I don't, my psych straight-up told me they're not recommended or frankly needed for most people, definitely something you should consider talking to your doctor about your treatment plan. Personally I've not seen any decrease in efficacy with 4 years of vyvanse not due to work stress or poor sleep, but every person reacts differently to medication.
this post was submitted on 24 Mar 2025
18 points (100.0% liked)
ADHD
11498 readers
169 users here now
A casual community for people with ADHD
Values:
Acceptance, Openness, Understanding, Equality, Reciprocity.
Rules:
- No abusive, derogatory, or offensive post/comments.
- No porn, gore, spam, or advertisements allowed.
- Do not request for donations.
- Do not link to other social media or paywalled content.
- Do not gatekeep or diagnose.
- Mark NSFW content accordingly.
- No racism, homophobia, sexism, ableism, or ageism.
- Respectful venting, including dealing with oppressive neurotypical culture, is okay.
- Discussing other neurological problems like autism, anxiety, ptsd, and brain injury are allowed.
- Discussions regarding medication are allowed as long as you are describing your own situation and not telling others what to do (only qualified medical practitioners can prescribe medication).
Encouraged:
- Funny memes.
- Welcoming and accepting attitudes.
- Questions on confusing situations.
- Seeking and sharing support.
- Engagement in our values.
Relevant Lemmy communities:
lemmy.world/c/adhd will happily promote other ND communities as long as said communities demonstrate that they share our values.
founded 2 years ago
MODERATORS
Yeah, I don't. Even in holiday I want to be able to go look at stuff and read books, not just lie in bed scrolling my phone and feeling mad at myself. But what has been helpful is getting different dosages (a benefit of the terrible ritalin supply is I sometimes got my 40mg as 4x10mg). That way I can take less on days when I've not got a lot on, and just want to relax. But taking nothing is not a good day.
define "adhd meds".
Not taking a stimulant shouldn't cause anxiety or depression, but going cold turkey for antidepressants might after a short while and just not taking those is nothing i'd recommend in any case.
I take concerta which although a stimulant is also an SNRI, so a lot of drugs in this class are also anti depressants. Even with amphetamines one of the most common withdrawal side effects is depression.
Do you stop the SNRI on your holidays? If so, don't.
I've never taken concerta but I have taken a different SNRI and I'd start to feel like utter shit by the afternoon if I forgot to take it in the morning. I would be way more worried about skipping an SNRI than a stimulant, personally.
I don't do drug holidays. I know a lot of people do, but I just can't function. It makes sense that when you don't take the medicine that helps you function, it's really hard to function.
An SNRI should be taken every day (at the same time) or you're going to feel weird. It's not like the amphetamine meds.
Edit: actually that's Methylphenidate (Ritalin) which "acts primarily as a norepinephrine–dopamine reuptake inhibitor (NDRI)."
Ohhh okay, that makes more sense. My bad.
Is a single day really effective enough to decrease tolerance?
Probably not. My question is general on time cuz some people take a week off and some people take the weekend off
I dont take my stimulants on weekends in most cases. But in the instance where I did start to develop a tolerance we switched to a different type or class. We recently switched from Vyvance back to Aderall XR because the Vyvance efficacy was dropping.
Try substituting another stimulant. Nicotine and caffeine are pretty common ones that can help take the edge off
is that actually necessary? i used to take ritalin everyday and i don't remember being advised to take breaks by any of my psychiatrists
also, in my experience, ritalin was basically an on/off switch. i was fine when i took it, but whenever i had to stop taking it for any reason (e.g. a two-week-long ritalin shortage in the pharmacies around me) i felt just like before (i.e. like shit)
but ymmv as always