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Titration question - Elvanse (feddit.uk)

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

17 comments fedilink hide all child comments

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] 2 points 2 weeks ago (1 children)

I started on 20, went to 40 and I've been here ever since. I get a bit of a lull at about 6pm, but it's not so bad.

During the shortages a while ago I managed to get prescribed some 50 and it was just a bit too much. I like a coffee or 2 in the morning and 40 works well with that for me. Any higher and it would buzz a bit.

I have the occasional break, usually when I forget to get my repeat. generally 3 days of aching and complete lack of concentration, then when I take it again I'll have a very very productive and late night.

Find what you're comfortable with, It sounds like you already have!

[–] [email protected] 1 points 2 weeks ago

I like the idea of having a morning coffee again (I did a couple of days on the 30 and just took the dose a bit later), which made my mornings feel a bit more relaxed..

Getting the timing right is a bit tricky as my workday can vary but that’s something I will (hopefully) get better at over time…

Do you have any issues taking a break? I have been wondering if skipping a day or two would be a bad idea once I’m settled in a bit, although if I get the dose right maybe I won’t feel that need.