Hello...I was hoping for some advice on what others have done when stimulants just don't seem to work at all. I started on Effexor, then Ritalin immediate release until I was on the max dose of that, switched to Concerta and kept moving up until the max dose, now on 30mg of Vyvanse and still no change at all. I have still had micro sleeps and full sleep attacks after taking all of these and still don't feel any more energized whatsoever. I have been off and on medical leave from work while I try out different meds with no success and I feel hopeless. If I can still pass out after taking the maximum dose of multiple stimulants then how am I ever going to be a normal functioning member of society? I'm at the point where I can't drive anymore and I'm scared to cook sometimes because I've fallen asleep while baking. The next thing I think we're gonna try if Vyvanse doesn't work is Adderall but from what I understand, they're pretty similar. Are there any other medications that have helped with sleep attacks throughout the day and energy? I'm hoping to avoid Xyrem because my insurance has already made this hell from the beginning with all the stimulants and it seems like that's even harder to get approved for. I'm hoping there are others I maybe haven't heard of yet? Sorry this is so long, thank you for reading/listening.