Maybe it is time for a different medication.
It has been awhile since I was treated for ADHD but I use to take Ritilan, Cymbolta, and Stratara. I think all of them are ADHD medications.
It gets so hard to keep up what medications are for what when they are treating multiple disorders.
Have you thought about getting a second opinion from another doctor.
I plan on seeing the doctor soon to get help with my short attention span. I have trouble doing my work, which is on the computer at home unsupervised. I don't make very much money because I am not very productive. But the employer has recently told me I need to pick up my pace. He wants to give me more work, but I need to get medication to help me focus better.
Hopefully the doctor can try you out on a different medication to see if that changes anything.