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- เผยแพร่เมื่อ 6 ต.ค. 2024
- Dr Kidd goes through 4 tips that can help prevent the Vyvanse crash that some patients taking this medication experience.
Disclaimer: This video is purely educational and does not constitute any medical advice. Use of this information is at your own risk as this video is only my personal opinion. Dr Kidd will not assume any liability for any direct or indirect losses or damages that may result from the use of the information contained in this video including but not limited to economic loss, illness, injury, mental stress or death.
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In my case the crash was happening at the beginning of taking the medication, after about 3 month I increased the medication and now I don't have the crush any longer, but for some people increased dose can create a stronger crush every one has a different journey. Definitely I agreed with the doctor' s suggestions guys, before being diagnosed I was already doing all these things in particular meditation and healthy eating and I was feeling already so much better and in control.
If I can add a suggestion is: if you can, find a job that you like that give you purpose, and an healthy social environment, ADHD people are extremely sensitive and be able to express yourself and perhaps help others is an incredible medicine. Often is our society that make us suffer the most, create your own little happy world. Best wishes to you all!
Omg yes I completely agree on the society making us suffer the most. I have yet to see a comment like this you took the words right out of my mind.
You're a Goddess with this comment.
Im only on 10mg and feel SO sleepy and exhausted after 2 - 4 hours of taking the medication
Interestingly, I have hardly any crashes. What's really troubling me is the lack of appetite. When I force myself to eat something, I notice that I immediately feel better and have more energy. But eating without an appetite is really hard.
Ive learned to take this to my advantage. With no appetite, the taste of the food is nearly irrelevant, so I have trained myself to eat healthier
I’ve been taking adderall on and off since I was 9, it gets better after awhile. With vyvanse I have an appetite
I'm about to start vyvanse. My friend said to make sure I eat breakfast... I'm also gonna get meal replacement shakes for lunch and hopefully by dinner my appetite will return.
I take Vyvanse whenever my friend offers me some; usually he gives me about five. The first time that I took it. I had only eaten breakfast, and I went the whole day without eating until the next morning, when I woke up. I still didn’t have an appetite, but I knew that I had to eat something. I just recommend eating something healthy and feeling well before you take Vyvanse because you’re going to lose your appetite no matter
@@Miawallce80 oh, and another thing is, I don’t have ADHD so I don’t know if it’s the same, but yeah hell of a drug tho
Being Australian, I'm so glad you made this video. Thank you.
i love how empathetic and yet straightforward and no-bs you are able to share your knowledge. :) lovely
Point 2 is paramount for me and after I noticed how much less of a rebound I get in the evening when I’ve had several snack times throughout the day, I started training myself to eat despite my completely missing appetite.
Speaking from experience it’s very similar to ecstasy come downs. Feel depressed, can barely speak, can’t eat and feel lost. Can’t do anything, just have to be by myself.
YES! I need to be alone to listen to music or do something solitary. I get sooo irritated. Just leave me alone!
Does it still happen if you take it every day
@@wsbnew1412this what I wanna know too
@@missj2045sheet…. I’m only just now learning about this and. Damn. I seem to act a lot as described and I wasn’t researching for that reason!
@@missj2045I waited too long and forgot what I was going to type but: YES 🙌
I’m so happy I’m not a psychopath for just wanting a half hour to listen to loud music and not talk to anyone. Particularly the people closest to me. I know I’m going to be rude and i lack self control like this. It annoys me that I’m allowing myself to be so rude to people snapping. So I just ask that people leave me for a bit. I try go away from everyone so I’ll go to the gym if I can’t get peace. I realise now as I’m reading all these comments why. Because in those instances I Really do Not want to go to the gym. I just want not to talk or think if that was somehow possible.
If I’m totally honest the reason I’m here now is the music I’ve been listening to. Guy around my age… seems to have had a lot of medical issues. Much more severe than i, only compatible because of their similarities the scale isn’t remotely close, he has suffered a great deal of trauma. I should consider myself lucky i guess.
In his music he really says some things that sound like the. Hmm. Hard to say. Just the way only my mind would say it, because it’s not natural for us to speak in the same way. Hard to put into words but it got my attention. Now… I’m just watching videos about the reasons and medication.
Daunting as this is career suicide.
Meh. I think I’ll just stay as the “quirky” annoying guy instead of taking speed pills that at some point my dr will cut off and make me feel terrible… I’m sure I heard something about these meds going for crazy prices because people think they make them smarter.
Ok I think that’s enough from me. Sorry 😅
Great video. Major doctors dont support the idea of take another dexanfetamine with venvanse, but this was worth for me...and eat even without being hungry
Thanks for this! I’m definitely going to try cutting out caffeine… Wish me luck!
Were you successful? I'm trying so hard to go off caffeine, I think that's the reason for my crash.
Thank you for making this video
Being hungry definitely makes my adhd symptoms worse. I just started vyvanse (day 3) and I wasn't sure if I got the feeling from that or hunger, so I had something to eat (I had only had breakfast, and this was in the evening) and I felt much better.
Great video just the right length!
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i had no idea about the 25 hour to 97% depletion of caffeine from coffee. honestly that sounds like a perpetual nightmare. i would prefer to rely on my add meds only, the crash from coffee is actually worse for me than most stimulant meds.
I had every tried all the medications but decided in adulthood to stop a couple years after Vyvanse released. I just got my doctor to write me a script of Vyvance to test the waters again years later. I honestly have not so great memories taking IR meds, they gave me too many ups & downs & i wasn’t in control of my dosing later in the day as a kid. I really hope Vyvance is gunna be different 🙏 I’ll use these tips to stay ahead of the game, thanks bro 😎
Yes.I realised I had this problem with no eating in the morning and having my ADHD meds, and I tried all of them, none worked until I started again with low dosage of quick release of Tranquilyn. Thank you
Great tips, doc.
I take 30mg in the am, and then 10mg of vyvance in the afternoon around 3 and I get no crash, headaches, or low motivation. I actually keep going with my motivation and tasks right up until bedtime, around 10. I then sleep like a baby. I did try the short acting dex and that did not help with my crash/headache symptoms.
Can't believe doctor's having figured this out already. The crash causes racing thoughts, that's why people can't sleep
So you can sleep when it is still active like that?
Also: how long does it seem to be working for you from intake to end?
I take 10 mg 6 am and another 10 mg at noon ! This works great for me. Definitely helps with no crash
@@noostringsNo, if you have racing thoughts, you're still "high"
Also we need to EAT and drink water.
Those two things legitimately make all / any side effects go away
My crashes happen around 2 pm and I literally binge eat all afternoon 😢
Ikr I was going to say I wish I forgot to eat! Only get the suppressed hunger for about 4 hours.
Unfortunately dex is forbidden in my country 😢
Love this, thanks so much for the tips
Super helpful! Thank you!!
baking soda or potassium bicarbonate to keep urine alkaline the whole day up until you're ready for it to wear off, then consume acidic foods/drinks. acidic urine is what excretes the meds quicker.
Calms your brain during the day then crash when it wears off in the afternoon and thus get the racing thoughts especially before bed. You have to take low dose in the afternoon and an even lower dose before bed. Can't believe doctor's haven't figured this out yet.
Thank you !
I seem to keep having the crash at the same time every day no matter when I take my meds. I'm 32 and by the time 2 pm rolls around I'm asleep at my desk. I can't figure out what to do. I'll eat, take my meds later... Nothing seems to be working. I'm close to not taking it at all because the crash in the middle of my work day is more detrimental to having more productivity in the mornings 😭
The only tip i might have, because i am still exploring myself: i put the lisdex in a big water bottle and drink the bottle empty over 1 to sometimes even 4 hours (to see what the effect has on my crash that i have in the middle of my dose) it seems to flatten that crash for me.
Also: there is such a thing as natural tiredness rythms. Andrew huberman seems to be talking about that in his podcasts, maybe something to think about doing a sleep / meditation or non sleep deep rest protocol at the time you get a crash for about 20 minutes to give your brain some time to reset
How is your sleep? 8 hours and consistent? Are you drinking enough water with sodium? are you eating enough healthy high protein and fat diets? have you had your levels tested for any issues like low iron or vitamins?
One option would be to take the meds later in the day. If you take them at 7 am and crash at 2pm youre getting about 8 hours. Try taking it at 10 or 11 am.
Generally most people crash around 1-2 pm regardless of meds. People then drink a coffee and this disrupts their sleep pattern and reduces deep sleep. No coffee after 11am if your bed time is 10pm.
Drink more water
Ive been taking Vyvanse for about 12 months now, but took a 10 month break due to forgetting to take it and trying to avoid these Vyvanse crashes. I know it wasn't the right thing to do, and I should've spoken to the Pediatrician about it, but I'm taking 30mg a day now and have been for about 1-2 months. I still feel a crash every now and then, but its less common and I can deal with them better now.
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thank you!
My friend said it the best. "What goes up, must come down" The higher the does the harder the crash. You CAN'T prevent it sooner or later you will crash. The 10mg crash is a lot softer than the 70mg crash. You can drug it out later but you WILL have to crash back eventually.
For me the crash was about 8-10 hours after
I get so tired taking vyvanse and weak
Hi, thanks for the video. Could anyone explain how the short acting dexamphetamine smooths things out? Wouldn’t it just postpone the crash? Thanks
Postpones it until you are closer to sleep is the idea. It does delay the crash, but the crash would happen when you are ready to fall asleep anyways. I've never tried this, and I'm a bit wary of it, but I think that's the idea.
These pills ruined my life in high school but now in young adult hood they are improving it, weird.
Different hormonal context in your body affecting things, maybe.
@@rdklkje13 I’m thinking that as well
Same. I used to take a lot of Xanax just to contract the anxiety and jotters but now I'm 32 and I don't have any side effects and no anxiety
@@CaliforniaColeman It makes my emotions more manageable.
@@mustasheolll2020 same. Brought back my sex drive too
Hi, has anybody experienced muscle pain/stiffness or back pain? I'm on my 2nd day and that is my worst symptom. Acute shoulder/neck pain. Any tip to manage these symptoms or does it just mean I need to stop the medicine? It's a 3 day weekend and will only be able to reach my doctor next Tuesday 😢. The pain was bad yesterday and twice as bad today cause I m tensing because of the pain.... 😢
I have the muscle tension in my head, neck, shoulders and back. Also, I'm clenching my teeth. I think it's part of the crash. I took some ibuprofen to relax. I'm not giving medical advise, but I feel the same symptoms.
I stopped the medication after 5 days due to this. It was crippling. Eye pain, neck pain, tension, face hurt. Felt like my head was going to explode. 6 hours of relief just to end up a mess at the end of it just wasn't worth it :(
It is prob too high of a dose, I'd ask my doctor for a lower dose
Check your blood pressure ASAP
I had stiff neck and overload in the back of my brain the first two week. It helps with neck and shoulder exercises and stretching afterwards. Be gentle to yourself. It is easy to overdo things when you finnally stop procrastination. Remember to take breaks. And check your blood pressure and pulse regularly if it does not go away.
Can you do a video on your recommendations on vyvanse and getting pregnant? AND vyvanse and hyptertension after 10 years of use? There are little to no studies on either of these points.
Currently the recommendation is to not take Vyvanse if trying to get pregnant or pregnant as there is no information on its effects. Like you said, no research that I can see or know of on the hypertensive effects of Vyvanse after 10 years but in general blood pressure is recommended to be monitored while taking Vyvanse by your doctor.
Should physical exercise in an optimal scenario be on days without the medication? I feel like my heart has to work even harder and faster against the slightly increased blood pressure from the medication when compared to working out without it.
Greetings from Germany
Hi Reinemache, exercise is generally recommended even on the medication. If you noticing the heart rate or blood pressure is too high during exercise maybe consider reviewing with your doctor to see if medication dosage is too high, underlying blood pressure issue needs to be treated or another reason that might be able to be rectified.
@@drkiddMDi like to take a pre work out before the gym… can I still take Vyvanse? I take 40mg
@@calderonjd30 Pre-workout often has caffeine and for some people the caffeine can increase the side effects of the stimulant medications
When I miss taking a pill a day I feel hungover that next day after that missed day 😢
That is called withdrawals, my friend
Martin Laura Robinson Shirley Hernandez James
After 2 years of using vyvanse 50mg,I've felt crashes for 3 months even though I take the pills just start eating from morning to night, always tired and can't do anything...I feel I'm addicted to this drug and just take it no matter it works or not I gained 5kg easily. I'm crying...
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What is the pill you suggest to take for the crash? Is it a medication ?
It’s a lower dose of vyvance
@@Kdavi2612 slow acting or fast? What’s the dos. Thank you
@@fiona3821 10mg fast
10 Mg Adderall
The dosage can depend on your height and weight, IMO. (*Not a doctor. 🚫👩⚕️ Vyvanse patient, 💊🙋♀️ 2010-2023) I began age 28. 5'2, 96 lbs. Started at 30mg. And I was teeny-tiny! So the 30mg, then a couple months later, dosage up, then down, back up, blah, blah, settled at 40mg. Up to 120-125lbs by age 34-35 (it happens... we get old...) and with the weight gain, I've got a fabulous psych NP and she allowed me to test a higher dosage and I've been at 50mg since.
I've lived with moderate ADHD since middle school, in retrospect, but not diagnosed until age 20. Because I knew EVERY. DAMN. THING. IN. LIFE. when I was 20... 😉😇 ...the short version is, I was inconsistent about taking meds and making psych a appts a regular priority. I was given Strattera by that doctor anyway, and it is not noticeable in any significant way. Not to me, at least. I assumed all ADHD meds available for a medical professional to prescribe were similar and, knowing everything, I saw no need to investigate whether or not my assumption was correct or incorrect. It was correct, obviously. I was VERY smart. 😉😉😉😉 so, I moved along... At 26-27ish, realizing (to my utter horror, at least initially, lol 😆) that I, in fact, knew basically nothing about anything, it was then I revisited alternative ADHD management options that were different than my original experience at trying to get it under some control.
Very happy today, super young with a mere 41 years on Earth so far, 🌎 that I went back and tried a different approach medicinally. (Strattera is considered a stimulant, but not a controlled substance since there's no amphetamine component. It's a totally different brain thing.) It works great for some people. Hey, maybe you're my opposite and for you, Vyvanse is shit and you need to try Strattera! 😮
Just to provide a counter point: I do great on Vyvanse, but my time on Strattera was a constant state of feeling numb to the world. It was a somewhat comfortable feeling, but my relationships suffered as a result of not really caring about other people.
Different strokes for different folks! I'm happy it works for you, friend 😊
I have to take at least a 1 day break after a few days cause I get so damn tired on these pills. Ashame too cause they are life enhancers for someone with ADHD like myself.
Funny, I've been on Vyvance from nov 2022 to april 2023 and its been great, much life, but I'm giving ritalin a go because I've never had a normal brain so I don't know how good it can be and the Ritalin is doing this to me. Maybe you'd do better on Ritalin lol, swapsies. Of course only with your specialists advice, just letting you know its an option 🙂👍 hope you get a result!
@@linessadavram It doesn’t effect me that much anymore as like yr experience vyvance has really improved my life.
Same!!!!
You need to stick with it to push through that feeling. Its not perfect but after about 6 months its quite smooth.
@@robgibson8640 It’s not really a problem anymore.
So in short, you can’t
0:20 surely you can just add a little to a drink bottle that you carry on you all day no?
Like if you know how much you need dosage wise then (I’m not a dr or on this medication I’m just learning about it- as I’m learning I’m wondering if i actually it 😅)
Anyway if you know how much your dosage should be then you could take your normal dosage and then add say 20mg to a drinking bottle. Then when you feel yourself start to crash you could start to drink based on how late at night/your tolerance etc etc…
Would that work do you think?
Asking for a friend because I’m in the military and if I had adhd I wouldn’t have a job.
Hope you’re doing well. I’m just learning about this now and I’m in my 30s. ✌️
0:20 surely you can just add a little to a drink bottle that you carry on you all day no?
Like if you know how much you need dosage wise then (I’m not a dr or on this medication I’m just learning about it- as I’m learning I’m wondering if i actually it 😅)
Anyway if you know how much your dosage should be then you could take your normal dosage and then add say 20mg to a drinking bottle. Then when you feel yourself start to crash you could start to drink based on how late at night/your tolerance etc etc…
Would that work do you think?
Asking for a friend because I’m in the military and if I had adhd I wouldn’t have a job.
Hope you’re doing well. I’m just learning about this now and I’m in my 30s. ✌️
Oh I watched zero of that video… this is alarming 😂
My phone and laptop are on night mode 24/7
Would methylphenidate work as well as dexamphetamin? Where I live, the former is prescribed for adults much more than the latter .... I'm not even sure that I can get (or afford) Vyanse, but controlled-release methylphenidate starting in the morning works pretty well ...
Different patient's respond differently to each (some are great on Vyvanse, others on methylphenidate) so for the individual it can be a bit of trial an error.
I did all these and still crashed hard 😔 with the adderall shortage i feel helpless. I never crashed in 7 years taking adderall. Crashed and had emotional breakdown after vyvanse. I feel like i have no options left. 😔
Hi Ashley, there can be other factors to consider such as stress, burnout, taking on took much at the moment that can all contribute. There are also some patient's that unfortunately do not respond well to Vyvanse. There are still other options such as Ritalin, Concerta, Strattera and Guanfacine depending on the specific symptoms. I have videos on most of these so you can check them out if interested. Hang in there I'm sure you will find something.
this is 10 months late and im also experiencing this as well. Ive heard anecdotally that dosaging for vyvanse and adderal are very different and generally speaking adderall dosing is stronger than vyvanse. perhaps the dose was not high enough? Im going to be talking to my doctor in about a week and I was wondering if you are still on Vyvanse and if so what helped for you?
why does my crash come before the meds even peak? then does away when it peaks, then i crash again after the peak
my problem with vyvanse is that it takes too long to start, i need to get started immediately, so i have to take a dextroamphetamine along with vyvanse to get everything jump started. vyvanse alone, i have to wait 2-3hrs or more before it kicks in. crazy. it does give me dry mouth and sometimes i can't sleep long enough with vyvanse, meaning only 4-5hrs of sleep. once again crazy.
I have just been diagnosed to my surprise. I find the medication works well however the crash is bad. I am currently fasting for Ramadan and eat at 3am and next at 7.10pm. Would this be making the crash worse? As I am very fatigued in the afternoon
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The risk for psycosis
Thank you. Is taking a Vyvance in morning and afternoon ok? About yo ask my specialist for that
Uncommon to do this
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Hi there! I just started a few weeks ago. I am struggling on the days I don't take it. I don't want to use it everyday because I don't want to lose my spark or turn into a zombie, so I in most weekends I don't take it. Those days I feel so extremely tired and a bit depressive. Do you have tips how to deal with this or make it less worse on those days?
General advice to someone that is noticing significant drop off on days not taking the medication, cannot give specific individual advice over the internet, but in this situation firstly optimise lifestyle factors (good sleep, exercise, eat healthy, don't smoke/drink etc.), then if still really bad can consider a lower dose of medication on those days. The last option is to take the medication everyday but then there is a risk of tolerance to the medication.
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Luckily I only seemed to get crashes in the first couple weeks of titration (unless I've dropped the ball on eating that day), I would get so insanely physically hyperactive and just really bouncy at 6pm it was a disaster 😂
Haha, me too. The first two weeks was crazy.
Appetites fine sleeping early but I’ve been on Vvyvanse a week and I don’t feel like I’m functioning . I’m on 50mg and feel worse .
I. Asked to change from dex because they were too much ( maybe I was taking too many) now I regret changing to Vvyvanse .. I’m 46
Starting dose is 20 i think
@@robgibson8640 not if you're switching from one amphetamine to another. There's cross tolerance so you go to an equivalent dose of the other.
Can this be used for ptsd
Hi User, Vyvanse is not a typical treatment for PTSD
I took it today and was tired before noon :(
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Anderson Steven White Deborah Thomas Thomas
I have a genetic mutation that makes vyanse get much more slowly out of my system, after 22 hours. It is perfect. But I can never ever more drink coffee with caffeine. I can live with that.
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HELP!! I just started vyvanse after a 6 year break. It been almost a week I feel unmotivated and alittle ancy and still have my appetite. Does it take 2 weeks for it to kick in? I'm talking 20mg could it be to low?
Vyvanse typically works relatively quickly, if you are noticing minimal effect after 1 week consider increasing the dose with your doctor!
20mg is actually really low. But, the dosage does depend on your height and weight, IMO. (*Not a doctor. Vyvanse patient, 2010-2023) I began age 28. 5'2, 96 lbs. Started at 30mg. And I was teeny-tiny! So 20mg does sound low. I think it goes up to 70mg. So the 30mg, then a couple months later, dosage up, then down, back up, blah, blah, settled at 40mg. Up to 120-125lbs by age 34-35 (it happens... we get old...) and with the weight gain, I've got a fabulous psych NP and she allowed me to test a higher dosage and I've been at 50mg since.
I've lived with moderate ADHD since middle school, in retrospect, but not diagnosed until age 20. Because I knew EVERY. DAMN. THING. IN. LIFE. when I was 20... 😉😇 ...the short version is, I was inconsistent about taking meds and making psych a appts a regular priority. I was given Strattera by that doctor anyway, and it is not noticeable in any significant way. Not to me, at least. I assumed all ADHD meds available for a medical professional to prescribe were similar and, knowing everything, I saw no need to investigate whether or not my assumption was correct or incorrect. It was correct, obviously. I was VERY smart. 😉😉😉😉 so, I moved along... At 26-27ish, realizing (to my utter horror, at least initially, lol 😆) that I, in fact, knew basically nothing about anything, it was then I revisited alternative ADHD management options that were different than my original experience at trying to get it under some control.
Very happy today, super young with a mere 41 years on Earth so far, 🌎 that I went back and tried a different approach medicinally. (Strattera is considered a stimulant, but not a controlled substance since there's no amphetamine component. It's a totally different brain thing.) It works great for some people. Hey, maybe you're my opposite and for you, Vyvanse is shit and you need to try Strattera! 😮
I have to take a 5mg quick release and a cup of coffee to help me get to sleep.
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Anderson Michelle Miller William Johnson Daniel
My psyciatrist will not give more then 70 mg, in one day....
Frustrating because I dont have any effect in the afternoon and evening, destroying my sociale life...🤯
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Guys the question I NEED ab answer to, how tf do u get rid of the effects like after abusing the substance like the fucking stomach aches ?? PLEASE someone tell me how to make it stop
Oh man I wish I knew, I’m having a horrific comedown right now and my stomach is burning like f*ck
I'm having a crash right now. I took my Vyvanse exactly 4 hours ago. I have the shakes, a dull headache, and I'm craving cigarettes. This succckkkssss!
Vyvance has meth is this tour?
I stoping watching when he said,"avoid all alcoholic drinks."
why?
Medicinal cannabis
That makes it worse for me and many others.
I get paranoid and have extreme anxiety with THC. Not an option.
Are you Australian?
Yep
Go the Matildas
@@drkiddMDI have ptsd and I am thinking I may have adhd all my life without realising it as I wasn’t hyper active physically but internally a nightmare.
@@Yahman1969 if you feel you have some symptoms best to get assessed and see if you can get some treatment if its there!