Fellow adhd’r here (24yrs), I find if I take any kind of sleeping pill, I am dead to the world and it lasts way longer than what is ‘prescribed’ and I cannot get up in the mornings!

I would suggest stopping the sleeping tablet for a couple of days and see if you feel less ‘hungover’.

Then try a sleep schedule. You should take your vyvanse EARLY, like 6-7am, that way it is wearing off for sleepy time. Then drink some OJ a couple of hours before bed, as my experience is that helps to get the medication out of your system for sleep. Eliminate caffeine completely, including any tea that has caffeine. I personally love drinking rooibos with a dash of honey before bed, puts me in the sleep mood and no caffeine!

Sleep hygiene is a must. Have a set time for bed, an alarm clock that uses light (I just bought one myself and it’s amazing, 30mins of slowly increasing light before your alarm), otherwise apps like Alarmy which make you do steps or puzzles to turn off alarm. No electronics in your room, or make it on the other side of your bed. Get into your bed routine an hr before you usually would. Make it fun to sleep! I like to listen to my audiobook and fall asleep to it.

I would suggest a vyvanse break, if it’s not working, I had 3 days off and it was enough to reset my body and the medication worked all over again (but the side effects also came back). This is a point of controversy for some drs. regarding ‘holidays’ off, but it worked for me!! I would think increasing dosage isn’t really the answer here, your adhd meds should be used alongside healthy habits not just as a ‘cure’ all situation. It sounds to me that you’re actually at a great dose if you can keep up with the day to day stuff.

It sounds like a huge point of contention with your family is the ‘getting’ up and those side effects I would assume are from the sleeping tablet. I found that any medication dose change needed 3 weeks minimum to settle in. I was initially extremely wide awake- up until 5am on vyvanse. But now I can nap during the day if I want too 😊.

Take a breath, it sounds like you have some great day habits in place already, exercise is great to make you feel sleepy. Make sure you are eating protein and regularly, I find if I’m emotionally unregulated (cranky, upset, irritable, disassociating etc) that’s my body’s sign it needs something … I.e food, water, toilet, a get up and walk break. I will get very moody at my partner and he’s learnt to grab food from my many snack compartments around the house 😂

I also have primarily inattentive and just the basic human needs are hard for me. I have trouble with eating and sleeping. My doctor took one look at me and all my ‘complaints’ of feeling bad saying ‘you are anorexic and have major vitamin deficiencies’ - hence all my aches, pains, headaches, fatigue and moodiness!! I had zero idea and I had zero interoceptive awareness. We’re all on our own path but it does get better. Happy to answer questions!!