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Dr. Bob is Robert Hsiung, MD,
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Posted by RMFlorida on October 27, 2009, at 22:42:07
In reply to Re: Dexedrine (Dextroamphetamine) Has Disappeared » mistermulti, posted by Deneb on October 27, 2009, at 22:19:18
Wishing you the best of luck with both.
To update others here...
I've begun taking the 5mg Spanules (as opposed to 5mg IR). I actually prefer the alternative brand IR generics (no longer made) over the Spanules, and the cost of the Spanules is certainly an issue, roughly 8+ times more expensive.
Trying to keep my dosage low, and going with the Spanules, is a tough road to travel. However, it's better than the alternative ;-).
Posted by floatingbridge on October 27, 2009, at 22:57:41
In reply to Re: Dexedrine (Dextroamphetamine) Has Disappeared, posted by RMFlorida on October 27, 2009, at 22:42:07
Good Luck RMFlorida. Your post has me thinking, too. I take the barr spansules (the only one's I've ever had) and sometimes they seem to last about 4 hours! Maybe a tad longer, but for me they are unreliable. I have given up on the barr ir tabs--that was too rocky a road.
I too am trying to keep my dose down. I'm going to see what my co-pay would be for the gsk. Probably a fortune. Humph!
Let us know how it goes.
fb
Posted by RMFlorida on October 27, 2009, at 23:41:11
In reply to Re: Dexedrine (Dextroamphetamine) Has Disappeared » RMFlorida, posted by floatingbridge on October 27, 2009, at 22:57:41
@floatingbridge-
I don't think the GSK will give you a longer effect, unfortunately. Of course I could be wrong, but my impression is that the GSK Spanules are barely noticeable.Of course one way of offsetting that is to take a large amount of B-Vitamins (for example, drink 1/3 of a '5 Hour Energy Drink' every 4 hours). This does not have much caffiene (which IMHO is a terribly dangerous thing for people with ADD/particularly ADHD), and yet the B's compliment the Dexedrine very well, from a mental function and motivation.
Speaking of supplements (and I don't want to take this post off-topic, but I'll throw it out there).. I've had very good luck with a *particular* type of Rhodiola that, while a tad bit expensive, you can get at Vitacost for a reasonable price (about $22 or so).
This is: Nature's Plus Herbal Actives Rhodiola Extended Release
There is much more about Rhodiola around this forum and on the 'net, that is beyond the scope of this post, but I thought the suggestion may help you -- in the event this might fit your unique needs (stress "unique" as certainly there is no miracle fix that applies to everyone's unique condition).
To digress... This is a summary of my Dexedrine experience, as it may apply to yours/others here:
* Eliminating Barr because of the "Rocky Road" problem (inconsisent/dirty feel) seems to make sense to me, and fit my own experiences. Unfortunately, there is *no alternative*, neither a 'brand' availble, which is the reason for this post.
* Taking Dexedrine in Extended Release form (Spanules), GSK may not give you any more longevity than Barr (in my experience).
* Taking Dexedrine in Extended Release form (Spanules), may feel like a half-dose (and for all intensive purposes, it is -- released, in simplest terms, half-and-half).
* GSK (Brand Name) Dexedrine Extended (Spanules) is *much* more of a 'dirty' feel to me. I much preferred the IR. Both Barr IR and GSK Spanules cause the occasional headache/stomach problems, where as other IR generics did not cause me any such problems.
Note: To compensate for the Barr-related stomach problems, I also found what I believe may be a help. I've taken some "Probiotics" along with yogurt, at least 15-30 minutes before I took the pill, and I didn't seem to feel as bad. However, I only tested this for a few days before going on the Spanules.
Good luck everyone; I hope this saves someone else a little time, somewhere along the way :-).
Posted by psych chat on October 28, 2009, at 0:16:58
In reply to Re: Dexedrine (Dextroamphetamine) Has Disappeared, posted by RMFlorida on October 27, 2009, at 23:41:11
I've been reluctant to post lately, but I wanted to comment about the dextroamphetamine in case it helps anyone.
There is another version of dextroamphetamine -Dextrostat (only available in generic/I think its only Barr). For me, it works for 6 hours and is so much better than Dexadrine. While it may be different for others, Dexadrine only made me able to stay awake longer, and made my stomache hurt. I get no side effects from Dextrostat (the tablets). The Dextrostat seems to work on my brain, the Dexadrine does not seem to, but only gave me a bit of a speedy feeling I did not like.
Just an option for those who may not be aware. Dextrostat has to be written via the brand name, then substitute the generic. The brand does not exist anymore, but the RX still has to be written this way or you will automatically get Dexedrine if PDoc writes a script for dextroamphetamine.
Posted by RMFlorida on October 28, 2009, at 0:49:32
In reply to Re: Dexedrine (Dextroamphetamine) Has Disappeared, posted by psych chat on October 28, 2009, at 0:16:58
I believe that if you research this, you'll find that DextroStat = Dexedrine. The generic you receive is the *exact* generic you will receive if the prescription was written for Dexedrine. Unfortunately, this is the Barr brand I've referred to here (although it's great to hear you've had good luck with this, unlike many of us).
Have a jog over to wikipedia and enter DextroStat, I believe that's the most straightforward explanation there.
Posted by psych chat on October 28, 2009, at 10:47:43
In reply to Re: Dexedrine (Dextroamphetamine) Has Disappeared, posted by RMFlorida on October 28, 2009, at 0:49:32
No, when I'm prescribed dexedrine, I get a (colored) capsule (and its also the generic). It's different.
Posted by RMFlorida on October 28, 2009, at 11:28:32
In reply to Re: Dexedrine (Dextroamphetamine) Has Disappeared, posted by psych chat on October 28, 2009, at 10:47:43
Yes, in the past, you received a different pill.
At present, there is only one generic for DextroStat or Dexedrine. It's Barr, and regardless of color/etc -- it's the same formulation. This is exactly the point of the thread.
Your pharmacist might tell you there are multiple available (just about every pharmacy here claims there are), but once you ask them to place the order, they'll be updated by their rep, with the news that the *only* remaining IR formula is Barr Dexedrine.
Again, I'm not disagreeing with you that in the past, the Dexedrine generic had a difference appearance. However, if you compared both prescriptions, as of today, you'll notice they are identical.
Posted by psych chat on October 28, 2009, at 16:28:41
In reply to Re: Dexedrine (Dextroamphetamine) Has Disappeared, posted by RMFlorida on October 28, 2009, at 11:28:32
I just got this script filled today-there are 2 versions of the Barr generic dextro amphetamine. I got the tablet again-NOT the capsule. While they may technically have the same substance inside, the capusles work differently than the tablets. (for me - completely different effects).
If your doc writes Dextrostat you will get a different med than if your doc writes Dexedrine.
I might be misunderstanding what you are saying (maybe I'm dense today)....I see you are saying its the same formulation..but I am confused that you said:
"*only* remaining IR formula is Barr Dexedrine."
But if that's the case, why do I get Barr Dextrostat and not the Dexedrine?
And if they are the same, then why is there 2 versions of the script; why would doctors need to specifiy Dextrostat rather than Dexedrine to provide me with the version of d-amp that works for me?
Hey-I'm not trying to be argumentive-just a bit confused. If there is only one version, why do would there be 2 ways to write the script, rather than one? Dexedrine is a brand name; so is Dextrostat. If they are exactly the same, why would they be called different names?
Ok-if you are saying the 2 are the same substance - capsule/spanules vs. the tablets, I get that. But I think they work much differently-maybe there is something done to the capusles/spanules in the way they metabolize. That's why I request my doctor write Dextrostat.
Sorry if I am confusing and getting too wordy here. Hopefully that clarifies what I'm trying to say.
Posted by psych chat on October 28, 2009, at 16:38:05
In reply to Re: Dexedrine (Dextroamphetamine) Has Disappeared, posted by RMFlorida on October 28, 2009, at 11:28:32
Oh-I should have looked it up before I posted, not after....
Not saying this is the "official" source regarding what's going on with dextroamp..
But it says:
"Dextrostat tablets are equivalent to Dexedrine tablets."
It doesn't say that Dextrostat tables are equivalent to Dexedrine CAPSULES.
Also:
"Dexedrine comes in two forms: tablets and Spansules®. Dexedrine Spansules are specially designed to release the medication slowly over time."
I am still saying Dextrostat the tablet works differently that Dexedrine the spanules/capsules.
Ok, so I didn't mean to turn around what you have said-the intent of your post. I guess after thinking of the situation, my point would be - for anyone unhappy with whatever version of Dexedrine they are taking, it might be worth it to try the Dextrostat.
--------------
Generic Dexedrine: An Overview
Dexedrine® (dextroamphetamine sulfate) is a prescription medication that is used for the treatment of attention deficit hyperactivity disorder (ADHD). It is also used to treat narcolepsy. Dexedrine comes in two forms: tablets and Spansules®. Dexedrine Spansules are specially designed to release the medication slowly over time. Because Spansules release the medication slowly over time, they can be taken just once a day, eliminating the need to take the medication at school or work.
Dexedrine was originally manufactured by GlaxoSmithKline. However, it has since come off patent and is now available as a generic. Interestingly, brand-name Dexedrine tablets are also made by another company (Shire Richwood Inc.) under a different name: Dextrostat® tablets. Dextrostat tablets are equivalent to Dexedrine tablets.
Generic Dexedrine is currently sold as Dextroamphetamine Sulfate tablets and Dextroamphetamine Sulfate Extended Release capsules.
Posted by RMFlorida on October 28, 2009, at 23:23:28
In reply to Re: Dexedrine (Dextroamphetamine) Has Disappeared » RMFlorida, posted by psych chat on October 28, 2009, at 16:38:05
I think you may be mixing up the IR v. Spanules. This was covered in the beginning of this post. To be clear, by "IR" I'm referring to "Immediate Release" or what you're calling the "tablet".
Whether your doc writes Dextrostat or Dexedrine, if there is no "ER" or "Spansules" behind that name, then you're getting the same Barr generic. That's it -- your ony option, BARR, period.
If the text "ER" or "Spansules" (et al) is present, then you're going to receive an extended release capsule that is *not* limited to one brand (yet the point of the original post was referring to IR specifically).
The fact that there are two names (Dextrostat v. Dexedrine) is inconsequential. I do hear 100% what you're saying, and I'm also not intending to argue. I'm simply trying to explain what I've learned after exhausting every option, hoping there was some sort of variation of d-amphetamine that remains on the market.
Unfortunately, for IR (tablets), the *only* option, whether Dextrostat or Dexedrine, is the Barr generic. And herein lies the problem, because the Barr generic is terrible (which many people here attest to).
Capsules (extended release), again, are an entirely different story.
Posted by mistermulti on October 29, 2009, at 8:28:41
In reply to Re: Dexedrine (Dextroamphetamine) Has Disappeared, posted by RMFlorida on October 28, 2009, at 11:28:32
Sadly after only 2 days of Dexedrine 5mg IR, I have to say that I agree with your findings. Again I started with the 10mg ER Spanuels 10-5-09,which have provided some benefit, I noticed they only last maybe 10-11 hrs, so I asked my doc if there was a IR to complete the day maybe a 4 or 5 hrs duration. This is how I got the 5mg IR. My results included anxiety/disphoria (had to take a couple of Lorazepams last night to make it through a business meeting )about 1 hr after taking the 5mg IR, not to mention what I will describe as nasty onset and delivery. I think now I will attempt to stage my 10ER and take a second one at some time after noon today, which will of course double my 10 dose for a while until the first spanuel dissipates. Anyone have any feedback on this double up method good or bad?
Posted by metafunj on October 29, 2009, at 9:16:46
In reply to Re: Dexedrine (Dextroamphetamine) Has Disappeared, posted by mistermulti on October 29, 2009, at 8:28:41
It would be nice if the original patent holder could sue the generic companies for making inferior replicas, after all it makes the patent holder's drug and name look bad since I'm sure many don't realize the problem with some drugs is often with the generic.
Posted by floatingbridge on October 29, 2009, at 10:40:16
In reply to Re: Dexedrine (Dextroamphetamine) Has Disappeared, posted by mistermulti on October 29, 2009, at 8:28:41
mistermulti,
I haven't had a problem overlapping my spansules. However, I have been taking the Barr spansules which in no way last 10 hours. I'm looking into whether I can afford the gsk spansules.
Which name spansules or capsules are you taking?
I agree about the ir tabs. I quit taking them. Dysphoria--who needs it?
fb
> Sadly after only 2 days of Dexedrine 5mg IR, I have to say that I agree with your findings. Again I started with the 10mg ER Spanuels 10-5-09,which have provided some benefit, I noticed they only last maybe 10-11 hrs, so I asked my doc if there was a IR to complete the day maybe a 4 or 5 hrs duration. This is how I got the 5mg IR. My results included anxiety/disphoria (had to take a couple of Lorazepams last night to make it through a business meeting )about 1 hr after taking the 5mg IR, not to mention what I will describe as nasty onset and delivery. I think now I will attempt to stage my 10ER and take a second one at some time after noon today, which will of course double my 10 dose for a while until the first spanuel dissipates. Anyone have any feedback on this double up method good or bad?
Posted by diego on October 29, 2009, at 14:27:47
In reply to Re: Dexedrine (Dextroamphetamine) Has Disappeared, posted by mistermulti on October 29, 2009, at 8:28:41
I can't compare immediate relase vs. spansules because I"ve never tried the spansules. However, I'm a long time Desoxyn user and asked the doc to try Dexedrine because the Desoxyn has gotten so expensive.
Absolutely horrible! I tried 2.5 mg BID or TID for about three days and experienced the dysphoria and crashing you describe. Also suffered from over-stimulation and profound anorexia; something that Desoxyn didn't do at al.
Posted by mistermulti on October 29, 2009, at 16:28:00
In reply to Re: Dexedrine (Dextroamphetamine) Has Disappeared » mistermulti, posted by floatingbridge on October 29, 2009, at 10:40:16
the spansuels I am taking are Barr. Based on that feedback I will get my next script with brand, which I assume is GSK ? How long do the GSK spansuels last for you? My Barr duration was an estimate, but I have not noticed Dysphoria or crashing after the Barr Spansuels disipate.
Posted by floatingbridge on October 29, 2009, at 18:29:29
In reply to Re: Dexedrine (Dextroamphetamine) Has Disappeared » mistermulti, posted by floatingbridge on October 29, 2009, at 10:40:16
> mistermulti,
>
> I haven't had a problem overlapping my spansules. However, I have been taking the Barr spansules which in no way last 10 hours. I'm looking into whether I can afford the gsk spansules.
>
> Which name spansules or capsules are you taking?
>
> I agree about the ir tabs. I quit taking them. Dysphoria--who needs it?
>
> fb
>
> > Sadly after only 2 days of Dexedrine 5mg IR, I have to say that I agree with your findings. Again I started with the 10mg ER Spanuels 10-5-09,which have provided some benefit, I noticed they only last maybe 10-11 hrs, so I asked my doc if there was a IR to complete the day maybe a 4 or 5 hrs duration. This is how I got the 5mg IR. My results included anxiety/disphoria (had to take a couple of Lorazepams last night to make it through a business meeting )about 1 hr after taking the 5mg IR, not to mention what I will describe as nasty onset and delivery. I think now I will attempt to stage my 10ER and take a second one at some time after noon today, which will of course double my 10 dose for a while until the first spanuel dissipates. Anyone have any feedback on this double up method good or bad?
>
>Yahoo! My insurance company will supply brand name spansules (gsk) for only $80 extra for a 3 month supply. I can fit that into my budget. (My pharmacy quoted 238$ for one month!)
I'll let anyone interested in any difference I feel. (I won't receive the new script for about a month.)
Now I'm hoping I'm following the gist of this thread. The gsk were farmed out to another manufacturer, right? But they are still superior?
hoping,
fb
Posted by floatingbridge on November 1, 2009, at 19:09:54
In reply to Dexedrine (Dextroamphetamine) Has Disappeared, posted by RMFlorida on September 19, 2009, at 9:56:50
How does that stack up to the (farmed out) brand spansules of dexedrine?
Posted by Jamilla on November 3, 2009, at 15:44:46
In reply to vyvanse anyone? » RMFlorida, posted by floatingbridge on November 1, 2009, at 19:09:54
> How does that stack up to the (farmed out) brand spansules of dexedrine?
Vyvanse is just plain scary! I am a 25 year old female and have been medicated with dexedrine over the past 14 years. I have tried Ritalin which made me feel like my head was in a vice grip, Adderall which drove me into a severe state of depression and multiple other medications to help with my ADHD. The depression and anxiety I suffer from are completely separate issues and I refuse to try any new medications for them because of the issues I have had with the ADHD medications.I recently tried Vyvanse 60mg/daily and was on it for about a year. In short this medication made me want to rip my skin off, gave me SEVERE anxiety and panic attacks. I am now off the Vyvanse but am still taking Xanax to help with the after affects of the drug (I do not recommend it to anyone anywhere). I am back on my Dexedrine 30mg spansuels daily which I get brand name from GSK - it raises my copay a bit but it is absolutely worth it.
I would try anything and everything available before resorting to Vyvanse, don't let your doctor fool you. It also causes mood swings from hell, if you think any stimulant medication you have taken is bad then to get an idea of what Vyvanse will feel like multiple your worst day on the medication by 10 and then you'll have an idea. My mood swings and behavior issues were so awful on this medication not only did I get in trouble for my "attitude" at work (which was never an issue before) and it caused extreme stress on my relationships. Not even my parents would put up with the moods, they'd hang up on me when on the phone and my boyfriend of 4 years told me that he, "never knew who he would be talking to when he woke up in the morning".
Good luck to you!
Posted by Jamilla on November 3, 2009, at 17:08:00
In reply to Re: Dexedrine (Dextroamphetamine) Has Disappeared, posted by RMFlorida on September 19, 2009, at 15:45:50
> Thank you for the comment about Vyvanse. It's inspiring to know that you don't have sleep issues while taking it; however, many I've read do. In my case, I have sleep issues simply taking Adderall versus Dexedrine. Therefore, XR is going to exacerbate this, and Vyvanse theoretically would be more-so.
>
> Vyvanse is also quite expensive for someone that does not have a prescription plan available. However, this probably isnt that relevant since my primary point is simply that a critical drug has essentially been eliminated from the market, by reducing the only option to that of a supplier who produces an inferior product.
>
> Does anyone know whether GSK continues to sell name-brand Dexedrine, or whether there is a non-Barr version of the generic, available in Canada? It probably isnt worth the hassle to get a C-II substance from Canada; however, it would be interesting to find out.
>
I recently ran into the same situation with the generic medications and my doctor pushed me toward Vyvanse because he felt it wasn't the generic medication that was the issue but that the medication simply didn't last long enough. I tried Vyvanse and wanted to rip off my skin (check my other post from 11/3/09). Vyvanse is incredibly expensive and not worth a penny.Dexedrine spans are still made by GSK and you can call them directly to see if they are distributed in your city and state 1-888-825-5249 M-F 8-6 est. I first called to confirm they distribute the medication in my state and they even went as far as to give me the national drug codes. I then called my pharmacist and gave them the information and they verified they could special order the medication once they had a prescription in hand. About a week later I had my beloved Dexedrine.
The medication isn't that expensive either without a prescription plan compared to Vyvanse. For 30mg daily (3x10mg spans) is around $150 without insurance - the copay with my current insurance is $40 but thanks to the changes with this healthcare reform I may be paying more - I would pay whatever I need to in order to keep myself sane and my sanity requires Dexedrine.
Vyvanse for 30 count 30mg pills they wanted me to pay $450 (there was a glitch with my insurance company since I was on 60mg but no pharmacies had them and I attempted to get 60 30mg pills but they would only fill 30 pills and told me I had to pay the difference to get the rest of the pills).
As far as sleeping on Vyvanse you can forget it! The medication lasts around 12hours and in reading the forums about the medication after experiencing some ridiculously unpleasant side effects I realized that I was not the only one - some people compare it to doing "a huge line of blow". It makes you jittery, uncomfortable, hot, irritable, moody, focused to the point you become unfocused and just all around unpleasant. Towards the end of my long trial on Vyvanse I was having issues with my legs when I slept, I thought I had RLS until I read the other peoples feedback on the medication and realized it was likely a side effect of the medication. Within 2 days of being off Vyvanse my mood is starting to regulate again and I definitely don't have RLS like I thought it was 100% the Vyvanse.
Best of luck in your quest to find the right medication. I have been medicated for about 14years and have tried a multitude of medications to help with my ADHD and nothing has worked like the Dexedrine does. Any questions you have about it feel free to ask I'm more than happy to share my experience with you or anyone else who is considering taking Vyvanse.
Posted by floatingbridge on November 3, 2009, at 21:51:18
In reply to Re: vyvanse anyone?, posted by Jamilla on November 3, 2009, at 15:44:46
Jamilla,
Thank You!
fb
Posted by creepy on November 4, 2009, at 9:31:42
In reply to Dexedrine (Dextroamphetamine) Has Disappeared, posted by RMFlorida on September 19, 2009, at 9:56:50
I might be having a similar issue with the adderall generic IR that im on. I get nasty dysphoria when it wears off and the deliver in general isnt very smooth.
I was hoping to convince my doc into trying dex ER but now im not sure that will be much better.
Posted by bulldog2 on November 4, 2009, at 14:51:12
In reply to Re: vyvanse anyone?, posted by Jamilla on November 3, 2009, at 15:44:46
> > How does that stack up to the (farmed out) brand spansules of dexedrine?
> Vyvanse is just plain scary! I am a 25 year old female and have been medicated with dexedrine over the past 14 years. I have tried Ritalin which made me feel like my head was in a vice grip, Adderall which drove me into a severe state of depression and multiple other medications to help with my ADHD. The depression and anxiety I suffer from are completely separate issues and I refuse to try any new medications for them because of the issues I have had with the ADHD medications.
>
> I recently tried Vyvanse 60mg/daily and was on it for about a year. In short this medication made me want to rip my skin off, gave me SEVERE anxiety and panic attacks. I am now off the Vyvanse but am still taking Xanax to help with the after affects of the drug (I do not recommend it to anyone anywhere). I am back on my Dexedrine 30mg spansuels daily which I get brand name from GSK - it raises my copay a bit but it is absolutely worth it.
>
> I would try anything and everything available before resorting to Vyvanse, don't let your doctor fool you. It also causes mood swings from hell, if you think any stimulant medication you have taken is bad then to get an idea of what Vyvanse will feel like multiple your worst day on the medication by 10 and then you'll have an idea. My mood swings and behavior issues were so awful on this medication not only did I get in trouble for my "attitude" at work (which was never an issue before) and it caused extreme stress on my relationships. Not even my parents would put up with the moods, they'd hang up on me when on the phone and my boyfriend of 4 years told me that he, "never knew who he would be talking to when he woke up in the morning".
>
> Good luck to you!
>Sorry you had such an awful experince. Is it possible you're dose was to high? I tried the free month of vyvanse 30 mg and found it fairly smooth compared to other stims that left me grumpy when they wore off. I know you had an awful experience but you have to realize not all will react that way.
My p-doc has found that many who are trying vyvanse seem to like it.
I guess only time will tell the truth.
Posted by floatingbridge on November 4, 2009, at 15:44:18
In reply to Re: vyvanse anyone? » Jamilla, posted by bulldog2 on November 4, 2009, at 14:51:12
I wonder if my doc would be more open to my trying emsam w/ vyvanase? Somehow the combo of emsam and dex is (well of course, formally contra-indicated) too much for him to consider.
I think that it's (vyvanase) combined w/ lysine is interesting....
Thanks EVERYONE for opinions and experience!
fb
Posted by bulldog2 on November 5, 2009, at 11:31:33
In reply to Re: vyvanse anyone? » bulldog2, posted by floatingbridge on November 4, 2009, at 15:44:18
> I wonder if my doc would be more open to my trying emsam w/ vyvanase? Somehow the combo of emsam and dex is (well of course, formally contra-indicated) too much for him to consider.
>
> I think that it's (vyvanase) combined w/ lysine is interesting....
>
> Thanks EVERYONE for opinions and experience!
>
> fb
>Vyvanse as you have read is d-amphetamine combined with lysine that make it inactive until the lysine is disconnected from the d-amphetamine in the stomach. I took vyvanse 30 mg which contains 8.9 milligrams of d-amphetamine over about a 12 hour period. So you really need to find the right dosage. My dosage made me feel alert and did improve mood without that euphoria and over stimulation that some formulations provide. I might try vyvanse 40 mg that would give me about 12 mg of d-amphetamine. I think it's a matter of getting the dose right. But like any amphetamine there still could be issues of tolerance.In one post there are meds mentioned that could provide tolerance. I tried memantine but couldn't tolerate it.
Posted by bulldog2 on November 5, 2009, at 11:31:50
In reply to Re: vyvanse anyone? » bulldog2, posted by floatingbridge on November 4, 2009, at 15:44:18
> I wonder if my doc would be more open to my trying emsam w/ vyvanase? Somehow the combo of emsam and dex is (well of course, formally contra-indicated) too much for him to consider.
>
> I think that it's (vyvanase) combined w/ lysine is interesting....
>
> Thanks EVERYONE for opinions and experience!
>
> fb
>Vyvanse as you have read is d-amphetamine combined with lysine that make it inactive until the lysine is disconnected from the d-amphetamine in the stomach. I took vyvanse 30 mg which contains 8.9 milligrams of d-amphetamine over about a 12 hour period. So you really need to find the right dosage. My dosage made me feel alert and did improve mood without that euphoria and over stimulation that some formulations provide. I might try vyvanse 40 mg that would give me about 12 mg of d-amphetamine. I think it's a matter of getting the dose right. But like any amphetamine there still could be issues of tolerance.In one post there are meds mentioned that could provide tolerance. I tried memantine but couldn't tolerate it.
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