r/ADHDmeds

Title: Adderall XR changed my life, but the evening crash and stigma are frustrating. Anyone else?
I’ve been taking Adderall XR for about 2.5 months, and honestly, it’s improved my life tremendously. However, I’m struggling with how quickly it wears off.
I was prescribed 20 mg XR at 8 AM and another 10 mg XR around 11 AM to extend its effects. Unfortunately, it barely lasts until 4 PM, sometimes even less. I’ve tried taking my second dose closer to 1 PM just to get some relief later in the day.
Around 5 PM, I feel exhausted, completely unmotivated, and sometimes experience this strange tingling/flushing sensation throughout my body as it wears off.
What’s frustrating is that I’ve consistently gone to the gym from 8:30–10 PM for almost three years. Since starting medication, my daytime productivity has improved dramatically, but my evening motivation has practically disappeared. After working long hours, my evenings are extremely important to my mental and physical well-being.
Recently, my doctor switched me from 20 mg + 10 mg XR to a single 30 mg XR capsule. I confirmed it wasn’t a mistake, but I’m confused because my issue is the duration, not necessarily the strength. I’ve wondered whether a different XR schedule or an IR booster might work better.

Another thing: does anyone else experience stigma when filling Adderall? I’ve had pharmacists’ attitudes seemingly change the moment I mention it. One recently told me they were out until next week, but when I called back, another employee said they had it and could fill it within 30 minutes. On the phone each time now once they ask me to confirm the medication, they start sounding like they don’t want to fill it.
Honestly, the stigma has gotten to me so much that I don’t even feel comfortable telling my family I take it. I hate that something legitimately prescribed to help me function carries such a negative association.
Has anyone experienced similar evening crashes, difficulty getting adequate coverage, or judgment from pharmacies? What ended up working for you and your doctor?
I genuinely love how much this medication has helped me. I just don’t want to sacrifice my evenings to function during the day.

Hello! I’m new to this sub. I’ve been on Adderall XR and IR for the last 4-5 years. Prior to that I had tried most of the other common stimulants before landing on adderall.
Anyway, as of recent I noticed that I was very anxious with racing thoughts (more than usual) so I discontinued the IR and continued with just the 20mg XR in the morning.
At my appointment with my psychiatrist I expressed interest in moving away from Adderall to something like modafinil, and he agreed it was worth trying.
Well, 2 days ago I took modafinil for the first time in place of my adderall. I didn’t really experience any help with my energy levels, then within hours my body started feeling extremely sore. It felt like I’d done an intense workout and then slept in a really bad position. To clarify, I hadn’t done any sort of activity that could have led to this type of soreness.
Me and my coworkers thought I may have been coming down with some type of illness, so I went home for the day. The next morning (yesterday) no other symptoms of illness had arose, and I realized the only variable change was the modafinil. I decided not to take it that day, and slowly the soreness dissipated. I still have some slight soreness in one shoulder but it’s nothing compared to the way I was feeling 2 days ago.
Has anyone had or heard of an experience like this? Do you think it was just a coincidence or is it likely that modafinil could have caused that sort of reaction in me?

Edit to add manufacturer: the modafinil says BionPharma on the bottle

My GeneSight test from a while back says “cyp2d6 \*1/\*2a (duplication) ultrarapid metabolizer cyp2d6\*1 allele enzyme activity: normal cyp2d6\*2a allele enzyme activity: increased

Does anyone else have this result and have found a medication regimen that works well for them? Even Dyanavel XR 20mg isn’t lasting me even half the day before crashing hard. Generic adderall XR 40mg also didn’t do much nor did generic Vyvanse 50mg with a 15mg Adderall booster. I’m feeling so defeated. It helps so much when it actually is still in my system at a therapeutic level. I have never had adverse side effects physically either.

Hi, im switching from vyvanse to adderall ir 10mg twice a day. I was so disappointed to see the generic being alvogen as ive heard only bad things. Ive had adderall ir prescribed before, and had issues with generics like lanett and another i forget. Elite wasnt bad.

I know loads of folks hate alvogen, but is there anyone who actually likes it/feels like it works? I just took my first dose and i dont like the chalkiness of the pill, but im trying to have hope. My doctor did say to let her know if i have issues thankfully but i know its a pain and usually impossible to swap scripts when you just got it.

Walgreens just updated their prescription ordering software. Until now if your dr send a Vyvanse order to a Walgreens location and they were out of pills your dr had to send a new prescription to what ever Walgreen location you found d that had a supply.

The pharmacist just told me they updated there system so they can just move the prescription to a different location.

This saves a lot of frustration tracking down your monthly supply before the dr writes the prescription

I took a weekend off my Concerta for the first time in months because I genuinely didn’t think it was helping me much anymore. I figured I needed a little mental reset.

God, do I miss them.

I’m tired, hungry, have zero motivation, and everything just feels so blah. I feel completely useless and it’s making me realize how much the medication was actually helping.

The weird part is, I wasn’t like this before medication. I could function “sober,” so to speak. I didn’t realize how much easier certain things had become until I went without it.

Sometimes you really don’t notice the difference until you take it away.

I've been diagnosed and on Adderall for about 4 months. I started with 10mg, and I was initially only breaking those in half. I'm now at 15mg, two times a day. This has been working well. Almost no side effects, don't even get a dry mouth.

However, my mom has a history of bipolar schizophrenic episodes, and my sister also has some more mild psychological disabilities. I'm 28 years old, pretty healthy, but I'm worried from what I've read about Adderall that it could potentially bring out psychosis.

Should I be concerned?