As an example of how Your Mileage May Vary, methylphenidate works well for me, but Vyvanse made my porn viewing skyrocket.
My doc switched me to Desoxyn and it's night and day, it is like I have a laser in my mind and can focus it on anything I decide to focus it on. It has far less of that Adderall punch to the back of the head when it kicks in, and more of the calming but alert effect that one gets from the right handed amphetamines in Adderall. I cannot understand for the life of me why Desoxyn is not the front line medicine for ADD and ADHD
It took a long time for me to get a proper diagnosis as sometime ADD can look like depression because of the lack of emotional control as well as just plain beating yourself up for not getting stuff done and not being able to get started. But for me it has been a life change and for the better.
I started abusing nicotine at and early age and after that any time I would quit I would have a fog in my head that never went away (quit for 5 years once and had it every day). I eventually resigned to the fact that maybe I just permanently damaged my brain and now it would never function correctly in the absence of nicotine. Little did I know I was self medication and just did not realize that the fog was baseline me. With proper diagnosis and medication I can forgo nicotine and I am still completely clear. The meds make me 10x clearer than nicotine ever did.
Desoxyn is not front of the line because it's literally methamphetamine lol.
In several studies it has been shown that methamphetamine is no more of less additive than dextroamphetamine the main difference is that methamphetamine crosses the blood brain barrier more efficiently than dextroamphetamine so there is less in the body to stimulate the PNS and more in the brain to stimulate the CNS. 10mg of Desoxyn is more effective for me than a 30mg dose of Adderall.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3475187/
At same doses methamphetamine is stronger but generally in therapeutic doses one will be prescribed 1/3 to 1/2 the dose of amphetamines.
Also to note, Desoxyn is pharmaceutical grade methamphetamine it is not street meth and certainly not crystallized meth. It is a disservice that even some MD's view this stuff in the same light as street meth.
A good read on the comparison of amphetamines: https://www.forbes.com/sites/jacobsullum/2014/02/20/hyperbol...
As far as your doc, go in informed, and state your case, I talked to my doc, it helps that my wife is a MD as well, so I have a lot of access to medical journals to research. I went in with the info, presented it to my doc and told him that I would like to try Desoxyn because PNS stimulation has been an issue for me on many of the other drugs and basically I told him, look if I have to choose between my mind and my willy, old willy is going to win every time. All of the other meds worked well for me as far as ADD was concerned, but living with drug induced impotence is certainly going to create other psychological issues down the road and when you combine it with the fact that most of this class of medication increases my drive, it is a recipe for disaster. I just went in, armed with information and laid out the case for what I wanted to try to see if it would eliminate another potential issue from manifesting. If your doc won't listen to reason, find another doc, above all you should be the biggest advocate for your health.
Not sure blue friends would help. It was about stuff happening early and late, rather than not being able to get it up.