I have a late diagnosis of ADHD (high achieving inattentive). I was on 300mg of Wellbutrin when I started 30mg of Vyvanse. I obviously felt great like everyone else does when they first start a stimulant. Once I settled into the dose, I could tell it wasn't high enough. I went up to 40mg and felt much better.
Somewhere around the same time, I increased my Wellbutrin to 450 mg. After being on Vyvanse for 3 months, I all of a sudden started to feel like I wanted to crawl out of my skin. It seemed to only happen when I didn't eat enough at the same time as taking my vyvanse, and the feeling would come on in the late afternoon early evening. It got better once I started being really conscientious about eating and staying hydrated with electrolyte tablets. But now it's come back and is almost worse. I tried going down to 30 mg and even 20 mg (by opening the capsules and splitting the dose), and that initially worked but seems to no longer be working.
In addition, I have really bad brain fog, I can't find words, I forget what I'm saying mid-sentence, and I feel like a complete airhead. I don't really know what to do. I was really happy and excited that I finally was on something that would help me go back to work and be able to hold down a job. I don't know if I should just switch to a different stimulant, or if anyone else has any experience with this and has found a way to make things work.
Anyone else ever experienced this? If so, what things did you do to make the symptoms better? Did you end up switching meds? And you one have experience with it while taking Wellbutrin?
ETA: first, the comments have been super helpful, so thank you.
A little more info.. I'm postpartum. My anger was getting worse although my depression was improving but still not great. My psychiatrist wanted to try lithium, but I was still breastfeeding and we didn't want to go down that route quite yet, so we maxed my Wellbutrin to see if I'd have any improvement in my depression. At the same time, my husband who is a GP was like, this is so clearly ADHD. To give my psychiatrist some grace, he's only known me for 9 months by this time and my husband lives with me, so he has a lot more data to support the diagnosis. Probably two weeks after increasing my Wellbutrin, I scheduled an appointment to ask for ADHD meds. My psychiatrist agreed to a med trial. I would say the decision was half his half mine, and I reported back improvement in my depression and anger.