Trying to put down in words what it feels like taking Vyvanse for the first time as an adult diagnosed after 30.
After years of trying other treatments, therapy, non-stimulant medications, I’ve got my first prescription for a stimulant and today is my first time taking it. I was always wondering what would it feel like so I think I’d try to describe it:
After the initial physical sensation subsided (stiff feeling in the neck, jaw, a feeling like tension on the skin of the back of the head) and I’ve started my work day I’ve realized that I’m pretty much feeling calm. Like there was a race in the back of my head where each task was fighting for a priority and I was trying to accommodate the first one that came to mind, but now while the race is still there I can just methodically pick one out and focus on it for a bit, or switch to another while still remembering the first one. It feels almost mechanical in how calm the process is (maybe a bit too mechanical actually), and I feel less governed by emotion.
I’m still getting distracted, but it seems like distractions last much less and I don’t feel panic and urgency after returning to the task at hand.
Now I wonder what it feels like once the effect is over, and if I will be able to sleep tonight normally.
One other effect is that there is almost no hunger, so I had to remind myself to eat something. In that regard it feels similar to hyperfocus when I’m absorbed in a task and forget to eat anything. I don’t know if it’s actually bad since I do have enough weight that needs losing, but I also don’t want an eating disorder. Feels like I need to start planning my meals.
My experience may be different to yours, but I found that I could actually sleep better with Ritalin on board than without. I can actually have a nap if I decide to and will actually fall asleep while having an active dose, whereas if I don't I am too agitated and can't relax enough for a nap.
As for eating, OMAD (One Meal A Day) is good for me, I can not worry about it and just eat in the evening and cover my full day intake in one go. It makes organisation much easier simplifies my schedule. It is also better for blood sugar regulation and insulin resistance, so if you are prediabetic it can help reverse that damage.
That said, if you take it every day you will probably find your hunger signal changes to be more obvious while on the meds. I have found that I can get my three meals a day while on Ritalin after a couple of years of taking it, but skipping is also fine and doesn't upset me like it does without meds. This is also true of pain, I can tolerate pain much better with my meds than without. The pain isn't gone, it just doesn't intrude and disrupt as much so I can keep doing other things.
I will also say that the sense of holding two tasks and switching between them, not forgetting the other, is something that I find works better off the meds than it did before the meds. I assume it is because I can actually train the skill with the meds on board and get better at it, then when I am off the meds the pathways are stronger and easier to use. I can't say that for sure, but it certainly seems more possible to ignore distractions off the meds than it was before the meds, so I think skill is a part of it, though the other side is probably some degree of burnout and a lack of resources before the meds compared to after having them for a while.
Anyway, good luck, I hope it goes well for you.
Thank you!
And I can't imagine having only one meal a day yet.
And I know what you mean about being too agitated to sleep, sometimes I feel like I'm too tired to sleep, because the brain is trying to process a lot of things and is too slow from fatigue, and it keeps me from sleeping...
Still, first day I didn't manage to sleep... Hopefully I'll adjust soon
Do you mean you didn't sleep the night after you had a dose in the morning? Normally the dose wears off after 3-4 hours for standard release Ritalin and 6-7 hours for extended release. That would mean if you took it at 10am it should be completely worn off around 2pm for standard Ritalin and by 5pm for extended release. Did you take a second dose?
It is important to remember that how it is today is unlikely to be how it is in a few months. Your body has to get used to processing Ritalin and also the different level of demand you will place on it given your improved capacity. You may overextend yourself and maybe even hurt yourself in this process. It is normal to have some trouble adjusting and small issues like one missed night of sleep but it should level out within a fairly short time, maybe a week or two. If you have ongoing disruption make sure to talk to your prescribing doctor and make sure it isn't a side effect.
Good luck, have fun!
I only took a dose in the morning, and while it felt like the main effect did wear off by around 7pm my brain still felt wired for longer.
Thank you for the advice, I’ll try to pay more attention to the effects, and hopefully it will normalize soon
Ah, good to know. I have found that the state I was used to calling tired was actually really exhausted, absolutely out of energy. Using Ritalin made the cost of things much lower so I felt like I could go for hours after my dose ran out. It was actually that I had gotten used to being absolutely ruined by the day and expected to feel like crap that drove my response, and now I go to bed with the capacity for a fair bit more than I used to.
I go to bed less fatigued and tired and sleep more than I did before Ritalin, but I do sometimes have trouble sleeping. I have found that heavy work, like a weight lifting routine or playing with kids, helps a lot with getting the physical agitation under control. I need to be active to be OK and when I am not able to be active I end up with depressive symptoms and sleep disturbance.
I would recommend trying a calisthenics or weights routine at some point, maybe a few months down the line, to see if it helps after your initial adjustment. It also helps with getting mood regulation working a bit better and can make sitting still much easier. I have worked various jobs and lifting heavy things helped a lot with the physical symptoms, though the boredom set in and made the job intolerable fairly quickly. I now work in personal disability care and the varied needs of my clients helps to make the job sustainable over a longer time.