As documented by Scott Codex[0], there is a medication that may address these issues, but you may have trouble getting it prescribed.

[0]: https://astralcodexten.substack.com/p/know-your-amphetamines

Thanks so much for this link. Super helpful. Went through them and found commenters who had hbp. guanfacine was a recommendation to try. I'll see if I can get a hold of some... not sure.

In Switzerland you can get dextroamphetamine made by a pharma chain from here. Other than ritalin and Adderal that are also commonly available, it's not only much cheaper (no brand licenses), but also way more effective with less side effects.

Pretty sure it doesn't help with blood pressure, but especially the way to common Ritalin comes with weird side effects that most people likely won't enjoy.

What's your health like? Meaning, age, gender, weight, height and fitness level (aka are you fat and unhealthy or fit and train 3x+ weekly)?

I did, my Blood Pressure is not great either but luckily, not enough to prevent taking anything, but enough to be careful. I'm in ok shape, not the best I've ever been in, but not terrible. I just take something to help reduce my heart rate at night.

Unfortunately stimulants don't have much of an affect on me so I take quite a high dose at the moment. I'm doing all the suggested things to help them along, like increasing protein, getting more Zinc, Magnesium, Vitamin D etc, staying away from citrus. Ensuring good sleep hygiene.

I see a psychologist regularly to unpick the weight of all the masking and coping mechanisms. It's a long process, but making much more progress than when I thought it was just depression and perfectionism issues.

I'm starting Neurofeedback to see if that helps and planning to use an ADHD specific performance coach in the new year to help with work.

You might discuss an SSRI with your docs if you don't already take one. They can help with the depression, and seem to promote neurogenesis which can help the re-wiring process. Of course they can have side effects.

I've been curious about neurofeedback too. You mean the ones that record physiological responses right? Theres also brain stimulation devices which seem intriguing https://www.healio.com/news/psychiatry/20190422/fda-permits-...

Warning: SSRIs are highly habit forming despite not being scheduled as narcotics. They cause intense physical dependence. In my opinion, the juice is not worth the squeeze.

Question: what's the issue with citrus in this regard? Does it make long-acting medications not work as intended? My doctor never mentioned anything about citrus so I'm curious. thanks

Citrus (grapefruit is probably the worst offender) inhibits your body's absorption of some medications, so taking both in conjunction can become toxic over time.

fwiw, i got diagnosed earlier this year and have a background of high blood pressure. the doc prescribed me clonidine alongside my stimulant which has kept my blood pressure around normal levels.