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 just had to switch from Vyvanse to Adderall XR because the only pharmacy in my area that didn’t have a backorder closed. It’s only been a couple weeks but I greatly prefer the Vyvanse, however the Adderall is better than being unmedicated. Adderall isn’t as “smooth” and it gave me a tummy ache and caused headaches due to inadequate hydration. Since I figured out the hydration issue the headaches haven’t been a problem and I think the tummy ache was just due my old guts getting acclimated to a new medication.
All that said, I am in a similar boat financially, my insurance wasn’t paying for the Vyvanse so I ended up using my entire HSA contribution every month, and the Adderall is $20.