Reply To: First week of new medication Vyvance 60mg per day

[Scattybird]

nemesis – I take dexamphetamne which is a similar drug but it’s quick release form. I only take 5 mg two or three times a day and that’s enough. I am not sure what that is equivalent to for Vyvanse but 60 mg at once sounds a lot?  Dex is much stronger than Ritalin and I only need a fraction of the dose of dex relative to what I was on when I took Ritalin to get a similar effect. Perhaps your doctor thinks 60 mg is equivalent to what you were on – but even so, s/he should start low and titrate up. According to Dr Parker with Vyvanse you shouldn’t feel like the drug is kicking in so it sounds like your dose is too high.

I also feel more mature when I take dex – it’s odd – it’s like my toys have been taken away so I may as well do my homework and I feel very ‘grown up”.  I also find it good for anger management. I used to find it hard to sleep  when I started taking it but that’s fading now and as long as I chill before bedtime it’s fine. In contrast, Ritalin always made it easy for me to sleep from day one.

I notice when I have a drug break for a day I clench my jaw and grind my front teeth.

I think you need to discuss your dose with your doctor.

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