BottleDryer
Bluelighter
- Joined
- Jan 21, 2012
- Messages
- 100
I'm a 25 year old university student and have been diagnosed with ADHD 2 years ago.
Alittle background info first
Briefly, the diagnostic process went like this;
Went to my family doc and told him how I can't concentrate and how my mind is always racing with thoughts (related or unrelated to the situation at hand) and how I have some pretty severe anxiety -> He then told me it might be possible that I have ADHD and scheduled an appointment for me with a psychotherapist. -> After seeing her a couple of time (3-5) and answered a whole bunch of questions and filled out questionnaires, she said she's going to have to schedule me an appointment with another doc that specializes in ADHD cases. -> After seeing him a couple of times and filling out more questionnaires, he determined that I truly have ADHD. -> So after that I was prescribed Vyvanse (lisdexamphetamine). At first I was started on very low doses , 5-10mg "as needed" during the times I had school, but always told me to take them in the morning because Vyvanse is apparently very long lasting.-> After a few trial and errors, we found a "proper" dosage for me which was a gradual build up to 50mg. (Now I can't remember how often and at what intervals I would take Vyvanse, feels like a long time ago and I can't remember specifics). During this time, I felt that the medication I was taking worked amazingly for me. It made me calm, focused and confident. But the only drawbacks were "depression" ( I can't remember how severe it would be , but nonetheless it was annoying) and surprisingly , its "short duration" of effect it had on me. It lasted an average around 4-5 hours maximum. ( This wasn't good for me because for one, my classes started from 8am - 4-6pm depending on the day.), re-dosing wasn't an option because it would cause some insomnia and just intensify my depression (if I remember correctly) and taking a higher (stronger) dose did nothing for the duration it just intensified the "feeling" (effect).
So in conclusion, Vyvanse worked great on me (when it was active, ie the "come-up and peak") but when it started to wear off (which was quickly) I was left feeling drained, depressed and irritable.
I would always try and take Vyvanse on a semi full to full stomach (as ordered by the docs), if I didn't the drug felt more intense and the comedown (crash) also intensified.
So I was then switched to Adderall XR , first with 5mg and the to 10mg.
I found that Adderall was practically the "same" as Vyvanse , in terms of "psycho-physical effects", it made me calm and focused and relieved my anxiety but it too had its drawbacks, ie the "crash". It too lasted approximately the same amount of time as Vyvanse (4-5 hours, maybe shorter ?)
So all this continued for a year or so and my grades did improve and I did feel like I was on a "proper" track in my life for once, because I could finally focus and felt determined, but in the end the side effects (crash, depression and lack of appetite) made me discontinue my medication. It's been a year or so now (maybe more) that I haven't taken a stimulant for my ADHD, and I feel like I'm doing just "OK" but not were I want to be in terms of "social well being" (feeling secure of myself and how I present myself to others) and mental well being (hope, happiness, motivation, drive, increased energy etc..) Ever since I tried stimulant medication, it opened up a whole new world of possibilities for me , like as if there was another path available to me and that I could now take and that it was going to be easier for me from now on, but, like I said , I discontinued everything due to side effects outweighing the positives. I became tired of having to constantly deal with such intense negatives all the time. I had enough things to worry about as a student and crashing during a class or when I'm home (depending on my class schedule) was not worth it.
So one day, a close friend of mine, after I explained whats going on, decided to give me some of her Concerta medication (I know sharing of meds is frowned upon, but I felt desperate and still in need of another "chance/ opportunity" at the time I wasn't ready to give up.
All she had was 36mg Concerta pills, so I tried one and to be honest, I hated it, it made me feel "dirty" and as if I wasn't supposed to be on this stuff. It felt much harsher than Adderall and Vyvanse. Almost like an overdose on caffeine mixed with god knows what. The focus was there but, it felt all over the place and I had to force myself to focus on the current situation. It felt "out of control" like I was just about to start screaming and laughing and just pass out from the "exhaustion" it was causing. Yes, it made me feel "calm" (almost like that calming feeling Adderall and Vyvanse gave me, but it wasn't a comforting calm, if that makes sense.) Maybe the dose was too high for me. So I found a "TEK" online on how to separate the methylphenidate from the other stuff in the pill and was able to experiment with the dosages, but it still didn't work out for me. Unsuccessful. So I disregarded that medication as an option.
______________________________________________________________________________________
Now, onto the question's and things I don't understand
**When I was prescribed my medication(s), I was told to take that dose every morning with a meal, but they (docs) made no reference to "take as needed".
I didn't NEED a stimulant everyday, I would only take my meds depending on the class, type of work and environment I was in. **
Now for a bit of a complex question (for me at least) that I can't exactly wrap my mind around.
What dosage is "effective"... ? How exactly does one (myself) perceive the notion of something being "effective" ?
For example, say if I take 10-15mg of Adderall XR or Vyvanse and I feel like I'm on top of the world, focused, confident, having an intense drive to accomplish things and critically think about things, how do you "continue this" (When you keep crashing after that feeling) and when told by a doc to take the dose every morning ? Tolerance obviously builds up and like I said before, taking something EVERY day (morning) is not something I want to do, because of;
-Tolerance = financial difficulties
-Health problems = physical ( increased stress on the heart among other things, decreased intake of food )
-Mental exhaustion = depression, irritability -> lack of motivation
-Duration "issues"
-Possible "addiction" = developing a habit of "chasing" that "first time" feeling. (Whether it was experienced on day one (1) you (myself) ever tried stimulant medication OR that first time you (myself) took a higher dose than indicated and felt that "anything is possible" feeling. (But that's the thing, you can't keep experiencing that....) ---> So what happens then ? , do you decrease dosage or keep taking that dose that you felt was magical until your body no longer accepts that dose as being adequate enough. (This is what confuses me the most).
Anyways, I'm going to wrap this up because I'm starting to confuse myself the more I try to analyze this.
_____________________________________________________________________________________
Diet
When I do (did) take my stimulant medication, I always kept a healthy diet (still do). Lots of fruits and homemade food, greens, salads and lots of vitamins such as Omega 3-6, vitamin c, d, e , multi-vitamins. I took them quite regularly but it didn't seem to help much with the "crash" and the resulting depression afterwards.
So I don't know what to do exactly now.
_____________________________________________________________________________________
Lifestyle now and future thoughts / plans
Currently I'm working a full time job in construction and it has helped quite a bit with my depression because it gives me something to do and it's a change of environment. I get lot's of exercise from it , very hard work that involves heavy lifting 9hours a day. But I don't mind for now. The exercise also helps with my depression.
But, I plan on going back to school in September for some courses and I worry that my ADHD will "kick in" again (it does quite severely when it comes to academic work) . So I don't know how to proceed with this whole stimulant medication thing. I don't know were to go from here or what else to look into in terms of medication.
I prefer to have meds as something I can fall back onto when things get rough, because University life is extremely challenging for me.
Exercise, positive thinking , talk therapy, vitamins and proper nutrition is usually not enough for me.
So, if you've made it this far into my post , congrats and thank you. Maybe you can offer some useful advice / feedback ?
Alittle background info first
Briefly, the diagnostic process went like this;
Went to my family doc and told him how I can't concentrate and how my mind is always racing with thoughts (related or unrelated to the situation at hand) and how I have some pretty severe anxiety -> He then told me it might be possible that I have ADHD and scheduled an appointment for me with a psychotherapist. -> After seeing her a couple of time (3-5) and answered a whole bunch of questions and filled out questionnaires, she said she's going to have to schedule me an appointment with another doc that specializes in ADHD cases. -> After seeing him a couple of times and filling out more questionnaires, he determined that I truly have ADHD. -> So after that I was prescribed Vyvanse (lisdexamphetamine). At first I was started on very low doses , 5-10mg "as needed" during the times I had school, but always told me to take them in the morning because Vyvanse is apparently very long lasting.-> After a few trial and errors, we found a "proper" dosage for me which was a gradual build up to 50mg. (Now I can't remember how often and at what intervals I would take Vyvanse, feels like a long time ago and I can't remember specifics). During this time, I felt that the medication I was taking worked amazingly for me. It made me calm, focused and confident. But the only drawbacks were "depression" ( I can't remember how severe it would be , but nonetheless it was annoying) and surprisingly , its "short duration" of effect it had on me. It lasted an average around 4-5 hours maximum. ( This wasn't good for me because for one, my classes started from 8am - 4-6pm depending on the day.), re-dosing wasn't an option because it would cause some insomnia and just intensify my depression (if I remember correctly) and taking a higher (stronger) dose did nothing for the duration it just intensified the "feeling" (effect).
So in conclusion, Vyvanse worked great on me (when it was active, ie the "come-up and peak") but when it started to wear off (which was quickly) I was left feeling drained, depressed and irritable.
I would always try and take Vyvanse on a semi full to full stomach (as ordered by the docs), if I didn't the drug felt more intense and the comedown (crash) also intensified.
So I was then switched to Adderall XR , first with 5mg and the to 10mg.
I found that Adderall was practically the "same" as Vyvanse , in terms of "psycho-physical effects", it made me calm and focused and relieved my anxiety but it too had its drawbacks, ie the "crash". It too lasted approximately the same amount of time as Vyvanse (4-5 hours, maybe shorter ?)
So all this continued for a year or so and my grades did improve and I did feel like I was on a "proper" track in my life for once, because I could finally focus and felt determined, but in the end the side effects (crash, depression and lack of appetite) made me discontinue my medication. It's been a year or so now (maybe more) that I haven't taken a stimulant for my ADHD, and I feel like I'm doing just "OK" but not were I want to be in terms of "social well being" (feeling secure of myself and how I present myself to others) and mental well being (hope, happiness, motivation, drive, increased energy etc..) Ever since I tried stimulant medication, it opened up a whole new world of possibilities for me , like as if there was another path available to me and that I could now take and that it was going to be easier for me from now on, but, like I said , I discontinued everything due to side effects outweighing the positives. I became tired of having to constantly deal with such intense negatives all the time. I had enough things to worry about as a student and crashing during a class or when I'm home (depending on my class schedule) was not worth it.
So one day, a close friend of mine, after I explained whats going on, decided to give me some of her Concerta medication (I know sharing of meds is frowned upon, but I felt desperate and still in need of another "chance/ opportunity" at the time I wasn't ready to give up.
All she had was 36mg Concerta pills, so I tried one and to be honest, I hated it, it made me feel "dirty" and as if I wasn't supposed to be on this stuff. It felt much harsher than Adderall and Vyvanse. Almost like an overdose on caffeine mixed with god knows what. The focus was there but, it felt all over the place and I had to force myself to focus on the current situation. It felt "out of control" like I was just about to start screaming and laughing and just pass out from the "exhaustion" it was causing. Yes, it made me feel "calm" (almost like that calming feeling Adderall and Vyvanse gave me, but it wasn't a comforting calm, if that makes sense.) Maybe the dose was too high for me. So I found a "TEK" online on how to separate the methylphenidate from the other stuff in the pill and was able to experiment with the dosages, but it still didn't work out for me. Unsuccessful. So I disregarded that medication as an option.
______________________________________________________________________________________
Now, onto the question's and things I don't understand
**When I was prescribed my medication(s), I was told to take that dose every morning with a meal, but they (docs) made no reference to "take as needed".
I didn't NEED a stimulant everyday, I would only take my meds depending on the class, type of work and environment I was in. **
Now for a bit of a complex question (for me at least) that I can't exactly wrap my mind around.
What dosage is "effective"... ? How exactly does one (myself) perceive the notion of something being "effective" ?
For example, say if I take 10-15mg of Adderall XR or Vyvanse and I feel like I'm on top of the world, focused, confident, having an intense drive to accomplish things and critically think about things, how do you "continue this" (When you keep crashing after that feeling) and when told by a doc to take the dose every morning ? Tolerance obviously builds up and like I said before, taking something EVERY day (morning) is not something I want to do, because of;
-Tolerance = financial difficulties
-Health problems = physical ( increased stress on the heart among other things, decreased intake of food )
-Mental exhaustion = depression, irritability -> lack of motivation
-Duration "issues"
-Possible "addiction" = developing a habit of "chasing" that "first time" feeling. (Whether it was experienced on day one (1) you (myself) ever tried stimulant medication OR that first time you (myself) took a higher dose than indicated and felt that "anything is possible" feeling. (But that's the thing, you can't keep experiencing that....) ---> So what happens then ? , do you decrease dosage or keep taking that dose that you felt was magical until your body no longer accepts that dose as being adequate enough. (This is what confuses me the most).
Anyways, I'm going to wrap this up because I'm starting to confuse myself the more I try to analyze this.
_____________________________________________________________________________________
Diet
When I do (did) take my stimulant medication, I always kept a healthy diet (still do). Lots of fruits and homemade food, greens, salads and lots of vitamins such as Omega 3-6, vitamin c, d, e , multi-vitamins. I took them quite regularly but it didn't seem to help much with the "crash" and the resulting depression afterwards.
So I don't know what to do exactly now.
_____________________________________________________________________________________
Lifestyle now and future thoughts / plans
Currently I'm working a full time job in construction and it has helped quite a bit with my depression because it gives me something to do and it's a change of environment. I get lot's of exercise from it , very hard work that involves heavy lifting 9hours a day. But I don't mind for now. The exercise also helps with my depression.
But, I plan on going back to school in September for some courses and I worry that my ADHD will "kick in" again (it does quite severely when it comes to academic work) . So I don't know how to proceed with this whole stimulant medication thing. I don't know were to go from here or what else to look into in terms of medication.
I prefer to have meds as something I can fall back onto when things get rough, because University life is extremely challenging for me.
Exercise, positive thinking , talk therapy, vitamins and proper nutrition is usually not enough for me.
So, if you've made it this far into my post , congrats and thank you. Maybe you can offer some useful advice / feedback ?