I’ve only tried Methylphenidate but it’s my favourite stimulant and I’m reluctant to go any further as logic pushes itd be a unwise choice.
If it stops working, going further doesn’t seem to outweigh the benefit (I.e going super high dose like past 60mg, or going on DextroAmp)
In the UK it’s Methylphenidate, Lisdex/Dexamp, Atomoexatine or Guafacine only with GP approval.
I pick Methylphenidate, the way it soothes all drug, sex, binge eating and other cravings is a life saver for me.
Theoretically there is a more perfect drug, or more yet a effective set of parameters to obtain the conditions methylphenidate sets for all the issues I face.
I’d ask for Isopropylphenidate but Methylphenidate is the next best bet.
But with its relatively clean pharmacology to a uneducated “reader” it appeals, as well as its tolerability for me, and its short half life.
I can only live to my almost perfect requirements by being extremely lonely and living to a spreadsheet due to the prevalence of my autism and adhd, methylphenidate just makes it so much easier.
There is a cost but although no calculation is perfect, it gets to a point where you push for a bit, back off, reassess and see if you can still get use out of a substance.
I have to take around 10mg every 4 hours for up to 12 hours of the day or similar to get what I need out of it.
Compared to using DextroAmp, that’s preferable. The research is so so but I’m more invested in Methylphenidate being the safer bet with only losing a bit of effectiveness. I get it doesn’t work for some but how many of them do a full body workout, walk 10km a day, get sunlight, and eat whole food diet.
That’s how you get the most of the drug + being clever with synergistic agents (Theanine, Magnesium Threonate, Taurine, Agmatine, Creatine, + things like L- Citruline for Blood Pressue etc)
Mostly Out of my system overnight, no active metabolites, a much gentler way of releasing monamines and easy to discontinue relatively (need replacement but dropping down to only caffeine and being basically fine is pretty cool)
I can do it without, but I’ve come to conclusion that if it really helps and can be made practical then it may bring a better quality of life. I know it has for me.