Posts Tagged: Side Effects


20
Aug 09

Vyvanse Side Effects in Plain English

As you know, I started taking Vyvanse a few days ago instead of my usual Adderall (generic) prescription for ADD/ADHD.

As an adult with ADD, I like to know exactly what I am putting in my body and not just taking the recommendation of a doctor or therapist who may, or may not, have the same beliefs and concerns as I do regarding things like medication and their affects on my body.  Therefore, I have been reading up on Vyvanse, including all of the government sanctioned warnings, and the company’s legal disclaimers and comments.

Fortunately, complex analysis and reading detailed technical documents is what I do for a living, so I am able to wade through all of this mumbo-jumbo.  Unfortunately, not everyone is able or willing to do this.  To help out parents of kids with ADD and adults who have ADHD themselves, I have put together a non-scientific, non-technical jargon filled, summary of what the various parts of medical information sheets and side effect warnings typically mean.

Understanding Prescription Information and Medical Jargon

See your Medication Guide or talk to your doctor or pharmacist about any warnings or drug interaction precautions.

Vyvanse Side Effect Summary – Understandable Version

The information presented here is NOT medical advice.

This summary is intended to be used in conjunction with a doctor’s advice.  Discuss all information with your doctor prior to making any changes in your medications or care.

Vyvanse is derived from some of the same components as Adderall.  As such, many of Vyvanse’s side-effects are similar to those of Adderall.

The most common side effects are dry mouth, trouble sleeping, decreased appetite and nausea.

For some people Vyvanse causes weight loss, although like Adderall weight loss, Vyvanse weight loss isn’t really caused by Vyvanse, it is caused by the decreased appetite side effect.

Vyvanse can make it so you don’t feel hungry, and therefore do not eat as often, or as much as you would normally.  Not eating so much is what makes you lose weight, not taking Vyvanse.  In other words, if you eat just as much as you normally would while taking Vyvanse, chances are you will not lose weight.

The other common side effects listed on the medical information sheet are dizziness, irritability,  and upper belly pain.  These side effects are probably actually telling you something else, rather than being straight side effects.

Belly pain is probably a symptom that your stomach doesn’t handle medication well.  Chances are you are also one of the unlucky people who’s stomachs are upset by aspirin or Tylenol as well.  If that is the case, your only choice is to put up with it, or try something else.

For many people, the upset stomach comes from too much acid.  You can try taking your medication with more water than usual, or perhaps with some milk, or with food, unless your doctor or pharmacist says otherwise.

Don’t take your ADD-ADHD meds with orange juice.  OJ speeds up the absorption of some medications including Vyvanse and Adderall.

Maybe You Don’t Have ADD ADHD

As always, consult with your doctor or other practitioner before making any decisions.

If your Vyvanse (or Adderall, or Ritalin) prescription makes you dizzy, lightheaded, buzzy, jumpy, agitated, or skittish, then perhaps your dosage is too high.  Talk with your doctor, psychiatrist, or therapist about trying a lower dose.

If you are already taking a very lose dose, or even the minimum possible dose, there is another possibility you should consider. Maybe you don’t have ADD after all. Here is how to tell if you don’t have ADD ADHD.

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17
Aug 09

Vyvanse Prescription ADD-ADHD Drug

add-prescription-graphic Since they stopped giving me antidepressants and anti-anxiety medications and realized that I had ADD-ADHD and not depression and anxiety, I have been taking Adderall generic AKA amphetamine salts.  Today, I start taking Vyvanse at the recommendation of my doc who says that some patients report a "smoother delivery."  Also, I only have to take one pill a day instead of pills 3 times a day.

The generic name of Vyvanse is lisdexamfetamine dimesylate.  I’m no chemist (but I did stay at a Holiday Inn Express last night) but I’m guessing that dexamfetamine part means that this drug bears a lot of resemblance to the old Dexatrim weight-loss pills that worked before they were forced to change their ingredients.

I am typically very suspicious of a doctor who tries to move a patient from an effective generic medication to a brand-name one that is for treating the same thing.  However, in this case, my doc said that I "could" try it if I wanted to because I often report "crashing" late in the evening, especially if I forget my afternoon dose of amphetamine salts.

According to the pharmacist, Vyvanse works by providing just the "most effective" of the amphetamine salts that are present in Adderall.  That salt is bound to another chemical which makes it absorb more slowly into the body.  Theoretically, this also makes Vyvanse harder to "abuse" because of the slow absorption.

Considering the only people who "abuse" Adderall and Ritalin in the first place are either students trying to study better or people trying to lose weight with Adderall, I’m not really sure that it matters how fast it absorbs so long as it still helps you concentrate (isn’t that the point).  And since one of the "common side effects" listed on my drug information sheet says weight loss, I’m guessing the people looking to drop a few pounds the easy way won’t mind either.

Ironically, Vyvanse might actually be cheaper for me even though it is still a brand name ADD drug under patent while my Adderall is a generic ADHD drug.

My insurance plan doesn’t cover Adderall or its generic for adults (anyone over 26 years old).  Apparently, some doctors will prescribe Adderall for their patients to lose weight, so instead of doing its job and monitoring abuse, the HMO just decided to not cover Adderall for anyone, including adults with ADD-ADHD who actually need it.

Vyvanse hasn’t hit the banned for fat reduction list, yet, so it is covered under the brand name co-pay, which ends up making it a bit cheaper.

Just for comparison purposes, my receipt from the Target Pharmacy lists the "Retail Value" of thirty 40 mg Vyvanse pills as $150.99.  It doesn’t show up on the Costco Prescription Price Checker, so I don’t know what it runs there.

Does Vyvanse work?

Is Vyvanse better than Adderall?

I guess I’ll find out soon enough.

I’ll keep you posted.


28
Jan 09

Adderall and Weight Loss

weight-loss Many people are interested in Adderall because it helps you lose weight.  At least, that’s what everyone hears thanks to sensational journalism designed to grab headlines.

The truth about Adderall, and the generic mixed amphetamine salts, is that it does not help you lose weight any more than drinking a bunch of coffee helps you lose weight.  Sure, it revs up your system a little bit, but the amount of extra metabolism one gets from taking Adderall wouldn’t be enough to overcome a single Oreo cookie.  Ephedrine burns off more fat by increasing your metabolism than Adderall does.

Losing Weight With Adderall

For SOME PEOPLE, definitely not all people, Adderall suppresses your appetite.  In other words, it makes it so you are not hungry.  In fact, some days, when I forget to take my afternoon dose, I remember because all of the sudden I’m very hungry.  Usually, I have to remind myself to eat lunch, so if I’m hungry in the afternoon I know something is up.

That means that if you have trouble losing weight because you find it hard to not eat too much when you are hungry, then Adderall MAY help.  Of course, that will only happen assuming you are one of the people who have their appetite suppressed by it.

But, if you have trouble losing weight because you eat things that you shouldn’t because they taste good, or because you go out with friends for lunch, or because you have a few beers each night, Adderall won’t be any help at all.  Another way to think about it is that if you are at a baseball game in the afternoon and you already ate lunch, so you really aren’t hungry, but you have a couple of hotdogs, some popcorn, and a few beers because you are at the ballpark and it’s part of the fun, Adderall isn’t going to help that at all.  Same thing goes for eating because you are nervous, depressed, stressed, or because you drive past a Dairy Queen on your way home every night.

In other words, Adderall does not burn extra calories, stop your body from absorbing fat, or make a big enough of a difference in your metabolism to make you lose weight no matter how much you eat.  All it can only make you less hungry.  So, if you only eat when you are hungry, the pounds will fall off, because you won’t be.

Otherwise, get the right meds for your ADD and find another way to lose weight.