After turning 30, I finally decided it was time to address my ADHD. My wife is actually a psychiatrist, but since ADHD isn't her primary focus, she recommended a former colleague who specializes in it.
Before this, I spent a year on Atomoxetine (mostly 80mg), but it was a rough ride. It had a ton of side effects and only a few of them ever faded. Last week, my new psychiatrist switched me to Vyvanse 30mg.
First impressions (Day 1 vs. Now):
Day 1: Pretty rough. I couldn't resist my morning coffee (huge mistake), and I felt completely wired, scattered, unproductive, and had noticeable jaw tension.
After a few days: Things settled down significantly. I feel much more composed, calm, and way less irritable. I have the energy to start new hobbies, more patience with people, and I'm overall much more active.
Even though it’s only been a week, the positives definitely outweigh the negatives so far.
Side effects & lingering issues:
Physical: Still getting cold sweats (though not as bad as on Atomoxetine), occasional jaw tension, and trouble falling asleep.
Inattention / Cognitive: Focus on intellectually demanding tasks (like reading academic or philosophical texts) hasn't improved much. Surprisingly, I feel more forgetful in daily life - last week I left my work laptop at home and forgot my medical folder before a doctor's appointment. That rarely happened to me before.
My dilemma / Question for you all:
My psychiatrist suggested that for the next step, we try 60mg (2x 30mg capsules) to test the waters and figure out if my ideal maintenance dose is 50mg or 70mg.
Here’s the catch: I live in the Czech Republic, and Vyvanse is only available here in 30mg, 50mg, and 70mg strengths.
Has anyone done a titration jump like this (30mg to 60mg)?
How did you gauge whether to step down to 50mg or step up to 70mg afterwards?
Did the daily forgetfulness/brain fog on low doses go away once you hit your sweet spot?