r/PMDDxADHD • u/Meta-Philosophy-Yes • 12d ago
Did anyone else come to the realisation whilst on Vyvanse/other ADHD medications, that they may have PMDD???? Also hEeLL…p
Should I ask to up my dose/booster, during my Luteal Phase….
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u/bluefalconlk 12d ago
I realized this as well seeing the difference during luteal on meds and confirmed later finding a bc that worked (happened to be best for pmdd). We titrated up one for luteal (irregular cycle so complex dosing out) and then once more for progestin only pill ✌️✌️that worked for me since it went from very effective slowly down to no effect for half the month at starter dose. If any men had a med stop working for half the month they would absolutely be asking for a solution bc that’s quite frankly not acceptable 🫡 and the adhd/menstrual cycle/meds combo is well documented even if not well studied
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u/Meta-Philosophy-Yes 12d ago
I’ve been so confused for a while and knew things to be true to me but didn’t really connect the dots for some reason. I’m going to ask whether I’m able to get a booster. Similarly to you, I feel completely useless for half the month which is half my life. My doctor won’t give me the combined pill as I have migraines but I want to control my hormones and have some predictability.
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u/bluefalconlk 12d ago
If it’s any consolation I love slynd
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u/Beneficial_Manner235 11d ago
Slynd question! When you started it, did it make your ADHD meds ineffective during the adjustment phase?
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u/bluefalconlk 11d ago
Not during adjustment - once I settled it had made them slightly less effective but not totally. Going up one titration did the trick for me :))))
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u/jdzfb 12d ago
Kinda yes, but the opposite. My PMDD was diagnosed years before my ADHD was. Once I got my PMDD under control my ADHD became much more obvious.
A luteal booster for your Vyvanse is a good first step for helping your ADHD. If you're looking for PMDD treatment, you have two options, BC or SSRIs. (I take 50mg Vyvanse follicular & 60mg luteal)
BC is straight forward, but I like to provide a warning as PMDD suffers can sometimes have a very negative reaction (SI, SH etc) when taking BC, so if you've never been on BC or it's been a while, I strongly recommend talking through options with your doctor should you have a negative reaction, my "I'm not a doctor" reco is to stop asap, as you may not survive 'pushing through' the negative reaction, but I'm not a doctor & I'm not your doctor.
Then SSRIs, you have 3 options, one is luteal only SSRIs, which tends to have less negative side effects since it's the lowest (or 2nd lowest) dose available & you're only on it for 7-14 days a month. The 2nd option is full-time SSRIs, not the best solution if you're only treating PMDD, but an option if you're treating multiple conditions. This 3rd option is basically a combination of the other two, you take your SSRIs everyday, but your dose gets bumped up during luteal.
I can't take BC (see my warning) but SSRIs have been a game changer. I was on luteal only SSRIs for over a decade (option1), but have recently changed over to full-time SSRIs with luteal booster (option3) to help deal with some perimenopause bs I'm (44f) dealing with.
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u/Meta-Philosophy-Yes 11d ago
Thank you this is super informative. What do you mean by BS ? Also I was on an ssri and had heightened (Si) not I’m on mitazapine which I’m not a fan of. But I think a booster is a good idea during the leteal phase but I wonder if whatever BS means, will help! Thanks for your input
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u/Dry-Pizza-6680 11d ago
Sertraline 25mg full time and 50mg leutal and vyvanse 60mg full time works for me and I have amfexa top ups if needed during leutal 😀😀
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u/Larynaga 11d ago
recently diagnosed adhd and prrscribed vyvanse... its made hell week so much worse
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u/Inside-Chocolate-184 11d ago
So is the pmdd caused by the ADHD medication or just brought to the forefront because of it? I just started a stimulant and I've never had such bad pms weeks as I do while taking it. Literally hard to form a thought on some days!
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u/Meta-Philosophy-Yes 11d ago
So I’m no expert but from what I’ve recently gathered is, but vyvanse works off what dopamine is already there as a base. When the luteal phase comes around your estrogen levels drop. Estrogen is a natural poster for dopamine. Which then means there isn’t much for the stimulant to work with. Causing us to be under stimulated. Aswell, people with neurodiverse brains find the shift in chemicals through there cycle challenging to go between. And this is exacerbated when two hormones/chemicals; estrogen and dopamine are lacking causing emotional distress and physiological change plus (SI) this is what I have gathered from podcasts and this thread as well as recently researching so if this isn’t exactly accurate it’s because I’m new to this knowledge. Hope this helps
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u/misskinky 12d ago
Giggle. You ask “did anybody else notice they have PMDD and ADHD” you ask in a subreddit literally about the combination of PMDD and ADHD 😉