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  1. Please note that I am under the care of a psychiatrist already- it just seems that he is unable to assist with the issues I am experiencing with my medications. I also apologize in advance for the length of this- I know that those with ADD/ADHD have a hard time focusing on paragraphs of information sometimes. I feel like I am a slave to Adderall. I was on Adderall XR 15mg twice a day in January along with Adderall IR 15mg also twice a day (60mg total Adderall). I was having difficulty with the Adderall XR- it would seem to work for about an hour and a half and then cause me to crash and have brain fog for a few hours... then it would mildly pick back up again. When I say that it "worked" means that I could feel a profound alertness, energy and ability to concentrate, and it helped me get my work done faster as well as communicate better with others (relieved my social anxiety and depressive symptoms). In February, decided to try Vyvanse. I was put on Vyvanse 50mg once per day and it was quite awful. It too would kick in about an hour after taking it, I would be a chatterbox for about an hour and then it would cause a crash I would never recover from the rest of the day. SEVERE brain fog. End of February I was put back on Adderall XR, this time 30mg twice a day, with no Adderall IR. Currently still on this dose. About 30 minutes after taking it, it again kicks in and lasts only about an hour, when I get brain fog, irritability, emotional numbness, I start isolating and I just want to take a nap. It will again kick in eventually in the afternoon, but its effects are less noticeable in the afternoon, hence the need for the second XR, which I usually take about 12:30-1pm. It kills my appetite. I drink half a gallon of water daily when I take it. I take it in the morning on an empty stomach. HOWEVER, some days the Adderall XR seems to be more potent- it will last longer and during the time I can feel it working, the effects are stronger. I am struggling with the inconsistency as well as the fact that it makes me want to take a nap. And, I have zero sex drive. I take it everyday. On weekends, I take less of it, but find that I am at the point I can barely function if I don't have it in my system. I just want to lay on the couch and I have depressive symptoms. I have read that it is best to take "breaks" from it but I find that when I try to do this, like I said, I am unable to function. On the flip side, I am still struggling to function at the 60mg per day dose I am on. I don't get it. Variables: I do not sleep well. In the past few weeks I have been waking up about every hour or so just to turn over in bed. I tend to be in bed around 9pm and some nights I have trouble even getting to sleep. In the mornings, I usually get out of bed about 30 minutes before I have to be at work because I am so unrested. Then, it seems the Adderall isn't even helping...it this correct? If I am already tired, is Adderall XR not going to be as effective? I stopped taking Benadryl because of the hangover effect the next day. I currently take melatonin. Blood sugar crash due to limited intake of food? Alcohol consumption? I have been drinking nearly every day since I have been on the stuff, usually wine. I have also stopped drinking soda (last week), after a decade's worth of multiple sodas per day (diet and regular). I am wondering if this is somehow affecting everything. I do take a caffeine pill or drink coffee, which I hate, so I have not stopped caffeine entirely. The only other meds I am on are birth control and supplements. I have a job where I sit at a desk and computer all day. Would exercise or L-Tyrosine help me to feel better?
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