Have you tried Dexedrine? It was the first medication that I was on. My doctor prescribed it after I had my first child. It changed my life. I’ve tried vivance, and concerta, but neither one worked as well, so I kept going back to what worked. I’ve been on it for ten years now, and it looks like I might need to swap, as it’s no longer covered and the generic is not slow release. It might work for you. I notice you haven’t tried it yet.