I was recently diagnosed with ADD (and by recent, I mean on Wednesday). I'm an adult male, 35, with major focus and attention issues.

My psychiatrist prescribed Vyvance. Because it was a drug tested primarily on children, he felt I should get the full dose -- 70 mgs.

Today was my first day on it. Yeah, I was focused as hell. It was wonderful, a feeling of concentration and attention that I have never had before. The downside, I was high as a kite. This wasn't just a "euphoric side effect" this was full blown happiness. It was great but...c'mon. I also noticed a tingling in my right hand and a bit of my arm. Almost a loss of sensation.

Needless to say I'm not taking it tomorrow and going back in to get my doseage modified (or maybe taken away entirely, I don't really know). He would only say that my reactions were "unusual."

Does anybody else find these reactions unusual? From reading the list I think giving a completely heretofore unmedicated person 70 mgs seems unusual. I also probably shouldn't have drank a large cup of coffee this morning?

Man I need some advise here. I appreciate any gut reactions you might have.

The large cup of coffee plus the vyvanse might be too much for your system to handle. Try to cut back on the coffee. Also it may be too high a dose of vyvanse but give it more time at this dosage. If it continues tell the doctor.

I've been on Vyvanse since September 2007, which is when I was first diagnosed. I have never taken a stimulant before in my life besides the caffine I drink. I've noticed lately to make sure I eat a good breakfast with lots of protein. I also try to avoid caffine containing products...for me it has made parts of the side effects worse. As far as being "high" yeah...it happens, but it'll fade with time. Mine has. Everyone reacts differently though, so if the side effects are too much then talk to your doctor.

Adults don't necessarily take a higher dose than children. Doctors who know what they are doing usually start low and slowly move the dose up.

Stay off the coffee. Tell your doctor to start on a much lower dose. the effects you mention seem normal for that dose but they wear off after a week or so.

Hi Da' Ricker,

I got diagnosed with ADD about a couple of months ago. I was initially taking Straterra. I went from being a happy-go-lucky guy to being suicidal in about 6 weeks. I stopped taking Straterra and I was back to my happy self 2 days later...bouncing off of walls and all and never once have experienced the lows that Straterra made me feel.
My doc decided to switch my meds so I'm taking Vyvanse now. I started from yesterday. My doc put me on 30 mgs dose. He told me that with this drug I could take my pill and pour the powder into some water and drink a third of it or half, as I needed to.
Yesterday I took half, and today I took half. And you're right, I feel great too. I'm super-focused and a bit euphoric. The feeling is that of being caffeinated, except without so much of the negatives that come with caffeine. But even with the half dose (15 mgs) I felt a bit...rushed, hyper, motor-driven.
I have ADD(I) and generally at work, as much as I want to fully participate on the office banter, I find myself quite self-conscious and not too confident about participating in group discussions. I almost surprized myself with the confidence and just being 'with it' with the group. I was almost socially aggressive.
Again, for me, I have only been this way when I was caffeinated, so that's the only thing I can relate to. Oh, and last night, I couldn't go to sleep. Slept around 2am and woke up around 6am. Very unusual for me. I don't feel tired, though. Feel quite good and normal apart from the bit of hyper-activity.

So tomorrow I'm going to take a third (10 mgs) and see how that feels.
Considering how the 15 mgs made me feel today and yesterday, the 70 mgs seems WAAAY too much to me, unless you have severe focus issues. Of course I'm not a doctor. But reading some posts from this doc who really sounds like he knows that he's talking about, that 70 mgs seems much:

http://www.corepsychblog.com/2007/08/addadhd-treatme.html
http://www.corepsychblog.com/2007/11/addadhd-treatme.html

Maybe you want to consider considerably watering down your meds. Make a pill last a week and up the dose as you need it.

Anyway, since we're both starting out, maybe we can keep each other updated on our progress/experience with Vyvanse.

KM

I've been on Vyvanse since September 2007, which is when I was first diagnosed. I have never taken a stimulant before in my life besides the caffine I drink. I've noticed lately to make sure I eat a good breakfast with lots of protein. I also try to avoid caffine containing products...for me it has made parts of the side effects worse. As far as being "high" yeah...it happens, but it'll fade with time. Mine has. Everyone reacts differently though, so if the side effects are too much then talk to your doctor.
What kind of high protein breakfast do you eat, blueyeyore? Mostly I eat cold cereal and milk or oat meal and milk. Reading about the protein thing, I think I'll be eating more eggs for breakfast.
KM

I'm also on 70mg per day, but I orignally started out on 50mg per day. My dosage did not get upped until last week. I've gotten real good about drinking water most of the day, if and when I have caffine it's around 4pm...which I take my meds at about 930-10am, so I'm pretty set for side effects by then. I do get headaches often, but one advil kills those real quick.

What I have for breakfast kinda depends on the morning and the mood. This morning it 2 eggs(with cheese I can't have eggs without cheese), some store bought cubed ham, and 1 piece of toast. If I don't feel like cooking I'll grab some fruit and some cottage chesse. That's about all I'll have to eat until I get home from work, even before I was eating breakfast I didn't eat anything until I got home. *shrugs* I never want to eat on this medicine.

I've even thought about investing in a protein bar for breakfast just incase I have a hard time getting out of bed lolWhat kind of high protein breakfast do you eat, blueyeyore? Mostly I eat cold cereal and milk or oat meal and milk. Reading about the protein thing, I think I'll be eating more eggs for breakfast.
KM

I was just recently diagnosed w/ADHD combined-type, and my doc started me on Vyvanse today. I'm supposed to take 30mg daily for two weeks, then switch to 60mg daily for two weeks. I go in for a check-up with him in three weeks in case I need an adjustment.

I feel good (I work midnites, so this is my "morning", so I took my pill at 6pm. I do feel more focused, a little "wired" like from coffee, and that's from 30mg - so, I agree w/the others - 70mg seems a little much.

Good luck to you... :-)

Wow, thanks so much for the responses everyone. I called my doctor and am heading back in tomorrow, bottle in hand. I love the "good" effects but fear that it's probably a bit much.

And, yeah, I'm leaving that coffee alone. To be frank, I felt fine until I had that. I think it kickstarted the effect.

BTW, the other effect I had was to feel a little numbness in my hand and arm. I don't see that on any of the sites as a potential side effect or possible issue. I called a pharmacist friend of mine who found this odd and I think the psychiatrist was concerned as well. Just in case you were wondering, I'm not overweight, relatively fit, and have zero medical issues.

You know...come to think about it I had tingling issues in my left hand. I never thought about it being connected to the Vyvanse. I've had a computer since the 10th grade, played World of Warcraft from release until May of this year, so I just figured it had something to do with carpel tunnel...*shrugs* It kind of went away it's still faintly there.

My advice is to take the approach as starting over. When you see the M.D. ask for the lowest dose- I think it's 30mg. Start with one a day, and think fresh start. Ask to have the option after a week or so as you get used to the 30mg to increase to 60mg (two 30mg) if you believe an increase is justified.

Start low is the golden rule, monitor the benefit versus side effects, and increase slowly till maximum benefit is noted or side effects outwiegh the positives. Please keep us updated and like I said think fresh start on the lowest dose with the option to increase if needed.

Thanks...I'm going to do exactly that.

Sadly, too MANY people I"m reading about seem to be having "unusual" reactions to Shire's drugs, such as Vyanase (and Adderall).

A tingling or numb arm sounds VERY scary.

You may want to read the post entitled Vyvanse Tips...I thought I saw reference to the same website a couple of posts above this one, but I'm not sure that they are the same links. This information can help you when speaking w/your physician.

The comment about putting you on the highest dose because you are an adult sounds like your doctor may be using weight as a dosing guideline. (Weight has nothing to do w/it, but an individual's metabolism does) Most of what I've read suggests that you start at the lowest dose (30) and sit on it for 2 weeks, then adjust as needed every 2 weeks. For some reason those 2 week intervals do make a difference.

That good "feeling" you experienced today probably won't happen again so you don't have to worry about setting yourself up to chase it. Of course everyone responds differently. Shire tested the drug on addicts and it scored low on likability at higher doses) I think one of the drug's advantages is that since there's no feeling to chase, you're forced to pay attention to how well you are functioning cognitively...a more effective mesurement of your response to the drug than trying to determine effectiveness by measuring how it makes you feel.

I hope that you're not too discouraged or freaked out by your experience. If it doesn't end up working out for you there's tons of other options available.

Vyvanse is the "new" Adderall.

Vyvanse, In, Adderall, 5 minutes ago, Ritalin, Out.

Another question (and I thank you all for your care and responses):

My doctor is concerned about the possibility that I am bipolar. Although, frankly, I have no reason to believe as such, he indicated that if euphoria occurred this could be evidence of same. From the responses above and elsewhere throughout this site, I get the impression that -- given sufficient quantities of amphetamine salts -- anyone would experience euphoria. Thus I question his contention of euphoria = bipolar/misdiagnosis.

The point is this: Although the experience overall was a negative, I definitely received the effect of being productive. Highly productive for that matter. And very focused, maybe for the first time in my life.

I am an attorney and focus is extremely important (as it is for anyone to be successful I suppose). This has always been a problem for me and, although I didn't like the high I received, the realization that there might be a solution to the endless cycle of distraction gave me hope. To be honest, I'm a little afraid of losing that hope.

To make a long and boring story short: Is there any truth to the idea that experiencing euphoria -- even when potentially overdosed -- is indicative of some other disorder?

Thanks again everybody. Great group by the way.

Dude you need a new doctor. ADHD is so commonly misdiagnosed as Bipolar. Thats two strikes against the guy already....

I'm on about day 10. 5 days at 30, 2 at 60mg, and 3 at 70mg. I still smile alot, am very focused, but if i dont eat or drink the focused goes fast. It's very easy to not eat or drink on this.

Yeah I had to force myself to eat a couple of power bars for lunch. No hunger.

Does the sleeplessness fade? Didn't get to sleep until 3. That is VERY abnormal for me.

What time are you taking your medicine? I take mine at 6:45am and then sleep for another 30 minutes.

I'm tired by 10pm, bed by 12 usually, and sleep very well.

Took it at 6:30 AM (which is when I leave for work).

Hopefully these are just side effects from getting too much...I'll report back when I see my psychiatrist. I'll let him know you guys think he's a quack too. j/k...maybe.

The guy put me on Daytrana instead. Said I should not -- under any circumstances -- have had euphoric effects from the 70 mg. Vyvasen pills.

I'm starting to think this guy is a maniac.

I'm 43, been on Vyvanse for a month, previous to that I was on Concerta 54mg. for about 4 months, and Focalin xr for about a month. My doctor started me on 50mg, it knocked me for a loop. Totally different med than Concerta. Knowing what I know now, that ole hindsight thing, I would have insisted that she start me on 30mg. I'm doing fine now, definitely can't drink but one cup of coffee, don't even need that but it's hard to stop old habits. It definitely messed up my sleep patterns for about a week, try a low mg of melatonin (2.5), or some magnesium in the evenings, that helps, too. I take mine at 6:30-7:00am, and do well throughout the day and into the evening without the crash that I had on Concerta. If I drink any caffeinated beverages I feel like my heart is going to pound out of my chest and I flush really bad and feel like I'm gritting my teeth..... not good at all!!! Other than that, I would say it's superior to anything I have tried and feels the most natural. Concerta made me feel to hyped up and anxious, Vyvanse has a much more calming effect. It's different for each person, like someone previously said, you may have to try several meds before you find the right one. Don't get discouraged. Once you do find the right fit it can really improve your quality of life!

I felt "wired" (maybe what you would call euphoria) the first day, but after that, I actually had too little improvement. This was the case the first day of each higher dose (30,60 then 90).

I noticed I had headaches if I ate too little protein the previous day.

If having a "high" from Vyvanse makes me bipolar then I've got real issues. My psychiatrist knows my family history of bipolar and still believes I do not have it. Those feelings actually have gone away and it's all focus now. Don't get me wrong I was concerned when it made me "high" and mentioned those concerns various times, so he upped my dose lol *shrugs* Just because you feel good doesn't mean your bipolar. It makes me happy and outright euphoric just to know that it's working and I can finally understand alot of my college and job issues.The guy put me on Daytrana instead. Said I should not -- under any circumstances -- have had euphoric effects from the 70 mg. Vyvasen pills.

I'm starting to think this guy is a maniac.

That was my feeling as well. A large part of it was the relief of knowing there was an answer. Plus, if I'm not ADD, what's the point of putting me on Daytrana? This isn't making sense to me.

You need to get a new doctor. He sounds like he doesn't know what he's doing :(

Third day on Vyvanse. I was considering lowering my dose to 10 but I had a tough time measuring thirds in my drinking glass (where's that measuring cup when you need it, huh?)
So I stuck to my half of 30 mgs - 15 mgs. I took my meds at about 7:20 and had breakfast at work an hour later. I was a bit hyper by then. Had bagels for breakfast and surpizingly I felt sedated. There were times in the day when I even had difficulty focussing, which was quite different from yesterday. But I didn't have that caffeinated feeling.
I've noticed that I do like to stay active and doing things instead of mentally vegging out. I'm happy doing the little things like looking around the house to make sure that things are arranged properly and just going around finding things to do. Generally for me, noticing things like that, and actually doing it takes a real concerted effort so I was amused that I was find it interesting to put things in order. Pleasantly pleased.
I like not feeling 'juiced' on the drug. I think I'll stick to my 15 mgs for a few more days and see how that will make me feel.

I'm not sure what kind of doctor your seeing, but yeah he sounds a "little" wonky. It's kinda been bugging me lately with all these posts about being "tested" for adhd....I haven't been. *shrugs* I guess it just depends on the psychiatrist and their experience. I got a little paranoid last week or the week before about the medicine making me manic...it was all in my head. I actually thought the doctor was trying to force out a manic episode, just to do some kind of sick twisted research lol, but nah it was just me being me and overreacting.

But seriously...You might want to look into a new doctor...or a psychiatrist if you're not already seeing one. I'm kind of picky about my doctors anyway.
That was my feeling as well. A large part of it was the relief of knowing there was an answer. Plus, if I'm not ADD, what's the point of putting me on Daytrana? This isn't making sense to me.

I don't even know what to say, Da' Ricker. It's perfectly normal for you to have felt euphoric...especially since he put you on a high dose of amphetamine right out of the gate. It happens to most people the first time they try meds and then it goes away...especially w/ Vyvanse. Please tell me he gave you 10mg Daytrana patches instead of 30mg ones.

P.S. If you stay w/ this doc and the patch please educate yourself on how the patch is used and titrated....there's a link to the physician prescribing sheet on the Daytrana forum. Something for you to consider, which may or may not be a problem for you... it can take the patch up to 3 hours to start working. (That's a big chunk out of a person's morning) You can take care of this by waking up and putting a patch on a few hours before you need the med's or by taking a short acting Ritalin. Also, many patients need to titrate down a bit after 5 or 6 weeks because the body ends up absorbing more of the medication. Good Luck.

The guy put me on Daytrana instead. Said I should not -- under any circumstances -- have had euphoric effects from the 70 mg. Vyvasen pills.

I'm starting to think this guy is a maniac.Your doctor is questionable. The fact that you are requesting a lower and more appropriate starting dose demonstrates compliance. What type of doc- psych or family? See how the patch works and if current doctor won't work with you, definitely get your medical records and schedule with another M.D.

Keep us updated.

I took 210 mg of Vyvanse a day when I got the coupon and did that for 10 days and it did nothing for me at all, I went back to the dexedrine spansule.

He gave me the 20 mg. patch. I'm not making the mistake I did last time of running to him with any unusual results.

I'm continuing to see this guy but will change immediately if I continue to get what seems to be contradictory advice.

Thanks everyone.

That is dangerous.

I was on 10mg of daytrana for a week. Did absolutely nothing but make me feel shakey. They jumped me to 20mg and I felt like a crack addict the next day. It takes up to 3 hours to kick in, but remember it can take up to 3 hours from removing it to wear off. I felt like I was going through withdrawals afterwards.

Not to mention looking like I was on the birth control patch and the LARGE RED RASHES it left me.

Please, go see another doctor. Just one visit even. Vyvanse might not be for you, but christ, this doctor is not even remotely following how to ease you into this.

after that, I actually had too little improvement. This was the case the first day of each higher dose (30,60 then 90). I keep meaning to ask you and everyone else about this. What do you mean by to little improvement? I haven't really been on any other ADHD medicine before, but when I'm on vyvanse I talk slower, don't eat out of boredom, think before I speak, complete tasks, feel less bored, push through things I don't want to do but know I have to, and I'm generally happier due to this.

Sometimes I get spacey again, but not like before. And to be honest, I think it may be food related for me. Are there medicines out there that do all of that above plus specifically motivate you?

This has made such a vast improvement in my life, but I wasn't expecting it to motivate me, just to remove the road blocks and fog.

I'm not sure how KitKat would answer the too little improvement part of your question. Maybe she expected something more dramatic when stepping up to a higher dose. I think some meds have a little more of a "wow" factor.

You really have to take a step back and evaluate the big picture in order to see if Vyvanse is working for you and from what you describe it sounds like it is! I think your expecations are right on. I've seen personal improvements in the exact areas you describe and I too am happier because of it.

You need to get a new doctor. He sounds like he doesn't know what he's doing :(+1. Sounds like he's a general practitioner. GP's are necessary, but they're ill-informed. Jack of all trades and master of none is what they are. Plus it sounds like he's a big-pharma 'pusher' because the first med he put you on is conveniently the newest, most profitable one. And by the way, he prescribed it off-label because Vyvanse is not FDA approved in teens and adults; but by FDA rules, he's still allowed to prescribe it. I'm not saying that it's bad to prescribe it to adults, because it's definitely going to get FDA approval at some point in time for adults. What I'm saying is that to me it's an indication that he's not a specialist but rather doing the trendy thing.

If anything, he should have known better to put you on the top dose right away. Not that it would be harmful, but it's much smarter to ease someone into it to see how much can be tolerated.

after that, I actually had too little improvement. This was the case the first day of each higher dose (30,60 then 90).I keep meaning to ask you and everyone else about this. What do you mean by to little improvement?I'm not sure how KitKat would answer the too little improvement part of your question. Maybe she expected something more dramatic when stepping up to a higher dose. I think some meds have a little more of a "wow" factor.I don't have a lot of experience with meds, but last year I tried Adderall for 1 month and the improvements I saw were complete focus at work, no distractions, ability to prioritize (ie, not focus on things that weren't important), memory increased 10x the usual, very clear head, no running sound-track, better mood. I used to get depressed after work from wasting time all day, and depression no longer happened since I was completing tasks.

So on the Vyvanse, I was expecting the same improvement in getting work done and finding it easy, not a struggle.

At 30mg, there was little effect, altho I was less tired during the day and slept better at night. 60mg, the first day was great for the above items, but starting on day 2, and for the next few weeks, I only saw the clear head and better mood that I had experienced on Adderall. Absolutely no prioritization or focus.

At Vyvanse 90mg, the first day was "too much". The next few days were great. I now had the focus I had experienced on Adderall. but a few days later, mood & clarity were still good, but focus had decreased. Overall V90 was better than nothing, but not like the Adderall. This is what I meant by "too little improvement" after it had worked for a couple days.

Since my insurance wouldn't pay for 90mg, we didn't even try experimenting with 120mg.

I moved to Adderall XR 20mg bid. It was better than 60mg Vyvanse, but not quite as effective as 90mg Vyvanse, so I eventually increased from 2/day to 3/day.

Adderall XR 20mg tid has been "perfect" every day, all day, now for 2 weeks - focus/priority/task completion. My pdoc is going to switch me to XR 30mg bid, which should be the same as XR 20mg tid. If I see any signs of it being "too much", I'm going to ask him to lower it to XR 25mg bid.

He thinks when Vyvanse is approved for adults we might see doses of 90 and 120 and insurance may agree to cover 90mg or above. I suspect he will want me to switch back to Vyvanse.

**************************************************

I haven't once experienced any crashing, or noticably coming down on either Adderall or Vyvanse on low or high doses. I have slept better than ever on all doses. The biggest side effect is dry-mouth.

I have welcomed the better mood and clearer head on even the lower doses of both A & V, but the focus, prioritization and efficiency at completing tasks easily that I experience on the higher dose of Adderall XR is much appreciated (I suspect I would have seen the same results on 100mg Vyvanse).

I'm on my first day of Daytrana -- 20 mg. NO EFFECT. Literally...nothing. This is a major downer because -- despite some of the negative effects -- the positives were precisely what is described above (focus, attention, discipline, clear headedness, no sound track, no depression at the end of the day b/c I got nothing done, no "tomorrow it will be better" that I had nearly every day).

So now I'm torn. Keep on the Daytrana and see if things improve (I've heard there is some time delay as the body learns to absorb it), or bag this guy and go get a new psychiatrist. (to answer an earlier question, he's not a general, he's a psychiatrist).

Any thoughts? Is this Daytrana going to start kicking in? Should I get back on the Vyvanse? Is is possible for a pharmaceutical company to give a medication a less ridiculous name? (I suggest "Steel" or "Resolve" -- although those may both be carpet cleaners).

Thanks again.

I don't even know what to say, Da' Ricker. It's perfectly normal for you to have felt euphoric...especially since he put you on a high dose of amphetamine right out of the gate. It happens to most people the first time they try meds and then it goes away...especially w/ Vyvanse. Please tell me he gave you 10mg Daytrana patches instead of 30mg ones.

That's the way it was for me. The first day, at 15 mgs I was super-euphoric and had this caffeinated feeling, but after that I haven't felt it with that level of intesity.
I do feel a little motor-driven at times and feel anxious. I almost feel what seems like symptoms of hyper-activity (I'm ADD-I) under the meds. But I noticed that if I keep drinking a lot of water, the anxiousness and nervous tension like symptoms go away.

(It's funny how much good ADD does for me in my life. It makes me exercise regulary, drink lots of water and eat a well-balanced diet. And ADD allows me to meet some really interesting people like in this forum :p.)

So I'ved upped my doze to 30 mgs. My wife and I have really noted a difference in my life. I'm so much more focussed outside my head. I like doing activities around the house. I feel bright and focussed and like I'm capable of making a difference in my life. I feel more confident instead of doubting myself. There is a lot less mental uneasiness that I used to be constantly trying to put into order.

How about you guys? How do you feel in your daily life while taking these meds.

Keep on the Daytrana and see if things improve (I've heard there is some time delay as the body learns to absorb it), or bag this guy and go get a new psychiatrist.
How was your second day on Daytrana? I'm a bit surprised that you didn't see any affect, even physically but everybody's going to respond differently. Just wondering, is there any hair in the area that you are applying the patch to that might be getting in the way of absorption? (Just something to consider. I don't have anything scientific to state it would matter either way, just common sense)

Your wondering if you should get rid of this doctor. You might end up w/ a less frustrating experience if you switched. He's done some questionable things.

For example, why didn't he start you on Vyvanse (and Daytrana for that matter) the way all stimulants are supposed to be prescribed....low and slow, regardless of your size. Titrate up until side effects are intolerable or improvement in symptoms are no longer being made. Starting you out high is setting you up to fail.

Even though you reported that you had a positive response w/ respect to your ADHD symptoms he took you off of Vyvanse and switched you to Daytrana, which by the way, is a completely different type of stimulant. Why not drop down to the lowest dose of Vyvanse and go from there? Since your symptoms were improved, why didn't he try another drug in the amphetamine class before switching you to methylphenidate?

And then he casually tossed bipolar disorder out at you because you talked a lot and felt euphoric after taking an inappropriate amount of amphetamine on your first try. That was unprofessional and insensitive, in my opinion.

One more thing...did he really confiscate your Vyvanse? I think that's odd. I've never had a doctor ask me for unused meds. (That may be illegal, by the way)

It just doesn't add up. Being newly diagnosed w/ ADHD can be exciting and overwhelming. Getting treatment and finding the right med can be a long, frustrating process. Having a doc who doesn't know what he's doing or one you don't have confidence in just adds to it. If his actions are making you question his competence and the quality of your treatment, it may be time to ditch him.

I agree.

Everything about it is contradictory. I have an appointment next Friday for a new psychiatrist -- a second opinion. And, yes, they are different drugs and apparently some people will respond strongly to one and not another. Again, however, this is not something that he told me might take place.

Thanks a lot everyone...I will report back.

P.S. Day 3 on Daytrana -- a slight (very slight) effect. Then again, work has been almost distraction free b/c of the holiday. And it's itchy.

P.P.S. On the confiscation, I agree. Odd. I have reported some family history with drug abuse to him but, as for me, I've never taken anything stronger than alcohol. It's all quite odd...and irritating.

I agree.

Everything about it is contradictory. I have an appointment next Friday for a new psychiatrist -- a second opinion. And, yes, they are different drugs and apparently some people will respond strongly to one and not another. Again, however, this is not something that he told me might take place.

Thanks a lot everyone...I will report back.

P.S. Day 3 on Daytrana -- a slight (very slight) effect. Then again, work has been almost distraction free b/c of the holiday. And it's itchy.

P.P.S. On the confiscation, I agree. Odd. I have reported some family history with drug abuse to him but, as for me, I've never taken anything stronger than alcohol. It's all quite odd...and irritating.

Here's my reccomendation my friend- when you see the new doctor ditch the patch and start over on the low dose of Vyvanse. Inquire about titration but literally "start over". The previous doctor has clearly caused you frustration and rightly so. He should have put you on the lower dose of Vyvanse and not overreacted b/c you felt buzzed or whatever. Like the post two above us noted the whole process of getting diagnosed can be overwhelming- getting on meds for the first time etc. Add to that a prescriber who is not working with you (doctor/patient relationship). Just as a patient needs to be as informed as possible, when first getting diagnosed it's "new" so knowledge of ADHD may not exist or be minimal; but throw into this relationship a M.D. who is questionable and it's asking for problems.

I really wish you best of luck with the new doctor.

I am SO glad that you are getting a 2nd opinion. Good luck to you and keep us updated.

Well I finally got a new doctor -- and a new prescription. 30 mg. Vyvanse. (I ditched the itchy, worthless Daytrana patch). As a few people suggested, this is starting over so I'm excited to see what happens.

Good deal...hopefully this works for you.

Well I finally got a new doctor -- and a new prescription. 30 mg. Vyvanse. (I ditched the itchy, worthless Daytrana patch). As a few people suggested, this is starting over so I'm excited to see what happens.

Makes much more sense to start the Vyvanse at 30mg, and perhaps titrate the dose to 50mg or so in a week or two once you get used to the medicine and get a feel for how long you feel it is lasting.