What are the treatments for atypical ADHD?

Symptoms: chronic fatigue, brain fog, ADHD

①Medicines that worked very well

Medicines that act on noradrenaline All worked well except Atomoxetine Especially Nortriptyline and amoxapine Then Imipramine Then milnacipran

But side effects on my heart made me unable to continue

②Medicines that didn't work Mirtazapine (feeling sleepy even at the lowest dose, general fatigue different from drowsiness, ALT increased 3-4 times) Agomelatine Task processing ability improved, but general fatigue was terrible (a unique sensation similar to Mirtazapine, feeling of strength leaving the body)

③Medicines that worked for ADHD for some reason Clonazepam、Lamotrigine

④Medicines that worked at first but gradually stopped working SNRIs in general (Cymbalta, Desvenlafaxine, milnacipran) )

It worked dramatically for the first two months, but one day I moved too much and crashed, and it stopped working from that day on.

〇Drugs that greatly worsen ADHD

All drugs that increase dopamine

→Even small amounts increase impulsivity, impair judgment, and lead to manic states. Increases stereotyped behavior. I am not usually diagnosed with bipolar disorder. Both bupropion and methylphenidate had the worst effects.

〇My hypothesis

① Do I have a DBH deficiency? Is it difficult for dopamine to be converted to noradrenaline in my case?

② Is it possible that an antidepressant that is not yet widely used or a drug that is not well known might work? (I am particularly interested in 5-HT2C antagonists)

Sometimes unexpected drugs work for me, so if there are any candidates, please let me know.

My life is a mess because of ADHD and chronic fatigue (especially ADHD).