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All prescription decisions are at the sole discretion of the physician. Takeda accepts no responsibility or liability for the content of, or the services provided via, the WebMD Care website. Tell your doctor if you have ever abused or been dependent on alcohol, prescription medicines or street drugs. Tell your doctor if you have any heart problems, heart defects, high blood pressure, or a family history of these problems. Call your doctor right away if you have any signs of heart problems such as chest pain, shortness of breath, or fainting while taking VYVANSE.
Tell your doctor about any mental problems you have, or if you have a family history of suicide, bipolar illness, or depression. Circulation problems in fingers and toes [Peripheral vasculopathy, including Raynaud's phenomenon]:.
Tell your doctor if you have numbness, pain, skin color change, or sensitivity to temperature in your fingers or toes. Tell your doctor about all of the medicines that you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements. Know the medicines that you take. Keep a list of them to show your doctor and pharmacist when you get a new medicine.
If you take too much VYVANSE, call your doctor or poison control center right away, or get to the nearest hospital emergency room. For more information ask your doctor or pharmacist. Call your doctor for medical advice about side effects. Medicines are sometimes prescribed for purposes other than those listed in a Medication Guide. It may harm them and it is against the law. If you would like more information, talk with your doctor. Capsule Inactive Ingredients: microcrystalline cellulose, croscarmellose sodium, and magnesium stearate.
Chewable Tablet Inactive Ingredients: colloidal silicon dioxide, croscarmellose sodium, guar gum, magnesium stearate, mannitol, microcrystalline cellulose, sucralose, artificial strawberry flavor. Manufactured for: Shire US Inc. For more information, go to www. I wish I had known this long ago. After taking Adderall 30mg for a number of years, I switched to Vyvanse 70mg and was amazed that I felt totally over-medicated on the equivalent dose of Vyvanse.
Turns out, my morning half of a grapefruit with a glass of OJ had been decreasing the effectiveness of the Adderall. So, after years of needing a larger dose of Adderall, I wound up learning that I only needed about half that amount 40mg of Vyvanse to get the desired effect.
I can take my vyvanse with a glass of lemon water? Wendy, my understanding is the citric acid blocks the effectiveness of the medication. Do a test for a few days with and without lemon water and see if you notice a difference. I definitely should be eating beforehand. This may explain my stomach frequently playing up in the morning. The grapefruit warning is because with some medications grapefruit juice will inhibit one of the enzymes responsible for breaking down the medication therefore increasing the bioavailability of certain drugs to potentially fatal levels.
Can I eat a cup of pudding with my instant release ritalin? It curbs my appetite so I like to at least eat a small meal before I take it. Hi Ahmad, A cup of tea before your medication should be fine as long as the medication is working for you as you want it to be. Warmly, Dana. The pill has typically moved along your digestive track by then.
Good luck, Dana. Susan, talk to your doctor. Are some ADHD medications more dehydrating than others? The pediatrician suggested we mix the 10 mg Adderall capsule with one teaspoon food. Can peanut butter be a choice? Dealing with sensory issues- applesauce and pudding are only foods that will be accepted, except for peanut butter.
Hi Harley. Perhaps it does for you? Many people are sensitive to milk. Try taking the Adderall with water for a couple of days and see what you experience. For breakfast I usually have two brown eggs with spinach and tomatoes, and toast, would this be okay taking dexedrine extended release?
I recently started taking adderall XR 20mg. To top it off I am a smoker. Chantix made me sick. The patch broke out my skin. Vaping makes me cough until I feel like my ribs are broken.
That sounds more like a smoking related issue that you need to speak with your doctor about, as it could be serious. It may also be a severe dehydration problem. The only solution you have in your situation is to slowly increase your water intake. I cannot help you with the smoking as I have no experience with it.
Please seek professional help on that matter. Excuse me Dr Rayburn but does increased body temperature affect the effectiveness and absorption of adhd medication?
Now, to answer your question, I have never heard that there is a connection between body temperature and ADHD medication absorption.
How long should I wait to drink acidic products after taking 30mg xr? Thank you. And, they say wait about an hour. Not all. Agitated, shaky, etc. Oh wow I was under the impression that the acidity on coffee did effect it. Still one hour, or slightly longer? Can I eat blueberries in the morning?
And a nutrient grain bar? Will it effect the Adderall or take the pill early then eat. What happens if you take all of them within 5 minutes! You know! Rushing in the morning to get out of the door. Hi Charles, blueberries and your bar are fine to eat in the morning when you take your meds.
Good thinking to have a quick breakfast! Easy gets done, ya know. Thanks for asking, Dana. I actually JUST asked my doctor this question at my appointment today. Stimulants also have a tendency to raise your body temperature it does the opposite to me, im always cold … anyway, elevated body temp, with a fever will cause more damage than good.
Hope that helps! Any advice you can give me to help with this problem. And how much water do I need to add with 20 mg vyvanse thanks. I really just try to avoid acidic foods and drinks and keep a more alkaline diet overall and that helps tremendously.
The problem is the ridiculous tolerance you can build sting out with your therapeutic dose eventually making people have the need to take more overtime it just makes the tolerance harder to reverse. If anyone is curious look up how to reverse ADHD medication tolerance. Hey, Austin. It may or may not work, so you should check with your doctor. Thanks for sharing, Britt. Everyone is different. You need to know what works for you.
I realized if I stop taking it a few days, the same low dose magically works perfect again. Do you know any info on how the minimal amt of citric acid in diet soda affects these meds when taken together? Hi Chelsea. Anyone know, Dear Readers?
So my adderall is making me really dehydrated 10mg IR twice a day. What can I do? Will this go away or down over time? Hey Kate, give it some time. The dehydration will likely go down some over time, though it may never go away. The dehydration powder will help since it has potassium and sodium but you have to drink more fluids than your body sweats or urinates because your losing your electrolytes that must be replaced.
Amphetamine degrades more rapidly in acidic environments in general. All things that flow through your bloodstream must go through your natural toxin filters called the kidneys. That which is retained by the kidneys instead of being allowed to pass is sent to your bladder for later expulsion from the body. So bad idea. I just screwed myself and literally am not feeling the effects of the adderall.
Em, try it and see. Though if these side effects continue, talk to your doctor about changing your dose or your medication. I wish I could refill early. In my state, I can only refill after 30 days. Literally, I take my last pill and then the next day can get my refill. Drs can authorize an early refill in an emergency, but they rarely will do so. Yes not being able to refill your adderall prescription except every 30 days is a nightmare believe me. My doctor counts on the calendar exactly 30 days to the day until he writes the next prescription.
Can you believe that??? If I have accidentally lost a pill or one has gone down the drain which has happened before I am out of luck.
My other Psychiatrist never did that to me. I hate that. I have never given him a reason not to. Your doctor may have had a bad experience. Adderall is a highly abused medication. All the rest have Except for February which is short.
It certainly is. In Mn. We have a 3 day window on controlled substances. I know you wrote this question long ago, but maybe someone else will read this with the same question. Hi I wanted to know if not drinking enough water could be causing my adderall to make me tired and lethargic? Try drinking more water. Also, eating healthy food proteins! If you still feel tired and lethargic, than it could be the wrong dose of the wrong medication for you and you need to talk to your doctor.
My son is on a Tagamet regime for treating a large wart on his toe. Would it be different for children vs. My son is only 7. I know this is a late reply, but it may help someone else. A pharmacist may be able to answer that question easier than a doctor, so I would check with a pharmacist as well. Pharmacists are often better at catching interactions between different medications taken together as well as interactions between food and supplements and medications.
Does apple cider vinegar effect Vyvanse as well? I knew not to have citrus, but never considered my apple cider vinegar water may be lessening my meds. Or, take the apple cider vinegar at least an hour after you take your Vyvanse.
So I ate low to medium acidic foods to balance again and found Adderall XR working again. To try and keep balance naturally, I drink warm lemon water about 2 hours after taking my dose and the last few days my ADHD is out of control, and the Adderall stops working right after the lemon water. Being histamine intolerant, my diet is limited. For me taking Adderall XR the same time each day, drinking a nutritional shake three hours later is effective for me.
Definitely for me, food intake plays a huge role in the effectiveness of my treatment. The lemon water has to go, maybe make it a night time thing. For me when digestive system is happy my treatment dose of Adderall XR 40mg in the morning, smoothly releases for hours.
Hi Annie, What a challenge you have! Citric acid can block the absorption of ADHD medication. Your idea to try drinking lemon juice at night is the next thing to try. Wishing you all the best! Ok so how long before and after to get your lemons? Seeing as lemons are one of the most alkalizing foods you can eat, I am quite confused by this. As a matter of fact many fruits that people advise not to eat on adderall, in reality alkalize the body. Also I have heard that acetic acid is not good to take either, yet once again acetic acid i.
Apple cider vinegar alkalizes the body. All of this can be found by googling alkaline diet or the best alkaline foods. Every article I have read regarding this lists lemons at the top of the list and encourages eating lemons or drinking lemon juice. So what gives? Great question, Chris. Should I be drinking more than ounces of water per day while taking stimulants?
I know for a fact I drink a minimum of 8 ounces every day. Medication or not, drink more water. According to Dr. Daniel Amen, a rule of thumb is to drink half your body weight in ounces.
So a lb person needs to drink 90 ounces of water a day. If you exercise a lot you may need more. Water-based foods lettuce, oranges, etc. Can be herb teas, etc. Coffee dehydrates. Hydrate up! Should I ask my doc to switch my Adderall to the other type, the non-extended release? Michelle, are you taking your Adderall first thing in your day?
The Extended Release should last 8 — 10 hours if the dose is right. I am beginning to feel as if the adderall is not lasting as long as used to, should I talk to my doctor about Adderall about the extended release as I am already taking 60mg per day or another medication? Hi Holt — talk to your doctor.
He or she will know if you need a higher dose because you got used to it or if you need to try a different medication. Good luck! So ive been on concerta since I was 11 and im on 54mg 1x daily.
Some days when I dont drink enough it seems not to work at all. Should I try and get 8hrs sleep.. It was working not but. Three months ago. Im 27 now. Hi Alex, I always suggest doing what you can to make the medication more effective before upping the dose. Yes, drink more water and get more sleep.
See if that helps before increasing the Concerta. Hello I drank a lot of orange juice around 7am and took concerta around I felt nothing at all! Could the citric acid actually effect the medication that long after?
Hi Robyn! Do you normally feel your medication working? If the OJ is the only difference than it probably is. It may be more subtle. All of them. I was supposed to pick up my medicine yesterday. I ate breakfast…it was a grapefruit. Followed by orange juice. Damn it all anyway. Thanks, Dana. Do you do paid telephone consults? I need to speak with an experienced person, like yourself, about medication issues.
You need to work with a licensed medical professional about your medications. Do you have any suggestions to the afternoon dip? Hi Denise, I suspect what your son is experiencing is the time when the stimulant medication wears off. Does the orange juice help? He might also try eating protein during the wear-off time. Some medications wear off less dramatically than others, so a different medication might be the solution if this side effect is unbearable.
Hope this helps, Dana. In fact, I feel as if orange juice in the Morning with Adderall provides and enhances the feel and helps the medication work easier. Many of my clients experience otherwise.
Not everyone is the same. Try both and do what works for you. I take Vyvance, it works great but I get gerd from it. Will nexium let the vyvance remain effective? Also, are you supposed to eat first just so you get a meal in you or does it really make the meds more effective? Not eating is never a problem I have and I thought taking it on an empty stomach may make it work faster.
I have a large lunch. Better ask your doctor about the Nexium. Or try eating first to see if that helps. My experience with clients is eating before taking meds seems to make the meds work more smoothly and effectively.
This is especially true with Vyvanse. Im On 70mg vyvance for years. A doctor told me to take it mixed in milk or a meal replaced or protien drink. Warm milk with a tea bag.
Warm or cold milk with Ovaltine or what I found to be the best is yogurt I use Greek vanilla. I found it works faster better longer. I didnt notice it 1st. Then i realized o wow theyre right. Thank you! Anyone else have any experience? I also take 45mg Mirtazapine. Incredibly thirsty and want sodas.
In his book, Finally Focused, Dr. As the meds wear off your brain is craving glucose? What does your doctor say? Hope you find an answer! I only give you my suggestion because I had been on the Exact similar prescriptions with near identical issues, and after a short while I had learned that the Miratzapine Rx was causing excessive fluid build up primarily within my lower legs, ankles, feet. After stopping that Rx, two weeks later all was back to normal… Just an idea.
Best of luck. Hi Peggy, as far as I know apple cider vinegar should be okay. The citric acid in orange juice is the problem. Vinegar has acetic acid — a different molecule — according to live strong. Peggy, apple cider vinegar is unlike the other types of vinegar. Taking the supplement later in the day may be more beneficial. What about concerta 18mg and a bottle of Lucozade? I just started taking concerta. Hummm… Does Locozade have citric acid in it? If so, wait an hour or so between taking the meds and drinking it.
Good question! I take my medication like clockwork, morning and afternoon 20 mg twice daily and my urine analysis came back negative for anything. Hi Ashley. False negatives and positives happen often. Talk to your doctor. You many need to find a new doctor.
I wish you all the best, Dana. Can you advise me? Hi Sophie, please check with your doctor or pharmacist about an interactions between your medications. If I find that taking adderall is actually increasing my insomnia would a having a glass of citrus choose such as Orange juice around p. Or, perhaps the dose is too high. Insomnia is a side-effect for some people. Hi Liam, drug holidays are something to work out with your doctor and parents.
One thing to notice is if you need your medication on the weekend to keep up with your homework or work.
Hi Jen, probably not enough to make a difference. I drink coffee all day. I take my adderall XR with coffee then off to work. I drink 2 cups at work over 12 hrs, so about 3 10oz cups a day. Is that the cause of my brain fog,constant fatigue, and headaches? My labs look ok too. I just thought my adderall wasnt working anymore. Hi Christina, Are you eating? Drinking water? Or, living on coffee? Eat something — a healthy protein is best — before you take your Adderall and see what happens.
Also healthy snacks and food during the day. Also, drink water. A dehydrated brain will be foggy, headachy, and tired. Hope this helps! At first I thought it was the generics so I switched to brand name and nothing has changed. Any ideas as to why this is happening? Have you tried another medication such as Adderall? Your body may need a break from the Ritalin. Also, double down on ALL the brain care — diet, sleep, exercise, probiotics, etc.
Can you offer advice on how much water a person on adhd medication Adderall ER 30mgs daily should od consume daily? I generally drink between oz per day advised by my doctor.. Prior to being prescribed this medication but feel this is not enough due to taking a stimulant every day.
I often experience signs of dehydration. Hi Nicole, according to Dr. Daniel Amen adults need half your weight in ounces a day. However, one of the biggest side effects of stimulant medication is dry mouth.
See if it helps. I try to get the most liquid out of the bottle. Is this wrong? Do you notice a difference in how your daughter functions? Check with your pharmacist or physician to be sure. Hi i take a folic acid supplement in the am with my adderal. I know foloc acid is something in citrus drinks. I still feel my meds working but im curious if im dampening it at all in your opnion. Thanks fpr taking the time to read this. But, everyone is different.
Try taking the supplement at a different later in the day and see if you can tell. As far as I know. Try it and see if you notice a difference in the medication effectiveness.
Why does the Vyvanse website show that you can open the capsule and mix with orange juice? The link below was the second result. They might change your dosage to more effectively manage your symptoms. Vyvanse also has a risk of dependence.
This means that your doctor will carefully monitor your use. Controlled substances can be habit-forming and can lead to misuse. Amphetamines such as Vyvanse can cause a feeling of euphoria or intense happiness if you take them in large doses. They can also help you feel more focused and alert. Some people misuse these drugs to get more of these effects.
However, overuse or misuse can lead to dependence and withdrawal symptoms. Taking amphetamines at high doses and for long periods of time, such as weeks or months, can lead to physical and psychological dependence. With physical dependence, you need to take the drug to feel normal. Stopping the drug causes withdrawal symptoms. Both types of dependence are dangerous. They can cause confusion , mood swings , and symptoms of anxiety , as well as more serious problems such as paranoia and hallucinations.
You may develop physical withdrawal symptoms if you stop taking Vyvanse. But even if you take Vyvanse exactly as prescribed, you may still have withdrawal symptoms if you suddenly stop taking it. Withdrawal symptoms can include:. If you want to stop taking Vyvanse, talk to your doctor. They may recommend that you slowly taper off the medication to help you avoid or reduce withdrawal symptoms. Like all drugs, Vyvanse can cause side effects.
There are also other risks of taking Vyvanse you should consider. Vyvanse can interact with other drugs. Also, avoid taking Vyvanse with other stimulant drugs, such as Adderall. Like other amphetamines, Vyvanse use during pregnancy may cause problems such as premature birth or low birth weight.
Risks to your child include increased heart rate and blood pressure. Vyvanse can cause new or worsening symptoms in people who have bipolar disorder , thought problems, or psychosis. These symptoms may include delusions, hallucinations, and mania.
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