And for any person who's tasked with any sort of responsibility, it WILL arrive at some point. It's not a question of if, only a question of how well you can prepare for its arrival.
Problem is, there is no good way to direct the hyperfocus demon. It likes what it likes, it wants what it wants, and that's that.
Medication helps to save a pile of willpower/spoons/executive function safely from the demon so that we can get things that need doing done.
People with ADHD have "time blindness"; we don't process time the same way most people do.
We often don't realize 3 or 4 hours have passed and there were other things we needed to get done.
If the downsides get too bad and things start to fall apart then I will medicate again. Until then, no way I'm making that tradeoff.