Unsolicited advice specific to auDHDers:

• AuDHDers tend to be more sensitive to stimulant meds, going by anecdotal reports

• Stimulants tend to "bring out" a lot more autistic traits, some report that it is more difficult or downright impossible to mask on stimulants

• I'm of the opinion that auDHDers are particularly prone to developing posttraumatic symptoms (call it low-grade PTSD or legit PTSD or developmental/C-PTSD - I'm not really concerned about how it gets described tbh, can go into this in more depth if anyone wants)

• Most people who have experienced significant trauma and/or unresolved trauma as an ADHDer report finding that going on stimulants can cause a pretty rapid processing of that trauma, so it can be a bumpy ride in the early days

• Stimulants can be particularly useful for dealing with executive dysfunction and burnout

• Stimulants need to be used carefully with chronic or severe burnout

• Stimulants have a complex relationship with autistic catatonia, and catatonia in general, however based on my own personal experience I'm of the opinion that long-term stimulant use can exacerbate autistic catatonia and potentially to precipitate it

• I think that auDHDers are particularly prone to having an overworked nervous system, partly due to social factors, partly due to sensory sensitivity, and the ADHD emotional reactivity amplifying some common autistic experiences, amongst other factors. I think it's really important for auDHDers to look at managing this with augmentative ADHD meds (clonidine/guanfacine/certain other meds) either at the same time as starting stimulant meds or soon after. It's not for everyone but I think it's worth exploring to see if it fits your needs.

I recently wrote another comment that goes more into stimulants for ADHDers, which may be of interest. Here's the comment.

Note that I'm far from being opposed to the use of stimulants for ADHDers/auDHDers - I use them myself, I have absolutely relied upon them to get me through so they have been critical for my own wellbeing, and under most circumstances I'd encourage ADHDers to get a prescription for stimulants.

That being said, some people don't need or want stimulants, some people don't play well with them, they don't play well with some people and so on - I'm in full support of people who take non-stimulant meds or who manage ADHD in other ways too. For some people, appropriately-medicated ADHD is unmedicated ADHD and I respect that.