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ADHD Adults

First time medication questions

I am a recently re-diagnosed 30 year old with adhd. I had been diagnosed with add and gad when I was in 5th grade. Most of my middle school and half of high school I had been on quite a few variants of medication.

Anyway, after now seeking no treatment for roughly 14 years and managing symptoms best I could, I realize I have hit my limit and needed to get some help again. Still haven’t finished college after a few attempts, yada yada…

Spent some time with a councilor who specializes in adult adhd, and now via my doctor am prescribed Vyvanse. I am currently on day 4 of 30 mg. I have noticed it has helped slightly with motivation and calming my thoughts so I can get up and help with laundry, breakfast for kids, chores, etc. Also seems to be making me slightly less anxious about needing to get 20 things done, allowing me just to get tasks done.

However, I feel like I am less alert or focused, I feel like if I had a School project or had to build something with complex interactions I would have a hard time. Espresso used to help with that for a very short period. I have since stopped drinking caffeine for the most part due to starting on a stimulant. Also, currently falling asleep is difficult, despite getting a pretty big crash about 8 hours after taking meds.

Couple questions regarding new medication.

1) How long should I give Vyvanse before trying something different or upping dose?

2) Do some of the side effects wear off, e.g. Feeling foggy-ish, does B/P and heart rate adapt like it would on caffeine?

3)Do you recommend taking it everyday? I honestly feel like I need it more on days off. My work is pretty structured and fast paced. Days off is when I need to get things done. I’m too distracted to accomplish much, and am usually elsewhere in my mind when I’m with my family.

Hopefully, this makes sense. I’m not the greatest at constructing cohesive/linear thoughts.



Hi HD!

You ask some very valid questions. It is best to discuss these items with your prescribing doctor. Most want you to try a medication for a month before adjusting it.

Here’s a great Q&A on ADHD Medication that will answer some of your questions as well:

ADDconnect Moderator, Author & Mom to Tween Boy with ADHD and LDs

Posted by adhdmomma on Jul 18, 2014 at 1:57pm

Getting a pretty big crash only 8 hours after taking Vyvanse (which has a duration of action of 12-14 hours) would seem to indicate that a higher dose will be helpful for you.  The fact that you’ve noticed some improvement suggests you should stick with it and try a higher dose.

There’s no perfect answer about how long to stick with one dose before increasing it—at least 2 weeks is a good minimum.

Posted by BC on Aug 11, 2014 at 4:51am

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