this post was submitted on 27 Jun 2025
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ADHD
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I’ve been on Elvanse since around November of last year.
I was supposed to get titrated up to 60mg but when I got to 50 I felt… like the inside of me was just a black hole? I don’t really know how to describe it.
In the end I have settled at 40mg. Been on this for nearly 6 months now and don’t really have any problems. I did want to strike a balance between helping with ADHD and not going too far into light/noise sensitivity issues I found are worse when on meds, so it works for me :)
One thing to note though if you are a person who menstruates… I didn’t have periods for a while (due to my contraceptive), but as it’s nearing its end of life they have started coming back and let me just say that your hormones can really mess with how well the meds work. I’ve got an Amfexa top-up prescription for days I am really struggling, but other than those oddities it has been good so far :)
Nice to hear you‘re doing well on Elvanse.
I noticed a weird feeling of emptiness/emotionlessness a few times, always in the early evening. This could be temporary anhedonia as the brain becomes desensitized from all that excess DOPA-Amin & Norepinephrine. Like your eyes having to adjust to the dark after looking into a bright light.
Light/noise sensitivity is up for me too, makes me wary of increasing beyond 30mg.
Yes I get that sometimes too! I like your explanation because I had been struggling to explain. I generally just need to sit in silence or something at that point and give myself space to readjust.
Definitely tell your doctor if you are feeling good and if the meds are lasting long enough for you right now. Speaking up for yourself is important to make sure you are getting what you need, not what someone else assumes you need.
You could always increase the dose later down the line if you need to.