The question came up during therapy.
Reasons:
- The lisdexamfetamine is completely out-of-pocket, while the methylphenidate could be paid for by insurance. Even tried, failed and documented, future lisdexamfetamine would be paid for by insurance.
- There might be a co-occuring autism spectrum disorder, and methylphenidate sometimes does a better job / less side effects, then.
- While the Elvanse/Vyvanse completely fixed two symptoms, ability to focus and getting started with a task, more would be nice.
But, I’d like to stay functional, so is this attempt worth it?
I’m lisdexamfetamine (Vyvanse, but more recently switched to the generic version of it) and my son is on methylphenidate (Concerta). So I occasionally take Concerta just out of curiosity and because I’ve been contemplating switching to Concerta myself. For me, both feel very similar and I wouldn’t be able to know which one I took if I was given one at random. The effects from other factors such as sleep, diet, etc. are more significant than the kind of med I’m taking.
Exactly the kind of experience I need to hear from, thanks!