The NRIs routinely aren’t as effective for focus and distractability as dopaminergic drugs.
Problem being, dopaminergics are extremely addictive, easy to abuse, and do bad things like stunt your growth (if you’re a child) raise your blood pressure, clamp down on your personality, and often lead to problems with anxiety.
A few months back I tried Guanfacine, but it made me feel like I had dementia.
A few times I forgot where I was going and even who I was while driving on the freeway. Which scared the hell out of me. It also wasn’t helping much with distractability. I couldn’t stand the zonking out and suddenly being confused.
I’m on Modafinil now. Basically, every therapeutic thing ritalin does, so does modafinil, except the modafinil doesn’t have side effects (for me), and isn’t addictive in the same way.