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What's it like to switch from lisdexamfetamine to methylphenidate? (lemmy.ml)
submitted 1 year ago by to c/adhd@lemmy.world
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The question came up during therapy.

Reasons:

  • The lisdexamfetamine is completely out-of-pocket, while the methylphenidate could be paid for by insurance. Even tried, failed and documented, future lisdexamfetamine would be paid for by insurance.
  • There might be a co-occuring autism spectrum disorder, and methylphenidate sometimes does a better job / less side effects, then.
  • While the Elvanse/Vyvanse completely fixed two symptoms, ability to focus and getting started with a task, more would be nice.

But, I'd like to stay functional, so is this attempt worth it?

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[–] 4 points 1 year ago

I just had to switch from Vyvanse to Adderall XR because the only pharmacy in my area that didn't have a backorder closed. It's only been a couple weeks but I greatly prefer the Vyvanse, however the Adderall is better than being unmedicated. Adderall isn't as "smooth" and it gave me a tummy ache and caused headaches due to inadequate hydration. Since I figured out the hydration issue the headaches haven't been a problem and I think the tummy ache was just due my old guts getting acclimated to a new medication.

All that said, I am in a similar boat financially, my insurance wasn't paying for the Vyvanse so I ended up using my entire HSA contribution every month, and the Adderall is $20.

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