Vyvanse and Adderall are both stimulant medications often prescribed to treat ADHD. While they’re used for similar purposes, they’re chemically different and work in the body in different ways.
If you’re considering switching from Vyvanse to Adderall, or vice versa, this article will give you a comprehensive overview of what’s involved in a Vyvanse Adderall conversion. We’ll cover the things that affect the conversion process, dosage considerations, and potential side effects you might experience.
It’s important to remember that you should always talk to your doctor before making any changes to your medication regimen. They can help you determine the best course of action for your individual needs.
Understanding Vyvanse and Adderall
Both Vyvanse and Adderall are stimulant medications often prescribed to treat ADHD. They affect the central nervous system, helping improve focus and attention. Here’s a closer look at each.
Vyvanse (Lisdexamfetamine)
Vyvanse is what’s known as a prodrug of dextroamphetamine. This means it’s inactive until your body metabolizes it. This process leads to the drug’s effects lasting longer and starting more smoothly than some other ADHD medications.
Vyvanse works by increasing the levels of dopamine and norepinephrine in your brain.
Vyvanse comes in several dosages, from 10 mg to 70 mg, and is available in capsule and chewable tablet form.
Adderall (Amphetamine/Dextroamphetamine)
Adderall is a combination of amphetamine salts, and it comes in two forms: immediate-release (Adderall IR) and extended-release (Adderall XR).
Like Vyvanse, Adderall increases dopamine and norepinephrine levels in the brain.
Adderall dosages vary widely, depending on the formulation. Immediate release dosages range from 5mg to 30mg, while extended release range from 5mg to 30mg. Both are available in tablet form.
Key Differences Between Vyvanse and Adderall
The key difference between Vyvanse and Adderall lies in how they work. Vyvanse is a prodrug, while Adderall is a direct-acting drug, which affects how quickly they begin working and how long their effects last.
Vyvanse may also have a lower potential for abuse because of its prodrug nature.
Factors influencing conversion
Switching from Vyvanse to Adderall (or vice versa) isn’t as simple as plugging numbers into a conversion chart. Several factors can influence how your body responds to a new medication and what dosage will work best for you:
- Individual metabolism. Your metabolic rate affects how quickly your body processes medications. Metabolism can be affected by genetics, liver function, and other medications you’re taking, so the optimal dose of either Vyvanse or Adderall can vary widely from person to person.
- Severity of ADHD symptoms. People with more severe ADHD symptoms may need higher doses of medication to achieve the same level of symptom control. Careful monitoring and dose adjustments are essential to find the right balance.
- Patient’s response to each medication. Your previous experiences with Vyvanse or Adderall are critical. How well did you tolerate the medication? Did you experience any side effects? How effective was it at managing your symptoms? Feedback from patients is a crucial part of the conversion process.
- Co-existing conditions. Conditions like anxiety or depression can influence which medication is the best choice for you and what dosage you’ll need. There can also be interactions between ADHD medications and other medications used to treat these co-existing conditions, so it’s important to consider the whole picture.
Vyvanse to Adderall conversion guidelines
If you and your healthcare provider decide to switch from Vyvanse to Adderall, here are some guidelines you’ll want to keep in mind.
Equivalent dosage considerations
Keep in mind that there’s no exact conversion chart that works for everyone. What works for one person may not work for another. However, there are some general estimates that can help you get started.
For example, x mg of Vyvanse may be roughly equivalent to y mg of Adderall XR. These are approximate, so it’s best to start with a low dose and then slowly increase the amount until you find the right dosage.
Gradual transition
It’s generally best to make the switch gradually rather than stopping one medication and immediately starting the other. One way to do this is to slowly decrease your Vyvanse dose while adding in Adderall.
While you’re transitioning, monitor yourself for signs of withdrawal or a return of ADHD symptoms.
Monitoring and adjustment
It’s critical to check in frequently with the doctor who’s prescribing your medication. Let them know how you’re feeling, whether you’re noticing any side effects, and how well the new medication seems to be working.
The prescribing doctor can make dosage adjustments based on how you’re responding to the medication.
Immediate-release vs. extended-release
Adderall comes in two forms: immediate-release (IR) and extended-release (XR). The IR form starts working faster, while the XR form lasts longer. You and your doctor can decide which form is best for you based on your individual needs and daily schedule.
What are the risks and side effects?
Both Vyvanse and Adderall share a similar profile of potential side effects, including:
- Loss of appetite
- Insomnia
- Anxiety
- Irritability
- Elevated heart rate
- Increased blood pressure
Both medications also carry potential risks. Because they are stimulants, they can cause cardiovascular problems. Psychiatric side effects are also possible, particularly for people with a pre-existing mental health condition. Finally, both Vyvanse and Adderall have the potential for misuse and dependence.
Make sure your healthcare provider is aware of your medical history and any other medications you take. If you experience any concerning side effects while taking Vyvanse or Adderall, report them to your doctor right away.
Both medications have contraindications, so it’s important to discuss your health history with your doctor.
Closing Thoughts
Switching from Vyvanse to Adderall (or vice versa) requires a personalized approach, close monitoring, and guidance from a qualified professional. While there are generally accepted conversion guidelines, the optimal dosage depends on individual factors.
Remember, this article provides information only and shouldn’t be taken as medical advice. If you’re considering changing your ADHD medication, the most important thing you can do is talk with your doctor or other healthcare provider. They can assess your specific needs and recommend the best course of action for you.