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Earlier quoted context omitted.
Get a new doctor.
Great advice. "I am going to doctor shop until I find someone who gives me the pills I want..." No..
Honestly though what percentage difference does this make in productivity and is that percentage really going to be the difference between a startup's success and failure? Being fired or not? Being happy or not? If the thing makes you happy then that's one thing. If you think getting 10% or 20% more work done is going to move you from mediocre to exceptional or is going to make you happy, I beg to differ.
Interesting that there was no mention of Modafinil. I believe that one of the most "abused" drugs for "productivity" is currently Modafinil, far more powerful than Adderall and without all those side effects. Of course, long term side effects are unknown.
It's recommended you check your liver function when taking modafinil.