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Lowering your dosage for stimulants is fine as long as you do it slowly over the course of time. I would also recommend taking them exclusively as soon as you get up, unless you are a narcoleptic. Whatever you are doing, let your doctor know and why, so they can change your prescription.
Rough man. If it’s Adderall, don’t be afraid to split pills, if the symptoms are too high, unless you start seeing a real return of ADHD symptoms. I used to not eat as much when on stimmies, but I ate like 3000 calories every other day so it was fine. That said, their strategy is to build your tolerance, so a reduction will make that process take longer. Therefore, the only other advice that I have is that your tolerance will go up dramatically in like, three months or so, so if you think you can wait it out, I would do so. But if it’s dramatically affecting your day to day, most competent psychiatrists would be ok with a moderate reduction if you are still suffering major side-affects.
If you tell a doctor that you don’t like the side effects of a prescribed medicine, especially a stimulant, they’re not gonna tell you that you have to continue with it. That’s exactly the kind of information they’d want you to share.
I mean I don’t know your situation, but I found that the benefits I got from stimulates weren’t worth the side effects and toll I felt they were taking on my mind and body. Sure I’m not super productive without them, but I can do my life tasks well enough. That’s good enough for me and the doctor agreed.
Also stimulants like adderall also AREN’T like SSRIs that’s require you to keep taking them to feel the effects. (some actual doctors get this wrong, which is insane to me) So it shouldn’t be a big deal to just take them only when you feel like you need them.
It’s usually better to take a smaller dose more regularly than a larger dose intermittently. If you are taking a tablet and not a capsule, it is worth considering cutting it to a smaller piece.
I’m not a doctor and you should ask a doctor.
It’s also possible that your anxiety (which is totally justified) is amplifying the effects, since the symptoms you describe are consistent with anxiety and panic attacks (in the case of heart palpitations). For that reason, it’s worth trying to do exercises to control your anxiety if you choose or are forced by circumstance to take the medication again. It will almost certainly make it at least a little less bad, though it probably will not eliminate the side effects.
Also make sure, if you do take the meds and this isn’t against their instructions, to take them with a meal, to slightly slow the speed at which you take it in.
Wellbutrin works for me so far. added benefit of helping me quit vaping