Work with your doctors to get the right medication and dosage.
Don't avoid medication just because it is medication.
Accept the fact that you have adhd and that you will have days of low productivity. This will overall make you happier.
Work on the systems in your life to support your deficiencies. To do lists, calendars, reminders, etc.
Be realistic about what you can do. It's easy to have a very productive day and then extrapolate to a month or a year and come up with some unrealistic estimates.