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Shaken_but_ok

1y ago

Vyvanse not working anymore, provider not helpful

My Vyvanse isn’t working anymore. I have been on 30mg for almost two years now. I reported my symptoms to the psych tech. I’ve lost focus at work, I’m off task, having trouble with basic stuff at work, and I am forgetting to do things I’ve been asked to do. The provider I saw is a new guy at the office, and the 3rd provider I’ve seen in the past year. He spent 10 minutes talking to me and it seemed like he hadn’t even looked at my chart. You know what he did instead of adjusting the he ADHD meds? He increased my dose of sleeping pills…and told me to get more sleep. I’m already sleeping 9hrs a night. Does anyone have tips for how to regain my focus? I have a whole organizational system and reminders on my phone but it just isn’t doing the trick anymore. Any supplements or ways to make the meds start working again?

Your answer

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E_belli

1y ago

I take Vyvanse and consider it one of my miracle meds, it changed my life. so i’d advocate for a higher dose. Like others said there is def room for an increase. Try explaining again (I know it's tedious) and mention the Vyvanse and remind him you get a lot of sleep and that's not the issue. And just ask, it has always worked for me in the past (if it has) and id like to increase Vyvanse before trying another med change. Sometimes you have to flat out ask. it may get you in the direction you want to go. I'm on 70mg for about 6-7 years and I have not developed a tolerance yet which I do for other meds pretty quickly, I'm like a horse. If it is working, try to stick with it unless you want to try something new, then ask that! I know all psychs aren't as open to controlled meds as others but it's definitely worth a try.good luck!
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freshfrose

1y ago

I’ve never had any issues with stimulant tolerance because I only take them 3/7 days a week. I take them on the days I have class or need to focus on more.
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rachael1234

1y ago

Get a second opinion and try other medications I found guanfacine is an ok medicine for adhd and add
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Feathers

1y ago

I'm very interested in guanfacine. I have been struggling a lot with impulsivity. Is it good for that?
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MarySol

1y ago

Instead of increasing dose change to another med...then go back. If you get generic try brand( there is a huge difference at times). Do you take anything else that could be interfering? Vitamin c? Eating more sugar? Under extreme stress?
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Loki_Doki

1y ago

The problem with stimulants is tolerance.. you'll become tolerant to your dose, and keep having to bump it up until nothing works anymore unless you get the right doctor. I've found that cycling sometimes helps. With a lot of medications. Pill A stops working, so you switch to pill B you have a low tolerance to instead of upping the doses for minimal effect.
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strugglebus

1y ago

30mg is usually the starting dose, (from what I've been told) and depending on how you react they'll adjust the dose accordingly. But stimulants like Vyvanse, your body will get used to it and it will not have the effect it used to anymore. I'm assuming your body's metabolism (?) can take out the 30mg now making it less effective
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phidippus

1y ago

Well, first and the most likely issue is that your Vyvanse is at a subtherapeutic dose. The maximum dose is 70 mg so you have plenty of room to increase the dose. Thats where I would start.
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Shaken_but_ok

1y ago

the psych tech told me he won’t increase my dose
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Mrs2022

1y ago

They continued to increase mine til I maxed out, Then I weened myself off. I've had to teach myself to focus.
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Feathers

1y ago

So Ive tried max doses of basically all the stimulants. They used to work for me. They don't anymore. Ive tried quitting them for a while then coming back to them but they still dont work

The content in this post is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition.

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