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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is taking vyvanse increase addiction to smoke?

in am 35 220lb female. started taking vyvanse 2 months ago at 60mg. it worked beautifully. 2 weeks ago it was like it completely stopped working yet I was having the sever side effects. insomnia that lasted for 2-3 days and I have also notice that I am now smoking a pack a day. I quit for 3 years and started back up when I started questioning having ADHD. My question.... does taking a stimulant like vyvanse increase the addiction to smoke? And is the insomnia and smoking contributing factors to why the medication is no longer working?
Mon, 1 Sep 2014
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Addiction Medicine Specialist 's  Response
Hi,

I do not think Vyvanse can make you smoke more but smoking can certainly decrease the blood levels of many medicines, making people need higher dosages for the same response. This happens because smoking increases the rate of metabolism of many medicines.

Best wishes.
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