I don’t, my psych straight-up told me they’re not recommended or frankly needed for most people, definitely something you should consider talking to your doctor about your treatment plan. Personally I’ve not seen any decrease in efficacy with 4 years of vyvanse not due to work stress or poor sleep, but every person reacts differently to medication.

Yeah, I don’t. Even in holiday I want to be able to go look at stuff and read books, not just lie in bed scrolling my phone and feeling mad at myself. But what has been helpful is getting different dosages (a benefit of the terrible ritalin supply is I sometimes got my 40mg as 4x10mg). That way I can take less on days when I’ve not got a lot on, and just want to relax. But taking nothing is not a good day.

I dont take my stimulants on weekends in most cases. But in the instance where I did start to develop a tolerance we switched to a different type or class. We recently switched from Vyvance back to Aderall XR because the Vyvance efficacy was dropping.

Is a single day really effective enough to decrease tolerance?

Try substituting another stimulant. Nicotine and caffeine are pretty common ones that can help take the edge off

is that actually necessary? i used to take ritalin everyday and i don’t remember being advised to take breaks by any of my psychiatrists

also, in my experience, ritalin was basically an on/off switch. i was fine when i took it, but whenever i had to stop taking it for any reason (e.g. a two-week-long ritalin shortage in the pharmacies around me) i felt just like before (i.e. like shit)

but ymmv as always

Not looking forward to that … I slowly increased the dose over 6 months as effects were fading, but I’m near the normal adult dose.

Would Modafinil work during the “holidays”? It has a very decent effect on me, although with huge side effects, but things get done and it should not (as I understand the matter) have cross-tolerance with a stimulant.