My biggest problem with ADHD stimulant meds (methylphenidate instant and ER, and Vyvanse) is that I’m exhausted after taking them for a few days. The psychiatrist I saw at the time seemed doubtful of this lasting impact and didn’t have ideas other than to try different meds. I been off meds for a year but am in a new role now where I need the extra help. I hate the crash and my wife gets mad when I’m too tired to help on the weekends. Taking meds all the time made me too tense. Suggestions?

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When I started taking Adderall I had the same issue. The crash is horrendous and it exhausts your body in a way many do not understand. However, it did take a few weeks to about a month of consistency before the exhaustion stopped. I would suggest talking to your psychiatrist about which one will help the best with the crash - that is something that hasn’t changed, unfortunately. But I have also found through my therapist that drinking water throughout the day plus working out/walking/getting active when the comedown starts curves the crash.

For extra info - I am taking 20MG extended release Adderall daily. I have an immediate release 10MG for whenever I need a second dose in a day, but from my experience and a few others I know, the crash is 10 times worse with the IR. And also, I have anxiety meds called “Wellbutrin” that also helps with ADHD and this has actually cut the crash out completely. Not sure if that’s helpful but wanted to share JIC

I hope this helps but happy to share more!

likehelpful

I’ve been on Wellbutrin (generic) for years and have much better results re help with adhd symptoms, without the crash.

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I was able to get off my adhd meds once I got my hypothyroidism treated. It’s worth talking to a functional med doc to look at all your labs and see if anything else is contributing to your symptoms.

I was diagnosed with adhd as a child (so I definitely have it) but had horrific fatigue as an adult as was basically relying on my adhd meds to give me energy rather than treating the underlying issue, which was a subclinical type of hypothyroidism. I was the same. Felt exhausted every night and on weekends. And I finally have energy and can focus with my thyroid meds.

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Following to see feedback. Wish I could help, OP, but I don’t be starting meds for the first time until next week. Hope you’re able to find some relief!

I experience this. For me, I've successfully addressed it in two ways:
1) Increased dose (5mg immediate release in afternoon)
2) Tolerance breaks (once a week or every other week)

For me (everybody is different), the feeling of over-medicated can feel very similar to under-medicated. Both can make me feel tired and agitated. The biggest difference is that under-medicated leaves me feeling like nothing is worth it, while over-medicated makes me feel like it's just too hard (even though it's worth it).

I’ve been through several different meds in 20 years and am now on Phentermine. I don’t get the “tired hangover”. Been a godsend. Ask your doc

MyDayis works best for me - it lasts longer so I don’t need the instant release and I don’t crash.

Adderall was the runner up (I used that before MyDayis came out), but I had a bad crash. Vyvanse and Concerta didn’t work well for me.

Might need to just continue trying other meds or adjusting dose.

I was started on Adderall ER 10mg, it wasn’t great but not terrible, and then I went up to 15 and I absolutely hated every second of it. Didn’t even fix my symptoms. Then went on Methylphenidate 18 ER, and it was like the fog just disappeared. Even my psych was surprised that the lowest dose of the weaker meds worked so well.

Maybe you just haven’t found what fully works for your brain.

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