Vyvanse® Doses for Children: Chewable Tablet & Capsule

MEDICATION GUIDE

(lisdexamfetamine dimesylate)

Capsules and Chewable Tablets, CII

What is the most important information I should know about VYVANSE?

VYVANSE may cause serious side effects, including:

• Abuse and dependence. VYVANSE, other amphetamine containing medicines, and methylphenidate have a high chance for abuse and may cause physical and psychological dependence. Your healthcare provider should check you or your child for signs of abuse and dependence before and during treatment with VYVANSE.
  • Tell your healthcare provider if you or your child have ever abused or been dependent on alcohol, prescription medicines, or street drugs.
  • Your healthcare provider can tell you more about the differences between physical and psychological dependence and drug addiction.
• Heart-related problems including:
  • sudden death, stroke, and heart attack in adults
  • sudden death in children who have heart problems or heart defects
  • increased blood pressure and heart rate

Your healthcare provider should check you or your child carefully for heart problems before starting treatment with VYVANSE. Tell your healthcare provider if you or your child have any heart problems, heart defects, high blood pressure, or a family history of these problems.

Your healthcare provider should check your or your child’s blood pressure and heart rate regularly during treatment with VYVANSE.

Call your healthcare provider or go to the nearest hospital emergency room right away if you or your child have any signs of heart problems such as chest pain, shortness of breath, or fainting during treatment with VYVANSE.

• Mental (psychiatric) problems, including:
  • new or worse behavior and thought problems
  • new or worse bipolar illness
  • new psychotic symptoms (such as hearing voices, or seeing or believing things that are not real) or new manic symptoms

Tell your healthcare provider about any mental problems you or your child have or about a family history of suicide, bipolar illness, or depression.

Call your healthcare provider right away if you or your child have any new or worsening mental symptoms or problems during treatment with VYVANSE, especially hearing voices, seeing or believing things that are not real, or new manic symptoms.

What Is VYVANSE?

VYVANSE is a central nervous system (CNS) stimulant prescription medicine used for the treatment of:

• Attention Deficit Hyperactivity Disorder (ADHD) in adults and children 6 years of age and older. VYVANSE may help increase attention and decrease impulsiveness and hyperactivity in people with ADHD.
• Moderate to severe binge eating disorder (BED) in adults. VYVANSE may help reduce the number of binge eating days in people with BED.

VYVANSE is not for use in children under 6 years of age with ADHD.

VYVANSE is not for weight loss. It is not known if VYVANSE is safe and effective for the treatment of obesity.

It is not known if VYVANSE is safe and effective for use in children with BED.

VYVANSE is a federally controlled substance (CII) because it contains lisdexamfetamine dimesylate that can be a target for people who abuse prescription medicines or street drugs. Keep VYVANSE in a safe place to protect it from theft. Never give your VYVANSE to anyone else because it may cause death or harm them. Selling or giving away VYVANSE may harm others and is against the law.

Do not take VYVANSE if you or your child are:

• allergic to amphetamine products or any of the ingredients in VYVANSE. See the end of this Medication Guide for a complete list of ingredients in VYVANSE.
• taking, or have stopped taking in the last 14 days, a medicine called a Monoamine Oxidase Inhibitor (MAOI).
• being treated with the antibiotic linezolid or intravenous methylene blue.

Before taking VYVANSE, tell your healthcare provider about all medical conditions, including if you or your child:

• have heart problems, heart defects, or high blood pressure
• have mental problems including psychosis, mania, bipolar illness, or depression or have a family history of suicide, bipolar illness, or depression
• have circulation problems in fingers and toes
• are pregnant or plan to become pregnant. VYVANSE may harm the unborn baby.
  • There is a pregnancy registry for females who are exposed to VYVANSE during pregnancy. The purpose of the registry is to collect information about the health of females exposed to VYVANSE and their baby. If you or your child becomes pregnant during treatment with VYVANSE, talk to your healthcare provider about registering with the National Pregnancy Registry for Psychostimulants at 1-866-961-2388 or visit online at https://womensmentalhealth.org/clinical-and-research-programs/pregnancyregistry/adhd-medications/.
• are breastfeeding or plan to breastfeed. VYVANSE passes into breast milk. You should not breastfeed during treatment with VYVANSE. Talk to your healthcare provider about the best way to feed the baby during treatment with VYVANSE.

Tell your healthcare provider about all the medicines that you or your child take, including prescription and over-the-counter medicines, vitamins, and herbal supplements.  

VYVANSE can affect the way other medicines work and other medicines may affect how VYVANSE works. Taking VYVANSE with other medicines can cause serious side effects. Sometimes the doses of other medicines will need to be changed while taking VYVANSE. 

Especially tell your healthcare provider if you or your child take: 

Keep a list of all medicines to show your healthcare provider and pharmacist when you get a new medicine. Your healthcare provider will decide if VYVANSE can be taken with other medicines.

Do not start any new medicine during treatment with VYVANSE without talking to your healthcare provider first.

How should VYVANSE be taken?

• Take VYVANSE exactly as prescribed by your healthcare provider.
• Your healthcare provider may change the dose if needed.
• Take VYVANSE 1 time each day in the morning with or without food.
• Your healthcare provider may sometimes stop VYVANSE treatment for a while to check ADHD or BED symptoms.
• VYVANSE comes in capsules or chewable tablets.

Taking VYVANSE Capsules:

• VYVANSE capsules may be swallowed whole.
• If VYVANSE capsules cannot be swallowed whole, the capsule may be opened and the entire contents sprinkled onto yogurt, or poured into water or orange juice.
  • Using a spoon, break apart any powder that is stuck together. Stir the VYVANSE powder and yogurt, water, or orange juice until they are completely mixed together.
  • Swallow all the yogurt, water, or orange juice mixture right away. Do not store the yogurt, water, or orange juice mixture.
  • It is normal to see a filmy coating on the inside of your glass or container after you eat or drink all the VYVANSE mixture.

Taking VYVANSE Chewable Tablets:

• Chew VYVANSE tablets completely before swallowing.

If you or your child take too much VYVANSE, call your healthcare provider or poison control center at 1-800-222-1222 or go to the nearest hospital emergency room right away.

What should I avoid while taking VYVANSE?

Do not drive, operate machinery, or do other dangerous activities until you know how VYVANSE affects you.

What are possible side effects of VYVANSE?

VYVANSE may cause serious side effects, including:

• See “What is the most important information I should know about VYVANSE?”
• Slowing of growth (height and weight) in children. Children should have their height and weight checked often during treatment with VYVANSE. VYVANSE treatment may be stopped if your child is not growing or gaining weight.
• Circulation problems in fingers and toes (Peripheral vasculopathy, including Raynaud’s phenomenon). Signs and symptoms may include:
  • Fingers or toes may feel numb, cool, painful
  • Fingers or toes may change color from pale, to blue, to red

Tell your healthcare provider if you or your child have numbness, pain, skin color change, or sensitivity to temperature in your fingers or toes.

Call your healthcare provider right away if you or your child have any signs of unexplained wounds appearing on fingers or toes during treatment with VYVANSE.

• Serotonin Syndrome. A potentially life-threatening problem called serotonin syndrome may happen when VYVANSE is taken with certain other medicines. Stop taking VYVANSE and call your healthcare provider or go to the nearest hospital emergency room right away if you or your child develop any of the following signs and symptoms of serotonin syndrome:

The most common side effects of VYVANSE in children 6 to 17 years old and adults with ADHD include:

The most common side effects of VYVANSE in adults with BED include:

These are not all the possible side effects of VYVANSE.

Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

How should I store VYVANSE?

• Store VYVANSE in a safe place (like a locked cabinet) and in a tightly closed container at room temperature between 68°F to 77°F (20°C to 25°C).
• Protect VYVANSE from light.
• Dispose of remaining, unused, or expired VYVANSE by a medicine take-back program at authorized collection sites such as retail pharmacies, hospital or clinic pharmacies, and law enforcement locations. If no take-back program or authorized collector is available, mix VYVANSE with an undesirable, nontoxic substance such as dirt, cat litter, or used coffee grounds to make it less appealing to children and pets. Place the mixture in a container such as a sealed plastic bag and throw away (discard) VYVANSE in the household trash.

Keep VYVANSE and all medicines out of the reach of children.

General information about the safe and effective use of VYVANSE.

Medicines are sometimes prescribed for purposes other than those listed in a Medication Guide. Do not use VYVANSE for a condition for which it was not prescribed. Do not give VYVANSE to other people, even if they have the same symptoms that you have. It may harm them and it is against the law. You can ask your pharmacist or healthcare provider for information about VYVANSE that is written for health professionals.

What are the ingredients in VYVANSE?

Active Ingredient: lisdexamfetamine dimesylate

Capsule Inactive Ingredients: microcrystalline cellulose, croscarmellose sodium, and magnesium stearate. The capsule shells (imprinted with S489) contain gelatin, titanium dioxide, and one or more of the following: FD&C Red #3, FD&C Yellow #6, FD&C Blue #1, Black Iron Oxide, and Yellow Iron Oxide.

Chewable Tablet Inactive Ingredients: colloidal silicon dioxide, croscarmellose sodium, guar gum, magnesium stearate, mannitol, microcrystalline cellulose, sucralose, artificial strawberry flavor.

Distributed by: Takeda Pharmaceuticals America, Inc., Lexington, MA 02421.

VYVANSE^® and the VYVANSE Logo^® are registered trademarks of Takeda Pharmaceuticals U.S.A., Inc.

©2022 Takeda Pharmaceuticals U.S.A., Inc. All rights reserved.

For more information, go to www.vyvanse.com or call 1-877-TAKEDA-7 (1-877-825-3327).

This Medication Guide has been approved by the U.S. Food and Drug Administration.

Revised: 10/2021
SPI-0340 Reformatted for US-LIS-1284

Vyvanse Dosage Guide – Drugs.com

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Generic name: LISDEXAMFETAMINE DIMESYLATE 10mg
Dosage forms: capsule, tablet, chewable
Drug class: CNS stimulants

Medically reviewed by Drugs.com. Last updated on Mar 10, 2022.

Pre-treatment Screening

Prior to treating patients with CNS stimulants, including VYVANSE, assess for the presence of cardiac disease (e.g., a careful history, family history of sudden death or ventricular arrhythmia, and physical exam) [see Warnings and Precautions (5. 2)].

To reduce the abuse of CNS stimulants including VYVANSE, assess the risk of abuse, prior to prescribing. After prescribing, keep careful prescription records, educate patients about abuse, monitor for signs of abuse and overdose, and re-evaluate the need for VYVANSE use [see Warnings and Precautions (5.1), Drug Abuse and Dependence (9)].

General Instructions for Use

Take VYVANSE by mouth in the morning with or without food; avoid afternoon doses because of the potential for insomnia. VYVANSE may be administered in one of the following ways:

Information for VYVANSE capsules:

• Swallow VYVANSE capsules whole, or
• Open capsules, empty and mix the entire contents with yogurt, water, or orange juice. If the contents of the capsule include any compacted powder, a spoon may be used to break apart the powder. The contents should be mixed until completely dispersed. Consume the entire mixture immediately. It should not be stored. The active ingredient dissolves completely once dispersed; however, a film containing the inactive ingredients may remain in the glass or container once the mixture is consumed.

Information for VYVANSE chewable tablets:

• VYVANSE chewable tablets must be chewed thoroughly before swallowing.

VYVANSE capsules can be substituted with VYVANSE chewable tablets on a unit per unit/mg per mg basis (for example, 30 mg capsules for 30 mg chewable tablet) [see Clinical Pharmacology (12.3)].

Do not take anything less than one capsule or chewable tablet per day. A single dose should not be divided.

Dosage for Treatment of ADHD

The recommended starting dosage in adults and pediatric patients 6 years and older is 30 mg once daily in the morning. Dosage may be adjusted in increments of 10 mg or 20 mg at approximately weekly intervals up to maximum recommended dosage of 70 mg once daily [see Clinical Studies (14.1)].

Dosage for Treatment of Moderate to Severe BED in Adults

The recommended starting dosage in adults is 30 mg once daily to be titrated in increments of 20 mg at approximately weekly intervals to achieve the recommended target dose of 50 mg to 70 mg once daily. The maximum recommended dosage is 70 mg once daily [see Clinical Studies (14.2)]. Discontinue VYVANSE if binge eating does not improve.

Dosage in Patients with Renal Impairment

In patients with severe renal impairment (GFR 15 to < 30 mL/min/1.73 m2), the maximum dosage should not exceed 50 mg once daily. In patients with end stage renal disease (ESRD, GFR < 15 mL/min/1.73 m2), the maximum recommended dosage is 30 mg once daily [see Use in Specific Populations (8.6)].

Dosage Modifications due to Drug Interactions

Agents that alter urinary pH can impact urinary excretion and alter blood levels of amphetamine. Acidifying agents (e.g., ascorbic acid) decrease blood levels, while alkalinizing agents (e.g., sodium bicarbonate) increase blood levels. Adjust VYVANSE dosage accordingly [see Drug Interactions (7.1)].

Frequently asked questions

• Adderall vs Vyvanse – What’s the difference between them?
• How long does Vyvanse stay in your system?
• How soon for Vyvanse to start working and how long does it last?
• Is Vyvanse a controlled substance / narcotic drug?
• Is it okay to take Vyvanse while on birth control?
• Does Vyvanse (lisdexamfetamine) show up on a drug test?
• Ritalin vs Vyvanse – What’s the difference between them?

More about Vyvanse (lisdexamfetamine)

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Professional resources

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Related treatment guides

• Binge Eating Disorder
• ADHD

Further information

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.

Medical Disclaimer

Age 18 – Social Anxiety / Panic Attacks are almost over. More confident, Variety has improved

I know 215 is kind of weird to post a success story, but I have nothing to do today, so why not?

(Background) I am a male, 18 years old. I don’t remember how I first learned about NoFap, but I tried and lasted a few times for a week or so when I was 16. Shortly after these failed attempts, I visited a psychiatrist and was prescribed medication for ADD. At the time, I suffered so much from social anxiety that I often had to drop out of school during the day due to panic attacks. I hoped my social anxiety was caused by my inability to focus on one particular thing and instead constantly worry about how others perceive me. In any case, after one or two months, I gradually moved up to the maximum dose of Vyvanse for my age (80 mg, I think).

From that moment on, things really went downhill. I started playing WoW again (in high school I played almost non-stop). I think it was April 2013 when I dropped out of school because of the panic attacks I still had. After that, I sat and played WoW/Diablo 3 quite a lot for 2 years. I’m still not going to say it wasn’t fun, and I definitely miss those days. I think it’s a little hard not to enjoy huge doses of Vyvanse coursing through your veins at any time of the day.

(Main) In May of this year, I decided that I had enough of spending my daily stagnant on the computer chair and decided to quit. I realize it’s usually not the best idea to make a few major changes in one day, but I stopped taking Vyvanse (80 to 0mg, didn’t wean myself), stopped playing video games (it wasn’t that hard as I couldn’t help but focus in the weeks after leaving Vyvanse) and started NoFap again. This is where my current streak of luck began.

I understand that this is probably not very helpful for those of you who are trying to survive the first month, but my first month was pretty easy. After I quit amphetamines, I didn’t even have the strength to get out of bed for a long time, PMOing was out of the question.

I started going through the effects of Vyvanse withdrawal and feeling the benefits of NoFap around the same time (1-2 months). I felt like all my problems were suddenly solved. I was sure, I smiled at attractive girls, and most importantly, I WANTED to communicate with people. Not just the opposite sex, but people in general. Coming from someone who has been desperately trying to avoid social interactions since 6th grade, this was absolutely amazing.

Fast forward a few months and I’m still feeling the benefits. They’re a little less noticeable now, I guess that’s because I’m used to them. I still get a lot of looks from the opposite sex, which is nice. Although I still have some anxiety after wet dreams, for the most part I’m pretty confident. I started attending classes at our local college this fall semester and have not had a single panic attack.

Anyway, I mainly posted this because I’ve been sidetracking the NoFap subreddit since I started in May and I felt it could benefit whoever is currently struggling.

TL, Dr.

• Social anxiety/panic attacks are almost gone.
• Women’s attention.
• Confidence.
• Worthy ratings.

Stay Strong Zido

SITE LINK – Hardmode Report 215

by Zido1919

900 00 Vyvanse vs Concerta: Difference & Comparison

The amphetamine stimulant, Vyvanse, is a drug used to treat ADHD. Concerta is also a kind of medication or prescription given to people with ADHD.

Health Quiz

Test your knowledge of health related topics

1 / 10

Parts of the body that work together to transform food into a form the body can use.

Digestive system

Digestive juices

Esophagus

Nervous system

2 / 10

What is the main source of protein in a vegetarian diet?

Meat

eggs

Dairy products

Legumes

3 / 10

Which of the following is NOT a symptom of depression?

Fatigue

Loss of interest in activities

Irritability

Increased appetite

4 / 10

What is the best way to maintain a healthy weight?

Counting calories

Eat smaller meals

Regular exercise

All of the above

5 / 10

What is the main cause of cardiovascular disease?

Lack of exercise

Genetics

Poor nutrition

Stress

6 / 10

What is the main cause of male infertility?

Poor diet

smoking

Lack of physical activity

Low sperm count

7 / 10

Which type of arthritis is most common?

Rheumatoid arthritis

osteoarthritis

Psoriatic arthritis

gout

8 / 10

What is the main function of the lymphatic system in the body?

To regulate blood pressure

To fight infections

To transport nutrients

To remove waste products

9 / 10

White blood cells that attack pathogens are called ______________.

Neurocytes

Lymphocytes

Carcinogens

None of these

10 / 10

Which organ is responsible for producing insulin in the body?

Liver

Pancreas

Stomach

Kidney

your account

Methylphenidate is the common name for Concerts. Lisdexamfetamine, generic name Vyvanse, is a widely used drug.

Key findings

1. Vyvanse contains lisdexamfetamine and Concerta contains methylphenidate; both treat Attention Deficit Hyperactivity Disorder (ADHD).
2. Vivanse has a longer duration of action than Concerta, providing consistent relief of symptoms throughout the day.
3. Concerta has a faster onset of action than Vivanse, offering faster symptom relief but potentially more frequent dosing.

Vyvanse vs Concerta

The difference between Vyvanse and Concerta is that Vyvanse is an amphetamine stimulant used to treat ADHD. Because Vyvanse includes amphetamine, it is only given to ADHD patients at the lowest dose of 30mg. The concert is a type of Attention Deficit Disorder (ADHD) drug. However, this substance is not an amphetamine stimulant. There is no amphetamine in the Concerto. As a result, approximately 54 mg is sufficient for patients with ADHD.

Vyvanse takes about two hours to act on a person’s physique. In addition, it is given to a person at breakfast to show the effect of the drug during the day.

Side effects of Vivanse in children include a sudden rise in blood pressure after about five hours. In this case, the parent should immediately seek medical attention. Vyvanse is usually sold as chewable tablets or capsules.

Concerta effect visible after 30 minutes. However, the effect of the drug can occur in the body up to 10 hours.

The rebound effect of ADHD symptoms, which worsens the child’s health, is one of the side effects that can be noted when taking Concerta. Personality changes are among the other side effects that have been observed.

Concerta is often referred to as methylphenidate in its generic form.

Comparison table

9 0221

What is Vivanse?

Lisdexamphetamine, generic name Vyvans, is a common drug. Chewable tablets and capsules are Vivanse’s most common formulations on the market.

When Vyvanse is diagnosed, ADHD therapy can usually be completed in four months if they are followed up regularly.

Vivanse, an amphetamine stimulant, is a medication used to treat ADHD. Because Vivanse contains amphetamine, it is only given to ADHD patients at the lowest dose, 30mg.

Vivanse usually takes two hours to show its effects in the body.

In addition, it is administered to a person at breakfast so that the effect of the drug can be observed during the day.

Side effects that may occur in a child prescribed Vivanse include a sharp rise in blood pressure after about five hours. In this case, the parent should promptly seek medical attention.

What is a concert?

Concerta effect visible after approx. 30 minutes. On the other hand, the effect of the drug can be observed in the human body up to 10 hours.

The reversal of all the symptoms of ADHD, which worsens the health of the child, is one of the side effects that can be noted when taking Concerta.

Concerta is a kind of medication or treatment given to people with Attention Deficit Hyperactivity Disorder (ADHD).

This substance, on the other hand, is not an amphetamine stimulant. Concerta does not contain amphetamines. As a result, 54 mg is enough for people with ADHD.

ADHD treatment can be completed in as little as seven weeks with Concerta. Personality changes are one of the additional side effects that can be observed.

Concerta is commonly referred to as methylphenidate in its generic form. Concerta is usually available in the form of ERT (extended release tablets).

Main differences between Vyvanse and Concerta

1. Vyvanse is a type of medication used to treat ADHD, it is an amphetamine stimulant. On the other hand, Concerta is a specific type of drug or drug that is prescribed to patients with ADHD. However, this drug is a non-amphetamine stimulant in nature.
2. Since Vyvanse contains amphetamine, it is given to ADHD patients at the lowest dose, which is only 30 mg. On the other hand, Concerta does not contain amphetamines. Therefore, for patients with ADHD, about 54 mg is sufficient.
3. Vivanse usually takes about two hours to show its effect on the human body. Moreover, it is given to a person during breakfast, so that the effect of the drug can be seen throughout the day. On the other hand, Concerta shows its effect in only about 30 minutes. However, the effect of the drug can be observed in the human body for about 10 hours.
4. A side effect that can be observed in a child diagnosed with Vyvanse is that a sudden increase in blood pressure can be observed after about five hours. In this case, the parent should immediately consult a doctor. On the other hand, the side effects seen when taking Concerta are a rebound effect of all the symptoms of ADHD, further worsening the child’s health. Some other side effects may be observed in the form of personality changes.
5. Vyvanse is very popular for its generic terminology called Lisdexamfetamine. On the other hand, the common terminology that makes Concerta very popular is methylphenidate.
6. Vivanse is usually sold as chewable tablets and capsules.