Since receiving an ADHD diagnosis and being medicated, your latter point was something that constantly had me putting away my meds for weeks/months at a time. My heart rate has been permanently elevated and I'm watching my diet with a microscope so my blood pressure doesn't skyrocket.
It honestly feels sick that I take this drug not to necessarily feel better (though I will concede that I can handle more of my passion projects on Adderall) but in order to best fit a standard established by business magnates like Henry Ford.