The question came up during therapy.
Reasons:
- The lisdexamfetamine is completely out-of-pocket, while the methylphenidate could be paid for by insurance. Even tried, failed and documented, future lisdexamfetamine would be paid for by insurance.
- There might be a co-occuring autism spectrum disorder, and methylphenidate sometimes does a better job / less side effects, then.
- While the Elvanse/Vyvanse completely fixed two symptoms, ability to focus and getting started with a task, more would be nice.
But, I’d like to stay functional, so is this attempt worth it?
Interesting, thanks! What was the reason go get off?
Side effects became too annoying. My job is currently not sufficiently stressfull, so I can do without. Not getting stuff done is a tradeoff, but I’m too old to care.
I see. Modafinil was decent at getting things started & done without the “high”, but it is certainly not shy of risks and side effects itself.