Opinions - Lisdexamfetamine + Fluoxetine + Advice

[wespawloski]

SWIM has a prescription for 30 mgs Vyvanse and has recently been dealing with comedown issues. He is now experimenting with 150 - 210mg + which provides benefits for six hours+ unlike 30-90 which causes him to crash in 2-3 hours and hurts his school day.

He is taking Vyvanse for continual depression, concentration, sensory lag, lack of feeling etc. He has been prescribed Escitalopram(Lexapro), Fluoxetine, Bupropion, and Atomoxetine which he has found all of them to be completely useless, notably in the case of Strattera after four weeks+ he still was getting a tired effect and a 4x dose made him really really tired.

SRIs seem to have little to no effect on SWIM after a month of use, but he is curious that perhaps in conjunction with Vyvanse, Prozac might prove ultimately beneficial. He does not want to go down a line of pushing prozac needlessly if it will make him semi-tired and provide no benefit while diminishing his hunger; he is in an experimenting mood with St. Johns, 5-HTP, and his amphetamine dose and has no idea whether to bother with prozac.

Also Vyvanse is proving very calm and ... weak compared to SWIM's previous street methamphetamine pill experiences. He doesnt mind not having a euphoria, but feels more that he is missing out on a delicious part of amphetamines which could possibly open another door to improving his life. SWIM's psichiatrist is on vacation atm and he is trying to figure out a gameplan to discuss, and is thinking about trying a different stimulant. Suggestions in SWIM's case? He is not looking to get high, just to overcome issues of anxiety and concentration; Vyvanse being his first pharmacutical he has no idea what to expect, but being only decently fulfilled at 210 mgs he feels Vyvanse may not be right for him and does not like the idea of pumping that much amphetamine into his body daily.