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I don’t notice anything else related to vasoconstriction. My BP hasn’t changed since I started on it, for instance. It doesn’t really affect my appetite for sex, just my ability. This has lessened over time, but it’s still present. (And after ~8h, everything is fine.)
You can take it before bed if you like. Some people find it sleep-inducing at first. I find it simulating an hour or two later.
From what I have read, there are several different experiences from it. You’ll likely have to try it and see how it works for you, and what accommodations you’ll need to make. Hopefully the comments in this thread give you an idea of what to look out for.
I was diagnosed at the age of 56. It might be worth you trying meds again. I have found Strattera to be extremely helpful to me.
And I followed every productivity guru in the world for decades just to try to keep things going for myself professionally. I have so internalized that I am just lazy and need to rail on myself to keep myself in line, that even though I know it isn’t true I still do it to some extent.