Lets try every alternative and off label med first, even though I can already see you’ve done that several times.

Throw some Strattera on top of that for even more fun!

Welbutrin did nothing for my ADD, but Strattera and Welbutrin together do an OK job of managing it. The side effects of the Strattera aren't great (no appetite, occasional decoupling of orgasm and ejaculation, mild ED), but it does make living easier overall. I'll probably get stimulants again at some point but for the meantime the combo is working well enough.