Please listen to the huberman podcast on ADHD and medicating it. You will discover that you take an exceptionally high dose which is not likely to be necessary. Please consult another doctor.
They should be ramping it up from a very low dose slowly and keep it at the lowest working dose four exactly the reasons you have set out.

We have understood that escalation always results in more escalation. Nobody is cowering, but real might means being about to strike and not needing to.