Those who have been on prescribed stimulants for many years (>5), how do you manage tolerance and crashing?
I have been on ADHD meds for about 7.5 years now. I started with Vyvanse and my dose was at 70mg in the first year. I was having bad crashes at night, so I switched to Adderall 40mg with 10mg Dexidrine and stayed on it for a few years. Recently, I switched to Concerta 90mg because my tolerance was getting too high and it wasn't working anymore, hoping that by switching it will reset my tolerance. It didn't. In fact, my tolerance drops to being feeling depressed/unmotivated in about 3 days now. So that sucks.
Taking breaks is agony for me. I have the worst stimulat headaches, no motivation, and can't sleep. My doctor knows this but does nothing. He won't raise my dose.
A lower dosage of Vyvanse split into two worked for me after my doctor sent me for a psychiatrist consult. It eliminated the crashes. It's also important not to chase the euphoria that comes with a new dosage (it's a temporary side effect). It's okay not to feel 100%. Trying to keep the euphoria will end up with higher and higher dosages.
Consider asking your doctor for a psychiatrist consult.