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Vyvanse (lisdexamfetamine dimesylate)

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Old 01-04-11, 05:43 PM
heybabalou heybabalou is offline
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Vyvanse vs. Adderall for ADD and co-occurring anxiety

Hi All:

I am a 40 year old mom of 3 young kids. I also work part-time. I was first diagnosed with ADHD as a child in the 1970's and was prescribed Ritalin. I went off it during my teen years-big mistake! I went on Adderall (both XR and IR) in my early 30's and it helped me get through grad school. After grad school I stopped but at age 40 decided to explore going on meds again. I have co-occurring depression and generalized anxiety disorder. I have been on various antidepressants over the years, and am currently taking Wellbutrin XL 300 mg. My psychiatrist, who is a specialist in ADHD, placed me on Adderall XR with IR boosters at first. I found the XR had side effects and I didn't like how the second half of the dose didn't work as well. Then I started taking IR every 4 hours, with 10-20 mg dex boosters in the evening if needed, because sometimes I need coverage later into the evening.

However, Adderall (all types) really increases my anxiety, especially as it is wearing off. This is common, I have heard. I started taking just dex IR the past few days, 20 mg every 3-4 hours and find that my anxiety is much better. I am going to make an appointment with my doc and see if maybe it would be better to switch. But I am wondering if Vyvanse might be a good choice? It seems to get mixed reviews here. I would be happy taking the dex IR, but don't know if it might be more difficult to fill as it is more restricted. Actually, the dex boosters are the only med that we HAVEN'T had to battle with the insurance company over, it is filled with no problems every month, but I don't know if that would change if the quantity prescribed went up. The Adderall has been a hard one with the insurance company, even though I can do generic, they ALWAYS have a hard time with the number of pills prescribed. My current prescribed dose is 20 mg of Adderall every 4 hours with the dex at night if needed. (It was 30 mg 3 times a day, I think that was too high.)

I really want to treat my ADHD, but the anxiety is debilitating, and I feel like I need to drink a few glasses of wine in the evening just to deal with it. Of course, self-medicating with alcohol isn't a great way to cope! I have a PRN Xanax prescription too, I use it as needed in the evenings and it has helped, and I haven't felt like I developed a tolerance. But it would be better not to stay on that long term. I also take Ambien PRN. I know this is a lot of meds, hence the question....

I'm sure my doc will have some ideas, but any thoughts or advice about this is appreciated.

Thanks!
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Old 01-06-11, 01:32 PM
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Re: Vyvanse vs. Adderall for ADD and co-occurring anxiety

I had to go off my Adderall XR (30mg/day) because I couldn't afford it and ended up trying out Ritalin (hated it) and then Vyvanse (40mg I think, we are still titrating) because they have prescription financial aid from the company. I will tell you this, I have no anxiety at all with the Vyvanse but I learned the hard way this semester in school that it's also almost useless in academic settings. I don't know yet if that goes for work or not but will begin working this semester and will see. Here are the differences I can note. Vyvanse is great for keeping my mind quiet without making me feel totally disconnected. When I was on Ritalin I felt like I was living in a bubble unable to connect to the world around me. Everything just hit a wall. With the Vyvanse I feel just, quiet... I assume you will understand that but when I try to explain it to non-ADHD people they don't get it. What I miss about my Adderall XR is the help with the focus, while Vyvanse helps with the "white noise" it isn't great at helping me focus. However, my mood is much improved and aside from not having anxiety I'm also not angry as much either.

I have tried almost every drug group for ADHD and the best replacement for Adderall I have found is Vyvanse. However, I have started drinking coffee and find that I have better luck if I take my meds with a cup of coffee in the morning rather than no coffee. I'm not sure if this has to do with withdrawal control from the Adderall (it's been about 6months now though) or if I still need that extra boost. My doctor has suggested taking an Adderall IR with my Vyvanse in the morning but I haven't tried it yet because a) I don't have the money and b) I am worried about having that many "uppers" in my system.

Hope this helps, let me know if you have any questions!
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Old 01-08-11, 12:41 PM
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Re: Vyvanse vs. Adderall for ADD and co-occurring anxiety

My psych was hesitant to try me on any stimulants because of anxiety issues. I was on wellbutrin for about a year (which did nothing for me.) He decided to try Vyvanse first, because he had seen success on this before. While we were working up the dosage I didn't notice too much of a difference. I could sit still longer, but not necessarily be active in what I was supposed to be doing. Now I am up to 100mg in the morning, and so far so good! I haven't had a chance to try it out at a school setting yet (on winter break right now) but it is doing wonders for me at work! (I have a part time job at an insurance company, mainly boring repetitive desk job, but it pays for tuition.) I have been able to sit and finish my work on time. As for anxiety, I noticed it the first few days, but now I am much calmer than I used to be. Maybe it is because I can remember what I am am supposed to be doing and not worrying about missing something and having to try to make up for it later. My psychiatrist told me the normal adult dosage is between 70mg and 140mg. Which is different from some of what I have been reading in this forum... I guess I will find out!

Good luck to you!
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Old 01-10-11, 12:40 AM
heybabalou heybabalou is offline
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Re: Vyvanse vs. Adderall for ADD and co-occurring anxiety

Thanks for your replies! It seems like very mixed reviews on this forum. I have trouble with extended release meds-they always wear off sooner than they are supposed to. When I took Adderall XR, I could not count on it working the full 8 hours or so they said it would. I am concerned about the reports that Vyvanse also peters out sooner than it is supposed to, but I do like that I have heard there is less anxiety. The IR Dex gives me less anxiety than any of the forms of Adderall, so I am hoping that a Dex based med might work better.
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