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@dlydailyhope

@sandguy
I hear you about the desperation about extreme fatigue and struggling to function each day.

My son has ADHD and takes some of the medications you mention. When a person has ADHD, they respond to stimulants differently than a person who does not have ADHD. It actually has a calming effect for those with ADHD and helps them focus.

Stimulants can cause different symptoms for people and you need to try different ones to see what works best for you. It is best to use the lowest dose possible for improvement in energy levels with the fewest side effects. I do know that my son did not do well on amphetamines and did better on methylphenidate for ADHD. Those with narcolepsy may need treatment with stimulants and I understand it can be helpful for them.

The issue with stimulants is that they can become addictive and they can cause weight loss and difficulty sleeping. Not sleeping well will cause more health issues and losing weight may not be good for some.

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Replies to "@sandguy I hear you about the desperation about extreme fatigue and struggling to function each day...."

Yes, thank you for that. As a matter of fact I had a child psychiatrist for a while in the mid-sixties who was hip to the new ADHD diagnoses and tried Ritalin, aka methylphenidate, on me, but it didn't have the hoped for "paradoxical effect" on me, and instead I was put on some kind of tranquilizer that I would ingest at lunchtime.
I've been tranquil ever since...
As a matter of fact, a narcolepsy medication, modanafil, is being used as a treatment for LC, as described in this jounal article:
https://psychiatryonline.org/doi/full/10.1176/appi.ajp-rj.2022.170402
Like methylphenidate, it is a CNS stimulant (not an amphetamine per se, although I was using that term in a more general sense.)
It is one of the stimulants I'm considering trying.

Your cautions are sensible. I've only gained about 5% weight which frankly surprises me given my now sedentary, luxurious lifestyle, so I could stand to lose about seven pounds. Sleeping is sometimes an issue for me, so I would probably just take it in the morning, and wait for the "crash" to go to bed...

Addiction would be something of a concern. Even decades back in my "recreational drugs" heyday, I made it a maxim to never consume addictive substances. (Well, Bolivian marching powder might be an exception to that, but I never got carried away with it...).
But, yeah, I just don't like the idea of taking something that is potentially addictive.
(Except caffeine, if that counts...)

Thank you SO MUCH for your helpful input here!

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