Comment by alecco

Things that work for people with too many side effects:

Try a much, much lower dosage (e.g. 7mg/day instead of 30mg) and spread it out over hours (even if it's already a slow release medication!). Do exhausting exercise in the morning. Eat very small amounts of slow releasing carbs over the day to keep your glucose levels right as these medications lower blood glucose and that gets you grumpy, and also they reduce appetite. If you absolutely need caffeine, drink green tea with 3x water, and take L-Theanine to curb the anxiety.

Zero alcohol, cannabis, and nicotine because they will mess up your dopamine system.

And find a better doctor.

(And read this other comment on schedule https://news.ycombinator.com/item?id=45091187)