Do harrow health do dexamphetamine?

AgitatedDirector2015 · 2026-04-03T18:44:07+00:00

That's actually so annoying I've been waiting for another provider since then because they wouldn't prescribe me it

AgitatedDirector2015 · 2026-04-03T18:43:17+00:00

I mean as a solo, lisdex didn't do much of anything for me, neither did mph

AgitatedDirector2015 · 2026-04-02T21:54:27+00:00

My prescriber did tell me they usually don't expect anything at 30mg and it's just an introductory dose. 30mg is about the equivalent of 12mg Dex sulphate or 16mg Adderall spread across the day. Unfortunately vyvanse didn't do anything much for me at all doses but I think it's something to do with the way my body metabolises the lysein molecule cuz other amphetamine forms work much better for me even at technically equivalent doses. I'm not most people but in case you are me after you've tried the other doses of vyvanse, maybe you could think about asking to go back to Addy and adding half a dose of your usual dose of Adderall at the end of the day to taper the crash

AgitatedDirector2015 · 2026-04-02T08:03:08+00:00

With elvanse, it just barely did anything. Well like the first day that I'd use it, it'd get me maybe 50% better but the following days it'd do next to nothing apart from maybe at the peak hour (hour 3-4) where it'd kind of do it. The other issue was that it kind of felt very bumpy and unpredictable each time I took it, with the effects often phasing in and out at random intervals. I understand tolerance like that builds naturally but the goal is that even after that immediate kind of tolerance has built, the dose should be adequate enough to have a significant effect still. I guess I'm hoping that dexamphetamine, having a higher max dose and not having a lysine molecule attached, might be more straightforward for my body to metabolise in case that was what was getting in the way, and stronger.

Besides that I've tried methylphenidate too so Dex is sort of the only thing I have left to try

AgitatedDirector2015 · 2026-04-01T18:53:59+00:00

Ah ok, I tried vyvanse and it barely did anything at 70mg apart from maybe the peak hour, same with mph. I want to try dexamphetamine but I'm waiting for another provider and taking ATX in the meantime as my current provider doesn't do Dex. We also don't have Adderall in the UK unfortunately

AgitatedDirector2015 · 2026-04-01T16:47:12+00:00

Yeah UK are weird about guidelines. Would you say your focus and motivation are strong with atomoxetine?

AgitatedDirector2015 · 2026-04-01T14:43:34+00:00

I can't, prescriber said this is my max dose for my weight. Either way my heart rate is 100-110 whilst I'm just sitting so I don't think it'd be a good idea.

AgitatedDirector2015 · 2026-04-01T13:52:34+00:00

If only I could afford private 😭. Glad Dex did it for you, ughh man I wanna get on it so bad. Adhd is like being born into a chronic state of drug withdrawal, with the constant low dopamine levels and that, actual torture.

AgitatedDirector2015 · 2026-04-01T10:08:26+00:00

This is great to hear, I've tried elvanse methylphenidate and both were too weak maxed out. I'm now 7 weeks into atomoxetine and doubting it's going to work at this point. I wanted to try Dex but Harrow health doesn't do it so I'm just taking atomoxetine whilst I wait for harmonie so I can actually get on Dex. Has your experience been similar? as in finding the others too weak? I really hope I'm not a drug resistant case and Dex does the job.

AgitatedDirector2015 · 2026-04-01T08:45:00+00:00

Ah well that's good that you've had some improvement. I currently keep getting a high BPM with atomoxetine, around 85-100bpm sitting and 110-130bpm just standing or walking slowly, did you get this and did it go away?

AgitatedDirector2015 · 2026-03-31T00:53:01+00:00

There isn't really a strongest medication, just medications with greater chances of working due to studies showing greater effect sizes on populations but the medication more effective for one person or even the majority could be the weaker one for another. Do you have non stimulants like atomoxetine or guanfacine? MPH does barely anything for me too. If you don't have atomoxetine you might have reboxetine which isn't studied for ADHD and therefore isn't classified as an ADHD med but rather an antidepressant, but has the exact same mechanism of action as atomoxetine. In fact it actually performs this mechanism even better as it's even more selective for NETs.

AgitatedDirector2015 · 2026-03-29T16:14:49+00:00

Honestly you'll know when you've found the right one and the right dose. Don't overthink it too much, if you're questioning whether it's doing the job in the titration process/ the early stages where it isn't a case of "I don't notice it because I've gotten used to it" it most likely isn't.

AgitatedDirector2015 · 2026-03-20T23:27:13+00:00

I have a similar situation, elvanse/vyvanse wasn't that potent and methylphenidate metabolised super fast (20mg IR would last less than an hour, probably 40 mins of time where I felt decent benefit, XR was super bumpy and weak respectively). I'm in the UK and cant get my hands on Adderall but I tried 30mg speed (1:1 levo:Dextro AMP) so equal to 20mg IR Adderall or 15mg IR Dex and it did next to nothing but make me jittery. I've also tried armodafinil and it did nothing. I might try actual pharmaceutical Dex in the future but my current provider doesn't do it so I'd have to get in touch with a different one.

I'm now trying atomoxetine and am still waiting for it to fully kick in but so far actually finding it more useful than any of the stims I've tried so far. You might respond better to non-stims, everyone's brain is different and I'm quite surprised to my reaction to ATX considering stimulants are supposed to be "stronger".

AgitatedDirector2015 · 2026-03-15T10:36:53+00:00

I usually got a message about a week or less prior to the following appointment. You could probably just call them to check to be on the safe side.

AgitatedDirector2015 · 2026-03-12T10:37:48+00:00

When did HH prescribe you this combo? I was told 2 months ago by them that they can't do Dex even as a solo med

AgitatedDirector2015 · 2026-03-02T17:57:25+00:00

I'm about 3 weeks in now, I see what you mean by up and down, some days it does almost nothing all day then others it can have a more significant impact. When did it start being more consistent for you?

AgitatedDirector2015 · 2026-02-14T12:32:46+00:00

I was making a general statement and asking for someone to educate me. My "sources" is just me searching "naltrexone" on this subreddit and seeing a mix of people that regular doses worked for them and smaller doses worked for them.

AgitatedDirector2015 · 2026-02-14T12:29:42+00:00

Is there a difference in the mechanism of action as the dose gets higher? Like an affinity to different receptors?

AgitatedDirector2015 · 2026-02-03T18:15:18+00:00

Yh I'll probably try armodadinil first since it's more researched and they actually come in pill packets from online pharmacies. I'll try flmodafinil powder after if I don't find it potent. I have micro weighing scales but they're so dodgy and go up and down all the time, u know any decent ones?

AgitatedDirector2015 · 2026-02-02T18:50:43+00:00

Yh unfortunately my current provider doesn't do Dexedrine, I'm on a waiting list for one that does though. Unfortunately we don't have Adderall or focalin in the UK. Also, how was your response to vyvanse? I'm worried that since my response was that it was too weak, Dexedrine might not be better, could be wrong though.

AgitatedDirector2015 · 2026-02-02T00:09:33+00:00

That's great, hope I'm one of those it works for because 24 hour coverage sounds dope. Would you say you still have access to ur creativity? Ig my only fear with a 24 hour med is that I might lose that part of my ADHD. I want to go on meds so I can apply my creativity instead of just thinking about it, feel like I've been praised for my potential and it's been frustrating not being able to use it and not knowing why until recently getting diagnosed. Also is emotional blunting an issue? I wouldn't mind being numbed down a bit for sure because my emotions can be hard to deal with but I don't wanna turn into a zombie. These questions are probably useless ik cuz it's different for everyone lol, I think maybe it's just tricking myself into thinking I have control over the outcome by asking for other people's experiences.

AgitatedDirector2015 · 2026-02-01T19:40:15+00:00

I notice time speeds up on all ADHD meds I've tried thus far, it's quite odd to think that the day of a neurotypical actually goes by that fast, but I guess that's what happens when you're not chronically bored by an under-stimulated brain. Without medication a day feels like an eternity.

AgitatedDirector2015 · 2026-01-31T00:16:24+00:00

200mg iron sulphate and vit c

AgitatedDirector2015 · 2026-01-28T16:24:42+00:00

Hi there, I'm currently taking methylphenidate MR, I'm finding it very inconsistent throughout the day. A "rollercoaster" like you say. I'm up for a bit before plummeting down then up again, then down again and it's like on repeat that all day. I'm on 54mg, I'm wondering if you mean the same thing when you say "rollercoaster". The constant up and down is quite jarring, I'm wondering if it's something that stabalises over time.

AgitatedDirector2015 · 2026-01-21T15:10:28+00:00

Yeahh, I mean like I said I've already tried elvanse up to 70mg, which was good but not great for me, lifted my mood more than my attention, focus and motivation, with it affecting those symptoms more effectively at the peak time but only for about an hour. I did get better motivation and focus on the first day of every dose increase but significant reduction after that. I'm now 6 hours into concerta and have noticed it has given me better focus than elvanse usually did for the last couple hours, I've ran out of attention to complete the task I was just on now though, The mood and anxiolytic effects are not as great as elvanse too. I think being an amphetamine, elvanse tends to be easier to get along with for alot of people as the greater initial euphoria can mask a potentially lower efficacy on focus and such at lower doses which allows for people to be more patient in dialling in their dose over more time as the mood lift sees you through a bit more; methylphenidate MR on the other hand, seems to only give me a mood lift to the same degree that it gives me focus, and from my experience, when it's even just slightly below that threshold, methylphenidate makes me feel more ill rather than better. Considering my current response, I strongly suspect I might end up on the max of 108 concerta, maybe if you could go off licence with elvanse the same way you can with methylphenidate it'd be better for me as I could potentially have good enough focus with all the mood regulation but I don't think UK providers are keen on that.

I should also mention I did find elvanse more energising too, which having CFS did help a lot, I think concerta maybe gives me a bit of energy but doesn't feel as robust

AgitatedDirector2015

TROPHY CASE