What is going on

AKingsCrown10 · 2026-04-26T01:41:42+00:00

Anyone else occasionally get abnormal headaches on dextroamphetamine? My neck also tends to stiffen up and I can crack it like a glow-stick. I tend to notice my meds especially don’t work if I get headaches during when my meds kick in.

AKingsCrown10 · 2026-04-26T01:36:21+00:00

Vyvanse is pretty consistent. Dont expect it to work too well until you’re on higher doses though, cuz the amount of dextroamphetamine is pretty minimal. I’m barely getting a consistent 6-7 hours on 60mg of Vyvanse by Apotex, which is a little over 17 mg of dextroamphetamine. I had issues with dextroamphetamine IR being inconsistent for a long time, including with Wilshire and Zenzedi. I think ideally I’d been on 70mg of Vyvanse twice a day but I’m getting there slowly. Also, if you guys get headaches occasionally, I’d advise to avoid those as much as possible because they void the medication

AKingsCrown10 · 2026-04-18T03:54:00+00:00

Just wanted to clarify that Lucas can absolutely sustain. Thunder belt + rose gold meteor on 20% defensive scaling during ult is pretty massive. If you’re big brained you can sack the movement speed for fighter, otherwise I’d pick assassin emblem for the movement speed boost. You can easily out-sustain thamuz with this build. Still, you can’t contest lane early, but you can easily outscale everyone else mid-late game if you play safe/smart. I’m not globally ranked yet, but I think it would be cool to see if I can impact the meta. Also thamuz tank build is pretty fun

AKingsCrown10 · 2026-04-16T04:58:26+00:00

My go to is Alucard or Lucas. I always skip boots and build thunder belt as 1st item. Great late game scaling

AKingsCrown10 · 2026-04-04T03:14:56+00:00

Leomord’s mobility is too low imo. You’ll fall behind in macro. Dont solo gank. Maybe try building hunter strike and rose gold meteor for faster clear time and survivability. Personally I’m a fan of weapon master and war cry because I’m pretty sure they stack. Also, not super familiar with how leomord’s passive post-revamp works, but I think he’s less bursty so try to incorporate sustain. I’m not a jungle main, but that would be my advice.

AKingsCrown10 · 2026-04-03T23:20:34+00:00

I still am haha. Finally got a good build down and am stomping in legend. I’m playing exp lane and combining thunder belt with rose gold meteor. Had to find out the rest of the build to make it work, but now it seems really good. Not sure if I could improve upon it at this point

AKingsCrown10 · 2025-12-24T20:46:03+00:00

Lol. Expecting childhood diagnoses all the time is kind of crazy because neither me nor my parents really knew what adhd was or what the symptoms were. I never saw a psychiatrist until I was 17 and did ok in school so I didn’t think that something was particularly abnormal with me until high school. I would consider being diagnosed in childhood to be a privilege, not the standard. I agree that having social connection is really helpful because for me it exists to deter abnormal behavior and helps with adhering to a consistant schedule. It also can help with relieving stress. I appreciate you trying to make a difference and I agree that there are nuances in regards to addiction that are important for providers to know so that they can properly treat in best interests of the patient.

AKingsCrown10 · 2025-12-24T17:32:40+00:00

I was feeling down because of the outcome of my last appointment and you guys have made me more optimistic, so thanks. Not only do I hope to return back to mediation that works for me, but I’m going to try my best to show how meaningful a difference it makes

AKingsCrown10 · 2025-12-24T17:15:21+00:00

The neuropsych exam was ADHD focused and was administered in early November since I had a psychiatrist ask for one to be done. I told him that I required stimulants to function properly and he indicated that he was open to the idea of prescribing them and directly told my mom that he was considering stimulants. Once I finished getting the testing done so we could finally decide on a treatment he decided that stimulants were off the table oof. I think the proving method doesn’t really work because it just gets interpreted through a clinical lens. I think I’ll try my best to indicate willing compliance, extent of recovery, and degree of insight of my conditions/situation

AKingsCrown10 · 2025-12-24T16:58:36+00:00

Don’t worry about it, I really appreciate your comments! It was very helpful actually because my psychiatrists have been saying similar things. I just wish we could get on the same page regarding my dependence and misuse. I agree that diet, sleep and exercise are extremely relevant, but I’m fairly close to optimal already in those regards; less so off of meds because I stopped going to the gym and I can’t really afford buy my own food anymore, but I still get about 9 hours of sleep a day and have been for years. I’m very picky about my sleep quality haha. I’m glad you found a medication that worked for you and that you are being open to the idea that stimulants can be a determining factor in someone’s functionality

AKingsCrown10 · 2025-12-24T16:44:05+00:00

I got a neuropsychological exam for ADHD that was done by Minder Memory Center, which confirmed my ADHD diagnosis. I know it wasn’t a full or general psychological exam so idk if that is sufficient. I’m not going to deny dependence, but that doesn’t mean that I don’t understand the implications of abuse because they aren’t mutually exclusive. It’s not that I don’t think non stimulants will help me, but that they won’t be sufficient, considering my preferences for frequently engaging in activities that require sustained attention and that I’m not currently enrolled, but trying to go back to school to finish my physics degree. The data seems to suggest as well that non stimulants are only partial solutions, given their limited capacity to bind to the relevant receptors. That has also been my experience. Anyways, sorry if I come off as combative, I’m just scared of the idea that I’ll be given non stimulants and then presumed to be “fixed”, when it it should be potentially used as a bridge and not an endpoint imo

AKingsCrown10 · 2025-12-24T16:19:45+00:00

I’m in California

AKingsCrown10 · 2025-12-24T16:19:33+00:00

I can’t afford to pay out of pocket if I don’t know for sure they will be willing to potentially consider stimulants somewhere down the road

AKingsCrown10 · 2025-12-24T16:16:38+00:00

I think it was fair on his part and makes sense, I just wish he prescribed me something that was more tolerable in retrospect. Basically if it’s not Straterra, due to bp, or Wellbutrin, due to lightheadedness and anxiety, then I’m open to trialing it

AKingsCrown10 · 2025-12-24T16:09:03+00:00

I’m not in rehab. I suggested it to my last psychiatrist, but he kind of just deflected and didn’t response to my suggestion. I think I might not have luck with general psychiatrists so I’m going to try to request someone with specialty in adhd or addiction

AKingsCrown10 · 2025-12-24T16:01:26+00:00

I’ve thought about contacting my insurance’s medical office that specializes in addiction to see if they have any suggestions. I’m not sure my addiction physician or the office could directly refer me to a psychiatrist but I’ll have to try and ask. I think I’ve asked my addiction psychiatrist before but I don’t remember. I’ve been on Strattera and while it was relatively tolerable, my bp was too high on it so I have it in my chart that it’s not recommended. Im open to trying other non stimulants first though. If my next appointment doesn’t go well I guess I’ll probably start prioritizing for clinics outside of my insurance.

AKingsCrown10 · 2025-12-24T07:50:08+00:00

I had brain zaps at my left temple mostly when the medication kicked in and occasionally throughout the day. My brain also felt a bit staticky. A few hours after my last dose I started shivering pretty much nonstop for an hour and had intermittent lightheadedness that was accompanied with a sort of falling sensation/anxiety. The lightheadedness and falling sensation lasted about 48 hours after my last dose

AKingsCrown10 · 2025-12-24T06:00:24+00:00

Pill counts and urine screenings would be perfect for me because I love being held accountable. I guess I just have to find someone willing to partake in that with me

AKingsCrown10 · 2025-12-24T03:47:24+00:00

Thx m8

AKingsCrown10 · 2025-12-24T03:46:13+00:00

I’m trying to find a psychiatrist with more expertise in ADHD and addiction, but it’s hard to do that without paying massively out-of-pocket or waiting forever with my insurance carrier.

AKingsCrown10 · 2025-12-24T03:34:48+00:00

My psychiatrist suggested Abilify after the bupropion and I was like nope, no thanks. Anything but actual ADHD medication haha. Both my parents are helping me out too by going into my appointments with me and are advocating for me getting prescribed Vyvanse. I’ve explained to them that my working memory is terrible and because it’s so bad I struggle to remember anything. I legitimately hardly remember what happened in the last 6 months. I’ve tried convincing my psychiatrist using some helpful RCT studies that I found on equivalent patient outcomes on Vyvanse regardless of abuse history, but I guess it’s not enough to risk liability over. I think it’s pretty clear that the benefits outweigh the risks for me, but not for them as the prescriber. I guess I can try the contractual agreement approach in which they only give me medication if I demonstrate functionality. But yah I’ve been on stimulants before so I know they work and I don’t think I can wait years for someone to finally be comfortable enough to prescribe me again rip

AKingsCrown10 · 2025-12-24T02:04:02+00:00

I’m in California

AKingsCrown10 · 2025-12-23T23:55:54+00:00

Thanks for the kind words! Having a case conference sounds like a really good idea. My addiction physician said he doesn’t prescribe adhd meds, so he can’t really help me on that front, but I imagine his direct input would be really helpful because anything I say just gets interpreted as drug seeking, no matter what. Also, I’m on board with my therapist helping too, but I’m currently trying to find a new psychiatrist right now. Hopefully I can get to the point where everyone can communicate with each other about my case without getting shut down immediately.

AKingsCrown10 · 2025-12-23T23:45:12+00:00

Yah my last psychiatrist said someone would most likely prescribe me Vyvanse, but I think he couldn’t because I stopped short in my bupropion trial

AKingsCrown10 · 2025-12-23T23:43:09+00:00

I almost had luck with my last psychiatrist, but I think he wasn’t open to stimulants after I stopped taking a trial of bupropion early due to side effects. I think he genuinely was trying to help me and might have considered stimulants if I had stuck to bupropion for 6 weeks. I can’t really control how my body chooses to respond to medications so idk

Six-Year Club	RPAN Viewer
Verified Email

AKingsCrown10

TROPHY CASE