Elvanse keeping me awake for two days at a time - what helps?
I am in titration and currently on 30mg of Elvanse. Every time I take it, I am awake for two days at a time; it's annoying because the dosage feels about right, but it is lasting far, far too long in my system.
I have tried a few tricks such as getting up super early to take it, taking it then going back to sleep, cutting out caffeine, etc, but it seems to last over 24 hours. I go to bed sometimes and it's like it kicks in then! I'm not sure if I have a weird metabolism or what is going on.
I have had insomnia my whole life, and do suspect that I may have a non24 circadian rhythm anyway, but the Elvanse is making it even worse. A few times a month, my body will not naturally get tired and I may be awake for two or three days at a time, but the Elvanse seems to be making this into quite a regular ordeal! I am unable to actually take the medication daily because of this. If I did force myself to for like a fortnight, I genuinely think I would go into psychosis from sleep deprivation. I am already hallucinating before I go to sleep, then the cycle starts again.
I have heard getting instant release medications can be pretty difficult here,` but I'm starting to consider that an instant release may be better for me than an extended release. I am interested in hearing people's experience with IR medications if they are willing to share :)
Yet again, all of this is quite annoying because it seems like the right dose in terms of intensity, but it's just lasting bloody ages. I know I need to talk to the doctor, but I would still like to know what options are available, or if there are any lifehacks that might help without having to change meds.
TLDR: Elvanse dose is right in terms of effectiveness/intensity, but lasts so long that the sleep deprivation basically cancels out all the productivity! I also would like opinions on IR meds :)