Trying to put down in words what it feels like taking Vyvanse for the first time as an adult diagnosed after 30.

After years of trying other treatments, therapy, non-stimulant medications, I’ve got my first prescription for a stimulant and today is my first time taking it. I was always wondering what would it feel like so I think I’d try to describe it:

After the initial physical sensation subsided (stiff feeling in the neck, jaw, a feeling like tension on the skin of the back of the head) and I’ve started my work day I’ve realized that I’m pretty much feeling calm. Like there was a race in the back of my head where each task was fighting for a priority and I was trying to accommodate the first one that came to mind, but now while the race is still there I can just methodically pick one out and focus on it for a bit, or switch to another while still remembering the first one. It feels almost mechanical in how calm the process is (maybe a bit too mechanical actually), and I feel less governed by emotion.

I’m still getting distracted, but it seems like distractions last much less and I don’t feel panic and urgency after returning to the task at hand.

Now I wonder what it feels like once the effect is over, and if I will be able to sleep tonight normally.

One other effect is that there is almost no hunger, so I had to remind myself to eat something. In that regard it feels similar to hyperfocus when I’m absorbed in a task and forget to eat anything. I don’t know if it’s actually bad since I do have enough weight that needs losing, but I also don’t want an eating disorder. Feels like I need to start planning my meals.

  • flandish@lemmy.world
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    7 hours ago

    i’m on methylphenidate extended release. when the afternoon hits i feel … hollow. odd. in my jaw, neck, chest. but i still gotta drive home. :/

  • Jul (they/she)@piefed.blahaj.zone
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    15 hours ago

    For me, over time the hunger issue subsided a bit. But I was already used to that just from drinking coffee prior to taking Adderall. Since we can’t rely on our bodies to tell us when we need something, and with stimulants those urges are suppressed even further, keeping a routine is a good idea. I still get cravings for bad stuff like sweets when I’m stressed or near meltdown, but otherwise i just make a routine of eating when I get up, and when I finish work. Unfortunately, my job often doesn’t allow time for eating, but when I did, I would always stop even if I wasnt hungry. On the plus side it makes eating healthy much easier if I’m already not eating to satisfy a craving then it’s already an unpleasant experience. May as well be healthy. 😁

    • afaix@lemmy.worldOP
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      11 hours ago

      I think I need to start planning meals, because usually I only cook healthy things when I’m hungry enough to want a hearty meal

  • Baggie@lemmy.zipB
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    14 hours ago

    Similar story, 30mgs vyvanse. For me it was like a sudden collapse of thousands of different thoughts into one sharp point. Then I watched a 2 hour Russell Barkley video because I could, and absorbed all of it.

    Nowadays it’s a pretty good medium. It can make anxiety worse, but only because I wouldn’t be able to concentrate on the thing going wrong. I don’t eat as much, but I think it’s gotten to a good level. See how the next few days treat you, it should become something your body adjusts to pretty quickly.

    Don’t think I had trouble sleeping? Not more than the usual insomnia anyway.

    • afaix@lemmy.worldOP
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      11 hours ago

      I couldn’t sleep the first night now, maybe because I drank coffee as well during the day though.

      Hope it’ll pass, tried taking the dose earlier in the morning today

      • Baggie@lemmy.zipB
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        8 hours ago

        As a general rule yeah with breakfast.

        You may need to reconsider your caffeine intake. I’m sure you’ve noticed, but it operates on some of the same channels. I went cold turkey after I started vyvanse, just to make sure I got a good idea of where I landed without it. Turns out 30mg is enough to get me fairly well stimulated, and I gave up coffee completely. See how you go.

  • dragnucs@lemmy.ml
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    1 day ago

    Thank you for sharing this. For eating, you can just set a time slot for lunch break and dinner time. Must be already in place in most workplaces.

    • afaix@lemmy.worldOP
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      1 day ago

      Thank you for the advice. I have flexible schedule and constant availability, so setting a time slot is complicated, but I’ll have to try from now on.

      • AddLemmus@lemmy.ml
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        17 hours ago

        It’s crucial; you’ll have a short boost and then crash, otherwise. Personally, I also have to track the calories, because if I’d eat intuitively, it’d be nothing for 6 hours, then crash & crave fast food & sugar.

        Edit: Same for rest, by the way. Can’t just rest when I feel like it, I have to time it. For household chores, I can either do 3 hours non-stop and crash, or I can alternate 20 minutes work, 10 minutes lying down, but then for pretty much the whole day.

  • postscarce@lemmy.dbzer0.com
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    22 hours ago

    I was also diagnosed as an adult and prescribed Vyvanse and I’ve been taking it for a few years now. The first couple of months, while I was still getting the dose right, were the hardest. The worst bit was mood swings when the dose was a bit too high, for a day or two at a time everything seemed to be bleak, then I’d wake up the next morning and everything was fine again. The appetite loss didn’t last (unfortunately), my body seems to have compensated.

    I have set reminders in my phone to take my meds at the same time every day because consistency seems to be important, reducing side-effects and letting me plan my day around when I will be most productive.

    I’m now two thirds of the way through getting a degree, which would never have been possible pre-medication. I did try when I was younger and ended up dropping out of university twice and college a couple of times too. Now, even though I still need to push myself to open the books sometimes, when I do I can actually focus and find getting into that flow state so much easier.

    • afaix@lemmy.worldOP
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      11 hours ago

      So cool that it’s working for you! Now I want to pick up some courses to see if I would be finally able to complete them this time

  • chronicledmonocle@lemmy.world
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    1 day ago

    Not only eating, but make sure you’re drinking water. I went to the ER for dehydration when on Vyvanse. You get 60% of your fluid intake from food, so when you eat less, you consume less water. Get yourself a big fuck off canteen and keep it with you. Lol.

  • chickenf622@sh.itjust.works
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    1 day ago

    Also was diagnosed is my 30s and I have had a similar experience to yours after taking Adderall. Not much to add, just wanted to make note that someone else is on the same journey as you. Glad it seems to be working out. Edit: grammar

    • afaix@lemmy.worldOP
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      1 day ago

      Glad to not be the only one.

      And it’s still the first day for me so I’m keeping my expectations in check, after so many failed attempts I really don’t want to be disappointed once again…

  • nowherelord@lemmy.world
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    1 day ago

    My experience with Vyvanse isn’t exactly a lack of hunger, but rather struggling to know if I’m hungry or not. I could either overeat, or eat nothing, and it wouldn’t make a difference until later, when I’m either feeling bloated because I ate too much, or feeling dizzy because I skipped lunch. What I found to work well is eating mostly the same thing every dinner; something light, like a sandwich or something. Also, having a big breakfast and a big dinner kinda balances out not eating much at lunch. But aside from hunger-related side effects, I’ve found Vyvanse to be a life-changer for me, after being diagnosed at 37. I’m turning 45 this year, and I’ve been taking 50mg for almost 8 years. It improved my focus, my mood, and my motivation; almost makes me wonder how I made it so far without it!

  • rowinxavier@lemmy.world
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    1 day ago

    My experience may be different to yours, but I found that I could actually sleep better with Ritalin on board than without. I can actually have a nap if I decide to and will actually fall asleep while having an active dose, whereas if I don’t I am too agitated and can’t relax enough for a nap.

    As for eating, OMAD (One Meal A Day) is good for me, I can not worry about it and just eat in the evening and cover my full day intake in one go. It makes organisation much easier simplifies my schedule. It is also better for blood sugar regulation and insulin resistance, so if you are prediabetic it can help reverse that damage.

    That said, if you take it every day you will probably find your hunger signal changes to be more obvious while on the meds. I have found that I can get my three meals a day while on Ritalin after a couple of years of taking it, but skipping is also fine and doesn’t upset me like it does without meds. This is also true of pain, I can tolerate pain much better with my meds than without. The pain isn’t gone, it just doesn’t intrude and disrupt as much so I can keep doing other things.

    I will also say that the sense of holding two tasks and switching between them, not forgetting the other, is something that I find works better off the meds than it did before the meds. I assume it is because I can actually train the skill with the meds on board and get better at it, then when I am off the meds the pathways are stronger and easier to use. I can’t say that for sure, but it certainly seems more possible to ignore distractions off the meds than it was before the meds, so I think skill is a part of it, though the other side is probably some degree of burnout and a lack of resources before the meds compared to after having them for a while.

    Anyway, good luck, I hope it goes well for you.

    • afaix@lemmy.worldOP
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      11 hours ago

      Thank you!

      And I can’t imagine having only one meal a day yet.

      And I know what you mean about being too agitated to sleep, sometimes I feel like I’m too tired to sleep, because the brain is trying to process a lot of things and is too slow from fatigue, and it keeps me from sleeping…

      Still, first day I didn’t manage to sleep… Hopefully I’ll adjust soon

      • rowinxavier@lemmy.world
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        1 hour ago

        Do you mean you didn’t sleep the night after you had a dose in the morning? Normally the dose wears off after 3-4 hours for standard release Ritalin and 6-7 hours for extended release. That would mean if you took it at 10am it should be completely worn off around 2pm for standard Ritalin and by 5pm for extended release. Did you take a second dose?

        It is important to remember that how it is today is unlikely to be how it is in a few months. Your body has to get used to processing Ritalin and also the different level of demand you will place on it given your improved capacity. You may overextend yourself and maybe even hurt yourself in this process. It is normal to have some trouble adjusting and small issues like one missed night of sleep but it should level out within a fairly short time, maybe a week or two. If you have ongoing disruption make sure to talk to your prescribing doctor and make sure it isn’t a side effect.

        Good luck, have fun!