What is Vyvanse®?
Vyvanse (lisdexamfetamine dimesylate) is a prescription medication used to treatAttention Deficit Hyperactivity Disorder (ADHD)in adults and children over 6 years of age. It is also used to treat moderate to severeBinge Eating Disorder (BED)in adults.
Vyvanse is a member of the amphetamine class of drugs and its exact mode of action (its "mechanism of action") in ADHD or binge eating disorder is unknown. However, it is absorbed in the gastrointestinal tract and converted to dextroamphetamine, which increases the availability of the neurotransmitters dopamine (a hormone that affects mood) and norepinephrine (a stress hormone) in the central nervous system.
Vyvanse is a controlled drug, which means it has a high potential for abuse and misuse. It is available as an oral capsule or a chewable tablet.
brand names): Wyvanse
drug availability: recipe
Therapeutic Classification: amphetamine
controlled substance: Annex II
dosage forms): Oral capsule, chewable tablet
What is Vyvanse used for?
Vyvanse is used for the treatmentAttention Deficit Hyperactivity Disorder (ADHD)in adults and children over 6 years of age. It is also used to treat moderate to severeBinge Eating Disorder (BED)in adults. Studies have shown that ADHD can affect between 2% and 9% of school-age children.and about 4.4% of adults.BED affects approximately 1.5% of women and 0.3% of men worldwide.
How to take Vyvanse
Vyvanse is a controlled substance, which means it can be addictive and its use can lead to dependency. Do not share Vyvanse with others.
You should take Vyvanse as prescribed by your doctor. Your healthcare provider may need to adjust your dose several times at the start of treatment to determine which strength is best for you. Do not take less than one capsule or one chewable tablet per day. A single dose should not be divided.
It is best to take Vyvanse in the morning with or without food.If this medicine is taken in the evening or at night, it may be more difficult for you or your child to fall asleep. Getting too little sleep can negatively affect alertness, mood, and other factors. Be sure to talk to your doctor if you or your child cannot get enough sleep while taking Vyvanse.
haircut: Vyvanse capsules should be swallowed whole.Do not crush, split, or chew. If you have trouble swallowing the capsules, you can open the capsule and mix all of the powder with water, yogurt, or orange juice. You can use a spoon to break up any clumps of powder. Mix well and eat or drink the entire mixture immediately. Don't save any for later.
Kautablette: Vyvanse chewable tablets should be chewed well before swallowing.You can replace Vyvanse capsules with Vyvanse chewable tablets of the same strength.
Vyvanse should be stored in a secure place, preferably under lock and key, to prevent access to it by children or pets or to prevent possible misuse. Store this medication in a closed container at room temperature (68 to 77 degrees Fahrenheit) away from heat, moisture, and direct light. Dispose of any remaining, unused, or expired medications through a medication take-back program.
Vyvanse has been used off-label to treat sleep disorder.narcolepsy.
How long does Vyvanse take to work?
Your body will reach a peak concentration of Vyvanse within a few hours.
What are the side effects of Vyvanse?
This is not a complete list of side effects and others may occur. A doctor can advise you about side effects. If you notice any other effects, talk to your pharmacist or doctor. You can report side effects to the Food and Drug Administration (FDA) atfda.gov/medwatcho 800-FDA-1088.
frequent side effects
Common Vyvanse side effects can include:
- Reduced body growth (in children)
- weight loss (in children)
- epigastric pain
- To vomit
- Dry mouth
serious side effects
Call your doctor right away if you have serious side effects. Call 911 if your symptoms are life-threatening or if you think you have a medical emergency.
Serious side effects and their symptoms may include:
- anaphylaxis(possibly a life-threatening allergic reaction) or signs of aallergic reaction
- blood pressureYincreases heart rate
- chest pain,attack,Myocardial infarction,sudden cardiac death, also in children
- Symptoms ofPsychosisomania,such as hallucinations or delusions, which may worsen with Vyvanse
- seizures(sudden, uncontrolled electrical activity in the brain)
- Raynaud's disease(reduced blood flow to fingers and toes)
- serotonin syndrome(life-threatening condition that causes high levels of the chemical serotonin that can occur when taking certain medications)
Long-term side effects
The long-term side effects of Vyvanse are unknown.
report side effects
Vyvanse may cause other side effects. Call your doctor if you have any unusual problems while taking this medicine.
If you notice a serious side effect, you or your provider can send a report to theThe FDA's MedWatch adverse event reporting programor by phone (800-332-1088).
Dosage: How much Vyvanse should I take?
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The dose of this medicine is different for different patients. Follow the directions of your doctor or the label. The information below only includes the average doses of this medication. If your dose is different, do not change it unless your doctor tells you to.
The amount of medicine you take depends on the strength of the medicine. Also, the number of doses you take each day, the time between doses, and the length of time you take the medication depend on the medical problem for which you are using it.
- For oral dosage forms (capsules and chewable tablets):
- For Attention Deficit Hyperactivity Disorder (ADHD):
- Adults and children 6 years and older: 30 milligrams (mg) once daily in the morning initially. If necessary, your doctor may slowly increase the dose until symptoms improve or a maximum dose of 70 mg per day is reached.
- Children under 6 years of age: Use and dosage should be determined by your doctor. .
- For moderate to severe binge eating disorder (BED):
- Adults: Initially 30 milligrams (mg) once daily in the morning. If necessary, your doctor may slowly increase the dose until symptoms improve or a maximum dose of 70 mg per day is reached.
- Children: the doctor should determine the use and dosage. .
- For Attention Deficit Hyperactivity Disorder (ADHD):
The following modifications (changes) should be considered when using Vyvanse:
the pregnancy: Although lisdexamfetamine dimesylate had no apparent effect on fetal development or survival in some animal studies, other animal studies have shown the effect of Amphetamines during pregnancy had long-term effects on the brain and behavior.However, the potential for these effects in humans is unclear. Tell your doctor if you become pregnant or plan to become pregnant while receiving treatment with Vyvanse.
breast-feeding:Vyvanse can be present in breast milk and cause heart problems, delayed growth, and other problems in your baby.Avoid breastfeeding while taking Vyvanse.If you must take Vyvanse, consider working with your doctor to find an alternate (formulated) diet.
Kinder:Vyvanse has reduced weight gain and increased stunting in children.Your child's health care provider will work with you to monitor your child for these problems, as well as for changes in behavior.
Adults over 65 years:Studies suggest starting with a lower dose and monitoring for side effects in adults over the age of 65.
kidney problems:People with kidney problems may not be able to clear medicines from their bodies as easily. This means that the medicine stays in the body longer and may have more side effects. For this reason, your doctor is unlikely to prescribe more than a certain dose of Vyvanse for severe kidney problems.
thyroid problems: Taking Vyvanse with thyroid medicines may increase the risk of cardiovascular (heart and blood vessel) problems.
administrative changes: If you have trouble swallowing Vyvanse capsules, you can open the capsule and mix all of the powder with water, yogurt, or orange juice. A spoon can be used to break up any clumps of powder. Be sure to mix the powder well and eat or drink the entire mixture right away. Don't save any for later.
If you forget your dose of Vyvanse, take it as soon as you remember. If it is almost time for your next dose, wait until then and take a normal dose. Do not take additional medications to make up for a forgotten dose, as this can cause side effects.
Overdose: What happens if I take too much Vyvanse?
Overdose symptoms may vary from person to person. Some overdose symptoms may include restlessness, tremors, overactive reflexes (hyperreflexia), rapid breathing, confusion, physically violent behavior (aggression), hallucinations, panic, high fever due to brain changes (hyperpyrexia), and breakdown of muscle tissue (rhabdomyolysis). Changes in heart rate and blood pressure may also occur.
What happens if I take an overdose of Vyvanse?
If you think you or someone else has overdosed on Vyvanse, call a doctor or the Poison Control Center (800-222-1222).
If someone collapses or is not breathing after taking Vyvanse, call 911 immediately.
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It is very important that your doctor monitor your or your child's progress at regular visits.and make sure your dose is correct and the medicine is helping you. Your doctor will need to check your/your child's blood, heart, and blood pressure to check for any problems or unwanted effects this medicine may be causing.
You should not use this medication if you or your child are using or have used an MAOI such as Eldepryl®, Marplan®, Nardil®, or Parnate® in the past 14 days.
Tell your doctor about all medicines you or your child are taking or plan to take, including prescription and over-the-counter medicines, dietary supplements, herbal remedies (such as St. John's wort), or medicines for control appetite. . Asthma, colds, coughs, hay fever and sinus problems.
This medicine may cause blurred vision or make you drowsy or dizzy. If one of these cases occurs,Do not drive, use machines or do anything else that could be dangerous until you know how this medicine affects you..
Lisdexamfetamine dimesylate can cause serious heart or blood vessel problems, such as heart attack or stroke. This may be more likely in patients with a family history of heart disease. Contact your doctor right away if you or your child experience chest pain, fast, pounding, or irregular heartbeats, shortness of breath, or fainting while taking this medicine.
Tell your doctor right away if you or your family notice any unusual changes in behavior, such as B. an increase in aggression, hostility, restlessness, irritability, or suicidal thoughts or behavior. Also, tell your doctor if you or your child have hallucinations or unusual thoughts, especially if they are new or are quickly getting worse..
This medicine may cause slow growth. If your child is using this medicine, the doctor will need to check your child's height and weight to make sure she is growing properly.
This medicine can cause something called Raynaud's phenomenon. Contact your doctor immediately if you experience tingling or pain in your fingers or toes when exposed to cold, paleness or a cold feeling on the tips of your fingers and toes, or a change in color of the skin of the fingers.
Before any medical examination, inform the attending physician that you or your child are taking this medicine. The results of some tests may be affected by this medicine.
Contact your doctor immediately if you experience anxiety, restlessness, rapid heartbeat, fever, sweating, muscle spasms, spasms, nausea, vomiting, diarrhea, or if you see or hear things that are not there. These may be symptoms of a serious condition called serotonin syndrome. Your risk may be higher if you are also taking other medications that affect serotonin levels in your body.
What are the reasons why I should not take Vyvanse?
You should not take Vyvanse if you:
- Have a known hypersensitivity or allergic reaction to amphetamine products or any other ingredients in Vyvanse
- are currently taking monoamine oxidase inhibitors (MAOIs), or have taken an MAOI in the past 14 days, which may put you at serious risk of very high blood pressure (hypertensive crisis)
- Do you have a pre-existing heart condition?
What other drugs interact with Vyvanse?
In general, drugs that interact with Vyvanse include:
- HAD - tunanoUse Vyvanse and MAOIs within 14 days of each other
- drugs that changeserotoninlevels in the brain (serotonergic drugs, dietary supplements or herbal medicines),
- CYP2D6 inhibitor,
- Medications that are alkalizing (to become more basic) or acidifying (to become acidic) and
- tricyclic antidepressants.
Specific drugs that interact with Vyvanse may include:
- ammonium chloride (acidifier)
- ascorbic acid
- methenamine sauce
- Sodium phosphate (laxative)
- sodium bicarbonate
- juan herbs
- tryptophan supplements
- Medicines used to treat depression (including desipramine, fluoxetine, paroxetine, protriptyline)
- Triptan medicines used to treat migraines
Talk to your doctor if you are taking any of the above medicines.
And be sure to talk to your doctor about all other medications you're taking or plan to take, including over-the-counter, nonprescription, vitamin, herbal, or herbal medicines.
What drugs are similar?
SimilarStimulusMedications used to treat ADHD include:
- Adzenys XR ODT (anfetamina)
- Focalin XR(dexmethylphenidate hydrochloride)
not stimulatingmedication, includingStrattera(Atomoxetine), are also available to treat ADHD. These medications are effective and tend to have fewer side effects than stimulants.
Be sure to talk to your doctor or pharmacist before using any other medication, dietary supplement, or herbal product with Vyvanse.
What is Vyvanse used for?
Vyvanse is used to treat ADHD in adults and children over 6 years of age and moderate to severe binge eating disorder in adults.
How does Vyvanse® work?
Exactly how Vyvanse works (its "mechanism of action") is not known. However, it is absorbed in the gastrointestinal tract and converted to dextroamphetamine, which increases the availability of dopamine and norepinephrine in the central nervous system.
What medicines should not be taken with Vyvanse?
Do not take Vyvanse if you are currently taking a monoamine oxidase inhibitor (MAOI) or have taken an MAOI in the last 14 days.
Why is Vyvanse a controlled drug?
Vyvanse has a high potential for abuse and misuse.
How can I stay healthy while taking Vyvanse?
While you are taking Vyvanse, it is important to know how it may affect you. Side effects can make you dizzy or tired, so don't drive or do anything that could be dangerous until you know exactly how Vyvanse affects you. Vyvanse can also cause weight loss and reduced growth in children, or make it hard to sleep. Talk to your doctor if you or your child have any of these side effects.
This drug has the potential to become a habit. Do not take more than prescribed. Instead, talk to your doctor if you feel like Vyvanse isn't working for you.
If you or your child can handle itADHD, behavioral therapy for you and your child, as well as organizational and social skills training can help.
Studies have shown that biofeedback can be a useful complementary therapy for ADHD in adults and children.A link between ADHD anddistressing childhood experiencesIt has been found in some people.Although not everyone with ADHD will have this problem,Trauma treatment with a licensed therapistit can be a step in the healing process for those with these childhood events. Talk to your doctor or your child's doctor about different treatment approaches and options.
It is important to note that several other disorders can be confused with ADHD. Your doctor must first rule them out in order to make a diagnosis of ADHD. For example, studies show that sleep disorders can increase a child's chance of developing ADHD over time.
Your doctor may examine you or your childSleep Hygiene Practices(Behaviors that can contribute to a good night's sleep) and also rule out or address possiblesleep disorders, includingSleep apnea, YRestless Leg Syndromebefore a diagnosis of ADHD can be made.
Other disorders to consider before an ADHD diagnosis include:
- learning problems likeDyslexia
Work with your/your child's health care provider to determine the cause of your/your child's problem.
if you can handle itBinge Eating Disorder (BED), there are several additional treatment strategies that can support your healing process. This includes different types of therapy, journaling, yoga, and group support. Another way to support yourself is to work with aregistered dietitian(RD or RDN). An RD is specially trained to help you build your toolkit with guidance on food choices and eating habits.
Verywell Health drug information is for educational purposes only and is not intended to be a substitute for medical advice, diagnosis, or treatment by a health care provider. Consult your doctor before taking any new medication.IBM WatsonMicromedexcontains part of the content of the drug as indicated on the site.