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.
Once I became an adult I only take the meds on the days I work. I've never had any trouble with headaches or anything when I come off. I've been on every ADHD med available throughout the years all at the highest dosage they can give me.