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?

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I have no experience with the first but I think to me it would be worth it just to get the media that works okay currently covered. To my mind the only thing to loose is time spent on the meds that currently help, and energy evaluating a new thing

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