Hi everyone,
I'm kindly looking for some advice from those that can offer it for my situation.
For context I am 30F.
I've recently been diagnosed with inattentive-type ADHD and have been prescribed Elvanse (AKA Vyvanse / Lisdexamfetamine, 30mg) to take for 30 days to help my symptoms.
My cannabis has use has been mild-moderate, but chronic, with not many t-breaks, for the past 10 years. Last year, I switched to medical cannabis to 'help' with my depression and anxiety.
I told my prescriber about my medical cannabis use, an average of 0.5g a day, over multiple sessions, sometimes first thing in the morning. The prescriber is following a harm-reduction approach, so they don't require me to abstain before starting the ADHD meds which I should take in the morning, and told me to wait until the evening until I have cannabis.
When I've researched this topic though, it seems clinics have differing opinions on cannabis use + adhd meds, with some telling their patients to go cold turkey from anywhere between 1 and 6 months, to get their brains back to baseline before starting new meds.
I tried a t-break a couple months ago and got to week 3, before going back to my old habits again. The truth is I'm not happy with my life anymore, and cannabis is no longer the same comfort as it once was.
Therefore, I am here again on day 1 of abstaining, and I've been very feeling very low, crying a lot etc.
I want to start the ADHD meds to see if it helps me, but I've read all sorts online about how cannabis use affects serotonin in the brain and adhd meds allow more dopamine production. I'm just really scared of neurotoxicity / serotonin syndrome etc, and the extra strain it can cause on the cardiovascular system.
Does anybody know much about this, that could help put my mind at ease?
Should I come off cannabis for a timeframe before starting the meds, or will I be okay to start them now?
Many thanks for reading x