Wellbutrin is like a stimulant. Maybe you’d do better the ssri’s?

Oh, thanks for reminding me to take my meds.

Not in this way but I stopped taking my methylphenidate as I just couldn’t cope with the side effects.

I had no appetite but was hungry yet it make me feel sick, I would sweat constantly and could never just wear a t shirt without a hoodie due to embarrassment and finally it was so much stress trying to source the medication.

I feel like once I had a handle on life with medication and had gotten into a good routine and made positive changes that I am now in a much better place to handle life. I struggle with executive dysfunction still and I’m finding it hard to get motivated to do anything and work is killing me slowly.

Wellbutrin absolutely jacked my blood pressure. I’m on Pristiq now.

I used zoloft at first, which imo didnt do jack shit, then went to wellbutrin, which made me completely unable to sleep (I was doing 48h awake, crashing out, sleeping 4 hours, repeat), and now I’m back on Zoloft, which I still feel like doesn’t do jack shit but at least no side effects are manifestating

tl;dr I have no fucking clue, good luck

I don’t have a garmin, but methylphenidate (Ritalin) extended release gave me a high heart rate and exercise intolerance.

I’m on dexamphetamine now, that doesn’t seem to have the same issue.

I had a similar experience with small doses of Adderall. It would improve my focus, but it left me feeling anxious in the evenings.

What helped in my case was consistency. I took the meds every weekday for a month and slowly the anxiety lessened as my body got used to the meds.

When I noticed meds weren’t being beneficial anymore for me, I stopped taking them and started trying to spot where my focus-related issues were and how I could change them. It hasn’t been a smooth sail and requires a lot of discipline, but so far that helped me more than any medications.

SSRI’s can cause issues with stimulant medications primarily for two reasons. They increase the effectiveness of the stimulant and they increase the level of serotonin in your blood. Too much serotonin is not good. Look up “seratonin syndrome” and see if you’re experiencing any other symptoms.

Those meds can be taken together but there probably needs to be a dosage adjustment to one or both of them.

Also, if you’re not already, avoid caffeine completely.

Vyvanse might work better, or perhaps modafinil. I was on modafinil for about six years and it was great. these days, I actually prefer ephedrine, I can buy it over the counter at the pharmacy. I don’t think that’s what you’re looking for though, but you can certainly try it

Marijuana, fuck pharmaceuticals

Sorry if this isn’t what you’re looking for, but my answer is basically “no”.

I can take a 10mg Adderall 4 hours before bed, and fall right asleep. Sometimes, I can take a 10mg Adderall in the morning, and fall asleep at my desk at work, only 30 minutes later.

Adderall makes me feel relaxed and totally unstressed. I’ve never had HRV stress measured, though. What is the experience like, to you, when you are having high HRV stress levels?

Wellbutrin and most other SSRI’s and SNRI’s make me feel a little TOO relaxed. Some of them make me feel less conscious, and a little bit brain fogged. At the time, I described it as if my soul was detached from my body.

To me, methylphenidate (Ritalin) gives the same effects as Adderall.

Currently using Modafinil, which is rather bad on side effects and risks, hoping for an upgrade next month. So I had to work with that.

The Plan: Use it on about 50 days per year, and make them count. E. g. not on days full with unproductive meetings, but when I have a clear task and time to execute it. A task with high visibility. It’ll look to others as if I were rolling 200 days like that.

I took a spin on the pharma-go-round about 20 years ago. Went through just about every stimulant on the market over the course of two years. The only one to have a noticeable effect was Adderall… but the effect was panic attacks for routine issues at work. I was done at that point. I rawdogged reality for 25 years, how bad could it get?

Narrator: yes.

I went through some shit this past winter that basically required me to seek intensive mental health treatment. After one psychiatrist (who declared after 20 minutes of talking to me post-trauma that I didn’t have ADHD) and one useless APN that worked for the program I was in, I found a psychiatrist that listened… but he wanted to slow-walk the ADHD treatment due to severe depression and anxiety while the SSRI did its thing. After a few months of relative stability he wanted to try Lamictal… which promptly gave me hives. I said fuggit and asked for the DNA analysis. I’m not fond of getting put into yet another big database but shots in the dark take too long.

Mydayis (dextro- and amphetamine salts) seems to be more stressful on me than Vyvanse. The extended release mechanism also varies things. But hey, there’s a new goddamn shortage every week and we go with what works well enough.

As it was explained to me, you basically got three options: amphetamines, methylphenidates, and the “other stuff” (Wellbutrin, strattera, qelbree, guanfacine etc). This is a purely anecdotal analogy and oversimplification of how stuff works as it was told to me:

Amphetamines (adderall etc) hit the front door in the front of the brain — more dopamine, intense concentrated focus. Methylphenidates (Concerta etc) hit the back door in the front of the brain — more norepinephrine, longer-lasting, more alertness. The Other Stuff is back of brain, like if you turned down the ambient noise of a room.

Long and short of it is that one of these three approaches will tend to work well for an individual with ADHD, but the other two not so much. It’s pure trial and error, and it sucks, but with a decent provider and time (and insurance) you can eventually settle on one at a particular dose. Best of luck!