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.