Motivation, executive dysfunction and treatment augmentation of atomoxetine and venlafaxine
I have a problem with my current adhd treatment protocol and I dont really know how to change it
Im currently taking venlafaxine 150mg and atomoxetine 60mg for social anxiety and adhd respectively. My social anxiety is great, but my adhd seems to be a little bit harder to deal with. I am most certainly better at focusing for longer periods of time and its retained better. But i still have bad task initiation paralysis and I procrastinate way too much. I have taken methylphenidate before, but switched to atomoxetine because methylphenidate is too expensive and is a hassle to deal with because its treated like some fucking illicit drug in my country. Same problem with vyvanse. Modafinil is also expensive and doesn't seem to have any advantage in treating adhd. I have considered bupropion, but it is much more potent of an inhibitor of CYP2D6 compared to atomoxetine so it will reduce the more potent O desmethylvenlafaxine concentration.
Clonidine is available over the counter for me, but effects seem to be modest at best and it probably wont really increase motivation.
Agomelatine is maybe another thing I thought might be good.
Im thinking something with more of an effect on dopamine might be useful, because I likely have close to full NET occupancy
As for supplements, l theanine and coffee combo is nice. The other stuff(alpha gpc, lionsmane, magnesium l threonate, etc)I found to be more useful for increasing memory retention and not motivation