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M$5 March 25, 2009 03:00 PM

Anyone here switch from Adderall XR to Vyvanse?

I made the decision to switch from Adderall XR to Vyvanse--the newest ADHD stimulant released by Shire. Reports are that it is much better than Adderall XR. This is the first major med change I've had since I was diagnosed with ADHD 15 years ago.

I'm not a total idiot. The new drug happens to come out months before Shire loses their exclusive rights to it (April 2009). I'm not too happy that at the same time Shire cancels their Patient Assistance Program for Adderall XR (but started one for Vyvanse) and then raises the drug's prices by 20 to 25 percent. That means, for people like me whose insurance doesn't cover the drug, my monthly prescription went from $150 to $200 in one month.

However, just because they are being a bit of a bully doesn't mean the drug doesn't work better than Adderall XR as some reports say it does.

Any one have any experience with it? Am I buying into the hype or making a wise decision?

BTW, I did consult with my doctor first (obviously since she's writing me the prescriptions) but I also went in there with all the research on the drug as well as a dosage comparison between Adderall XR and Vyvanse--so I feel it was more my decision than hers.
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March 25, 2009 04:52 PM
I do not have direct experience with the two drugs you mentioned, but I have taken medication for ADD and related disorders.

It seems to me that you are making the right decision at this time. You've weighed the benefits and drawbacks of switching medications, and have decided that trying something new is worth it.

Purely for the economic reasons you are making a good decision. Saving an estimated $50 a month that you don't have to pay extra for the Adderall will save you a lot of money. If the Vyvanse works as well or better than the Adderall, then this is a win-win for you.

I do personally believe that new drugs can work better than older drugs. Especially for some people. Everyone's body chemistry is different. Me, I absolutely cannot take stimulant drugs for my ADD due to side effects, even if they are super-good and super-safe at controlling symptoms for most people.

There is a ton of research that is done on new drugs, and a lengthy FDA approval process. Scientists can and do benefit from all the research that was done on the older drugs and build on that. So it's not *just* hype.

Then again, the drug company needs to have a new drug in order to keep making money, because its patent on Adderall is running out soon. The company is also looking out for their bottom line and trying to give incentives for people to try their new drug.

Both things can be true at the same time; they are not mutually exclusive.

The final thing is, if you're not getting good results on Vyvanse, then you can always switch back to adderall, which you know works for you, fairly easily. And, by that time, there may be a cheaper generic version of it available, where you are saving even more money.

Good luck wit the switch, and I hope you hear from someone who does have experience with both of these drugs so they can give you more direct information about Adderall and Vyvanse specifically.
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March 25, 2009 05:21 PM
Thanks for the suggestion. I did talk recently to my Drug Dr. about it, but he said that, althought it appeared to be tolerated better by people who are contraindicated for stimulant drugs, it was still, essentially, Ritalin-esque with a little squiggly bit hanging off of it. I'm on Strattera right now, which is not a stimulant per se and is working well.

I also don't like to make changes to meds if I don't have to. And, my insurance covers 90 day supply with $15 co-pay. So, for me, not worth it to make a shift right now.

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June 23, 2009 06:52 AM
Anyways this answer is closed but thats ok. I have ADHD and take Adderall XR and have not switched to Vyvanse basically because I am tired of pills period, I have to take medication to fall asleep because the Adderall keeps me up at night, it is evil lol.
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