How Do You Know When to Increase Your ADHD Meds?

Hello, I was wondering how you determine if your medication dose needs to be increased.

I was previously on Vyvanse 40mg but switched due to irritability, apathy, and executive dysfunction not being addressed. I recently started Adderall XR, beginning at 5mg and increasing by 5mg each week. I'm now at 20mg and debating whether to go up to 25mg.

At 15mg, I had a strong "get up and go" feeling—I was more hands-on and productive—but I also got easily distracted, and my focus wasn’t great. At 20mg, I still get distracted, but for longer periods. My concentration has improved, but I’ve lost that motivation to clean and engage in tasks. Additionally, my speech, which improves in the first week of a dose change, has started feeling disorganized again after two weeks on this dose.

I’m concerned that increasing to 25mg might worsen my hyperfocus on distractions, but I’m unsure. Do you have any advice?