deathbypsychiatry
Greenlighter
- Joined
- Dec 12, 2025
- Messages
- 25
I would suggest that the ADHD medication is not able to work as it normally would and while it is said the medications cancel each other out overall Invega is a much more powerful drug & works on far more parts of the brain than the stimulant.I first felt it lifting when my baby smiling would make me smile and I could feel laughter again. A more subtle sign was finding it easier to get engrossed in a TV show. I feel similarly to you where I’m still flat-ish, just not as flat as I used to be.
Yes, I feel like Vyvanse and Adderall still aren’t working as well as they did pre-injections. Medication definitely helps with focus but isn’t as effective as it used to be. There’s no mood lift for me either. No heart rate changes though.
You’re about a month ahead of me. When did you resume ADHD medication and has there been any change in effectiveness since then?
I suspect sleeping 10 hours a night is a sign I’m not recovered, as I used to sleep 6-7 hours a night pre-injections. Have you experienced any sleep changes?
Additionally antipsychotics also make ADHD symptoms worse.
I had sleep issues from Invega, It made me completely exhausted while also worsening preexisting insomnia, I spent months mainly in bed but unable to rest.
Source: The dopamine dilemma - https://pmc.ncbi.nlm.nih.gov/articles/PMC2898838/
"So where is the dilemma? According to mainstream psychiatry basic research and psychopharmacology, stimulant and antipsychotic medications have opposing mechanisms of action. Stimulants are thought to work by increasing dopamine (DA) levels between neurons, and antipsychotics work by blocking their effects at dopamine receptors. Concurrent stimulant-antipsychotic use has been rationalized by suggesting that they likely interact with different receptor subtypes and do so in different pathways of the brain. In reality, while the main therapeutic sites of stimulants and antipsychotics are different, they both interact at the same receptors sub-types and do so in the same parts of the brain. Examination of DA pathways has revealed that stimulants have significant activation at both the limbic system and the cortex. Antipsychotics have their strongest effects in the limbic system, but they have also have effects on the cortex.
Research on receptor subtypes has shown that the therapeutic effects of stimulants are strongest at D1 receptors, but they also have significant action at D2. The therapeutic effects of antipsychotics come from D2 antagonism, but these medications are actually unselective antagonists, being able to bind to all five receptor types. Going beyond theoretical implications, research has shown that stimulants and antipsychotics actually do block the effects of each other."
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