Meta, I do the meds as needed but if I go too long, I find out about the as needed part soon enough! People tell me I'm forgetting things, disorganized...all I really have to do is look at my desk!
If it's turned into a jumbly mess, I have to go back on.
I think one day on, one day off is the right mix for me.
On another strange similar note, I challenged my wife about exactly what concessions or even acknowledgement has she made about my ADD and she said "I think you use it as a crutch" arrrgghhhh....talk about spouses without a clue