I had similar effects from adderall, which is similar to coffee for me (jitters, feeling wired, sweating / clammy). I drink decaf a lot more to avoid that, and switching from Adderall to concerta (now I'm on 36mg concerta) which also helped eliminate jittery side effects. If it's not caffeine withdrawal, maybe trying a different add medication is a good path. I would ask your doctor about adjusting dosage or trying a different option, since everyone's a little different and what works for me seems to not be working for you 😅

If the simulants give you anxiety, consider something like Wellbutrin, or other non stimulant med. They're out there.

It takes a couple of days to get used to.

Stop drinking caffeine while taking the meds.

That'll happen, push through it and you'll adjust. Make sure you speak to your doctor too though.

Ask your doctor to start you on a lower dose. Everyone I know started on 18mg and adjusted up until they got a good effect.

When I went up in dose and had some side effects, I mamaged it by going out for a run in anticipation of the meds kicking in. It's a lot easier to deal with sweating, heart pounding etc if you're exercising and I think it helped to have somewhere to put the extra energy boost.

It's also important to make sure to eat breakfast before or within 20 min of taking the meds, and to get sufficient meals, snacks and water during the day so you don't feel like shit when the meds wear off.

I now split my dose (not split the literal medicine, I don't think they're made to split) to take one part with breakfast and one part a few hours later with a snack or an early lunch. It staggers the onset and outset effects to not be as big.

There are also several other type of meds to try if stimulants aren't your thing.

Counter it with some magnesium citrate. It helps me smooth things out on a regular. Oh and never mix with caffeine. Also, when you feel the come down rolling in: green tea. I am taking ritalin IR for 10 years now as an adult and those two have made taking it much more bearable.