Hello everyone,
I’ll keep my questions brief. I’m in my mid-40s. I was diagnosed with ADHD in April 2025. I take Elvanse 30mg. I’m also now taking Ramipril 2.5mg and Bisoprolol 1.25mg once a day each, because my blood pressure isn’t great anymore.
During the week at work, I can stay awake. But in the evenings, I’m absolutely exhausted and incredibly tired. I’m constantly worn out and have a huge need for rest and sleep.
I work too much overtime and keep getting in trouble for it, and now I’m facing disciplinary action because excessive overtime is considered a violation of the company agreement. I’ve had equal status with severely disabled people since 2025. My employer is aware of this.
Do you also experience this constant fatigue/exhaustion despite medication? Like, could you sleep anytime, anywhere?
Do you also experience this constant fatigue/exhaustion despite medication?
What are your experiences with conflicts at work? Has anyone had personal experience with disciplinary action? In my case, it’s in the public sector. Perhaps excessive overtime has also been an issue, as people try to compensate for extra time with overtime.


Are you drinking caffeine? Stimulant meds and caffeine aren’t a great combo. Try switching to tea (mint or decaffeinated). It might take a while to form the new habit, but it is definitely a game changer.
Are you eating a meal prior to taking your medication? Try eating something that takes a while to digest with your meds. Oatmeal is a fantastic option for breakfast. Veggies are good too. Avoid heavily processed and high sugar foods with your medication.
Are you taking supplements or other OTC meds? Acid reflux medication changes the pH of your stomach and will decrease the effectiveness of lisodextramphetamine. I ended up finding this out the hard way. My provider upped my dosage of Vyvanse because I mentioned that it didn’t seem to be working. This resulted in increased anxiety and a similar crash effect like what you are talking about. I had to find/fix what was causing the acid reflux and dial back the dosage of my meds before things got better.
I would definitely talk to your provider about your fatigue. They should be able to better steer you in the right direction.