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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is High Dose Of Vyvanse Required If Seeing Not Much Improvement?

I've been prescribed 30 mg Vyvanse for adhd. I have been taking it for about 5 days. The first 2 days, it seemed to work well and i was feeling great. The rest of the days after that, it seemed like the vyvanse got weaker. When i take it, i only seem slightly focused, no motivation at all, and it feels completely gone by 12 ( i take it at 6:30). Vyvanse also seems to kick in extremely slow for me which is about 2 hours. I start to feel it classes i don't need it for, and it leaves the rest of the day in the classes i need. Should i ask my Pdoc for higher dose, or a different drug? Should i take 1 more than my prescribed dose (2 pills in all)? This is the last week of school, and i really need to concentrate; its hard when i feel my adhd coming back, when i really want to pay attention and study.
Thu, 6 Nov 2014
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Psychiatrist,  's  Response
Hello
Welcome to HCM

Vyvanse is an amphetamine drug and this is a stimulant drug. This is used in ADHD to improve day time concentration and other symptoms of ADHD. The drug takes time to show its full effect. The improvement seen first few days might be subjective and then you have again lost focus. This will improve with time, there is no need to worry. There is no need to increase the dose or to take other medicines. Wait for some days and you will see improvement. The drug helps in improving focus and concentration. You can start taking the drug a little late to increase attention time.
The drug carry abuse potential don't ever think to increase the dose by own as with time you will develop tolerance to increased doses also.

Consult your doctor if problem persist even after 2 weeks of starting treatment.

Other ADHD drugs as Attentrol, Clonidine etc can be added to prescription only after proper evaluation.

Thanks, hope this helps you.
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Is High Dose Of Vyvanse Required If Seeing Not Much Improvement?

Hello Welcome to HCM Vyvanse is an amphetamine drug and this is a stimulant drug. This is used in ADHD to improve day time concentration and other symptoms of ADHD. The drug takes time to show its full effect. The improvement seen first few days might be subjective and then you have again lost focus. This will improve with time, there is no need to worry. There is no need to increase the dose or to take other medicines. Wait for some days and you will see improvement. The drug helps in improving focus and concentration. You can start taking the drug a little late to increase attention time. The drug carry abuse potential don t ever think to increase the dose by own as with time you will develop tolerance to increased doses also. Consult your doctor if problem persist even after 2 weeks of starting treatment. Other ADHD drugs as Attentrol, Clonidine etc can be added to prescription only after proper evaluation. Thanks, hope this helps you.