Are amphetamines better?

iv been on concerta about 5-6 wees now and recently they increased me to 54mg. 4 days in & had to step down to 36mg as it was causing tachycardia/ panic attacks & mania . My vitals have always been in the healthy range with never any heart issues.

I have always been hyperactive but feel concerta has heightened my symptoms mentally as well as physical. I’m also more impulsive. Iv asked to switch to Elvanse as iv heard it has that edge & can raise small amounts if serotonin too which I feel I need to regulate my emotions & mood. Has anyone else felt like this on concerta? And is elvanse more calming? I’m 54.

Thanks🙏

[ValkyrieAngelic]

Concerta was the worst for me. Made my heart beat so crazy. I could feel it pounding constantly. My psychiatrist tried to make me think it was in my head lol. Ya right. It made my anxiety bad. I couldn't sleep. I tried different dosages. I even tried name brand vs. generic. Nothing helped. It was not good. I switched to Vyvanse generic. Started at 20mg. It was ok, nothing great. Side effects were negligible. I could sleep and eat fine. It hasn't helped a tonne with focus though. I tried name brand as well once I got up to 40mg and that was a mistake. It was like a completely different drug. It was wild. I developed extreme depression, anxiety, crying all the time, couldn't eat, picked at my fingers and lips till they bled. I went down to 30mg and then 20mg and then 10mg because the side effects were so bad. I had to switch back to generic.. So that's what I'm on now. I just went down to 30mg because I started getting really bad fatigue on 40mg all of a sudden. Not sure what's going on. But I'm going to try something else because I don't like how it feels. There isn't much improvement in focus so what's the point? It's so frustrating trying to find the right drug that's for sure! Maybe try generic if you're on name brand or name brand if you're on generic. It does make a difference!

[Mamamichl]

stimulant medications can raise anxiety and create heart issues. It works a lot better for my partner than it does for me. My anxiety shot up hard with both trials of stimulants. I found for my mental health that non stimulants help me. 2 of the 3 meds can lower blood pressure (one was horrible for my family) and the one that is not considered a stimulant (stratera) was what worked for me. Technically a stratera is a mild stimulant but not enough to be considered in that category. It makes me alert without the anxiety. It allows me to ignore things that dont work for my life.