Vyvanse - How fast does your tolerance build up, how do you recognize the signs & cope with it?

Just want to mention that sometimes we may need medical attention but this VYVANSE and similar ones it is once again in 2020 went up.. are you serious? Having said this, I also REALIZED that I do not have to be perfect, or work do my health is affected. Today we need to understand that, not just say it.

It is important to do research on how anti depressants interact with this drug, as more often than not they are not supposed to be taken together. I am not a health professional but I have spent most of my life in drs offices and hospitals getting treated for many different ailments that range from cancer to depression to many more. I do extensive research on all drugs I am prescribed, far more than what the average person needs to (this is part of my anxiety speaking) and it’s important to realize with medications like vyvanse that usually less is more.

This particular method of timed drug release is also why people who try to abuse it don’t get the high they are chasing. Your body can only produces a small amount of the enzyme at time and only at a steady constant rate.

As such the typically the only discernible effect of taking doses above your treatment window or anything higher recommended is that you can’t sleep for a much longer period. Such doses just prolong the time the drug is active.

However I think you’re still within your treatment window and I’ve found this drug far superior over others that im suggesting a way to stick with the drug a little longer. From what I can tell (and this is obviously not a professional opinion) You’re experiencing many of the symptoms (increased emotional reactivity and hyper vigilance with lessened ability be aware of and moderate moods) that I experienced when my current titration dose was 10- 40mg above my optimal dose. The unwanted effects were much worse when I was in the luteal phase of my cycle. This is common in women on Vyvanse because the hormonal changes bring with it changes in the stomach which alter absorption. It would be worth tracking your experiences of the drug alongside your cycle to discover if this is also a factor.

Being slightly overstimulated like I suspect you are is not quite the same as what I’ve described for doses above optimum ranges. You’re still in your effective dose window but on the most upper edge so it’s still having effects as dose is increased but it’s too much for your requirements.

With Vyvanse less is definitely more and I would suspect you need to recommence titration at 20mg with 5mg increases every two weeks.

A good doctor should start titration at a 30mg dose and increase or decrease either side no faster than a week at a time. If your doctor has not done this and just guesstimated your dose then go back and insist you recommence conservative titration. This titration rate is vital to avoid prescribing for first dose syndrome ( where initial doses or dose increases provoke an exaggerated response that soon settles down - you can see what this feels like by not taking your ADHD stimulants for a day then restarting them). This means the patient either reports the new med/dose is too high because the initial exaggerated response causes unwanted effects or that it is too low bevauee the initial rush of feeling to working soon soon vanishes. The treating doctor can then then mistakenly reduces the dose perhaps below effectiveness instead of allowing time for the dose to settle in or keeps prescribing higher doses not realising the patient is mistakenly chasing the initial high. Many doctors no matter how good are still not very experienced with prescribing Vyvanse and it is very apparent that several previous posters are chasing the first dose syndrome feeling mistaking it for effective dose feeling.

With Vyvanse, the goal should be to find your absolute minimum dose at which your ADHD symptoms are alleviated to avoid unwanted effects like you are experiencing.

Not the maximum as with most others.

Personally, I have used my 6 months on Vyvanse to explore my childhood issues and decide on where I want my life to go. It has been useful for intense focus, but I feel that going any further will cross a line into obsession. I hope that you've been able to help yourself and your baby - parenting with mental illness is so incredibly difficult, especially in keeping your problems and feelings to yourself, but it's possible because you don't want your child to experience what you have by behaving in the manner which you model for them. This is the most difficult challenge of the illness/disability/diagnosis (ADHD) for me, but every day I learn, I apologize, I discuss and we move forward.
:)

I'm scared to go any farther than that so I'm just taking a "tolerance break until Tuesday when school starts up again and hoping for the best. I don't even know what to do about this predicament and no I don't have much of a system to cope with this dilemma. I'm asking for help and trying to help you. Probably just need to switch to another drug cuz I feel my heart working hard at times during the day which is not natural for me to feel. Not sure what the alternative is here