this post was submitted on 05 Sep 2024
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ADHD

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I recently had to stop taking my vyvanse due to some bad side effects and holy shit I forgot how bad this was. I can't do anything. I have so much shit I need to do but I sit down to do it and it genuinely fills me with dread. I am just staring at my computer. Even getting to the webpage I needed took hours of convincing. This is horrible, even caffeine isn't helping. What do y'all do? How do you manage?

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[–] [email protected] 7 points 1 month ago* (last edited 1 month ago) (3 children)

As someone who can't medicate my ADHD, even with caffeine because they all either don't help or interfere with my panic disorder which is much, much more debilitating, it is... Not great, but I've mostly found a lifestyle that works for me. I've found careers that I can handle. Maintaining a household alone is... Very rough under the circumstances but it is what it is.

All that said, HIGHLY recommend staying active enough that you are tired at the end of the day and having an alarm clock with a bright light on it, or a dawn simulation ideally with smart lighting, a special alarm clock, or a diy solution with a full spectrum lamp and an aquarium timer (guess which one I did during college). Maintaining a good schedule and waking up in the AM feeling at least reasonably well rested is paramount, everything else goes to hell if that isn't maintained, and if I'm not physically active during the day, no amount of melatonin will get me to sleep within a routine.

[–] [email protected] 3 points 1 month ago (2 children)

Light alarm clock sure is a game changer. Isn't there something that is primarily an anti-depressant, but also works with panic disorder and ADHD? I just know that there are many where 2 of the 3 overlap. But sure, a stimulant would be bad for you.

I have strangely also been in states, over years, where caffeine induces panic. In hindsight, it might have been as simple as a magnesium deficit, but no doctor bothered to check.

I've even had benzo prescriptions over years, and cut it down to 0 with relatively high magnesium supplements. Not saying it is the same in your case, extremely unlikely even, just the general concept that something has been missed.

[–] [email protected] 3 points 1 month ago* (last edited 1 month ago) (1 children)
[–] [email protected] 3 points 1 month ago

Thanks, hope that helps OP! Paroxetine also comes close, at least. Prescribed against both depression AND anxiety. My feeling that it works against ADHD is anecdotal, though, as it started a massive productivity phase with no problems to balance workout, family and a challenging job, but one quick search finds this: https://pubmed.ncbi.nlm.nih.gov/16669726/

Paroxetine had no effect on ADHD.