Hacker News new | comments | show | ask | jobs | submit login

I started taking medication in my mid-20s, despite having been diagnosed with ADHD around the age of 12. I also have been diagnosed with dysgraphia.

I think the effects of dysgraphia are much more akin to losing a limb than ADHD, but taking medication is honestly one of the most life-changing experiences of my life. I tried medication way back when, and the side effects were horrible. I didn't try them again until I was having trouble at work, and I visited a psych for a doctors note requesting some mild accommodations related to my dysgraphia. I had avoided medication because until that point I was sure I could do anything else anyone else could, and I was afraid it would fundamentally change who I was.

That fear was largely unfounded. Some medications give me side effects, and some make me feel like I'm not myself. Eventually I found the right medication and dosage. After about a month on that medication, I looked at what I had accomplished and I was so overwhelmed with emotion I honestly cried. I had been making life so unnecessarily hard for myself, and I had been so hard on myself. Like, I cannot believe how much easier everything is. I feel like I used to get everywhere by running in molasses, and then someone told me about highways and cars.

The thing about medications is that they don't turn your life around for you. They basically give you the power to control your life.

Maybe there isn't a medication out there for you. Honestly, a huge part for me was finding the right doctor. He is one the few docs I've ever met who specializes in adult ADHD, and he's really fucking sharp. I don't actually like our meetings very much, cause he's not much of a conversationalist and is pretty gruff, but he knows his shit. He's willing to write prescriptions that most doctors won't write because the dosages are too abuseable or whatever. (And his other specialty is addiction, so he definitely has a view on that).

For instance, I tried Ritalin, and I hated it. I just felt angry the entire day I was on it. I was suddenly aware that I should be concentrate, but I couldn't concentrate at all. Instead of spending several months titrating me up on Adderall, he just gave me a pretty high dose, since my reaction basically indicated my ADHD wasn't going to respond to lower levels. Adderall helped, but the side effects were miserable. I felt like I wasn't myself using it, almost like a zombie. I felt like I couldn't change gears at all.

Anyways, long story short, I found Evekeo actually worked best for me. Adderall is 25% levoamphetamines, and 75% dextroamphetamines. Evekeo is 50/50 levo/dextro. My basic understanding is that Levoamphetamines affect the rest of the body, whereas dextroamphetamines mostly affect the head. For this reason, the DEA has typically felt that l-amp has less clinical value and is more abusable, but the difference between Evekeo and Adderall is night and day for me. I actually feel like myself. Now, I have never taken cocaine, so I can't tell you how it compares, but if you feel like adderall takes away your ability to do all of those things you listed as benefits, I'd say that Evekeo is worth a shot.

I can relate to wanting to truck it out though. After my second consultation, my doctor said he was amazed by all the achievements I have in my life, given the degree to which I am ADHD. His assessment was that I must be one of the most overwhelmingly stubborn people on the face of the planet. I never have thought as myself as a stubborn person, but my family and closest friends would definitely agree with that statement. I think that stubbornness is what prevented me from seeking help earlier, but also what motivated me to keep going.

From what I've gathered over the years, dextro-amp is primarily responsible for focus, attention, and (potentially) euphoria while levo-amp is primarily responsible for peripheral effects like anxiety, jitters, and other "body-centric" things.

As a result, I've always understood d-amp to be considered more abusable and part of the reason for the mix in Adderall and generic equivalents (although it's also allegedly a better mix for treating most ADD/ADHD).

It's why you can get Adderall if you're diagnosed with these disorders but it's rare to see anyone prescribe Dexedrine (which is just d-amp). Abuse potential is higher and also l-amp lasts longer so the mix may be seen as more effective overall as a pill you take once or maybe twice a day.

Never heard of Evekeo though.

Guidelines | FAQ | Support | API | Security | Lists | Bookmarklet | Legal | Apply to YC | Contact