View Full Version : Vyvanse vs Adderall for ADHD-I


andyb1205
06-14-17, 03:23 AM
Hi, I'm a 27 year old that hopefully will be treated with medication soon. After a 10 month waiting time here in Canada I am finally seeing the psychiatrist tomorrow. In short, I believe I have ADHD-I (predominantly inattentive) unless my anxiety covers up the hyper in ADHD-C (combined hyper and inattentive symptoms). As a perfectionist I tried to improve my symptoms without medication for years but to no avail, it just pushed me further in substance abuse to cope with low grade depression (dysthymia?) and anxiety (doom and gloom about the future and my productivity).

I have recently gone back to school and beginning in September will have an intensive course load for my physics degree. I would love for stimulant medication to change many aspects of my life including socializing and confidence, but mostly will want to reach my potential in school and later a career, to maximize my productivity. I'd like to also read all those books I never got around to starting or finishing.

I feel like a new chapter is about to open up in my life and don't want to waste any more time. I've researched Vyvanse and Adderall XR and am wondering which to request the doctor to let me trial first. I've read that everyone is different and one may do better on this or that drug. Also heard that Vyvanse has a gradual high and down, more stable high but less powerful with less side effects, while Adderall kicks in fast but comes down fast and crashes hard, with more side effects. My perfectionist mind thinks I should try Vyvanse first, on other hand what if Vyvanse can help me while Adderall would be qualitatively better and make me more productive? I wouldn't want to miss out on that. Adderall XR with IR for when I need a longer day of productivity is appealing. As mentioned I believe my ADHD is predominately inattentive.

Thanks. Perhaps I am overthinking this too much, but I thought I'd ask!

sarahsweets
06-14-17, 04:23 AM
Hi, I'm a 27 year old that hopefully will be treated with medication soon. After a 10 month waiting time here in Canada I am finally seeing the psychiatrist tomorrow. In short, I believe I have ADHD-I (predominantly inattentive) unless my anxiety covers up the hyper in ADHD-C (combined hyper and inattentive symptoms). As a perfectionist I tried to improve my symptoms without medication for years but to no avail, it just pushed me further in substance abuse to cope with low grade depression (dysthymia?) and anxiety (doom and gloom about the future and my productivity).
What kind of substance abuse are you talking about?



I feel like a new chapter is about to open up in my life and don't want to waste any more time. I've researched Vyvanse and Adderall XR and am wondering which to request the doctor to let me trial first.
Do you already have a diagnosis? I ask because some doctors do not like patients coming in and requesting a certain med, especially a controlled substance.

I've read that everyone is different and one may do better on this or that drug. Also heard that Vyvanse has a gradual high and down, more stable high but less powerful with less side effects, while Adderall kicks in fast but comes down fast and crashes hard, with more side effects. My perfectionist mind thinks I should try Vyvanse first, on other hand what if Vyvanse can help me while Adderall would be qualitatively better and make me more productive? I wouldn't want to miss out on that. Adderall XR with IR for when I need a longer day of productivity is appealing. As mentioned I believe my ADHD is predominately inattentive.
One thing to keep in mind is that adderall xr isnt meant to last more than 8 hours or so. Mine lasts about 4 so I take it three times a day. Vyvanse is supposed to last like 12 hours but I haver yet to meet anyone for whom that is true.
In theory it sounds great but these types of things are very individual.

andyb1205
06-14-17, 09:16 AM
Well I was psychologically addicted to marijuana for years though I've been clean for a year now. I won't be mentioning this to the psychiatrist. I am positive I will get a diagnosis either today or soon enough. When the topic of medication comes up I'd like to talk to the doctor about both Adderall and Vyvanse as options.

I'd say that even 12 hours of Vyvanse, considering I'm lucky for it to last that long, isn't enough. I'd like to be able to be productive for at least 14-16 hours a day.

sarahsweets
06-14-17, 12:40 PM
Well I was psychologically addicted to marijuana for years though I've been clean for a year now. I won't be mentioning this to the psychiatrist. I am positive I will get a diagnosis either today or soon enough. When the topic of medication comes up I'd like to talk to the doctor about both Adderall and Vyvanse as options.

I'd say that even 12 hours of Vyvanse, considering I'm lucky for it to last that long, isn't enough. I'd like to be able to be productive for at least 14-16 hours a day.

Why wont you mention the pot to the psyche? Sometimes admitting self medication further demonstrates how adhd has impaired your life so much, that you resorted to self medicating. It would be different I think if it was opiates or even meth-those drugs are very addictive in all ways but weed is more like slowing down your hyperactive mind.

ToneTone
06-14-17, 01:17 PM
Yes, you definitely want to mention the marijuana use to your doctor. That's important info for them to consider when treating you ...

I mention all my addictions (past and present) and issues to my doctors ... It's all relevant to your mental health and functioning and coping.

So for example: you might take a med that triggers your desire for weed again ... You would want to immediately tell the doctor ...

Doctors know lots of patients use pot these days ... and doctors who work with ADHD knows lots of ADHD folks "self-medicate" in all kinds of ways.

They can't report that to the authorities ... not sure if you know that ... but there is confidentiality ... they can't and don't do that ...

Oh ... you have to try out medications. Literally, advice is useless ... that's my conclusion ... You simply have to see what works for you ... and most likely the person won't give you an option ... most doctors have their preferred starting medication, etc ... but again, they adjust this based of what they know about the patient, which is why it's import to disclose all drug use ... including nicotine and cigarettes .... all the way to cocaine ...

Tone

andyb1205
06-14-17, 03:05 PM
Fair enough, I thought telling the doctor about my past addictions would lessen my change of getting stimulants! I've also smoked cigs for years as well, though in the past year I only smoke when I drink.

Something I've noticed. In fact, cigs alone, perhaps cause they're stimulants, slightly increase my anxiety but with alcohol work like a charm. While for attention and focus grass worked like a charm (though my inner voice becomes louder and shut up as I over analyze everything! the self therapy helps but gets annoying sometimes!) alcohol literally works like a miracle drug that very quickly lifts my social anxiety, turning me into the opposite of my usual, from shy to socializing, and increases my confidence. I'd like to try just a stimulant out first but I may need to add another med. Is alcohol closer to medication that helps with depression or anxiety?

Also last but not least, I've heard of many people taking weekend and vacation breaks from the meds. I'd want those times to be when I really take full advantage of my productivity, read more, learn new languages and what not. What's the point of that since the meds are like glasses that help your brain see clearer. Or is it necessary to take breaks to prevent tolerance build up to the meds? Thanks.

Pilgrim
06-14-17, 04:58 PM
Telling your dr of past addictions; marijuana, alcohol, cigarettes, as said above, is a good thing. A doctor understands what an ADDER will abuse. If you have a certain proclivity for other Stimulints ie cocaine a dr may have a darker view. This may have interactions with prescribed Stimulints.

Normally when the prescribed Stimulint levels in the body stabilise the desire to overuse other drugs lessons or falls away.

Don't worry about when you think you should take a break or how this works. Remember ADD is 24/7/365, work meds around this. I find getting the necessary food, fluid and exercise, also sleep allows meds to have the desired affect.

andyb1205
06-14-17, 11:16 PM
This psychiatrist was such a piece of ****. ******* hell.

After a 10 month long wait to see the psychiatrist, I was expecting an hour long initial meeting which is usually the case. Instead, the doctor is running late and he sees me at 5pm instead of the 4:30pm appointment. Gives me 25 minutes and rushes me out. Diagnosed ADHD and OCD/Anxiety. Great. I wasted time on writing notes as I never got much chance to speak. Tells me to fill out a survey form that we will discuss, I do, we never discussed it. Seemed like a time filler to me. Then he just prescribes me non-stimulant meds because "stimulants are strong and we need to treat your OCD/Anxiety too so take this that can treat both." See me in 2-3 months, appointment booked August 31. He prescribed this as he stood up from his chair btw, giving the signal that the meeting is over. I was about to explode on this ******* but just walked out with a disgust on my face.

Hey *******, I didn't wait 10 months for a 25 minute appointment, not my fault you're running late first of all. And I need stimulants to excel in my class in July and heavy Math/Physics course load in September. I don't got time to "experiment" and considering my experience with stimulants I know what works for me. Secondly, most people with Aspergers have OCD/Anxiety and can have perfectionism, but you don't drug them unless it interferes with their life! If you gave me the time to explain how self-medication lifts my OCD/Anxiety you'd focus on treating the ADHD first and then see what else lingers on. Most specialists recommend beginning with stimulants, but studies show that around 10-15% of people cannot handle stimulants, non-stimulant medication is for them. And compared to stimulant medication, non-stimulant medication has fewer success stories as it's for a minority of those diagnosed with ADHD. What a ******* and piece of ****!

I'll "try" this Strattera ******** out for a month and call in regularly to get a cancellation appointment in a month from now. What ****** me off more is not that I didn't get the stimulants, but that it was very rushed appointment. He didn't even discuss options, just wrote the prescription, for which he had no time to go into the effects and side-effects! I've had enough of feeling like ****.

sarahsweets
06-15-17, 05:29 AM
Something I've noticed. In fact, cigs alone, perhaps cause they're stimulants, slightly increase my anxiety but with alcohol work like a charm. While for attention and focus grass worked like a charm (though my inner voice becomes louder and shut up as I over analyze everything! the self therapy helps but gets annoying sometimes!) alcohol literally works like a miracle drug that very quickly lifts my social anxiety, turning me into the opposite of my usual, from shy to socializing, and increases my confidence. I'd like to try just a stimulant out first but I may need to add another med. Is alcohol closer to medication that helps with depression or anxiety?

No, alcohol is a depressant. It is not the same thing as a medication that would treat depression or anxiety.

Also last but not least, I've heard of many people taking weekend and vacation breaks from the meds. I'd want those times to be when I really take full advantage of my productivity, read more, learn new languages and what not. What's the point of that since the meds are like glasses that help your brain see clearer. Or is it necessary to take breaks to prevent tolerance build up to the meds? Thanks.

Breaks IMO are silly. You have adhd 24/7 so I see no need for breaks. Preventing something that hasnt happened yet (tolerance) IMO is jumping the gun. People swear that breaks prevent tolerance but all you have once you resume after a break is the fact that meds feel better and stronger because you havent had them. It doesnt actually make them work better, its just a feeling.

sarahsweets
06-15-17, 05:49 AM
This psychiatrist was such a piece of ****. ******* hell.

After a 10 month long wait to see the psychiatrist, I was expecting an hour long initial meeting which is usually the case. Instead, the doctor is running late and he sees me at 5pm instead of the 4:30pm appointment. Gives me 25 minutes and rushes me out. Diagnosed ADHD and OCD/Anxiety. Great. I wasted time on writing notes as I never got much chance to speak. Tells me to fill out a survey form that we will discuss, I do, we never discussed it.
Here psychiatrists do not spend as much time with you as psychologists or other doctors. I dont know why he didnt give you the survey while you waited to save time.

Seemed like a time filler to me. Then he just prescribes me non-stimulant meds because "stimulants are strong and we need to treat your OCD/Anxiety too so take this that can treat both." See me in 2-3 months, appointment booked August 31. He prescribed this as he stood up from his chair btw, giving the signal that the meeting is over. I was about to explode on this ******* but just walked out with a disgust on my face.
Personally I would have asked him point blank why he wont prescribe the scientifically best medications for adhd.They have done tons of studies that prove stimulants are a first line treatment. Id be curious as to what he would say.
Can you leave an urgent message?

Hey *******, I didn't wait 10 months for a 25 minute appointment, not my fault you're running late first of all. And I need stimulants to excel in my class in July and heavy Math/Physics course load in September. I don't got time to "experiment" and considering my experience with stimulants I know what works for me. Secondly, most people with Aspergers have OCD/Anxiety and can have perfectionism, but you don't drug them unless it interferes with their life! If you gave me the time to explain how self-medication lifts my OCD/Anxiety you'd focus on treating the ADHD first and then see what else lingers on. Most specialists recommend beginning with stimulants, but studies show that around 10-15% of people cannot handle stimulants, non-stimulant medication is for them. And compared to stimulant medication, non-stimulant medication has fewer success stories as it's for a minority of those diagnosed with ADHD. What a ******* and piece of ****!
Self medication is never the answer.

andyb1205
06-15-17, 08:19 AM
As he was already standing up telling me that the office is closing as he wrote the script I would've had to tell him to sit down. I did ask him why he is giving me Strattera and he said because stims are strong and instead of giving you stims and anti anxiety med (why not see if the stims lift my anxiety before deciding if I need to treat anxiety too?) the Strattera will treat both. I told him that I've had years of experience on marijuana and found that it lifts my anxiety so I'd like to try stims. He just said that the ladies at the counter (the workers) are waiting and office is closing and to see him in 2-3 months.

I apologize for my use of offensive language and despite my and my family's autism background it is no excuse.

When it comes to self-medication, if the choice is to be patient which means losing another year of my life if I bomb the September semester, or self medication, I will choose the self medication. You know the last time I had a full course load semester? 7 years. I will talk to my GP today and see what he says.

sarahsweets
06-15-17, 11:43 AM
As he was already standing up telling me that the office is closing as he wrote the script I would've had to tell him to sit down. I did ask him why he is giving me Strattera and he said because stims are strong and instead of giving you stims and anti anxiety med (why not see if the stims lift my anxiety before deciding if I need to treat anxiety too?) the Strattera will treat both. I told him that I've had years of experience on marijuana and found that it lifts my anxiety so I'd like to try stims. He just said that the ladies at the counter (the workers) are waiting and office is closing and to see him in 2-3 months.

I apologize for my use of offensive language and despite my and my family's autism background it is no excuse.

When it comes to self-medication, if the choice is to be patient which means losing another year of my life if I bomb the September semester, or self medication, I will choose the self medication. You know the last time I had a full course load semester? 7 years. I will talk to my GP today and see what he says.

Well its up to you about self medication but if its anything hard, I would advise against it.
How about a second opinion? even if another doc would still take awhile if you set it up now you could at least see what the newer doctor thinks about treatment options.

andyb1205
06-15-17, 06:32 PM
Great news!

So I talked to my family doctor and explained the situation. I did not even need to show him the scientific papers I brought that show the efficacy of stimulant meds as first line of treatment. He went straight to writing me a script for one month trial of Ritalin, 10mg x3 a day. He mentioned that we can try longer lasting stims later on, such as Concerta, Vyvanse,etc (personally I'd want Vyvanse and Adderall XR) but will begin with this. Which is great news, it's a start!

That psychiatrist was such a waste, all he did was diagnose me with ADHD, that too in 10 minutes, and sent me on my way with Strattera (which costs $200 a month compared to $20 for Ritalin). So he probably misdiagnoses many with ADHD who don't have it, and gives ineffective non-stims as first line treatment to those correctly diagnosed.

I've heard the most positive stories from Adderall XR and Vyvanse. From what I understand, everyone is different and treatment should be individualized. Still a good start!