take benzos when I wake up or anything, I literally take any drugs I have mentioned for their intended purposes, to either super focus or super relax

 

[Cheradenine]

Thanks for the reply my man I've seen a couple of your other comments and you clearly know what your talking about. Since posting this I kinda changed my mind about ritalin. I now take ritalin pretty much daily and am not perscribed it, I get it from a friend. I start with a 30mg xr and then splitting 10mg IRs and sniffing one half and eating the other. I am a hacker and programmer so this drug goes hand in hand with my favourite thing to do of all time which is making and breaking software. That being said I have had adhd since I was a child undiagnosed. I know everyone says that but for real my teachers were begging my family member to take me to the clinic but she refused as she didnt want me on ritalin (understandable). But now I am an adult and have done a shit load of every type of drug, but the only thing I wanna do is hack (ethically) and code. Before I discovered these pharma stims I was loving hacking but still having a shit load of trouble concentrating and its like when you hack something its the biggest rush ever like 1 million times more than any stim but it takes sometimes a day or sometimes months to crack something so stims allow me to stick with it. Plus im a pentester with an enormous workload and gf so I really need to be maximising my time and when I have a little demon in my head telling me every 5 seconds to get up, go to the toilet, go get a drink, listen to music, walk aroudn the room, and generally just prevent me from maximising my time efficiency, it really screws up my work and this is of course my dream job so really gotta keep it, plus it pays all the bills for me and the lady. But so to clear up what I said before and which you kindly took time to think about, ritalin does help with my ADHD symptoms, I guess it just took a min for me to get used to it or what ever but now until maybe like evening time when my body has had enough of the stuff it really helps me stay on track and get stuff done.

My point there being that I take ritalin now and the whole take it and wait until you "crash" and need it again works for me so far like I just redose and crack on with what I am doing. Maybe i will much perfer lisdex due to the fact that its smoother and you dont have to faff around with redosing all the time, who knows, my meds will be delivered in literally half an hour so I will post with an update probs in next few days.

But the other thing is that I like to take benzos and Z drugs (xanax, valium, and zopiclone) to go to sleep, not always but maybe like 4 or 5 out of 7 nights per week because I get mad insomnia. Basically my adhd brain just can't switch off and I feel like a kid on christmas eve every night thinking about hacking which is great but problematic when I have like 3 hours sleep the next day and personally I need like at least 8 hours so yeah. I have heard that benzos + lisdex are a big no no and right now I generally just take benzos and mephs in no particular order as and when I need them but I am fully aware I'm not gonna be able to do that with lisdex. So I guess thats the other problem that I thought the straight dex would fix is that it may play nice with benzos and I dont have to stress about getting seretonin syndrome or whatever.

If you have any other info that may help me on this, particularly regarding taking xanax, valium and zopiclone while also taking elvanse and ritalin, I would be grealty appreciative.

Have a good day dude

I have only tried benzos once, it was a total disaster and I will never do it again. But anyway, you can find a lot of warnings against regular benzo usage here on bluelight. Have you tried melatonin? It is often recommended by psychiatrists for people with ADHD.

Personally I find that the constant need to redose methylphenidate is linked to rapidly increasing tolerance, which basically eliminates all good effects within a year or so.

With lisdexamphetamine I have barely done any redosing, and I have also never experienced any significant tolerance increase. However, I have also never taken it daily. What I find is that just taking it now and then, like weekly, in therapeutic doses (eg 40-50 mg) is sufficient to kind of “restart” my brain so that all ADHD symptoms disappear for several days after use. MPH has no such effect. But people are different.

 

[Shinji Ikari]

Thanks for the reply mate, my thoughts have changed on ritalin and I explained them to the best of my abilities in my reply to Cheradenine so I won't ramble them at you again but if they for any reason interest you they're there. Yeah their like a private clinic and when discussing with the quack they were just kinda vague about what would happen if titration didn't go well with the lisdex and of course I am kinda trying to steer it towards dex so I was kinda just trying to figure out what to say. I guess if I really wanna get dex I will have to do the lisdex, say I dont like it and then go through the multiple meph formulations they vaguely mentioned they would try after that and then finally be like the lisdex was the best for symptoms but it lasts too long so I can't sleep, can I try dex so that I can get dosing timings right please?

Yeah, that's pretty much what I said after a month or two on elvanse. I just wanted the flexibility. I don't have any experience with private prescribers though I've only gone through the NHS.

or something like that. Also I take xanax, diazepam and zopiclone pretty regularly so if you have any info on combining those with ritalin and lisdex, or info on combining lisdex and ritalin without the benzos that would be super helpful.

Amphetamine and phenidate based drugs don't combine well they just get in each others way. Combining either with a benzo can escalate easily with the combination of dopamine "let's do stuff" and gaba "lol what consequences" but ymmv as is often the case with these things.

 

[sp00ks]

I have only tried benzos once, it was a total disaster and I will never do it again. But anyway, you can find a lot of warnings against regular benzo usage here on bluelight. Have you tried melatonin? It is often recommended by psychiatrists for people with ADHD.

Personally I find that the constant need to redose methylphenidate is linked to rapidly increasing tolerance, which basically eliminates all good effects within a year or so.

With lisdexamphetamine I have barely done any redosing, and I have also never experienced any significant tolerance increase. However, I have also never taken it daily. What I find is that just taking it now and then, like weekly, in therapeutic doses (eg 40-50 mg) is sufficient to kind of “restart” my brain so that all ADHD symptoms disappear for several days after use. MPH has no such effect. But people are different.

Same for everyone I think haha, my first few times I was tryna get high and blacked out, but after many years of never thinking about them a friend gave me a valium for insomnia and believe me your tolerance sky rockets, fully not worth it, on a weekend if I want to I can probably take about 12mg of xanax and 15mg of zopicone and still go about my day to day business, to this day never felt the infamous benzo w/ds though. But let it be said in that regard you are a much more sensible man than me. And let me clarify that last sentence was hypothetical. I only take when I cannot sleep or am in a super paranoid state, which I am prone to severe paranoia and delusions when on heavy drugs, never have off meph though or lisdex so far lol. Yeah I have tried valerian, melatonin, all that. btw melatonin is super good of course as is a hormone produced naturally but I think most pills have like 3mg of melatonin and our bodies only produce like max 0.1mg per night I believe (off top of my head). So I think if you do take the melatonin its best to keep to like 1 day a week or even less.

To be honest, I have just taken my first elvanse 30mg tody at 8am and got out of bed at 10am and I am super dissapointed. The xr meph were literally the perfect sweet spot for me and my symptoms really aren't being helped today by the elvanse. I'm going to wait a couple more hours as I hear it's peak is innlike 3 - 4 hours but I took it at 08:09 and its 10:30 right now and I'm feeling like my symptoms have been barely eleviated but honestly not even enough to get work done properly which sucks becuase today I got a heavy load, going to be working till 3 am I reckon. So couple questions, how long would you suggest waiting before officially declaring 30mg elvanse as an ineffective treatment option for me (in terms of hours today, and how many days of trying it), and would it be okay to take an XR ritalin later in the day if this doesn't start helping with my symptoms? I mean I know no one should (and am not asking for) any one to reccomend it, but the past couple days I really felt an incredible life change with the xr ritalin and I was hoping it would be even better today with the elvanse but I am very dissapointed. Should I ask to go up to 50mg maybe?

Edit - 12:30 - 30mg elvanse simply doesn't cut it for me. Do you have any suggestions as to whether to increase elvanse dose or switch to meph as so far I seem to have had a much better reaction to meph but they were 30mg xr caps. And if so what might be the best way to approach that with doctor? I feel that my doctor kinda wants to try me on a series of drugs in an order of presedence e.g. elvanse, concerta, other ritalin formulas and then finally dex. But they don't know I have already tried and loved the 30mg ritalin xr so I kinda feel as if I have to modify my mediaction reaction updates to seem as if I've never tried meph as they don't know I have already tried it.

 

[sp00ks]

Yeah, that's pretty much what I said after a month or two on elvanse. I just wanted the flexibility. I don't have any experience with private prescribers though I've only gone through the NHS.

Amphetamine and phenidate based drugs don't combine well they just get in each others way. Combining either with a benzo can escalate easily with the combination of dopamine "let's do stuff" and gaba "lol what consequences" but ymmv as is often the case with these things.

Ok thank you, thats good to know and to be honest with my first elvanse experience today I am definitley looking to switch or increase dose. I am on 30mg elvanse took at 08:09 and at time of writing its 10:39 and I feel barely no effect or eleviation of symptoms. I guess I was fixated on any drug that would release dex as I just thought it would do a better job at eleviating symptoms, but I can definitleey say that I either need a stronger dose of elvanse or I need XR ritalin or dex because this is super disappointing honestly. I know the peak is in like 4 hours so I am going to wait it out, but (and I am not taking your advice with the responsibility of a medical professional or whatever) do you think I could take a ritalin XR cap in like 4 hours if this doesn't work out? I'm just super dissapointed with the 30mg elvanse in symptom eleviation tbh.

 

[Shinji Ikari]

Ok thank you, thats good to know and to be honest with my first elvanse experience today I am definitley looking to switch or increase dose. I am on 30mg elvanse took at 08:09 and at time of writing its 10:39 and I feel barely no effect or eleviation of symptoms. I guess I was fixated on any drug that would release dex as I just thought it would do a better job at eleviating symptoms, but I can definitleey say that I either need a stronger dose of elvanse or I need XR ritalin or dex because this is super disappointing honestly. I know the peak is in like 4 hours so I am going to wait it out, but (and I am not taking your advice with the responsibility of a medical professional or whatever) do you think I could take a ritalin XR cap in like 4 hours if this doesn't work out? I'm just super dissapointed with the 30mg elvanse in symptom eleviation tbh.

I started on 30mg and found the duration too short and tolerance an issue within days but after I upped my dose to 50mg I found it would work consistently for months of daily use without having to take tolerance breaks. 30mg is a low dose and you've been taking methylphenidate so you probably already have a bit of a tolerance. Maybe take a few days off all stims then try the elvanse again and titrate up to 50mg at your next review and see how that goes?

 

[sp00ks]

I started on 30mg and found the duration too short and tolerance an issue within days but after I upped my dose to 50mg I found it would work consistently for months of daily use without having to take tolerance breaks. 30mg is a low dose and you've been taking methylphenidate so you probably already have a bit of a tolerance. Maybe take a few days off all stims then try the elvanse again and titrate up to 50mg at your next review and see how that goes?

Thank you so much for the quick response and advise. In terms of long term I think I'm going to book a review again literally this week as with these private guys you can book as and when they are available. In terms of short term solutions, do you think taking another 30mg cap today would be an option? Or potentially taking an xr ritalin? I just really have a lot of work to get done today, and I honestly couldn't tell you if these are placebos I really am feeling no eleviation of symptoms. Also if you don't mind my asking, do you take elvanse daily or did you take daily? I'm sure I'll have to take breaks and switch doses at different points but I'm programming and hacking (ethically) every day, so I am taking the stims every day also and just wondering how my tollerance might change and how quickly I would have to change meds / doses. I think I respond more positively to meph so far but I will see in next 2 weeks I guess if I prefer the lisdex.

 

[Shinji Ikari]

Thank you so much for the quick response and advise. In terms of long term I think I'm going to book a review again literally this week as with these private guys you can book as and when they are available. In terms of short term solutions, do you think taking another 30mg cap today would be an option?

Probably a bit late now but you certainly would have gone from feeling nothing to feeling nothing something.

Or potentially taking an xr ritalin?

I can't remember which way around it is, phenidate before amphetamine or vice versa but one blocks the other if you take it before. And they don't combine well whatever the context.

Also if you don't mind my asking, do you take elvanse daily or did you take daily?

I take it daily. 50mg in the morning occasionally suplimented with another 20mg of mid afternoon or 5-10mg of Dex in the evening. If I have to be up very early I'll take the Dex when I wake up and the elvanse a few hours later.

I'm sure I'll have to take breaks and switch doses at different points but I'm programming and hacking (ethically) every day, so I am taking the stims every day also and just wondering how my tollerance might change and how quickly I would have to change meds / doses. I think I respond more positively to meph so far but I will see in next 2 weeks I guess if I prefer the lisdex.

I'm usually good with a few tolerance breaks of around a week a year. My last one was in March. With occasional breaks I've been pretty stable on 50mg for the last 5 years. I'm prescribed the additional 20mg elvanse and 5mg dex daily but I can manage without them most days.

I get you've got your job but a short break now wouldn't hurt as you've been self medicating with methylphenidate. The doses you've been taking are more than double the equivalent dose of elvanse you've been prescribed so it's not surprising you couldn't feel it.

 

[Rectify]

For Whatever Reason Adderall > Lisdexamfetamine > Dexies (dextro-amp).

And ICE Amphetamine [re-crystallized amphetamine hydrochloride] Was, The One Time I Tried It, Almost SPASTIC And SUPER FAST.

Somehow The Inventors Of Adderall (originally called obetrol) Got The Perfect Mix Of Amphetamine Salts And Dextro To Levo Ratio (75% dextro, 25% levo).

 

[BadBoy377]

I started on 30mg and found the duration too short and tolerance an issue within days but after I upped my dose to 50mg I found it would work consistently for months of daily use without having to take tolerance breaks. 30mg is a low dose and you've been taking methylphenidate so you probably already have a bit of a tolerance. Maybe take a few days off all stims then try the elvanse again and titrate up to 50mg at your next review and see how that goes?

 

[Shinji Ikari]

For Whatever Reason Adderall > Lisdexamfetamine > Dexies (dextro-amp).

And ICE Amphetamine [re-crystallized amphetamine hydrochloride] Was, The One Time I Tried It, Almost SPASTIC And SUPER FAST.

Somehow The Inventors Of Adderall (originally called obetrol) Got The Perfect Mix Of Amphetamine Salts And Dextro To Levo Ratio (75% dextro, 25% levo).

Adderall isn't available in the UK.

 

[Rectify]

That's Too Bad. I Live In The United States, But I Just Can't Seem To Get My Doctor / ChatGPT Treatment Team To Write Me Another Prescription For Adderall. Heck, I've Even Had A Prescription For Desoxyn (methamphetamine) Once, But I Prefer ICE As In Hawaii 5.0 And Which I Miss. I Like EVELYN (ethylamphetamine) Even Better, But It Makes Your Nose Grow Like Pinnochio Epigenetically.

 

[sp00ks]

Probably a bit late now but you certainly would have gone from feeling nothing to feeling nothing.

I can't remember which way around it is, phenidate before amphetamine or vice versa but one blocks the other if you take it before. And they don't combine well whatever the context.

I take it daily. 50mg in the morning occasionally suplimented with another 20mg of mid afternoon or 5-10mg of Dex in the evening. If I have to be up very early I'll take the Dex when I wake up and the elvanse a few hours later.

I'm usually good with a few tolerance breaks of around a week a year. My last one was in March. With occasional breaks I've been pretty stable on 50mg for the last 5 years. I'm prescribed the additional 20mg elvanse and 5mg dex daily but I can manage without them most days.

I get you've got your job but a short break now wouldn't hurt as you've been self medicating with methylphenidate. The doses you've been taking are more than double the equivalent dose of elvanse you've been prescribed so it's not surprising you couldn't feel i

Thanks for that info about the phenidate before amphetamine thing, I'll keep that in mind and it will be sure to come in handy. So yestarday after the dissapointment of the 30mg elvanse, I will admit I binged on my ritalin supply, with a 30mg XR approximatley 4 hours after the initial 30mg elvanse and after that I got super irresponsible and wasn't tracking my dosages, just taking 10mg IR as needed. I would approximate that between the hours of 12pm and 1am I ingested around 70 - 100 mg of ritalin, but this was spaced out. So I would take a pill maybe every 1 - 2.5 hours and got a load of work done and was generally enjoying myself untill my final pill which I insufflated at 1am, which finally brought on the paranoia and delusions which I am unfortunatley prone to, but I had zopiclone on hand and was able to calm myself down and go to bed without pissing of my lady by acting like a paranoid creeping lunatic (tip toeing around the house and peaking through my curtains and staring at the windows watching for blue light etc). I also had 2 glasses of wine at the end there which was what lead to the fantastic idea to insufflate (alchahol sucks). + 1 valium somewhere in the day which in my case may as well have been a placebo.

This morning I woke up and took 2 elvanses (60mg) at approx 10:13 am and 12 hours in I can certainly say I am now feeling the effects I was looking for before. Maybe even slightly too much so (slightly jittery and slightly anxious just about bordering on paranoid), I think 50mg may be my sweet spot, but still much smoother and thereputic.

The reason I did this is because I wanted to feel the effects of elvanse and I did not want to take ritalin today. I think I am going to take a 30mg XR tomorow morn for work (as I can't take another 2 elvanse pills as it will be clear that I have not been following guided instructinos from clinician) and then take a break for the weekend as you suggested. This way my number of elvanse pills is explainable because I can -1 for tomorow and then -1 for both weekend days so I guess I get to have them in the bank. I am also going to take your advice and take breaks where ever possible (weekends designated specifically for recharging / helping with burnout, and holidays etc). Of course if it comes to it that I feel I need a break during a week day then I will listen to my body, but week days are a priority for me for being medicated.

It sounds like we might both have very similar preferences / requirements in titration although you are extremley experienced and so not sure if yet I would need the dex in the evening but from what I have experienced today, a 50mg dose of elvanse with a top off later on in the evening (of dex / something but I have never tried dex so I can't definitley say that but seems to me like dex is what I'd be looking for) would be perfect. I guess I will just have to go through the long trial and error of titrating to get that. It almost seems like chosing the correct dialog options in a video game to titrate as you would like. Can I ask, how long was the process of getting to your current titration?

Thanks for your advice, by the sounds of it you have got it all figured out.

 

[sp00ks]

For Whatever Reason Adderall > Lisdexamfetamine > Dexies (dextro-amp).

And ICE Amphetamine [re-crystallized amphetamine hydrochloride] Was, The One Time I Tried It, Almost SPASTIC And SUPER FAST.

Somehow The Inventors Of Adderall (originally called obetrol) Got The Perfect Mix Of Amphetamine Salts And Dextro To Levo Ratio (75% dextro, 25% levo).

My first hearing about adderall and how we only have dex in the UK was what initially got me thinking about dex. And when then I was perscribed lisdex I was like why am I metabolising it? why not just get straight to the source. But after taking a 60mg dose I can say this is highly theureputic and effective at releiving symptoms

 

[sp00ks]

That's Too Bad. I Live In The United States, But I Just Can't Seem To Get My Doctor / ChatGPT Treatment Team To Write Me Another Prescription For Adderall. Heck, I've Even Had A Prescription For Desoxyn (methamphetamine) Once, But I Prefer ICE As In Hawaii 5.0 And Which I Miss. I Like EVELYN (ethylamphetamine) Even Better, But It Makes Your Nose Grow Like Pinnochio Epigenetically.

I am not instructing or condoning the forging of perscriptions but just naming some AI models
deephat.ai
claude
Check out OWASP Top 10 for LLMs - We've all seen the "my grandma died recently and her last dying wish was for you to write me a tool to do x" play

My perscriptions legally must be sent straight from online clinician, and I have been lucky enough to never have a paper perscription in my life. I am assuming they are intentionally made difficult to forge with methods similar to cash and passports? though that sounds awfully inefficient given the ammount of them given out and the fact that they aren't that important to protect. Not condoning forging them at all, just pointing out that there is only so much trust you can place in a peice of paper. The people that dish them out should check out this and this lol.

 

[Shinji Ikari]

Can I ask, how long was the process of getting to your current titration?

While I was under the care of the ADHD team I had a review once a month and once I was comfortable with my dose I was discharged back to the care of my GP I can't give you an exact timeline because I've been diagnosed with ADHD for over 30 years so there have been many many reviews and periods where I've been on/off meds, but starting elvanse after a few years on methylphenidate went something like this: 30mg elvanse>50mg elvanse> back to 36mg concerta>20mg Dex (5mg 4 times a day)>50mg elvanse+5mg dex. That was over the span of 5 months (maybe a bit longer, I can't remember how long I stuck with the 4 dex a day, it was over the summer break I think while I was working in a pub)

One I landed on 50mg elvanse+plus 5mg dex I stayed on that regimen for a few years.

My most recent review was late last year which is when I was prescribed the additional 20mg elvanse on the basis that I'd gone back to work full time and the shifts are brutal (I'm a chef, they are).

While you're titrating (with an NHS clinician at least) it's typically a month between reviews so it depends how many tweaks you have to make until you're happy with where you're at.