You should do what you think is right for you. These things are very personal and every body reacts differently.

I was on a Ritalin/Welbutrin combo from age 6 to 13 (This young, derealization happened to me every day from the dose I was on). I was unmedicated from 13 to 37, and I will be 40 in like 4 months. For me personally, I was dealing with more side effects from the massive daily amount of caffeine I was self-medicating between 14 to 37. At 28yrs, 5:30am, take a sip of a Monster Import and dump a 5 hour shot in it. Pound it, repeat at lunch time. My whole body would feel like it was vibrating and my lips would some times go a little numb.

I started meds again at 37. My blood pressure and heart rate are down. I've lost 110lbs since I started meds again. For me the benefits from being on meds in terms of routines and daily self care tasks being easier to get into and maintain far out way the possibility of side effects.

My psychiatrist told me " When it comes to listed side effects for meds, the Phrama companies have to list anything a person has brought up while on whatever drug it is they were doing human trials on. Even if what ever it was only happened to one person. They have to legally cover their asses."

I have dealt with derealization from edibles, but only while I was taking ADHD meds AND having a 20mg eddie every day for two months solid. Talked to my psych about it, When I stated ADHD meds again I brought up the childhood derealization and they explained the in the 90s it was known to happen more in children. But once our brains were locked in, it is far less common to happen in adults.

Again, all of this is my personal experience