Ah right, thanks for the description. This paints an interesting picture and it gives me a pretty decent angle I think.

Regarding Wellbutrin, that's not a wildly uncommon experience for people who don't take to it well.

Nausea on Strattera is also really common, especially in the early days or when your dose increases too rapidly. What's really interesting is the Qelbree side effects, and the urination side effects of both.

From what you've described it seems like you're a prime candidate to benefit from guanfacine in particular. You might not really notice it having much of an effect until you start on the next medication as it tends to work better as an adjunct med than being good by itself.

If you do get put on it and you can tolerate it or you don't notice any effect, I would strongly recommend staying on it when you move on to your next med.

If you can't tolerate it then I'd recommend trying out clonidine - same story as guanfacine and you will probably need a fairly low dose (100mcg or 200mcg) at least until you get onto your next med, at which point you may need to increase it to manage side effects.

Adderall especially is probably also going to cause you to have urination issues, unfortunately. Guanfacine or clonidine might be able to mitigate these side effects or you might find that you can tolerate a low dose of Adderall, just be aware that this is likely what you're going to have to deal with. I wouldn't be surprised if Ritalin did too.

Guanfacine typically has the effect of boosting the effect of stimulant meds while reducing some side effects and ADHD symptoms, so it might be particularly useful in combo with low-dose Adderall. This is why I think you're a prime candidate for it.

I would also recommend considering modafinil as an alternative to Adderall/Ritalin - this will provide you with a similar(ish) effect to Ritalin or Adderall but based on your reports it's unlikely to cause those urinary side effects. You might be able to ask your doctor about this as it's a medication that is technically a stimulant but due to how it works there's basically no potential for addiction. It definitely gets "abused" or used outside of a prescription context but countries tend to be much more lax about it because it's not an amphetamine.

Which leads me onto my next point: if you're really stuck and you need something to get you through the next period, there are people who import modafinil on the grey market. It's not wildly expensive afaik but it's not dirt cheap either. Make sure that you don't have allergies to any medication if you decide to source modafinil outside of a prescription I can elaborate on this but my comment is already too long as it is.

Regarding antidepressants, mirtazapine might be a good option - it's a bit unusual in how it works compared to most other antidepressants, so there's less chance of getting some of the side effects you've mentioned from other antidepressants. Might help with some of the happy chemicals and it tends to kick in a bit quicker than other antidepressants. I'm guessing that you're in the US which makes agomelatine pretty difficult to obtain so that probably rules out that option.

If you're open to supplements or considering them I'd specifically recommend magnesium and L-theanine. These are the most likely to help you manage your focus better.

Zinc wouldn't hurt to throw into the mix tbh. L-dopa may help with motivation and other symptoms, but evidence is limited. Iron would be a good thing to consider, especially if you menstruate, but I wouldn't expect to see an improvement from regular iron supplementation for a couple of weeks at minimum, which isn't going to be helpful for you in the short term.

Magnesium and iron especially are worthwhile supplementing even if you're on the right ADHD meds. Zinc too but to a lesser degree. (At this point you might be better off just go on a multivitamin.) L-theanine might be helpful after you're on the right ADHD meds or it may not be.

Anyway, I'll wrap up the reply here because it's already too long and there's a lot to chew on in this comment. I'll be around so if you want more info or there's also c/Neurodiverse too. Feel free to keep me posted or to reply if you want any more info.