Just started having odd symptoms

Okay so I (22F) just started 40mg of Vyvanse and I'm also on 300mg of Wellbutrin. I take them both around 7 and I've been very careful to eat well and drink a lot of water. Today is day 5 and I feel shaky (literally my hands are shaking) my ears are ringing and occasionally I get hot flashes. Is this just something I need to acclimate to or should I try to get in with my psych sooner?

Also: - Period is coming soon so lack of energy can be from that - I normally have blood sugar balance issues but my sugars been normal all day and I'm still shaking - heart rate is not going crazy but sometimes my heart does beat very "hard"

Thanks for any help you can offer!