I’m on day 20 of Elvanse/Vyvanse 30mg and trying to decide whether to go up to 40mg or straight to 50mg (my doctor offered 50).
Initially it helped quite a bit with anxiety, mood, emotional regulation, fatigue, brain fog, and initiating basic tasks like phone calls/admin/simple meals.
Bigger/more complex tasks still felt impossible to start and I still had that paralysed feeling with things like applications, studying, tidying, cooking proper meals/meal planning, etc. The executive dysfunction didn't really improve at all.
Also by week three most of the positive effects seem to have faded (I now just get a slight reduction in anxiety), and it now only lasts about 6–7 hours before I crash and feel exhausted/anxious/irritable. I didn't have a 'crash' at the beginning.
So now I’m wondering whether 40mg is worth trying first or whether it sounds more like I’d need 50mg anyway. Did anyone here find 40mg noticeably different from 30mg? Or was 50mg the point where it properly started helping with initiation/executive function?
I appreciate any advice!