Anyone experienced building a tolerance to their meds and have any tips? Am currently taking 60mg Vyvanse and take 3-4x 5mg dexies a day but still struggling to concentrate

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This is going to happen over time. One of the reasons I quit my 30mg prescription of Vyvanse. I also noticed increased heart rate that led to me burning more calories on the days I took the med (which is actually nice).

Another reason I quit was the medication does not help you prioritize or plan better. So it didn't fix the problem just made me active and alert.

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I had a similar experience but with adderall at the peak I was on 80mg/day I stopped for similar reasons. I had to figure out my crap on my own which I did. The medication just gave me the ability to figure it out. It didn’t magically make me better.

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I don’t take my meds on days I don’t work. Holidays, weekends, PTO. This helps my meds to stay effective when I need them the most

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This is the way.

Also, if you can explain it to your psych, having some leeway on dosage helps.

For example, I’m 2 X 30mg/day of Adderall. I need the full dose rarely, but occasionally I do need it. Whenever I can get away with less in a day, I take less (usually break one 30 into 15 / 7.5 / 7.5).

Doing this while also following M1’s advice has been the sweet spot for me.

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Think of the medication as a tool not a fix all you still need to develop coping mechanisms that are not related to the medication. The medication will help you do that but you still need to do the work.

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You could try switching brands or taking 1-2 days off per week.

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That’s tough, and this may not work for you at this time but the best thing I did was take a break from medication for a few years and developed personal coping strategies that really helped. Then as I got more involved in consulting I started taking medication again but at a lower dose and the combination of meds and having the ability to pull myself back on my own was a game changer

What coping strategies worked for you?

Thanks all, this is helpful.
What are some techniques you found to useful / effective coping mechanisms?

Calendars. Utilize your calendars if you have Alexa/google/Siri have her remind you of things you need to do. block your outlook calendar for focus time schedule schedule schedule. Before digital calendars I had a planner that I always had with me. Also to prevent in forgetting things, make them obnoxious colors so that you can always see them. If you are prone to losing things designate a spot for them and always put them there. Hang your car keys on the same hook, put your shoes in the same spot. If you need to remember to take something with you put it with your keys so you grab them both on the way out the door. And honestly the biggest thing for me was giving myself room to make mistakes and not criticizing myself every time something was forgotten.

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Switching brands helps a lot. The different meds have different chemical makeups. Amphetamine (Adzenys XR-ODT, Dyanavel XR), Dexmethylphenidate (Focalin XR)
Amphetamine/Dextroamphetamine (Adderall XR), Lisdexamfetamine (Vyvanse)
Methylphenidate (Concerta, Daytrana, Jornay PM, Metadate CD, Quillivant XR, Quillichew ER, Ritalin LA). I would talk to your doctor about the switch so they can guide you on which chemical makeups are best to switch between. I've had good experiences and bad experiences switching meds.

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