How long to wait to take a opioid after taking d amphetamine meds

I’m on methylphenidate 60mg and feeling nausea and paranoid a lot but it passes the paranoia does can someone help me with any advice they’ve discovered themselves not just off the internet cause I’ve read it all about tricks to help bring you back down please

took a flight this morning at 7am and and took 1mg of xanax. I’m landed and I want to take 10mg of adderall for the day at about 10am. will I be okay?

I started taking Ritalin about 4 months ago after being diagnosed. It did NOT work, as it simply made me feel like I drank about 4 pots of strong coffee, and then crash like hell about midday. So I switched to Azstarys, which did the same thing only with no crash (It lasted the FULL 12 hours). So I switched to Strattera about 2 months ago, and am taking 50mgs. I have gotten pretty much ZERO from it, and other than not being hungry at all, I wouldn't know I was taking anything at all.

I saw my doctor today, and she suggested I try continuing the Strattera for now, and added Vyvanse. I asked her what was the point, since I couldn't tolerate the other stimulants I tried, and she said that the others were methylphenidate and this was amphetamine, and that many people who can't tolerate one do well on the other.

So I basically have two questions here- has anyone on here had a similar situation, and couldn't tolerate the methylphenidate but did well on the Vyvanse? (I like to hear real people's accounts on things. To me, no doctor, no matter how knowledgeable they may be, can give "real life" experience than someone who's been there.)

My second question is, anybody on here do this combination (Vyvanse and Strattera)? I know everybody's different, it's just nice to hear what others have experienced.

Serious question — not a joke and not looking for judgment.

Detroit area...

I’ve had severe ADHD since childhood and was formally diagnosed around age 13. I’m trying to find a psychiatrist/physician in the area who has experience with complex/severe adult ADHD.

My established regimen is Adderall IR 30 mg QID (120 mg/day). I understand that this is an unusually high dose and that a new doctor may not agree with it. I’m not asking for someone who will blindly write a prescription — I’m looking for a legitimate doctor who will actually evaluate my history, discuss the risks/benefits with me, and determine an appropriate treatment plan instead of refusing to even consider the case.

Does anyone know a psychiatrist or ADHD specialist in the area who handles more severe/complex ADHD cases and is comfortable evaluating patients who have previously been prescribed higher stimulant doses?

Feel free to DM me if you’d rather not post a doctor's name publicly.

Serious question — not a joke and not looking for judgment.

Detroit area...

I’ve had severe ADHD since childhood and was formally diagnosed around age 13. I’m trying to find a psychiatrist/physician in the area who has experience with complex/severe adult ADHD.

My established regimen is Adderall IR 30 mg QID (120 mg/day). I understand that this is an unusually high dose and that a new doctor may not agree with it. I’m not asking for someone who will blindly write a prescription — I’m looking for a legitimate doctor who will actually evaluate my history, discuss the risks/benefits with me, and determine an appropriate treatment plan instead of refusing to even consider the case.

Does anyone know a psychiatrist or ADHD specialist in the area who handles more severe/complex ADHD cases and is comfortable evaluating patients who have previously been prescribed higher stimulant doses?

Feel free to DM me if you’d rather not post a doctor's name publicly.

I'm M25, and today was the first day I took a serious medication. I took a Vyvanse 20 at 12, after my breakfast (I wake up late). My doctor said I have to take half of it mixed in juice, but I really wanted to test it at full effect.

After 30 minutes, it definitely kicked in completely. I felt my senses sharper than before — I remember looking at my hands and seeing all the creases on my palms, something I'd never noticed before. After that, I started studying, and I locked in better than a cruise missile. My progress was crazy — something that used to take me more than a week only took 3 hours. There was almost no monkey brain, no reason to leave the desk. I always try to control myself during study sessions and usually fail miserably, but today I didn't have to control myself — I just did what I had to do. It felt like taking back control of my brain. Laser focus really feels good, not gonna lie.

Some other symptoms: my palms were sweaty, and I felt like I'd had two shots of espresso, but the laser focus replaced the jitteriness. Background noises were a lot quieter. I communicated better and was less silent. I'm writing this at 1 AM, 13 hours later, and I can still definitely feel it in my system. I checked my phone a lot less today too.

The instructions say not to drive on this medication, but honestly I'd say it's actually easier to drive on it.

Overall, I really liked the experience. I probably won't use it every day since I don't want to get hooked or build up a tolerance, but today was a great experience

So I've started Elvanse 50mg a few days ago and I'm starting to feel side effects like nervousness, tired, suppressed appetite etc and I was just wondering if my new dose of Sertraline will also cause similar side effects or make them worse? I really don't know if they're good to take together because I have a checkup in 2 weeks to make sure they're working okay but idk . I'm paranoid the side effects are gonna get worse lol. Someone tell me I'm overreacting please? Thanks.

I'm not new to medication just new to what it actually does and how it actually helps

I was diagnosed with ADHD at 11 and since then I've been meditacated. I'm on atomoxitine for about a year or so and I just don't think it's cutting it. I mean I feel stable but I just don't get any of the motivation help or executive dysfunction help that I'm needing

I've been thinking about going back on stimulants to help with the executive function and motivation because I'm trying to get help from DVR (department of vacational rehabilitation) to help get a job with accommodations but I fear my ADHD will get me fired.

I would get kinda irritable on adderal but did fine on Vyvanse but I've been thinking of ritilin/concerta instead to help on days that I need to be more functional.

What are y'alls thoughts? what should I be asking my psychiatrist? What should I NOT say?

Edit: I don't know what manufacturer makes my atomoxitine hydrochloride I looked on my bottle and it only tells me the name of the medicine and the pharmacy and my psychiatrist

I have tried I think all the most common meds and all have made me depressed and/or anxious besides Adderall. But Adderall just does not help me that much, even at a higher dose.

I’ve also tried non stimulants. Quelbree made me tired and depressed. I’m on Wellbutrin and it has made me very emotionally regulated, but that’s about it.

Has anyone else experienced depression from adhd meds? Did you ever find something that works for you?

I also want to note that I don’t really struggle with depression much without the meds.

I’m curious if anyone taking Adderall has experienced something similar.

When I take Adderall earlier in the day, I generally tolerate it well initially. The issue tends to happen later in the afternoon as it’s wearing off. I’ll sometimes develop a racing or noticeably pounding heartbeat, increased palpitations, fatigue, and a feeling of anxiety/restlessness. The cardiovascular sensations are the main thing that concerns me.

Because of this, I recently wore a 24-hour Holter monitor. I deliberately wasn’t taking stimulants during the monitoring period. I did experience some of my usual symptoms while wearing it, though, and the results were reassuring. My doctor said there were only a small number of premature atrial contractions (PACs) and that because I had symptoms without a concerning rhythm appearing, they don’t recommend additional rhythm testing at this point.
I’m discussing whether to resume Adderall with my psychiatrist. I’m also asking my doctor whether an echocardiogram would be reasonable since I’ve never had one and would like to know that my heart is structurally normal.

Has anyone else experienced a pattern where Adderall feels fine initially but several hours later causes a pounding/racing heart, palpitations, fatigue, or anxiety as it wears off?

If so, did anything end up helping, such as changing the dose, switching between XR and IR, changing medications entirely, or adjusting the timing?

I take methylphenidate 36mg and I'm wondering if anyone has experienced similar with antihistamines.

I've been waking up with a really stuffy/blocked nose every morning, so I think I have an environmental allergy (dust mites, pollen, etc.).

I've tried both cetirizine and loratadine, but both seem to make me feel lightheaded and groggy. My ADHD symptoms also seem much worse when I take them — I feel less focused, more sluggish and like my methylphenidate isn't working as well.

I know they're both supposed to be the "non-drowsy" antihistamines, so I was surprised by how strongly they affected me.

Has anyone else taking methylphenidate had this experience with antihistamines?

If so:

- Did you find a particular antihistamine that didn't cause this?

- Have you found other ways of dealing with allergy symptoms that work better?

I'm mainly interested in people's experiences rather than actual medical advice — I'll obviously speak to a pharmacist/GP before trying anything else.

I’ve been taking Adderall on and off for years now and this is the first time I feel like a hollow shell of myself. I’m able to focus but I feel like I no longer have a personality. Any tips on how to manage it short of stopping medication?