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Can you drink coffee while on ADHD medication? It is the single most common question I receive from patients starting stimulants like Adderall, Vyvanse, or Ritalin. The fear of a panic attack or heart palpitations is valid, but the answer isn't a simple "yes" or "no"—it requires a clinical protocol. In this video, I explain the "Void Day One" rule: a critical harm reduction strategy to help you distinguish between medication efficacy and caffeine interaction. We break down the physiology of "stacking" stimulants, how to identify if your jitteriness is actually a sign of low medication dosage, and the specific symptoms of over-stimulation you need to watch for. This is not general wellness advice. This is data-driven guidance to help you optimize your treatment without unnecessary emergency room visits. Timestamps: 00:00 - Intro: The "Am I Dying?" Question 00:19 - Pre-Medication Caffeine Dependence 00:58 - The Interaction: Stacking Stimulants 01:18 - The Protocol: Void The First Day 01:39 - Is It Safe? The Clinical Answer 02:08 - Symptoms of Over-Stimulation (The Crash) 02:27 - Caffeine Intake as a Dosage Indicator 02:47 - The Reframe: Normal vs. ADHD Reactions 03:09 - Conclusion Go ahead and subscribe if you want to receive practical strategies from a Nurse Practitioner that won't sell you short. My name is Jonathan Murphy, PMHNP-BC. For the past decade I've provided medication management and therapy for adults with ADHD. I also have ADHD myself, but you may have noticed that already. Traditional ADHD education is incredibly boring, which makes it nearly impossible for people with ADHD to actually learn from it. So I translate what actually works in clinic into YouTube videos that hold your attention. What you'll find here: Medication information and optimization strategies Practical approaches that go beyond medication Understanding how ADHD overlaps with trauma and autism Proprietary frameworks (Survival Modality, Reinforcement Matrix, Stimulation Gap) Patient education for adults who need help and guidance My clinical work has expanded beyond ADHD to include common comorbidities: autism spectrum disorder, complex PTSD, anxiety, depression, and bipolar disorder. I take a holistic, trauma-informed approach because these conditions often overlap. DISCLAIMER: Educational content only. Not a substitute for professional mental health treatment or individual clinical advice. 📧 Free resources: https://mailchi.mp/myfocuspath/focus-... 📖 Book "Cheat Codes: An ADHD Transformation Guide": https://www.amazon.com/dp/B0FMJLQKBW 📝 Blog: myfocuspath.blog 🩺 HAVE A QUESTION? Drop it in the comments of my videos! I try to answer as many as I can based on what I see in my clinical practice. DISCLAIMER: While I am a PMHNP-BC, my content and replies are for educational purposes only and do not constitute individual medical advice or a provider-patient relationship. Always consult your own provider. #ADHDmedication #ADHDmanagement #Psychiatry #MentalHealth #ADHDcaffeine #HarmReduction