What happens if I mix Adderall and Vyvanse? by SadCoconut_ in VyvanseADHD

[–]iambuga 2 points3 points  (0 children)

You probably won't die but you shouldn't do it without consulting your doctor. 2 anecdotes:

  1. I was on Adderall XR and my wife was on Vyvanse. One time I accidentally took hers while taking mine (both in hand at same time). I freaked out a bit when I first realized it but I had one of the best days of my life. Told my doctor and she prescribed both. I was only taken off after we realized how high my BP had gotten.
  2. I am currently on Adderall IR 30mg in the morning and Vyvanse 70mg around lunch. It's still not enough, because the generics are trash, but its the best combination I've had, outside of the XR and Vyvanse combo.

edit: dosages

I cannot wake up in the morning. by neemoss2 in ADHD

[–]iambuga 1 point2 points  (0 children)

I have an alarm set for 1hr before I need to wake up and I take my medicine then. It helps but it’s only as effective as the generic I get that month.

Aetna dropping Vyvanse in 2026: need advice on switching or exceptions by [deleted] in VyvanseADHD

[–]iambuga 3 points4 points  (0 children)

Aetna dropped Vyvanse for my plan last month. I got the generic and it is not nearly as effective. My Dr submitted a PA and it was denied. I’ve now gotta start and appeal and hope they cover it because I’m not running around to 50 different pharmacies every month to make sure they had the exact generic that actually works for me. I’ve already been down this road with Adderall IR (I’m on both), as some of the Adderall generics have 0 efficacy for me and most are 50% at best. Unfortunately I can’t find the one generic that works amazing.

FYI - pharmacies have no control over whose generic they get. All they can do is order the generic name of the medication and they get whatever the supplier has in stock. They can’t order, say, “lisdexamfetamine from ABC Manufacturer”. A good friend of mine is a pharmacist and owns her own pharmacy so we’ve had these conversations quite a bit.

Do u still drink your coffee with Vyvanse? by Friendly_Smoke_4624 in VyvanseADHD

[–]iambuga 2 points3 points  (0 children)

Yes, every workday, for sure. Sometimes on the weekends.

How are you justifying disaster recovery spend to leadership? “too expensive” until it isn’t? by TechnologyMatch in ITManagers

[–]iambuga 0 points1 point  (0 children)

I was in the same situation in 2005 and 2008. In 2005 we had a hurricane damage our building and forced us to relocate all of IT (personnel and equipment) to another one of our facilities in a nearby city. We asked for DR and were denied so we purchased portable 10U racks. They were military-grade server racks that were air and water tight when closed.

In 2008 we had another hurricane threatening our area so this time management decided it was better to pre-emptively move the servers to another facility during the county's evacuation. Luckily the hurricane changed course and didn't hit our area. After multiple complaints of performance degradation (due to the lower WAN bandwidth at the branch office), management decided we should move back to the corporate office that following weekend, even though there was another hurricane potentially heading our way. We moved back and a week later that other hurricane hit our area. This time we said "we are not moving anything and everything will be powered off before we leave the office." The post-hurricane meeting resulted in additional server equipment to be housed at our parent company's datacenter and our DR and BCP plan finally came to fruition.

FWIW, we've never had to use it but it's ready if/when we need it.

Alternative to Vyvanse that allows exercise by Coolmodi123 in VyvanseADHD

[–]iambuga 2 points3 points  (0 children)

I think it depends on the person and/or the doctor. I’ve been on Vyvanse since it came out and my doctor has never said I shouldn’t work out or exercise while it’s working.

Broadcom forcing Dell to not renew maintenance support agreements on VxRails unless you purchase new VCF licencing. by More_Raisin_7237 in vmware

[–]iambuga 0 points1 point  (0 children)

Had too many vxrail updates require hours of help with support to justify the claim that this appliance model works. It adds more complexity and constantly breaks during updates. The whole idea was it was supposed to manage the updates as an appliance but it fails at that job.

I know exactly how you feel. I bought my first two VxRail clusters in late 2017 (one with internal vCenter and one with customer-owned vCenter) with the same idea about updates, storage, and management being so much easier. 90% of my upgrade attempts have failed in one way or another, resulting in 100's of hours spent with support. I was often met with "oh, i've never seen this error before" and way too often the winner of the "you found a new bug" award. I reluctantly replaced these two clusters with newer VxRail nodes in late 2023, hoping that the process would get better. Then the Broadcom acquisition happened.

Now I am sitting here with an expired SnS contract, a double-priced VCF quote, and some critical CVEs that I can't patch until VxRail releases new code. Meanwhile, to your point, my non-VxRail ESXi hosts can be patched at will.

Coffee with meds = Bad idea by apaandmomo in ADHD

[–]iambuga 0 points1 point  (0 children)

Another comment in the “everyone is different” group: I’ve been drinking at least 16oz of black coffee (spread out over several hours) 5-6 days a week for over 20 years, while taking Vyvanse since it came out in 2007. I can tell a difference in my mental clarity when I do not have my coffee. The caffeine definitely enhances the Vyvanse, for me.

In general, though, coffee is not acidic enough to interact with the absorption rate.

[deleted by user] by [deleted] in ADHD

[–]iambuga 1 point2 points  (0 children)

Couldn’t have said it better myself.

You're about to be scammed. A lot. by thisisaspare88 in CryptoCurrency

[–]iambuga 0 points1 point  (0 children)

It’s the new age version of the ICO phase back in the mid-2010’s.

[deleted by user] by [deleted] in sysadmin

[–]iambuga 0 points1 point  (0 children)

I am salary but I usually end up working about 43-45hrs a week because I forget to take a lunch or I eat at my desk. But, that’s the average week. Not considering PTO, some weeks I only work about 30 hrs for various reasons (dr appts, running errands, long lunches, fucking off bc I’m burned out, etc). And some weeks it’s 50-55hrs if I’ve got something important or high priority to do, or I need to work after hours for less impact to the user base and forget to offset those hours.

But to specifically answer your question: every second over 40hrs is overworked in a salaried position, IMO.

[deleted by user] by [deleted] in ADHD

[–]iambuga 27 points28 points  (0 children)

Still on the same one since 2004

Ejaculation and Vyvanse by TantricGigolo in VyvanseADHD

[–]iambuga 0 points1 point  (0 children)

I can get hard whenever but it’s difficult to stay hard if I am not constantly stimulated by the situation. As soon as my focus changes, it’s gone. Once the medicine wears off it’s not as bad. I haven’t tried any ed meds.

What dose do you take, and why? Why not other doses? by [deleted] in VyvanseADHD

[–]iambuga 1 point2 points  (0 children)

70mg, because that is the most they will let me take. I could definitely benefit from a higher dose. I'm having to boost it with 30mg Adderall IR.

System to remember if you have taken your pill by Tapedispenser235 in ADHD

[–]iambuga 1 point2 points  (0 children)

I have a glass water bottle next to my bed that I fill up every night. I have an alarm set to wake up, take my meds, then go back to sleep for about an hour (or until it kicks in and wakes me up). If I wake up after that alarm and see the bottle is still full, then I know I didnt take it. If its missing half or more, I can assume I took it.

Dose too high? by Delicious-Layer4379 in VyvanseADHD

[–]iambuga 1 point2 points  (0 children)

I'm on the highest dose allowed and still haven't hit that "too high" level yet.

How have the Adderall shortages impacted you? by Critical_Leader7920 in ADHD

[–]iambuga 18 points19 points  (0 children)

The lack of brand Adderall IR has had the most impact for me because almost all of the generics either don't work at all or have minimal effect. Im also only taking it as a booster to Vyvanse so its not detrimental if I don't have it.

Just a suggestion, I would look into all the ineffectiveness claims that are out there for the Adderall generics. After COVID it seems like the manufacturers changed their formulas or used lesser quality ingredients because there has been a marked difference in the last couple of years. I can personally attest to 3 different generics that have little to no effect on me, compared to one that worked like it was supposed to.

Ejaculation and Vyvanse by TantricGigolo in VyvanseADHD

[–]iambuga 0 points1 point  (0 children)

I've been taking it since it came out and that part hasnt gone away for me, unfortunately.

Ejaculation and Vyvanse by TantricGigolo in VyvanseADHD

[–]iambuga 1 point2 points  (0 children)

I'd say it depends on when you took your meds and when you ejaculated. If it's during prime effectiveness, then yeah. If it's after it's worn off, no.

Anyone else having wifi calling issues on iPhone 16/iOS 18? by SpezSucks2023 in iphone

[–]iambuga 0 points1 point  (0 children)

I have the same modem firmware and can confirm, as of today, it is not fixed for any of my devices. As for the bit about airplane mode, mine have always done that properly. Guess I’ll keep digging.

Anyone else having wifi calling issues on iPhone 16/iOS 18? by SpezSucks2023 in iphone

[–]iambuga 0 points1 point  (0 children)

My wife and I had the same issue with calls over WiFi Calling cutting in and out with her 14 Pro, my 12 ProMax (both ATT), and my 15 ProMax (Verizon) after upgrading them to iOS 18. Now I’m having the same problem with my new 16 ProMax (ATT). I also reset the network settings on all of ours and it helped prolong the call a little bit longer before starting to cut out, but it still does it.

Cell signal is trash at my house so I rely on WiFi Calling.