ADHD

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Elvanse - safe low dose? (lemmy.ml)

submitted 1 month ago by AddLemmus@lemmy.ml to c/adhd@lemmy.world

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As suggested myself and encouraged by the doc, I'll take a fraction of a normal dose to check it out first. He signed off on any dose that is lower than the one he prescribed (30 mg in the morning), and the capsules are intended for opening and dissolving in liquid.

So, I'm very sensitive. Low dose opioids for a cough give me euphoria, and when I tried Modafinil, 1/4 of a pill (2 pills is normal!) turned out to be just right for me.

On one hand, I could really use the full productivity boost tomorrow, which would mean trying 1/4 of 30 mg, 7.5 mg. On the other hand, safer would be 1/8th again as it was with Modafinil. Then again, 1/4 of the Modafinil dose was "bearable", it was not intense suffering.

Trying 1/8th in the morning and another 1/8th at noon if the effect is really as low as a cup of coffee could also be an option, with the risk of losing sleep. I tend towards that option.

Some of the worst hours of my life were on the minimum dose Venlafaxine (and many report that), so I'm careful.

What do you think? Doing the super-low 1/10th test at 4 pm would still take away my sleep, right?

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[–] SteelCorrelation@lemmy.one 5 points 1 month ago (2 children)

Remember that sleep is extremely important for everyone, especially us neurodivergent folks. I would not recommend taking any stimulant past noon. Hell, I struggle with sleep as it is and I take my ADHD medication at 6 AM.

I have a feeling that you'll adjust quickly and need to up your dosage to get any effect. I find that my body adapts very quickly to medications, especially stimulants. Unfortunately, that means building a tolerance over time and requiring either a long break or upping my dosage.

I'm not a doctor, so I can't give you advice on dosage. I just wonder how you'll measure it.

[–] fossphi@lemm.ee 3 points 1 month ago (1 children)

I'm not on any medication yet so can't really compare. But where do you stand on caffeine? I guess it's technically also a stimulant but since it doesn't seem to have any effects on me I sometimes drink some in the evening for the taste. And it doesn't alter my sleep/tiredness at all

[–] SteelCorrelation@lemmy.one 3 points 1 month ago

The evidence that I'm aware of suggests that we with ADHD process caffeine differently, but it still has an effect on the brain which can affect one's sleep. I drink caffeine in the morning because it helps me calm down and focus while I wait for the medication to kick in.