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Titration question - Elvanse (feddit.uk)

submitted 2 weeks ago by [email protected] to c/adhd

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Hi everyone!

I’ve just recently started titration, I’m now on 50mg of Elvanse (Lisdexamfetamine).. curious if anyone has had the same effect as I am having now.

On the 30mg I felt like the static/shouting/noise whatever in my brain was muted but I had access to it, like it was in a cabinet in my head. I was able to focus on tasks at work and all that, although it didn’t last all day, maybe until about 2pm (taking the dose between 830 and 9).

A couple days ago I moved up to 50mg and the first day was… okay. I have definitely been able to concentrate on work. Yesterday was like I was a zombie. During the work day I got plenty done. It was like I was in a controllable hyper focus all day, but I didn’t feel like myself, and I feel like the personable side of me is not there. I’m not sure if it’s lack of emotion or what.

I had volleyball practice last night and honestly I felt like a zombie. A completely empty shell by that point, which I have had pre-medication after coming out of a particularly long hyper-focus before, but I am a bit worried about this because it was not pleasant. I’m not sure if I could face that every day.

I am due to increase to 60mg from next Wednesday and it is making me nervous. Will the impact of the medication reduce a bit over the next few days or is this what it will be like?

Out of curiosity, is anyone on a lower dose like 30 or 40mg? If you are do you do a booster in the afternoon?

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[–] [email protected] 3 points 2 weeks ago (1 children)

30mg daily with an optional booster of 5mg instant release has been the sweet spot for me.

Over the span of like 6 years I started on 30mg, went down to 20mg for a while until a bit of a tolerance kicked in then back up to 30mg, eventually got the 5mg booster which I normally only take a 1/4 of a pill for the actual boost I need without effecting my sleep too much, but even then if I take the booster for a week I'll certainly start to feel drained, so it's an option not a requirement for me.

I imagine you're probably going to be better off feeling a little bit of the randomness associated with you being on the lower dose. The medicine is supposed to help you function a bit more like a regular person, not a robot. Humans have got randomness/noise in their thoughts, we aren't supposed to be robots.

I've had what you're experiencing but on methylphenidate; it doesn't really go away until you lower the dose or stop.

Other things that can impact the robot feeling is excessive caffeine before bed, and nicotine usage.

I think if you're asking this question; you already know that you want to go back down and just need some confirmation that it's a good idea 👍

[–] [email protected] 2 points 2 weeks ago

Thank you for this, really appreciate the feedback and your experience!

I think you are right, and I like the idea of having a booster available but not necessarily something to take daily unless it’s needed.