Just a quick backstory on my two year adventure with ADHD medication. I was put on Vyvanse 60 mg slow release tablets pretty much two years ago this month. It changed my life. I was constantly energised at work, I was no longer binge eating, I was finding myself able to do things without stressing about them and I woke up every morning eager to get out of bed. Within a healthy amount of time, that being over a year, I lost 15 kg which needed to be lost. My GP said I was the healthiest I’ve ever been, and I eagerly praised Vyvanse. I felt great, I looked great, and my insides were great. All you need in life. So it was working for me. However, I did have a little bit of trouble falling asleep at night, so I went from clonidine to a few other sedative medications and so forth.
Then in November 2025 I got a new psychiatrist, and when he saw that I was on 60 mg slow release every day, he said he was very surprised that I was on such a high dose and that normally they would only prescribe the high dose to people who were extreme cases. He suggested I go down to 30 mg and that would most certainly help with my sleep problems. So I agreed and was prescribed 30 mg of slow release a day. He also prescribed me just dexamphetamine tablets 5 mg that I would take (two daily) in the afternoon only if I needed them. So basically if I felt like Vyvanse 30mg wasn’t doing enough that day.
Since then, I have gained 10kg, I feel lethargic and uninspired, I sleep way too much, I can’t be bothered anymore, and I just don’t feel as locked in on day-to-day life. Even if I take the backup 5mg tablets in the afternoon, they don’t help. I know they’re not placebos, but it honestly feels like it. I might as well not take any of these medications daily at this point because they are simply not doing anything.
My question is — should I request going up to 40mg daily Vyvanse slow release? 50? I am extremely unhappy and want my old life back. And I’m sick to death of my bloated stomach and daily acid reflux.