What meds/treatment work best for you?

I have inattentive ADHD and a 2000 hr billable requirement (my midsized, wannabe biglaw firm is behind the times fml). I was on Vyvanse but it wrecked my sleep. As my sleep hygiene got worse, so did my ADHD symptoms. I decided to quit Vyvanse and I’m currently in a trial & error period with my psych, trying different meds. Strattera didn’t work and actually made me super depressed. Not sure what my psych will suggest next. What has worked for you?

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I have inattentive type and take 20mg of Evekeo in the morning. My doc says it's been shown to be better for inattentive type. Evekeo is the same 2 ingredients as Adderall, but in a 50/50 combo instead of 75/25. Works for me and wears off by the evening. I'm approved to take up to 30mg during that week in my cycle that is extra symptomatic.

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Oh, also...It definitely suppresses appetite during the day. I usually only get hungry for dinner time.

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I have the exact same issue with Vyvanse. I have real bad insomnia. I’m down to 10mg and it doesn’t hit me the same, but it at least wears off enough for me to get a little sleep. When I started with 30 mg it was way too much. 20mg is my sweet spot for work, but sleep is terrible at that dose. I opted for the 10 because I was literally a zombie taking 20 and 30 mg and getting 3-4 hrs of sleep.

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Yep same I was in full zombie mode!

I take 30mg vyvanse first thing in the morning, workout daily (even if literally the bare minimum like a 15 minute walk or weight session), and prioritize high protein and low processed/sugar and 1 gallon of water, and I have been feeling great doing this the past ~2 months. Also on an antidepressant (fluoxetine). I also supplement with magnesium, fish oil, a multivitamin and probiotic nightly. Also, no caffeine past 1pm

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Do you have any adverse effects mixing fluoxetine and vyvanse?

Vyvanse is the only thing that works for me. Did you try adjusting dose down? Did you try taking it as early as possible in the morning? How long did you try? I know you said it wrecked your sleep, but all three of these considerations may impact whether it was the dose or the med.

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during my pregnancy i took 10s!! i am now on 20! i found 40+ to be literally like i was doing meth lol but i love 20.

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