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’m lisdexamfetamine (Vyvanse, but more recently switched to the generic version of it) and my son is on methylphenidate (Concerta). So I occasionally take Concerta just out of curiosity and because I’ve been contemplating switching to Concerta myself. For me, both feel very similar and I wouldn’t be able to know which one I took if I was given one at random. The effects from other factors such as sleep, diet, etc. are more significant than the kind of med I’m taking.

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Exactly the kind of experience I need to hear from, thanks!

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