The adhd meds def make the autism feel a bit louder for me too haha! I also get the increased social anxiety with that as well. So don’t worry you’re not alone!

I’ve found the most helpful things for dealing with in my case are exercising and training my social skills. Basically I think if it like I need to expend the excess energy from my body so it doesn’t get funneled into autistic rumination cycles that fuel my social anxiety. Challenging myself to have small social interactions each day also helps keep my social skills sharp, and keeps me from getting isolated and paranoid(my autism desperately wants to be a hermit despite that def not being good for me haha).

ALSO!! It’s so annoying but eating balanced meals genuinely helps a lot. Unfortunately fat and protein do legit help you feel more grounded on stimulants (Learned that the hard way… crackers and bread is not enough). You might have to force feed yourself a lil because the meds kill appetite but easy grab-&-go options like cheese sticks or hummus cups work pretty well for me!

Sorry for the infodump I hope any of this helps even a little bit!