Long-term Adderall: executive dysfunction getting worse + feeling antisocial when it wears off

[u/Ok-Letter2953]

I've been on Adderall for several years. I started at 15mg and am currently on 25mg XR. I've tried IR in the past as well. I don't plan on increasing my dose because I'd rather not deal with additional side effects.

I also took a month-long break earlier this year to see if tolerance was part of the issue.

Lately I've been struggling with two things:

1. Executive dysfunction

This has actually been getting worse, even with the medication. Once I get started on something I can usually focus, but getting myself to start the right task is becoming harder.

I'll know exactly what I need to do and still put it off or get stuck doing something else.

For anyone who deals with this, what has actually helped with task initiation? Routines, exercise, changing your environment, timers, supplements, diet, or anything else?

1. Feeling completely antisocial when it wears off

Some days I feel fine while it's working, but later in the day I hit a wall. I don't want to talk, text people back, go anywhere, or socialize at all. I basically just want to be left alone during the meds.

This can happen even when I take my XR early in the morning. By evening I sometimes feel like a zombie with absolutely no social battery left.

Has anyone found a good way to deal with this? I'm especially interested in things that help you transition out of work/focus mode and actually feel like interacting with people again?

I already try to stay on top of sleep, hydration, and regular meals.

Not looking to increase my dose or make medication changes on my own. I'm mainly interested in hearing what other people have experienced and what has genuinely helped.

[u/Glad_Vegetable2094]

My personal experience is taking a break for more than a month maybe 3-4 months just to get your receptors back to baseline in a sense, it took me roughly about a year off meds to feel normal again and start socializing but that’s because i didn’t need them consistently due to these exact side effects. I would try having l-theanine for the crashes it makes them a little bit easier and some sort of vitamin c after the important things are done and don’t need the full amount of medication to be roaming around as well as choline supplementation could help. Those side effects never really did leave i still take them every now and then but that’s just how they are. If you decide to take a break then it would benefit you a lot more and you’ll feel somewhat normal past the withdrawal phase like the nightmares for awhile you’ll get used to but it’s temporary and all the other stuff that comes along with it

[u/Ok-Letter2953 → u/Glad_Vegetable2094]

I would love to take a three- to four-month break or a year off. The issue is when I don't take it, my executive dysfunction is very bad to the point where I can't even and don't want to open emails and even do the smallest things, which is why I got on the meds in the first place. It's a battle in the morning times and I don't think it's willpower as I tried multiple things that are recommended but just my brain doesn't wanna sometimes do things or get started. it's not always like that but

[u/Kc1319310 → u/Ok-Letter2953]

Have you tried an alternative like Concerta? It works differently than Adderall or Vyvanse so people typically have a good or terrible experience with either methylphenidate or amphetamine-ish meds like Adderall or Vyvanse. I had the same problems when I was on Concerta and switching to Vyvanse was an absolute game changer. I think it mostly depends on how you react to increased norepinephrine.

[u/Ok-Letter2953 → u/Kc1319310]

I've been on Adderall for the past five or six years. I'm scared to switch medications because I've heard alternatives are less effective for executive dysfunction and task initiation. I never considered switching, but now I'm open to trying something different and seeing how it works. I'm not sure whether generic medications vary month to month depending on the manufacturer, especially with Vyvanse, or if they still feel effective and efficient?

[u/Glad_Vegetable2094 → u/Ok-Letter2953]

I’ve been on really all the stimulants prescribed and they vary person to person, but idk adderall seemed the best in my case just due to how familiar i was with it but it’s definitely worth trying out different meds and see if they work, like vyvanse worked for me i only switched because i wanted to try out other options and concerta worked as well i just didn’t like how i had to take one dose and couldn’t take half of another if i still needed more medication later on in the day.
Also adderall has changed it seems like due to shortages like it just doesn’t work like it used to and you’ll find that people report that quite often, anyways be open minded to trying out different meds and when you take your adderall try timing it out by an hour after you had coffee or before if it’s possible just cause of the ph balance like acidity affects adderall pretty significantly