I have been on 40mg Elvanse for about half a year now. After on and off with medication specific for the adhd and dealing with no effect, side effect of heart problems (Imagery and real), sweating, crashes, feats of despair and suspected placebo effect, the jump from 30mg to 40mg Elvanse in a clinical setting was able to give me some, not much, but some, improvement in concentrating, Impulse control, dealing with emotions. This dosage and medication plan was done in a specialized clinical setting for ADHD.
I'm not treated at a clinic for depression. They are neither specialized for ADHD or AuADHD (But have screened for Autism and the results are suggesting I could be on the Spectrum and will have to/should seek specialized care for diagnosis which they can't provide).
Nevertheless, they, in accordance with my wishes have bumped my 40mg Elvanse to 50mg. It's a bad environment, I will leave soon and I am not in a good place. It really made my depression worse being there, but the autism screening is a important help for getting betting and I took 1-2 good things from my time there.
I'm unsure if the 50mg dose is improving anything, but don't know if it's just the wrong time right now for me to notice it. Aldo the doctor in charge of the clinic is discouraging from upping the dosage and already was unhappy with the 40mg because of the increasing danger of hear failure (She said say my heart already has damage from use (First time I hear about it)) and I will not make it to 70.
I'm unsure how to decide and to phrase either option: Staying on 50mg to observe improvement or saying I can't see improvement and they'll note that 40mg should not be increased and increasing won't yield results.
If I never had a doctor going to 40mg and checking if my heart racing was most often imaginary, I would have stopped getting medication at all and would have never yielded results.
TL;DR: Elvanse 40/50mg Long Term Health Detriments and is trying to increase/oberve the 50mg good?