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    Suggest treatment for loss of interest and concentration despite having Vyvanse

Posted on Tue, 31 May 2016 in Mental Health
Question: Sure. I just received Vyvanse for my ADD. I'm not reacting well to do. I feel very unmotivated and unfocused, even more so than when I'm not on medication. Is this normal? How long should I give it before I speak to my live doctor?
Thank you. Do you think I should change to Adderall XR? I used to take that in the past and didn't have the same reaction to it at all. Or would you continue with the Vyvanse for the next 2 weeks and then re-evaluate
Answered by Dr. Alexander H. Sheppe 8 minutes later
Brief Answer:

Detailed Answer:
Hello, and thanks for your question.

You describe an unmotivated and unfocused reaction to a newly-started medication, Vyvanse. The reaction you describe is rare, but does occur in about 1% of patients taking this medication. People can experience depression, loss of motivation, worsened focus -- overall, it's referred to as a "paradoxical reaction," because your body is responding in an opposite way to the expected effect. Typically, paradoxical reactions to psychotropics medications including Vyvanse will go away within a week or two after starting the medication. If these symptoms persist beyond 2 weeks, I would stop the medication and try something else.
I would probably continue to give Vyvanse a try. Wait a couple weeks, and if you're still having a negative reaction, Adderall XR is a perfectly fine medicine for ADHD, and would be safe and effective to return to if needed.

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In the future, for continuity of care, I encourage you to contact me directly at my private link below. After you ask a direct question, it would be my pleasure to be your dedicated personal physician on this website. My name is Dr. Sheppe, and I am an XXXXXXX doctor working in New York City at NewYork-Presbyterian Hospital, ranked #1 for Psychiatry in the United States (tinyurl.com/psyrank). For a personalized comprehensive evaluation, treatment recommendations, and individual therapy, ask me at HealthCareMagic at this private link: tinyurl.com/DrSheppeAnswers
Above answer was peer-reviewed by : Dr. Arnab Banerjee
Answered by
Dr. Alexander H. Sheppe


Practicing since :2014

Answered : 2242 Questions


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