What is vyvanse prescribed for
Vyvanse® (lisdexamfetamine dimesylate) Uses, Side Effects, and Dosing
MEDICATION GUIDE
(lisdexamfetamine dimesylate)
Capsules and Chewable Tablets, CII
What is the most important information I should know about VYVANSE?
VYVANSE may cause serious side effects, including:
- Abuse and dependence. VYVANSE, other amphetamine containing medicines, and methylphenidate have a high chance for abuse and may cause physical and psychological dependence. Your healthcare provider should check you or your child for signs of abuse and dependence before and during treatment with VYVANSE.
- Tell your healthcare provider if you or your child have ever abused or been dependent on alcohol, prescription medicines, or street drugs.
- Your healthcare provider can tell you more about the differences between physical and psychological dependence and drug addiction.
- Heart-related problems including:
- sudden death, stroke, and heart attack in adults
- sudden death in children who have heart problems or heart defects
- increased blood pressure and heart rate
Your healthcare provider should check you or your child carefully for heart problems before starting treatment with VYVANSE. Tell your healthcare provider if you or your child have any heart problems, heart defects, high blood pressure, or a family history of these problems.
Your healthcare provider should check your or your child’s blood pressure and heart rate regularly during treatment with VYVANSE.
Call your healthcare provider or go to the nearest hospital emergency room right away if you or your child have any signs of heart problems such as chest pain, shortness of breath, or fainting during treatment with VYVANSE.
- Mental (psychiatric) problems, including:
- new or worse behavior and thought problems
- new or worse bipolar illness
- new psychotic symptoms (such as hearing voices, or seeing or believing things that are not real) or new manic symptoms
Tell your healthcare provider about any mental problems you or your child have or about a family history of suicide, bipolar illness, or depression.
Call your healthcare provider right away if you or your child have any new or worsening mental symptoms or problems during treatment with VYVANSE, especially hearing voices, seeing or believing things that are not real, or new manic symptoms.
What Is VYVANSE?
VYVANSE is a central nervous system (CNS) stimulant prescription medicine used for the treatment of:
- Attention Deficit Hyperactivity Disorder (ADHD) in adults and children 6 years of age and older. VYVANSE may help increase attention and decrease impulsiveness and hyperactivity in people with ADHD.
- Moderate to severe binge eating disorder (BED) in adults. VYVANSE may help reduce the number of binge eating days in people with BED.
VYVANSE is not for use in children under 6 years of age with ADHD.
VYVANSE is not for weight loss. It is not known if VYVANSE is safe and effective for the treatment of obesity.
It is not known if VYVANSE is safe and effective for use in children with BED.
VYVANSE is a federally controlled substance (CII) because it contains lisdexamfetamine dimesylate that can be a target for people who abuse prescription medicines or street drugs. Keep VYVANSE in a safe place to protect it from theft.
Never give your VYVANSE to anyone else because it may cause death or harm them. Selling or giving away VYVANSE may harm others and is against the law.
Do not take VYVANSE if you or your child are:
- allergic to amphetamine products or any of the ingredients in VYVANSE. See the end of this Medication Guide for a complete list of ingredients in VYVANSE.
- taking, or have stopped taking in the last 14 days, a medicine called a Monoamine Oxidase Inhibitor (MAOI).
- being treated with the antibiotic linezolid or intravenous methylene blue.
Before taking VYVANSE, tell your healthcare provider about all medical conditions, including if you or your child:
- have heart problems, heart defects, or high blood pressure
- have mental problems including psychosis, mania, bipolar illness, or depression or have a family history of suicide, bipolar illness, or depression
- have circulation problems in fingers and toes
- are pregnant or plan to become pregnant.
VYVANSE may harm the unborn baby.- There is a pregnancy registry for females who are exposed to VYVANSE during pregnancy. The purpose of the registry is to collect information about the health of females exposed to VYVANSE and their baby. If you or your child becomes pregnant during treatment with VYVANSE, talk to your healthcare provider about registering with the National Pregnancy Registry for Psychostimulants at 1-866-961-2388 or visit online at https://womensmentalhealth.org/clinical-and-research-programs/pregnancyregistry/adhd-medications/.
- are breastfeeding or plan to breastfeed. VYVANSE passes into breast milk. You should not breastfeed during treatment with VYVANSE. Talk to your healthcare provider about the best way to feed the baby during treatment with VYVANSE.
Tell your healthcare provider about all the medicines that you or your child take, including prescription and over-the-counter medicines, vitamins, and herbal supplements.
VYVANSE can affect the way other medicines work and other medicines may affect how VYVANSE works. Taking VYVANSE with other medicines can cause serious side effects. Sometimes the doses of other medicines will need to be changed while taking VYVANSE.
Especially tell your healthcare provider if you or your child take:
| selective serotonin reuptake inhibitors (SSRIs) | serotonin norepinephrine reuptake inhibitors (SNRIs) |
| medicines used to treat migraine headaches called triptans | tricyclic antidepressants |
| lithium | fentanyl |
| tramadol | tryptophan |
| buspirone | St. John’s Wort |
Keep a list of all medicines to show your healthcare provider and pharmacist when you get a new medicine. Your healthcare provider will decide if VYVANSE can be taken with other medicines.
Do not start any new medicine during treatment with VYVANSE without talking to your healthcare provider first.
How should VYVANSE be taken?
- Take VYVANSE exactly as prescribed by your healthcare provider.
- Your healthcare provider may change the dose if needed.
- Take VYVANSE 1 time each day in the morning with or without food.
- Your healthcare provider may sometimes stop VYVANSE treatment for a while to check ADHD or BED symptoms.
- VYVANSE comes in capsules or chewable tablets.
Taking VYVANSE Capsules:
- VYVANSE capsules may be swallowed whole.
- If VYVANSE capsules cannot be swallowed whole, the capsule may be opened and the entire contents sprinkled onto yogurt, or poured into water or orange juice.
- Using a spoon, break apart any powder that is stuck together. Stir the VYVANSE powder and yogurt, water, or orange juice until they are completely mixed together.
- Swallow all the yogurt, water, or orange juice mixture right away. Do not store the yogurt, water, or orange juice mixture.
- It is normal to see a filmy coating on the inside of your glass or container after you eat or drink all the VYVANSE mixture.
Taking VYVANSE Chewable Tablets:
- Chew VYVANSE tablets completely before swallowing.
If you or your child take too much VYVANSE, call your healthcare provider or poison control center at 1-800-222-1222 or go to the nearest hospital emergency room right away.
What should I avoid while taking VYVANSE?
Do not drive, operate machinery, or do other dangerous activities until you know how VYVANSE affects you.
What are possible side effects of VYVANSE?
VYVANSE may cause serious side effects, including:
- See "What is the most important information I should know about VYVANSE?"
- Slowing of growth (height and weight) in children. Children should have their height and weight checked often during treatment with VYVANSE.
VYVANSE treatment may be stopped if your child is not growing or gaining weight. - Circulation problems in fingers and toes (Peripheral vasculopathy, including Raynaud’s phenomenon). Signs and symptoms may include:
- Fingers or toes may feel numb, cool, painful
- Fingers or toes may change color from pale, to blue, to red
Tell your healthcare provider if you or your child have numbness, pain, skin color change, or sensitivity to temperature in your fingers or toes.
Call your healthcare provider right away if you or your child have any signs of unexplained wounds appearing on fingers or toes during treatment with VYVANSE.
- Serotonin Syndrome. A potentially life-threatening problem called serotonin syndrome may happen when VYVANSE is taken with certain other medicines. Stop taking VYVANSE and call your healthcare provider or go to the nearest hospital emergency room right away if you or your child develop any of the following signs and symptoms of serotonin syndrome:
| agitation | fast heartbeat |
| flushing | seizures |
| coma | sweating |
| loss of coordination | confusion |
| dizziness | tremors, stiff muscles, or muscle twitching |
| seeing or hearing things that are not real (hallucination) | changes in blood pressure |
| high body temperature (hyperthermia) | nausea, vomiting, diarrhea |
The most common side effects of VYVANSE in children 6 to 17 years old and adults with ADHD include:
| loss of appetite (anorexia) | anxiety |
| decreased appetite | weight loss |
| diarrhea | dizziness |
| dry mouth | irritability |
| trouble sleeping | nausea |
| stomach pain | vomiting |
The most common side effects of VYVANSE in adults with BED include:
| dry mouth | trouble sleeping |
| decreased appetite | increased heart rate |
| constipation | feeling jittery |
| anxiety | |
These are not all the possible side effects of VYVANSE.
Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
How should I store VYVANSE?
- Store VYVANSE in a safe place (like a locked cabinet) and in a tightly closed container at room temperature between 68°F to 77°F (20°C to 25°C).
- Protect VYVANSE from light.
- Dispose of remaining, unused, or expired VYVANSE by a medicine take-back program at authorized collection sites such as retail pharmacies, hospital or clinic pharmacies, and law enforcement locations. If no take-back program or authorized collector is available, mix VYVANSE with an undesirable, nontoxic substance such as dirt, cat litter, or used coffee grounds to make it less appealing to children and pets. Place the mixture in a container such as a sealed plastic bag and throw away (discard) VYVANSE in the household trash.
Keep VYVANSE and all medicines out of the reach of children.
General information about the safe and effective use of VYVANSE.
Medicines are sometimes prescribed for purposes other than those listed in a Medication Guide. Do not use VYVANSE for a condition for which it was not prescribed. Do not give VYVANSE to other people, even if they have the same symptoms that you have. It may harm them and it is against the law. You can ask your pharmacist or healthcare provider for information about VYVANSE that is written for health professionals.
What are the ingredients in VYVANSE?
Active Ingredient: lisdexamfetamine dimesylate
Capsule Inactive Ingredients: microcrystalline cellulose, croscarmellose sodium, and magnesium stearate. The capsule shells (imprinted with S489) contain gelatin, titanium dioxide, and one or more of the following: FD&C Red #3, FD&C Yellow #6, FD&C Blue #1, Black Iron Oxide, and Yellow Iron Oxide.
Chewable Tablet Inactive Ingredients: colloidal silicon dioxide, croscarmellose sodium, guar gum, magnesium stearate, mannitol, microcrystalline cellulose, sucralose, artificial strawberry flavor.
Distributed by: Takeda Pharmaceuticals America, Inc., Lexington, MA 02421.
VYVANSE® and the VYVANSE Logo® are registered trademarks of Takeda Pharmaceuticals U.S.A., Inc.
©2022 Takeda Pharmaceuticals U.S.A., Inc. All rights reserved.
For more information, go to www.vyvanse.com or call 1-877-TAKEDA-7 (1-877-825-3327).
This Medication Guide has been approved by the U.S. Food and Drug Administration.
Revised: 10/2021
SPI-0340 Reformatted for US-LIS-1284
Common and Rare Side Effects for Vyvanse
COMMON side effects
If experienced, these tend to have a Severe expression i
Sorry, we have no data available. Please contact your doctor or pharmacist.
If experienced, these tend to have a Less Severe expression i
INFREQUENT side effects
If experienced, these tend to have a Severe expression i
If experienced, these tend to have a Less Severe expression i
RARE side effects
If experienced, these tend to have a Severe expression i
If experienced, these tend to have a Less Severe expression i
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CONDITIONS OF USE: The information in this database is intended to supplement, not substitute for, the expertise and judgment of healthcare professionals. The information is not intended to cover all possible uses, directions, precautions, drug interactions or adverse effects, nor should it be construed to indicate that use of a particular drug is safe, appropriate or effective for you or anyone else. A healthcare professional should be consulted before taking any drug, changing any diet or commencing or discontinuing any course of treatment.
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What is Vyvans and what is it used for? | SingleCare - Product Information
Home >> Product Information >> What is Vyvans and what is it used for?
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What is Vyvans? | How it works | Dosages | Safety information | Vyvanse Alternatives | Vyvanse vs. Adderall
Vyvanse is a stimulant medication that can treat attention deficit hyperactivity disorder (ADHD) and compulsive overeating (BED). It helps relieve symptoms of ADHD such as inattention, forgetfulness, and hyperactivity. It may also help control appetite in people with compulsive overeating. Below we look at what Vyvans is and how it compares to other drugs.
RELATED TO: Get Vyvanse Coupons | Learn more about Vyvanse
What is Vyvanse and what is it used for?
Vyvans (lisdexamfetamine dimesylate) is a prescription drug manufactured by Shire Pharmaceuticals.
There is no universal version of this medicine.
This stimulant contains lisdexamfetamine, a prodrug of amphetamine. It is a Schedule II controlled substance that has a high potential for misuse, abuse and dependence.
Vyvanse for ADHD
Vyvanse is primarily used to treat ADHD by improving attention and reducing impulsivity and hyperactive behavior. It is approved for ADHD patients aged 6 years and older. As of 2016, 62% of children with ADHD aged 2 to 17 were taking ADHD medication. Clinical Studies In children with ADHD, Vyvans was found to significantly improve behavior based on the ADHD-Rating Scale (ADHD-RS) compared to placebo.
Vyvanse for Overeating
Binge eating disorder is the most common eating disorder in the US and is characterized by eating large amounts of food in short periods of time. People with compulsive overeating often cannot control their appetite.
Studies have shown that Vyvanse reduces the number of overeating days per week compared to placebo.
He concluded that 50 to 70 mg per day is beneficial for people with moderate to severe binge eating.
In addition, Vyvanse is the first and only drug approved by the US Food and Drug Administration (FDA) for the treatment of compulsive overeating. However, professionals do not recommend Vyvans for weight loss or the treatment of obesity.
How does Vyvanse work?
Vyvanse is a prodrug, which means that it is only activated when it is metabolized or processed in the body. Lisdexamfetamine is converted to dextroamphetamine when it enters the gastrointestinal tract. Dextroamphetamine works in the central nervous system (CNS) and increases dopamine and norepinephrine activity in the brain.
Dopamine and norepinephrine are neurotransmitters that can influence a person's attention, mood and motivation. People with ADHD may have low levels of dopamine and norepinephrine, which causes them to have problems with attention, hyperactivity, or impulsivity.
Vyvanse blocks the reuptake of the neurotransmitters dopamine and norepinephrine, which may help improve concentration and impulsive behavior in people with ADHD.
How to take Vyvans
Vyvans is usually given once daily in the morning, with or without food. Doses range from 30 to 70 mg. Vyvanse is available as oral capsules that usually begin to work within an hour of ingestion. It reaches its peak in about four hours and the effects wear off after 14 hours. Vyvanse is available as a delayed-release capsule that may help improve treatment adherence and reduce the potential for end-of-day rebound effects.
The usual dose of Vivanse for a new patient starts at 30 mg. A higher dosage should not be taken without a doctor's approval because it is important to first assess how a person is responding to the medication.
Vyvanse is available as oral capsules and chewable tablets. Capsules for oral administration are available in dosages of 10, 20, 30, 40, 50, 60 and 70 mg. Chewable tablets are available in 10, 20, 30, 40, 50 and 60 mg.
The oral capsule may be taken with a glass of water or juice, or the contents of the capsule may be mixed with food such as yogurt.
Just open the capsule and mix the powder with food. Be aware that foods rich in vitamin C, such as orange juice, may slow down the body's ability to absorb Vyvanse, which may reduce the effectiveness of the medication.
Overdose, missed doses and withdrawal
You can overdose on Vyvanse if you take it incorrectly. Symptoms of a Vyvanse overdose include hallucinations, panic, tremors, restlessness, confusion, rapid breathing, and muscle pain.
If you miss a dose of Vyvanse, take it as soon as you remember. However, if it is already evening, it is better to skip the appointment that day. Never take an extra dose to make up for a missed dose.
You may experience withdrawal if you stop taking Vyvanse abruptly. Withdrawal symptoms may include trembling, sweating, irritability, fatigue, and depression. Because the drug wears off within a day, some people may experience a relapse. Failure of Vivanse is normal, especially on the first use of the drug, and symptoms may be similar to those of withdrawal, such as irritability and fatigue.
Check with your doctor if you regularly experience these symptoms.
Consult your Vyvanse Medication Guide for more information on how to take Vyvanse.
Storage Location
Store Vyvanse at room temperature between 68 and 77 degrees Fahrenheit. Keep it away from light to avoid overheating.
It is best to store Vyvanse in a closed compartment, especially if you live with children.
If your doctor tells you to stop taking Vyvanse before you finish your prescription, do not throw it in the trash. He can harm animals and people who find Vyvans at his disposal. Instead, look for a drug takeback program at your local pharmacy. Read about how to dispose of medications the right way for more information.
Restrictions
You should not take Vyvanse if you:
- Under 6 years of age
- Sensitivity or allergy to other stimulant drugs
- Have taken monoamine oxidase inhibitory drugs (MAOIs) or have taken an MAOI within the last 14 days.
The FDA-approved MAOI list includes marplan (isocarboxazid), nardil (phenelzine), emsam (selegiline), and parnate (tranylcypromine). Taking an MAOI with Vyvanse may increase the risk of serotonin syndrome.
Talk to your doctor if you have had an allergic reaction to Vyvanse or other ADHD medications in the past.
Warnings
Vyvanse may increase heart rate and blood pressure. Therefore, those with heart problems or heart defects should talk to their doctor before taking Vyvanse. This medicine has been reported to cause sudden death in patients with heart disease.
Tell your doctor if you are pregnant or plan to become pregnant. There are no reliable data on how Vyvanse affects the fetus or the unborn child. Seek professional medical help if you need to take ADHD medication while pregnant or breastfeeding.
Federally controlled substances such as Vyvanse are at high risk of addiction because high doses can make some users feel euphoric.
However, improper use of Vyvanse can have devastating and fatal health consequences.
Side effects
Side effects of Vyvanse for ADHD and binge eating include:
- Anxiety
- Decreased appetite
- Dry mouth0094
- Problems with sleep
- irritability
Other side effects, primarily associated with Vyvanse for ADHD, include:
- Pain in the upper stomach
- Dizziness
- Loss of weight
- Constipation
- Increased heart rate
Vyvanse may be less likely to cause brain fog than other ADHD medications, and in the form of delayed-release capsules, Vyvanse may effectively improve concentration attention throughout the day. Persistent or worsening side effects may require a different dosage or medication change.
Interactions
There are many drug interactions with Vyvanse. Some of the more dangerous Vyvanse interactions include:
- MAOIs such as tranylcypromine, isocarboxazid, and selegiline.
- Some antidepressants such as SSRIs, SNRIs and tricyclic antidepressants.
- CYP2D6 inhibitors such as paroxetine, ritonavir and quinidine
- Alkalizing agents such as acetazolamide
- Acidifying agents such as ammonium chloride.
Vyvanse, like other ADHD medications, is generally advised to be avoided with alcohol. . Combining Vyvanse and alcohol may increase the risk of side effects. Vyvans is a stimulant and alcohol is a depressant. Mixing these two substances can also lead to excessive alcohol consumption or an overdose of Vivanse.
Alternatives to Vyvanse
What are the advantages and disadvantages of Vyvanse compared to other ADHD medications? It depends on various factors such as cost and side effects. Possible alternatives to Vyvanse for ADHD include:
- Ritalin (methylphenidate): Ritalin is a stimulant used to treat ADHD and narcolepsy, but not for binge eating.
- Concerta (methylphenidate): Concerta is an extended release methylphenidate, the same ingredient as Ritalin.
- Adderall (amphetamine/dextroamphetamine): Adderall is not a prodrug, unlike Vyvanse, which may have different effects in some people. Adderall XR is an enhanced version of Adderall.
- Focalin (dexmethylphenidate): Focalin (dexmethylphenidate) is a short acting stimulant similar to Adderall. But methylphenidate may be more effective than amphetamines like Adderall for children.
Is Vyvanse better than Adderall? | ||||
|---|---|---|---|---|
| Vyvanse | Adderall | |||
| 0005 For compulsive overeating: 50 to 70 mg every morning. One dose of Vyvanse lasts up to 14 hours. | For ADHD (3-5 years): 2.5 to 40 mg per day. You can take 1-3 doses per day. For ADHD (6 years and older): 5 to 40 mg per day. You can take 1-3 doses per day. Adderall dose may last 4 hours. However, Adderall XR can last 8-12 hours. | |||
| Common side effects * Vyvanse is available as a delayed release oral capsule while Adderall is an immediate release tablet. However, Adderall XR is an Adderall extended release formulation. Some people find it helpful to take immediate-release medications if the sustained release takes too long. Results and preferences may vary. Adderall is available in small doses for people aged 3 to 5 years. In contrast, Vyvanse is only for people aged 6 and over. It is not safe to take Vyvanse and Adderall without a doctor's prescription. Vyvanse and Adderall should not be taken together because they contain ingredients that have similar effects. Taking these medicines together may also increase the risk of side effects. In the end, someone may prefer Vyvanse over Adderall depending on their response to the drug and the side effects they may experience. Consult your doctor to choose the best ADHD medication for your condition. Bottom Line - Talk to your healthcare provider to learn more about whether Adderall or Vyvanse is right for you. Dosage Details for Vyvanse - Drink-DrinkIntroductionIf you have Attention Deficit Hyperactivity Disorder (ADHD) or Binge Eating Disorder (BED), your doctor may suggest Vyvanse as a treatment option. Vivanse is a medicine prescribed to treat:
Vyvanse's active ingredient is lisdexamfetamine. The active ingredient is what makes the medicine work. This article describes the usual ("normal") dosages of Vivanse, as well as its strengths and ways of taking the drug. To learn more about Vyvanse, see this detailed article. The dosage guide below covers the basics of Vyvanse dosage. Be sure to read on for more details. And keep in mind that this article deals with the standard dosing schedule for Vivanse, which is provided by the manufacturer of the drug. | varies depending on the severity of the condition and other factors | 70 mg once daily | ||
| Capsules | 10 mg, 20 mg, 30 mg, 40 mg, 50 mg, 60 mg, 70 mg | 30 mg once a day | varies depending on the severity of the condition and other factors | 70 mg once a day |
What is the dosage of Vivance?
The information below describes typical doses of Vivanse. Always follow your doctor's instructions for the specific dosage prescribed for you.
What are the forms of Vivanse?
Vivanse comes in two forms:
- chewable tablets
- Capsules
You will take any form by mouth.
What are the strengths of Vyvanse?
Vyvanse chewable tablets and capsules are available in the milligrams (mg) listed below.
| Chewable strength | Capsule strength |
| 10mg | 10 мг |
| 20 мг | 20 мг |
| 30 мг | 30 мг |
| 40 мг | 40 мг |
| 50 мг | 50 мг |
| 60 мг | 60 mg |
| 70 mg |
What are the usual doses of Vivanse?
When you start taking Vivanse, your doctor will likely prescribe the lowest recommended dose of Vivanse.
This starting dose is 30 mg. They will then adjust your dosage over time to get to the right amount for you. The dosage can vary from 30 mg to 70 mg per day.
Your daily dose will depend on several factors, such as the condition you are taking Vivance for. For more information, see "What Factors May Affect My Dosage?" section below.
Your doctor will discuss the dosage of Vivanse with you before you start treatment. Ultimately, they will prescribe the lowest dose that will manage your symptoms without increasing the risk of side effects.
The information below describes dosages that are commonly prescribed or recommended. But be sure to take the dosage prescribed by your doctor. Your doctor will determine the best dosage for your needs.
Binge Eating Dosage (BED)
For BED, you will start with a dose of 30 mg Vyvanse once a day. Your doctor will then increase your dose by 20 mg weekly. They will do this until you start taking 50 to 70 mg once a day.
The maximum dose of Vivanse in 24 hours is 70 mg.
Dosage for Attention Deficit Hyperactivity Disorder (ADHD)
The starting dose of Vivanse for ADHD is 30 mg once daily. Your doctor may then increase your dose by 10-20 mg per week. They will do this until you reach a dose that helps manage the symptoms of ADHD.
The dosage range for ADHD is 30 mg to 70 mg once daily. The maximum dose of Vivanse in 24 hours is 70 mg.
What is the dosage of Vivanse for children?
Vivanse is indicated for the treatment of ADHD in children 6 years of age and older. Not prescribed for the treatment of BED in children.
If your child is taking Vivanse for ADHD, the starting dose will be 30 mg.
After this, your child's doctor will likely increase the dose gradually by 10 mg or 20 mg each week. They will do this until your child starts taking a dose in the recommended range of 30mg to 70mg. The exact dosage will depend on the severity of your child's condition.
This will also depend on the other medications they are taking and the side effects they may have from Vivanse.
Do you take Vivanse for a long time?
Yes, Vivanse is usually taken as a long-term treatment. If you and your doctor determine that Vivanse is safe and effective for you, it is likely that you will be taking it for a long time.
Your doctor will talk with you about the safety of long-term use of Vivanse.
Dosage adjustment
In some cases, your doctor may change the dosage of Vivanse beyond the usual increase that occurs at the beginning of treatment.
Reasons to increase or decrease your dosage include:
- Serious kidney disease: If you have serious kidney disease, your doctor will likely lower your Vivanse dosage.
- Taking certain medications: Some medications may affect how Vivanse works. For example, medications that change the pH level of the urine can cause changes in Vyvanse levels in the body.
These medicines include acetazolamide and sodium bicarbonate. If you regularly take these medicines with Vivanse, your doctor may need to adjust your dosage.
Frequently Asked Questions
Below are answers to some frequently asked questions about Vyvanse.
What are the signs that my dose of Vivanse is too high or too low?
If your dose of Vivanse is too low, it may not help your symptoms. But if the dose is too high, you may have more side effects.
Your doctor will adjust your dose to provide the benefits without increasing the risk of unwanted side effects. Keep in mind that it may take weeks to months to find the right dosage that works for you.
During your treatment with Vivance, your doctor will monitor you closely for side effects.
If you have questions about your dose of Vyvanse, talk to your doctor.
Does Vyvanse have a recommended dosage by weight? Or is there an average dose of Vivanse that doctors prescribe?
No, Vivanse does not have a recommended dosage by weight for adults or children.
Your doctor will not determine dosage based on a weight chart. And there is no average dose that doctors prescribe for Vivanse. Instead, they will carefully adjust the dosage based on your condition and other individual factors.
Your doctor can explain your dosage and any adjustments needed. If Vivanse is not helping your symptoms, they may discuss other medications for your condition. These Vyvanse alternatives may have a dosage based on your weight and other factors.
Is there a dosage of Vivanse 100 mg prescribed for adults?
No, the maximum dose of Vivanse in 24 hours is 70 mg. This is the highest dose recommended for children and adults for the conditions they are taking Vivanse for.
Taking more than the maximum recommended dose of Vivanse may increase the risk of serious side effects. This includes the risk of misuse and dependencies, for which Vyvanse has a warning in the box. This is a serious warning from the Food and Drug Administration (FDA).
For more information, see "Is there a risk of misuse of Vyvanse?" section below.
Taking too much of Vivanse can also cause an overdose. For more information, see the section "What to do with an overdose?" section below.
Take Vivanse exactly as directed by your doctor. If you have questions about the dose of Vivanse for your condition, talk to your doctor.
If your dose does not work for your symptoms, do not increase your dose yourself. Instead, see your doctor about your concerns. They can discuss dosage adjustments or other treatment options that may be better for you.
Is Vivanse prescribed for weight loss? If yes, what is the dosage?
No, Vivanse is not a weight loss drug. But taking Vyvanse, you can lose weight. This is a common side effect of the drug. If this worries you, talk to your doctor.
Your doctor will monitor your weight while you are taking Vivanse. They can suggest ways to manage your diet and lifestyle during treatment to help you maintain a healthy weight for you.
Is Vivanse taken on a twice daily dosing schedule?
No, there are no twice daily dosage recommendations for this drug. It is taken only once a day, usually in the morning. Taking Vivanse later in the day or in the evening can cause sleep problems. Therefore, it is recommended to take the drug in the morning to avoid this side effect.
The effects of Vyvanse can last up to 14 hours. And it can take up to 12 hours before half of the medicine leaves your body. That's why you can take Vivanse once a day to effectively control your symptoms.
What factors can affect my dosage?
Certain factors may affect the dosage of Vivanse. Tell your doctor about all your health conditions and any other medicines you take. This includes over-the-counter products.
Factors that may require dosage adjustments include:
- Your age
- Other medicines you may be taking
- The condition you are taking Vivance for and how serious it is
- How you are responding to treatment
- other conditions you may have (see "Dose Adjustment" under "What is the dosage of Vyvanse?")
How is Vyvanse taken?
You will be taking Vyvanse chewable tablets or capsules.
If you are prescribed chewable tablets, make sure you chew them completely before swallowing.
If you have been prescribed Vivanse capsules, you can swallow them whole with water. If you have difficulty swallowing the tablets, you can mix them with yogurt, water, or orange juice. Then eat or drink the mixture immediately.
For more tips on how to make taking capsules easier, see this article.
You can take Vivanse with or without food, but try to take it in the morning. Taking it later in the day may cause sleep problems.
It is recommended to store Vivanse in a safe place out of the reach of children. For more information about the Vyvanse vault, as well as its expiration and disposal, see this article.
Available drug containers and labels
Tell your doctor or pharmacist if you have difficulty reading a prescription label. Some pharmacies may provide drug labels that:
- have large print or Braille
- there is a code you can scan with your smartphone to change text to sound
Your doctor or pharmacist can recommend pharmacies that offer these special features if your current pharmacy does not have them.
Tell your pharmacist if you have problems opening medicine bottles. Maybe they can ship Vyvanse in an easy-to-open container. Your pharmacist can also give you some tips to help make opening the medicine container easier.
What if I miss a dose?
If you miss your usual morning dose of Vivanse, you can take it as soon as you remember. But if it's too late, you can skip the missed dose and take your next dose at the scheduled time. This is because Vivanse can cause sleep problems if taken later in the day.
If you need help remembering to take your Vivanse dose on time, try using the Medication Reminder. This may include setting an alarm or using a timer. You can also download a reminder app on your phone.
Is there a risk of misuse of Vivanse?
Vivanse has a warning in the box for the risk of misuse and addiction. This is a serious warning from the Food and Drug Administration (FDA).
Misuse means taking a medicine not as prescribed.
This includes taking the medication more often or at higher doses than the doctor recommends. This may also include taking medication prescribed to someone else.
With drug addiction, your body gets used to the drug and needs it to feel the way it normally does.
Improper use of Vivanse may cause serious side effects. These include thoughts of hurting yourself, aggressive behavior, high blood pressure, heart palpitations, and even overdosing. (See the section below for more on overdose.)
Vyvanse is a controlled substance in the United States. This means that there is strict control over how he is assigned and released. Before prescribing Vivanse, your doctor will assess the risk of abuse and dependence. They will also monitor these side effects while you are taking Vivanse.
If you have questions about Vivanse's boxed precautions, talk to your doctor.
What to do in case of an overdose?
Do not take more Vivanse than prescribed by your doctor.
Taking more can lead to serious side effects.
Symptoms of an overdose
Symptoms caused by an overdose of Vivanse may include:0094
What if you take too much Vivanse?
Call your doctor right away if you think you have taken too much Vivanse. You can also call 800-222-1222 to contact the American Association of Poison Control Centers or use their online resource. But if you have severe symptoms, call 911 (or your local emergency number) immediately or go to the nearest emergency room.
Vivanse and Withdrawal and Addiction
If you suddenly stop taking Vivanse or reduce your dose too quickly, you may experience withdrawal symptoms (also called "Vivance collapse").
This is because Vivanse can be addictive*, which means your body gets used to Vivanse and needs to feel the way it normally does.
Withdrawal symptoms include fatigue, depression, irritation and anxiety. Before you start taking Vivanse, your doctor will discuss the risk of withdrawal symptoms with you.
If you are concerned about withdrawal symptoms while taking Vivance, talk to your doctor. They may suggest ways to manage the risk of this side effect. This may include slow dose reduction or scheduled breaks ("drug holidays") to allow your body to rest.
If you are unhappy with the risks of Vivanse's side effects, your doctor may also discuss other treatment options.
What should I ask the doctor?
The sections above describe the usual doses of Vivanse provided by the manufacturer. If your doctor recommends this drug for you, he will prescribe the dosage that is right for you.
Remember that you should not change the dosage of Vivanse without your doctor's advice.
Only take Vyvanse exactly as directed. Talk to your doctor if you have questions or concerns about your current dosage.
Here are some examples of questions you can ask your doctor:
- Will you increase the dosage if Vivanse doesn't help me?
- Does my risk of side effects increase with a higher dose of the drug?
- Will you adjust my Vivanse dosage if I am taking other medicines for attention deficit hyperactivity disorder (ADHD)?
If you are taking Vyvanse for ADHD, consider subscribing to the Drink-Drink ADHD newsletter. This resource offers guidance and support for people living with ADHD.
Ask a pharmacist
Q:
Will I need to adjust my dose of Vivanse if I have high blood pressure?
Anonymous
A:
Maybe. It depends on how serious your high blood pressure is. Vivanse may not be safe for you because the drug can also increase blood pressure.
Tell your doctor about any medical conditions you have, including high blood pressure or heart disease, before you start taking Vivanse.
They will tell you if it is safe for you to take Vivanse or suggest another medication for your condition.
If you and your doctor decide it is safe to take Vivanse, they will likely monitor your blood pressure closely during treatment.
If you develop symptoms of high blood pressure such as dizziness, chest pain, headache or shortness of breath, call your doctor right away. But if you feel your symptoms are life-threatening, call 911 immediately or go to the nearest emergency room.
For more information about high blood pressure and Vyvanse, talk to your doctor.
Beverage Pharmacy Team Answers represent the opinions of our medical experts. All content is for informational purposes only and should not be considered medical advice.
Registration data: Drink-Drink has made every effort to ensure that all information is accurate, complete and up to date. However, this article should not be used as a substitute for the knowledge and experience of a licensed healthcare professional.
