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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Withdrawal Symptoms Of Lowered Dose Of Vyvanse

I am a 68 year old woman who has been taking 40 mg of Vyvanse once a day for ADD for about 5 years now. A few months ago I began to experience elevated blood pressure, a tic of lip-smacking and lip sucking, and intermittant whiteness of my fingertips. I have researced on line and seen that all of these symptoms may be caused by this drug, although the last 2 are very rare. I have learned that my age and the long duration of my taking Vyvanse may be a big factor in these symptoms appearing now. I have been trying to find an appropriate doctor who can answer my questions about how to go about safely stopping the taking of this drug. To date 4 doctors (neurologists of various types) have told me that they do not treat this problem. My primary care doctor has recommended 2 of the 4 that have turned me down. He did however give me a 1 month prescription for a lowered dosage of Vyvanse @ 20 mg and I have been taking that now for 5 days. I am experiencing withdrawal symptoms which I expected and am very willing to endure to get this drug out of my system and hopefully get the unpleasant side effects to diminish and even more hopefuly to go away entirely. Can you tell me if I am on a good course of action and if I am going about this transition in a safe manner?
Mon, 8 Jan 2018
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Addiction Medicine Specialist 's  Response
It's an amphetamine. Changes in vascular tone, increased blood pressure, etc. I monitor for and only see it rarely because none of my patients are 40 or older. Yet.
Amphetamine wtihdrawal may have many findings but serious toxicity and long duration are not on the list. Frankly, by the time you get my answer, the withdrawal has probably peaked.
Gradually reducing the dose (which is already done) is the way to lower the withdrawal.
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Suggest Treatment For Withdrawal Symptoms Of Lowered Dose Of Vyvanse

It s an amphetamine. Changes in vascular tone, increased blood pressure, etc. I monitor for and only see it rarely because none of my patients are 40 or older. Yet. Amphetamine wtihdrawal may have many findings but serious toxicity and long duration are not on the list. Frankly, by the time you get my answer, the withdrawal has probably peaked. Gradually reducing the dose (which is already done) is the way to lower the withdrawal.