Well luckily I am good enough at math/programming that I get huge amounts of leeway at my job. Meaning I miss tons of meetings, am always late, miss emails, and all that stuff. Basically as long as I keep coding like I do, my boss could care less about everything else. If this career didnt exist I would be in huge trouble. But regardless, I took medication for a long time. It worked for a while, but 5 years in I saw it lose effectiveness. Upping the dosage with little restraints led to addiction/abuse. Never taking too much is absolutely crucial, once your neural path ways have been exposed to high doses, it is very difficult to restrain yourself to small ones. Are you aware of behavioral/personality changes with it? Or have you generally stayed the same? My biggest issue was taking a drug every day that altered my personality in noticeable ways. After years on end its easy to forget who you were before, which I think is absolutely terrible.
Its difficult to find information about it online (thanks drug companies), but if you do real research into medical journals, Moderate doses can lead to long term/structural changes in the brain. Abuse can be neurotoxic. Ritalin is considerably safer than adderall/dex. This makes it hard to separate out what was caused by the drug and what is a symptom of ADD, thus causing a bad feedback cycle.
I recently saw a therapist (for unrelated issues) who said it was a common pattern for bright individuals who were bored with regular schooling to be diagnosed as ADD.
Meditation, exercise, proper sleep, and healthy food all have a huge effect. Biggest thing is being interested in what I am working on at work. I drink huge amounts of caffeine and sugar (soda helps the most), which help a ton. I take frequent breaks, go for walks, and work obscure hours. I end up getting about 4 peoples work done myself, mainly because I can leverage my programming ability to find shortcuts in the work that other people cannot.