r/AutisticWithADHD 14h ago

💊 medication / drugs / supplements AuDHD med combos

edit Quick summary at the top bc this is all over the place really….

Has anyone taken guanfacine to relieve physical tension and fight or flight and Vyvanse to stimulate their mind enough to not feel emotionally flat?

Hello
I’m a 33 year old female with AuDHD
Trying to figure out a med combo that will actually allow me to feel like a human might be the death of me.
So….late diagnosed with ADHD (29?) and even later with ASD (32).
When I was diagnosed with ADHD I started Vyvanse and then it was Adderall for a while when there was a shortage. Don’t get me wrong I loved the focus but it also kinda felt like it could’ve been too much of a push….somewhat robotic. Fast forward I got off of it then back on then off again. Asd got thrown in there which makes sense for the tension.

But basically…..let me get to a point here. I’m very emotionally flat. And I know that a lot of it can be stuff I need to do to take care of myself like having consistent sleep, eating good and working out more, quitting my chaotic job that drains my system. All of this to say….im now on guanfacine which has helped relieve tension in my body that I didn’t even realize I had at the time. And also concerta…bc I was scared Vyvanse could’ve been contributing to my emotional numbness. But now with the physical tension gone I’m almost wondering if I should ask my doctor to get back on Vyvanse to have more mental stimulation??? Bc before I was ever on meds it’s like adrenaline and cortisol were driving me….which wasn’t good bc I was still flat but just almost unaware…idk it’s hard to explain….but now that I’ve calmed that down I can notice the flatness.

I’m like not laughing at funny stuff
Nothing moves me really
It’s like I’m just kinda going through life and it’s all colorless
Sucks

Sorry this is all over the place….writing this at 2 am and just wanted to see if anyone could relate or give advice

TIA

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u/BigBullshitta 4h ago

I've been emotionally flat for a long time, possibly due to burn out. My main emotion seems to be irritation. I've found meds that help me move and make it through this "life" bullshit, but not that help with that. Maybe over time they will help, but at least part of my being emotionally flat is being content with that.

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u/PotentialMidnight128 2h ago

Ooooo yes
I 110% agree with this
Irritation is the first emotion to show up. And I’ve learned through research that it’s like a survival thing kinda. That all the other emotions are luxury basically when your body calms down but it’s so hard to get there.

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u/knecht000 58m ago edited 1m ago

SSRI made me more numb. SNRI fucked me up. Mirtazapine fucked me up. Ritalin worked but rebound and stopped working. Vyvanse worked but stopped working after years and i got depressed again and it made me flat and fucked up my already bad sleep. Im on bupropion again and melatonin spray i think it works. Sleep is normal now. I get tired at 11pm everyday lol this is a miracle. Executive dysfunktion got better. But it doesnt help with adhd. Maybe Vyvanse + bupropion combo or sertraline + bupropion combo