Fill out a Jasper-Goldberg Assessment tool prior to each appointment with your doctor and give it to him. Your doc probably gets requests all the time for amphetimines because they are performance enhancers even for people who don't have adhd. Here is a printable one.
You physician should use a screening tool like this to help guage need for medications and improvement when on medications. Usually you can tell more quickly when a med change is needed by monitoring via these assessment tools.
Most adult patients seem to do better on Vyvance or Adderal but physicians with less experience with adhd tend to shy away from these medicines.
Did your physician start you at 25 mg or titrate you up to that slowly? Even a low dose like that should be titrated slowly to minimize side effects.
Treating ADHD takes some time and effort to match the right drug to the patient at the right dose. Most doctors dont have the experience or patience to do this correctly. You may need to find a doc more experienced in treating afult ADHD.
Your dose is likely too low to control your symptoms, but because you are experiencing these side effects you may need to try another drug.
To help with the insomnia i would recommend melatonin. Also taking omega 3 is recommended for ADHD. I like mega red.
The following is copied and pasted from additudemag.com:
Foods rich in protein — lean beef, pork, poultry, fish, eggs, beans, nuts, soy, and dairy products — are used by the body to make neurotransmitters, the chemicals released by brain cells to communicate with each other. Protein can prevent surges in blood sugar, which increase hyperactivity.
“Because the body makes brain-awakening neurotransmitters when you eat protein, start your day with a breakfast that includes it,” says Laura Stevens, M.S., a nutritionist at Purdue University and author of 12 Effective Ways to Help Your ADD/ADHD Child: Drug-Free Alternatives. “Don’t stop there. Look for ways to slip in lean protein during the day, as well.”
Hallowell suggests that you divide your lunch and dinner plate in the following way: Half of the plate should be filled with fruits and vegetables, one fourth with a protein, and the remaining fourth with a carbohydrate, preferably one rich in fiber — whole wheat pasta, whole grain bread, brown rice.
This combination of foods will minimize swings in behavior caused by hunger or by a shortfall of a particular nutrient. Fiber prevents blood-sugar levels from spiking and plummeting, which can increase inattention.
“Many diets are deficient in key vitamins and minerals that may improve attention and alertness,” says Brown. Supplements can often fill in the dietary gaps.
If your child is a picky eater or eats lots of take-out food, he won’t get the daily recommended value of vitamins and minerals. A daily multivitamin/multimineral will ensure that he does, no matter how finicky he is.
Studies suggest that giving children who have low levels of B vitamins a supplement improved IQ scores (by 16 points) and reduced aggression and antisocial behavior. “Vitamin B-6 seems to increase the brain’s levels of dopamine, which improves alertness,” says Brown.
ZINC, IRON, and MAGNESIUM
Zinc synthesizes dopamine and augments the effects of methylphenidate. Low levels of this mineral correlate with inattention.
Iron is also necessary for making dopamine. In one small study, ferritin levels (a measure of iron stores) were low in 84 percent of ADHD children compared to 18 percent of the control group. Low iron levels correlate with cognitive deficits and severe ADHD.
“Adequate levels of magnesium have a calming effect on the brain,” says Brown.
End cut and paste.
I have found this website really helpful for me personally (I have ADHD, as well as my BH and 2 of my kids): http://www.sharischreiber.com/ADD.html
Feel free to PM me if I can help.