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Old Jan 29, 2024, 08:42 PM
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MuddyBoots MuddyBoots is offline
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(Turns out I don't have ADHD it's all dissociation/CPTSD related, buuuuut...)

If you have bipolar or are prone to psychosis or addiction and need ADHD treatment there are non-stimulant options like Strattera (which can still cause hypo/mania but not as likely as stimulants), guanfacine, and clonidine (both of which would not be helpful for you as they cause sleepiness). I had a short trial with clonidine, but that was for insomnia and that was over 10 years ago. Every stimulant comes with greater risk of speeding you up and are straight up not recommended for comorbid bipolar/ADHD.

Not sure what would be best for (your suspected) narcolepsy though. I know that's generally treated with stimulants, so I guess if you have BP and narcolepsy--like with seemingly everything--it's a trial and error thing. Maybe you'll have better tolerance with a lower dose or methylphenidate?
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