this post was submitted on 04 Sep 2024
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ADHD
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I've been on 70mg of Vyvanse (Elvanse) for a few years. It's just enough to get me through a 10 hour work day. Everyone's bodies react differently.
You'll get used to the medication, so a given dose will feel like it's doing less over time. If I don't take my meds for a few days, my pulse will be elevated when I start taking them again. After a few days of that, it's about 10 BPM higher than my non-medicated heart rate. I've found the first day of a new stimulate medication to be not at all representative of what long term use is like. After being on a few stimulant medications for a while, it eventually feels like I'm my normal self, just more focused.
Do not split the pills over food without talking to a pharmacist first. With stuff like Adderall XR, splitting the capsule can make the meds instant release. I'm not sure if Vyvanse is the same way or not. Either way, don't rely on an idiot on the Internet (me). Ask a professional.
Personally, I've found Adderall XR to work decently well for 6 to 8 hours. That's not enough for me, but it might be for you. A smaller dose of Elvanse is also a good idea. Personally, I'd go with changing dosage before changing meds. If the smaller dose is still not going well, try a different med. I tend to give myself a couple of weeks on the med before I think about changing it unless I have an extreme reaction. I only did one day of Ritalin because it made me extremely aggressive, for example.
Good luck.
To add to the splitting thing, it says very specifically in my elvanse panphlet that you shouldn't split it. Even if it didn't I would be very difficult to split such a tiny dose of powder accurately, and getting a consistent dose everyday is important.
I take the same dose as you, and like you I felt it was a bit much on the first few days. Your body takes some time getting used to them, after two weeks 30 didn't feel like too much anymore. It feels just right, it raises my heartbeat a bit 2 hours after I take it, and a bit later it evens out.
The splitting advice is correct in theory; it can become instant-release and thus briefly stronger, even dangerous. But in this case I trust my belief over science that trying 1 % - 5 % first is always the safer option. Splitting a slow-release by 50 % - that might cause this problem, yes.
There is also the theoretical possibility that the active component(s) are not evenly distributed. Even a split marker is supposedly not safe, only instructions that say so. But - doubt