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Is it safe to stop Vyvanse at once? - Online Doctor Chats

Date : 27-Feb-2014
User rating for this question
Very Good Posted in: Medicines and Side Effects
Answered by

General & Family Physician
Practicing since : 2009
Answered : 983 Questions
User:I had a brain coiling 6 years ago for a bleed.. with fortunately no long term neurologic deficits. I am wondering where I can find statistics on Vyvanse and chance of increased risks of recurrence?
Doctor:How can I help?
Doctor:Are you there?
Doctor:Please go ahead with your query
Doctor:Are you there?
User:Yes-trying to type
User:Can you see my original question?
User:OK-sorry, not very good at this
Doctor:Regarding vyvanse you can get more information from searching articles and case reports in medical journal like pubmed
Doctor:Doctors post cases as case reports in medical journals
Doctor:They can also do some research etc and post the results
Doctor:These results or reports are posted in medical journals
Doctor:If you need to know something specific I can help you with it
User:I tried that and can not find any specific information on risk factors. I have had a long history of anxiety and depression and Vyvanse has consistently significantly relieved all need for additional need for antidepressants or antianxiety medications. Do you have any thoughts on this? I recently needed to change providers and they are not willing to prescribe?
User:The change was due to provider leaving area
Doctor:ok give me a min
Doctor:Please visit this link
Doctor:It says that vyvanse should not be stopped
Doctor:Thus you need a prescription
Doctor:You can take a printout of this article and take it to your new doctor
Doctor:It should not be stopped suddenly
Doctor:either you get a prescription or taper the dose slowly
Doctor:This link is from pubmed
User:Yes, I have an apt with my primary care MD next week, but yes they just stopped it suddenly ad I am really struggling at work
Doctor:Well take a printout of this article
Doctor:Highlight the lines that say that you cannot stop it suddenly
User:Fortunately or unfortunately I am an RN at the place where I receive care, so it makes me uncomfortable..I usually have great faith in them, but felt I was not listened to at all with my change in providers/
Doctor:It is possible
Doctor:Sometimes you need to provide some proof
Doctor:Hopefully they will understand
Doctor:You can provide them with previous medical records
Doctor:Are you there?
User:OK I was writing the info down-no printer. I sure hope so related to your other statements. I have some medical records which they have in the system, but they did not even listen to me. They provider I was using left the system
User:I think they are judging his practice
Doctor:well if one doctor does not help you
Doctor:go to another one
Doctor:one doctor cannot judge another's practice
Doctor:this medicine is working for you
Doctor:and you can get it
User:I agree, but again difficult because of working in this system. This medicine does work for me, and I am very fearful that without it my life and job performance will suffer
User:I have tried in the past and this was the case
User:I am now on the top of my game both professionally and personally
Doctor:Yes I understand
Doctor:But you need to show the records to the new doctor
User:I hope someone else does, but the NP I went to see is in the same organization as I work for and receive care at...therefore my concern
Doctor:If that is not possible then get some antidepressants
Doctor:If you have some stock with you then try to taper it over a period of weeks
Doctor:That is my best suggestion
User:I have tried many in the past and none have really worked well-therefore I wonder if that was truly the diagnosis or if attention deficit was the problem all along?
Doctor:Yes I understand
Doctor:It may have been ADHD
User:I have a bit of dextroamphet...but no vyvanse, I can try that
Doctor:Whatever the case, you need to find a doctor who understands your need
Doctor:Though it is addictive
User:I think you are right
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