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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 6 of 6. This is the beginning of the thread.
Posted by CareBear04 on October 18, 2009, at 23:17:48
Hi everyone,
Was switched last week from 30mg of Adderall XR twice a day to Vyvanse, mostly because it's supposed to last longer. The dose I was started on, though, was incredibly low for reasons that are unclear. The prescription was for 30mg of Vyvanse once a day for four days, then 30mg twice a day. From what I've read, it seems that the general consensus is that 30mg Adderall XR = 70mg Vyvanse, so my dose conversion should have been to 70mg Vyvanse twice a day. I don't think the pdoc wants necessarily wants to lower my stimulant intake because he asked me whether I've ever tried higher than 30mg Adderall bid. I hadn't because I think it's stated that the highest adult dose was 60mg a day.
I was a little conflicted about whether I should call and ask to increase the dose. My tendency is to self-medicate and play with meds and doses without consulting drs. But this tendency has gotten me in big trouble at times, and since I'm seeing a new pdoc, I want to send the impression that I'm a responsible patient, not a reckless and seriously disturbed one. So I called and reported that the 30mg of Vyvanse feels like nothing and asked whether I could take the two doses at once. He said sure, but the way he responded made me feel like I had wasted his time by even asking. My overall impression is that he is quite liberal in his use of meds and would probably be fine with whatever I suggest works.
I did double to 60mg of Vyvanse twice a day, and while it definitely lasts longer to the point that it's harder to fall asleep, I can't necessarily say it works better. I'm disappointed because the first day I took it, I thought it was amazing--I was incredibly focused and more productive than I have been, and even though I had absolutely no appetite, I took that as a sign the drug was working. The only period of the day that I would say that the V is as good as or better than Adderall is in that period where the doses overlap, so that I must be getting somewhere between 60 and 120mg. So maybe the Vyvanse would be a good switch but I need a higher dose? If it's relevant, I've tried Dexedrine spansules, but I've always gone back to Adderall--it just works better for me, whatever the reason.
I see the pdoc for the second time tomorrow. He was hugely enthusiastic about the Vyvanse, so I also hate to rain on his parade...
Any suggestions?
Thanks,
CB
Posted by Phillipa on October 19, 2009, at 10:46:31
In reply to Vyvanse--stick with it?, posted by CareBear04 on October 18, 2009, at 23:17:48
The original med was working okay? So only reason for switch was the longer mode of action? I'm so I'd let the doc know and maybe switch back. Remember he's there to treat you so your responses are good indications to him on how you repond to meds. I'd just let him know. I wish I knew more. Love Phillipa
Posted by Maxime on October 19, 2009, at 16:22:14
In reply to Vyvanse--stick with it?, posted by CareBear04 on October 18, 2009, at 23:17:48
If 60 mg twice day already gives you sleep problems, then going higher will only make it worse. You should probably go back to the Adderall.
Posted by rjlockhart04-08 on October 21, 2009, at 10:34:05
In reply to Vyvanse--stick with it?, posted by CareBear04 on October 18, 2009, at 23:17:48
I would go back on the adderall, or the dexedrine spansules, they where the "most" effective thing I have taken, yet my current doctor does not approve of stimulants, he does prefer Nuvigel, which is strong in it's own way, it's more for workshift's and it doenst bring the concentration that spansules did, it just gives alot of energy.
What ever, just be grateful for taking something that is effective.
Pray soon, at least something for concentration for me.
rj
Posted by bulldog2 on October 22, 2009, at 11:08:51
In reply to Vyvanse--stick with it?, posted by CareBear04 on October 18, 2009, at 23:17:48
> Hi everyone,
>
> Was switched last week from 30mg of Adderall XR twice a day to Vyvanse, mostly because it's supposed to last longer. The dose I was started on, though, was incredibly low for reasons that are unclear. The prescription was for 30mg of Vyvanse once a day for four days, then 30mg twice a day. From what I've read, it seems that the general consensus is that 30mg Adderall XR = 70mg Vyvanse, so my dose conversion should have been to 70mg Vyvanse twice a day. I don't think the pdoc wants necessarily wants to lower my stimulant intake because he asked me whether I've ever tried higher than 30mg Adderall bid. I hadn't because I think it's stated that the highest adult dose was 60mg a day.
>
> I was a little conflicted about whether I should call and ask to increase the dose. My tendency is to self-medicate and play with meds and doses without consulting drs. But this tendency has gotten me in big trouble at times, and since I'm seeing a new pdoc, I want to send the impression that I'm a responsible patient, not a reckless and seriously disturbed one. So I called and reported that the 30mg of Vyvanse feels like nothing and asked whether I could take the two doses at once. He said sure, but the way he responded made me feel like I had wasted his time by even asking. My overall impression is that he is quite liberal in his use of meds and would probably be fine with whatever I suggest works.
>
> I did double to 60mg of Vyvanse twice a day, and while it definitely lasts longer to the point that it's harder to fall asleep, I can't necessarily say it works better. I'm disappointed because the first day I took it, I thought it was amazing--I was incredibly focused and more productive than I have been, and even though I had absolutely no appetite, I took that as a sign the drug was working. The only period of the day that I would say that the V is as good as or better than Adderall is in that period where the doses overlap, so that I must be getting somewhere between 60 and 120mg. So maybe the Vyvanse would be a good switch but I need a higher dose? If it's relevant, I've tried Dexedrine spansules, but I've always gone back to Adderall--it just works better for me, whatever the reason.
>
> I see the pdoc for the second time tomorrow. He was hugely enthusiastic about the Vyvanse, so I also hate to rain on his parade...
>
> Any suggestions?
>
> Thanks,
> CBI believe that 30 mg of vyvanse actually contains a total of 8.9 milligrams of d-amphetamine.
So your doc has lowered your dose from 60 milligrams of amphetamine to 8.9 milligrams than later to about 18 milligrams of d-amphetamine.
Is your doc an idiot? Does he not realize that 30 mg of vyvanse only has 8.9 milligrams of d-amphetamine and the rest is an amino acid.
You must feel like your are taking nothing. You probably need about 70 mg vyvanse twice a day to even come close to what you used to take!
I understand that vyvanse may end up being smoother than the adderall xr as my p-doc says his patients like it. However he needs to learn how to convert correctly when going from the adderall xr to the vyvanse.
Posted by Phillipa on October 22, 2009, at 20:15:21
In reply to Re: Vyvanse--stick with it?, posted by bulldog2 on October 22, 2009, at 11:08:51
Old poster loves his 30mg of vyvanase. Phillipa
This is the end of the thread.
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