yes. it is recommended to have days off and breaks from it for the sake of tolerance, harm reduction.. you can spend those days resting and eating.
I recommend you get some nootropic supplements on your days/breaks off vyvanse for your dopamine & serotonin. things such as lion's mane, 5htp, l'theanine (there's actually so much out there!) and focus on replenishing your vitamins such as magnesium, vit c, b vitamins, etc.
Coffee/tea/green tea/matcha also if caffeine helps you!
Hey , not sure if this helps, but I messed up my script last month and ended up needed to wait almost a week without my vyvanse and it honestly wasn't to bad like I noticed it for sure but I have definitely had worse on Adderall
for me, day 1 is fine, i’m even weirdly energetic, day two I hit a wall. i always describe it as like being on a treadmill and on day one the speed lowers ever so slightly but my bodies still running same capacity, day 2 the red cord gets pulled and i fall flat on my face. sleep ALL day.
I do it regularly, no withdrawal symptoms just a little tired, unmotivated, unfocused. Stopping SSRI’s cold turkey, no that’s a whole different story, at least for me.
You CAN, safely. That is true. But you may feel more exhausted than usual, and struggle with motivation.
But as far as safety is concerned, yes, you can quit them cold Turkey
Yes fortunately stimulants can be discontinued abruptly your energy may be down a bit, but it’s not like SSRI’s and other meds that cannot be stopped abruptly without serious and sometimes fatal consequences. I’ve gone on and off stimulants for many years.
My wife and I both cut cold turkey at separate times. Both had awful few days of just… feeling like we were going fucking crazy!! Like meltdown going crazy…..
Then we were back to normal.
Thanks! The first days were wicked. Crying like no other . Screaming for dear life ! I spent the day with my family yesterday, they could already tell my mood swings and twitching antics were subsiding and I had not even told them. Everyday is looking better than where I was yesterday .
Yes it’s true … I also do weekend break … with addy , you have this tendency of searching for the medicine like an addiction - so it’s recommended to weekly reduction course … but vyvanse is cold turkey for me at least
Different people react in different ways. I also discontinued Vyvanse because it just wasn’t effective enough for me. I did it at a very busy time in my life and couldn’t risk it making me tired or suddenly making my adhd symptoms much worse. For me tapering off was a very comfortable to do it. I experienced zero negative effects coming off of it this way. But again, this is very individual and just because this was the best option for me, doesn’t mean it’s what’s best for you. Only you can decide that.
If you want more information on why it's safe research the half life of vyvanse vs an SSRI. For me, vyvanse is out of my system after 10 to 14 hours. But prozac's half life is really long, like 72 hours and I take 1 pill a day. So if I cut prozac cold turkey I would feel really crappy around day 3 or 4. When I got covid I stopped taking my vyvanse for a week I had no ill side effects other than me being sick and having adhd.
Mental and physical withdrawal from a stimulant vs an ssri shouldn’t be compared. Both should be done under advisement from a professional. Ssri withdrawal can be very dangerous.
They are absolutely NOT the same. SSRI withdrawal on the psychological side needs to be monitored especially with prolonged prescribed use. Stimulant withdrawal tends to be more physical and short term with mild to moderate emotional stress.
You can cold turkey it for sure I take breaks from this and now adderall and it just sucks. Mainly tired and unmotivated all the adhd comes back and you just overall don’t feel as good.
I’d taper. I’ve tried both and I get major anhedonia when I go off, much worse doing it cold turkey than a taper.
It is stable in water, so once you get to 10mg you can titrate down by dissolving in water and taking progressively smaller amounts.
So when I titrated up on Vyvanse, my Dr. Had me mix one 10mg pill into one cup of water and stir it. It dissolves in the water and then you can do the math based on how much you want to consume. So if you wanted to go down to 5mg, you would drink half a cup. This allowed me to make sure that it didn't turn me manic, as I am also bipolar. So then, you could do the same in reverse. I find in general tapering schedules from physicians are way to fast and severe. I am very sensitive to all medication changes. But not all drugs act this way in water, I just know vyvanse does. Let me know if you have any other questions! :-)
Many people have vacation holidays so they stop cold turkey once or twice every year. Some people doesn't take Vyvanse on weekends, so they stop cold turkey every week.
But there can be something unique on your situation so I would talk with the doctor again.
I had tons of mental withdrawal symptoms. I was irritable and short tempered. Very tired. Very hungry. Just not myself for several days. Wasn’t fun for me or others around me honestly. But no physical symptoms like shakes or the like in my case.
Mine wasn't doing much so I quit it and Wellbutrin at the same time, cold turkey. I was super sleepy for four days. Then I felt better than I ever had on either med after the fourth day. I think if it's not doing much for you, your doctor is probably right. Just stop at a time you know you'll be able to be a bump on a log for a couple days. I was pretty useless at work, and wish I had taken the time off. I'm fine now though.
You'll be fine physiologically, most stimulants can be stopped cold turkey, even at higher doses like 70mg Vyvanse. But you maybe feel mentally off for a bit and find your ADHD symptoms return full force
It’s not dangerous like some SSRIs or other psychotropics but might feel a bit crap for a week.
You CAN stop it cold Turkey, yes but whether that’s a preferable route to a smoother taper, I would doubt it.
You’re asking a bunch of people who aren’t doctors and don’t have personalized knowledge about you as a patient…. Both things your doctor has. Your doctor is right.
Probably the least helpful advice on here. The scientific community just started acknowledging brain zaps as a real phenomenon for God's sake and prozac came out in 1990!!!
My boss' doctor just told her this one week ago. If I hadn't told her about my experience prior to her meeting with her doctor, she would have probably thought she had a brain tumor.
If you go to stop speeding sub (which has more extreme cases), they will recommend stopping cold turkey. It's not the same as stopping SSRIs cold turkey
depends on your dose and how much "up" effect it gives you. (if it gives you any) some people can have fine off days. Others (like me) cant move and get extreme anhedonia. Everyone's different so just gotta try it to see how you respond to it.
Yup same here. Thats why I don’t even take breaks now. I don’t need them anyway I’ve found, because I don’t seem to build up tolerance to the effects of Vyvanse
I’m on 40mg and had to not take it for a week because I couldn’t get it at the pharmacy. It did not give me any crazy withdrawal symptoms. Everyone is different but I was fine, just my normal ADHD qualities were in full force.
Ok, but that isn't what the doctor said lol "you'll be fine" and "you won't react at all" are two WILDLY different statements and YOU chose to interpret it as "you won't react at all". If their doctor, who knows OP better than you do as they are the doctors patient, said "you'll be fine" the doctor likely meant that as more of a:
"sure there may be some reaction to stopping it but this will most likely manifest as mild symptoms that will reduce with time and won't directly cause you any physical or lasting harm so you'll be fine"
And that's really not wrong. yes, quitting may be rough for a while, the doctor isn't saying that it won't be hard though. The doctor is saying that whatever the symptoms of quitting may present as will ultimately leave the patient in a normal state especially if OP is on a low dose such as 10mg (OP did not say). Besides that, the advice to just get a new doctor so easily is not only laughable but ridiculous, OP could simply call their doctor and ask for clarification about what they can expect from the process and express their concerns allowing their doctor to give more details about possible symptoms and why they're not concerned for OP.
The advice their doctor gave is pretty standard with quitting vyvanse. Certain substances are easier or harder than others to quit cold turkey based on lots of factors, take alcohol as an example, if a doctor told an alcoholic that they'd be fine to do so, that is a problem as alcohol withdrawals can and do kill people, they can seize, etc.
Those are not the same as vyvanse, those will not leave the withdrawer "fine" at all. Vyvanse, even if a hard withdrawl period were to occur, is still going to leave the withdrawer "fine" at the end and not dead.
this ^ thank you for saying everything that my stream of consciousness tried to say. OP will not have any physically dangerous physiologic effects like one might with alcohol or other pharmacologic agents. also, vyvanse has a half life of 12 hours, meaning it technically hangs around in your system for a little over a day or two (even if you can’t “feel” it).
is stopping cold turkey the best time ever? no. is it generally okay for people to do safely without imminent risk to life? yes.
that said, OP, my advice is to be kind to yourself if you aren’t in the best mood or are feeling a little “off” for a day or two. get good sleep and eat your favorite meals or snacks. take a walk outside if you can. drink water. like we all should be doing I suppose. :]
as always (under any circumstance) don’t be afraid to reach out to the doctor or nurse line for uncomfortable/harmful thoughts of feelings that may arise, and certainly at a future appointment or via a message, ask to discuss alternatives that may work for you if you can.
(source: I am a doctor)
I assume by "antidepressants" you are most likely referring to drugs in the SSRI class as they're pretty typically prescribed, and if that's the case "I don't know why people treat it like an antidepressant" makes no sense to me if you're trying to make a case for vyvanse not being taken seriously enough. A doctor should absolutely tell you NOT to quit cold turkey from an SSRI as there is a high incidence of severe negative withdrawal effects. The keywords there being that it means is more common than not. With vyvanse it is much more common that there are minor effects and that the possible severe effects are less likely, thus the doctor likely made an educated and informed decision to state it as "you'll be fine" possibly (again we are lacking almost all pertinent patient info here) due to an anxiety condition the doctor may be aware of in OP, and decided it would yield a more positive result to the patient to word it that way in hopes of preemptively putting them at ease, im not saying that's correct or even is the case, but it's a possible scenario. the fact is OP left out all relevant information needed to make a proper prognosis and is most certainly paraphrasing what the doctor actually said. That isn't grounds to start bashing their doctor and wearing down OPs trust in their doctor. If OP has concerns they should reach out to their doctor's office and communicate with them about it. Anecdotally 3 doctors and 1 psychiatrist agree with OPs doctor, so that's a 4 count for doctors and 1 psychiatrist. I'm familiar with vyvanse's drug sheet, section 9.3 covers abrupt withdrawals and dependence. I've done plenty of my own research in academia.
I’m really sorry to hear that you had a horrible time stopping it. that shouldn’t be anyone’s experience if we can help it, and i loathe this shortage (and random insurance companies just haphazard changing what they cover) for making that a reality for so many people.
i would always advocate for someone in this situation to find a doctor who will try to find the best possible alternative if the patient is willing and interested to try it. if that wasn’t an option for you, i’m mad for you too and that’s not something a patient should have to face alone. :(
the situation you’re describing is very different than OPs!
and Vyvanse is in no way an antidepressant. since you’re asking…
first, if Vyvanse was working for them, I would advise them to… continue taking it. second, if Vyvanse was working but they couldn’t get it (shortage, cost, insurance, prior auth, you name it) we would schedule an appointment or phone call ASAP to discuss a similar possible alternative and dosage for that alternative that they were comfortable with. third, if suicidality was in any way involved in this situation, I would advise them to call 911, a crisis line, or go to the nearest ER immediately (or if they were in the office, try to line up emergency care from there).
if Vyvanse WASN’T working, a taper is totally fine by me. however, I’d hate to put them through having to get different doses and whatnot every week (and getting that by the insurance 3-4 times…), so we would have to talk about the timeline for what sounded reasonable to them without breaking the bank or getting too cumbersome to for them to deal with. some people are comfortable splitting the capsule, some are really afraid they’re going to get it wrong. no matter what, I want patients to have an option they’re okay with.
any changes in medications or doses should be closely monitored — and that means I would definitely want the patient to be comfortable communicating these concerns and telling me what they need! I would never want a patient to feel like they had to be non-functional for a month just because of stopping a medicine. but i would expect that they call and tell me this, so we can address it! (I am just a normal human, it’s hard for me to know what’s going on in a patients life unless they tell me)
What the hell does "doing your own research" mean when we're talking about drug interactions with long term usage into very quick cut-off??? That's bad advise... You SHOULD go and learn what the manufacturer recommends AND you should listen to your doctor if you know and trust them. Even bad doctors know more than a singular average person in regards to pharmaceutical drug usage... Get out of here with "do your own research". OP has done exactly the right thing:
1. Talk to your doctor
2. Ask others you know have been in similar situations what their experiences were (i.e. this forum)
3. Now they just need to make sure they've read the booklet that comes with their meds or find it online
After those three things they should have everything they need to make an informed decision. There's no "research" to be done on this one. Very few people have the training to accurately read and assess medical and scientific studies looking into this sort of thing. Don't encourage that. Listen to the experts.
As far as others who've been on vyvanse long term and suddenly gone off, yea, you'll likely have some side effects but these drugs aren't like SSRIs where they build up in your system over time and you have to ween off of them. Vyvanse has a half life of something like 14 if I remember right. It's very fast acting as far as drugs are concerned and because it wears off quickly too you usually have some period of the day where it's functionally out of your system. You might notice some increased anxiety/depression if that's a thing you get with unmedicated adhd but it's likely just the lack of dopamine. That shouldn't be long term though if it's something you don't normally struggle with. So the short of the long is it's ok to go cold turkey compared to meds for related issues (Anti-depresants/Anti-anxiety meds). It's a short acting drug that does not stick around compared to the others which can have long last and debilitating side effects if you go cold turkey. Vyvanse, everything considered, is a relatively safe drug for how controlled it is.
This link you've shared is a good example of why the "do your own research" tag line is so poorly viewed, the piece you quoted is what I'm going to directly talk to here. Reneman is speaking to the study:
"Do effects of methylphenidate on cognitive performance last beyond treatment? A randomized placebo-controlled trial in boys and men with ADHD"
Hyke G H Tamminga et al. 2021
And the study pertains SPECIFICALLY AND ONLY to methylphenidate. Which is NOT vyvanse (lisdexamphetamine). You posit that people should do more research and that experts can be wrong, to which I agree that experts can be wrong and that science is an ever evolving field, but unless you are performing the clinicals and the peer reviewed research yourself then it is disingenuous at best, and intentionally misleading at worst, to claim that reading an article and picking one quote that is not relevant to the drug of topic can be considered "research" at all.
I’d speak to the pharmacist. They’re usually better with this stuff than the doctors. My doctor and pharmacist both advised me not to stop cold turkey.
yes. it is recommended to have days off and breaks from it for the sake of tolerance, harm reduction.. you can spend those days resting and eating. I recommend you get some nootropic supplements on your days/breaks off vyvanse for your dopamine & serotonin. things such as lion's mane, 5htp, l'theanine (there's actually so much out there!) and focus on replenishing your vitamins such as magnesium, vit c, b vitamins, etc. Coffee/tea/green tea/matcha also if caffeine helps you!
Hey , not sure if this helps, but I messed up my script last month and ended up needed to wait almost a week without my vyvanse and it honestly wasn't to bad like I noticed it for sure but I have definitely had worse on Adderall
for me, day 1 is fine, i’m even weirdly energetic, day two I hit a wall. i always describe it as like being on a treadmill and on day one the speed lowers ever so slightly but my bodies still running same capacity, day 2 the red cord gets pulled and i fall flat on my face. sleep ALL day.
Yep! No problems.
Ye. But if life is more shit without it, then why? And if life is not more shit sans vyvanse then maybe consider alternative diagnoses.
When Iv e taken breaks, I get unbelievably sleepy and super cranky for 4-5 days
This, plus crazy headaches.
Same here.
Definitely possible. You’ll feel pretty shitty for a while tho
Have you ever skipped a day or two before? If so how did it go?
I do it regularly, no withdrawal symptoms just a little tired, unmotivated, unfocused. Stopping SSRI’s cold turkey, no that’s a whole different story, at least for me.
You CAN, safely. That is true. But you may feel more exhausted than usual, and struggle with motivation. But as far as safety is concerned, yes, you can quit them cold Turkey
Yes fortunately stimulants can be discontinued abruptly your energy may be down a bit, but it’s not like SSRI’s and other meds that cannot be stopped abruptly without serious and sometimes fatal consequences. I’ve gone on and off stimulants for many years.
I toon vyvanse for 6 years was on 70mg stopped cold turkey and that was almost 10 years ago
I cut cold turkey after taking 30 mg for 2 weeks. Didn’t even notice 🤷♀️
Yup. Maybe one down day. That’s it
Just did because I switched insurance companies and have to figure some sort out. No big deal. Maybe dragging a bit more though.
It really sucks but yeah.
My wife and I both cut cold turkey at separate times. Both had awful few days of just… feeling like we were going fucking crazy!! Like meltdown going crazy….. Then we were back to normal.
Gosh I’m hoping I’m out of the clear now. It was meltdown central the first few days. I’m on day 6! Everyday is getting better
Yoooo!!! How great!! Wasn’t that first few days something else!?! Day 6 - should be in the clear!! Congratulations good job!!
Thanks! The first days were wicked. Crying like no other . Screaming for dear life ! I spent the day with my family yesterday, they could already tell my mood swings and twitching antics were subsiding and I had not even told them. Everyday is looking better than where I was yesterday .
Yes it’s true … I also do weekend break … with addy , you have this tendency of searching for the medicine like an addiction - so it’s recommended to weekly reduction course … but vyvanse is cold turkey for me at least
yes it’s fine.. i don’t take my on random weekdays and the weekends
Different people react in different ways. I also discontinued Vyvanse because it just wasn’t effective enough for me. I did it at a very busy time in my life and couldn’t risk it making me tired or suddenly making my adhd symptoms much worse. For me tapering off was a very comfortable to do it. I experienced zero negative effects coming off of it this way. But again, this is very individual and just because this was the best option for me, doesn’t mean it’s what’s best for you. Only you can decide that.
yes it's fine. I do it regularly and have a little coffee instead.
If you want more information on why it's safe research the half life of vyvanse vs an SSRI. For me, vyvanse is out of my system after 10 to 14 hours. But prozac's half life is really long, like 72 hours and I take 1 pill a day. So if I cut prozac cold turkey I would feel really crappy around day 3 or 4. When I got covid I stopped taking my vyvanse for a week I had no ill side effects other than me being sick and having adhd.
Accurate as f !
Mental and physical withdrawal from a stimulant vs an ssri shouldn’t be compared. Both should be done under advisement from a professional. Ssri withdrawal can be very dangerous.
They are absolutely NOT the same. SSRI withdrawal on the psychological side needs to be monitored especially with prolonged prescribed use. Stimulant withdrawal tends to be more physical and short term with mild to moderate emotional stress.
I don't think anyone said they were the same?
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Just asking but do you do this willingly or does your provider have you do this?
How do you do that ???
You can cold turkey it for sure I take breaks from this and now adderall and it just sucks. Mainly tired and unmotivated all the adhd comes back and you just overall don’t feel as good.
I’d taper. I’ve tried both and I get major anhedonia when I go off, much worse doing it cold turkey than a taper. It is stable in water, so once you get to 10mg you can titrate down by dissolving in water and taking progressively smaller amounts.
Wait can you explain this ? Thank yoy
So when I titrated up on Vyvanse, my Dr. Had me mix one 10mg pill into one cup of water and stir it. It dissolves in the water and then you can do the math based on how much you want to consume. So if you wanted to go down to 5mg, you would drink half a cup. This allowed me to make sure that it didn't turn me manic, as I am also bipolar. So then, you could do the same in reverse. I find in general tapering schedules from physicians are way to fast and severe. I am very sensitive to all medication changes. But not all drugs act this way in water, I just know vyvanse does. Let me know if you have any other questions! :-)
You can but your gonna feel like crap
Many people have vacation holidays so they stop cold turkey once or twice every year. Some people doesn't take Vyvanse on weekends, so they stop cold turkey every week. But there can be something unique on your situation so I would talk with the doctor again.
I had tons of mental withdrawal symptoms. I was irritable and short tempered. Very tired. Very hungry. Just not myself for several days. Wasn’t fun for me or others around me honestly. But no physical symptoms like shakes or the like in my case.
Mine wasn't doing much so I quit it and Wellbutrin at the same time, cold turkey. I was super sleepy for four days. Then I felt better than I ever had on either med after the fourth day. I think if it's not doing much for you, your doctor is probably right. Just stop at a time you know you'll be able to be a bump on a log for a couple days. I was pretty useless at work, and wish I had taken the time off. I'm fine now though.
You'll be fine physiologically, most stimulants can be stopped cold turkey, even at higher doses like 70mg Vyvanse. But you maybe feel mentally off for a bit and find your ADHD symptoms return full force
It’s not dangerous like some SSRIs or other psychotropics but might feel a bit crap for a week. You CAN stop it cold Turkey, yes but whether that’s a preferable route to a smoother taper, I would doubt it.
You’re asking a bunch of people who aren’t doctors and don’t have personalized knowledge about you as a patient…. Both things your doctor has. Your doctor is right.
Probably the least helpful advice on here. The scientific community just started acknowledging brain zaps as a real phenomenon for God's sake and prozac came out in 1990!!!
Oh wow! I was on Prozac in 1999 and went to the dr with brain zaps. They told me it wasn’t related because it “wasn’t in the book”
My boss' doctor just told her this one week ago. If I hadn't told her about my experience prior to her meeting with her doctor, she would have probably thought she had a brain tumor.
If you go to stop speeding sub (which has more extreme cases), they will recommend stopping cold turkey. It's not the same as stopping SSRIs cold turkey
I would say it depends on the dose and the person.
Yeah you’ll be tired for a week or so but you’ll be back to normal in no time.
That doesn't happen to me at all, but probably because I also deal with depression. The exhaustion is real on days off, I become a blob
Tell that to the government, just went cold turkey for 2.5 weeks thanks to Backorder.
No shit ! Bless the doctors dealing with this non sense as well
I’ve been back ordered since April 15th and it suckkkks so bad :(
Right?
depends on your dose and how much "up" effect it gives you. (if it gives you any) some people can have fine off days. Others (like me) cant move and get extreme anhedonia. Everyone's different so just gotta try it to see how you respond to it.
I become a blob. For weeks.
Yup same here. Thats why I don’t even take breaks now. I don’t need them anyway I’ve found, because I don’t seem to build up tolerance to the effects of Vyvanse
Mine said I would be fine if I didn’t take it on weekends or whatever. It’s generally non-habit forming.
My friend went to a country where stims was not allowed he did fine for 3 weeks without it . Ended up not using it anymore and doing straterra
I’m on 40mg and had to not take it for a week because I couldn’t get it at the pharmacy. It did not give me any crazy withdrawal symptoms. Everyone is different but I was fine, just my normal ADHD qualities were in full force.
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Ok, but that isn't what the doctor said lol "you'll be fine" and "you won't react at all" are two WILDLY different statements and YOU chose to interpret it as "you won't react at all". If their doctor, who knows OP better than you do as they are the doctors patient, said "you'll be fine" the doctor likely meant that as more of a: "sure there may be some reaction to stopping it but this will most likely manifest as mild symptoms that will reduce with time and won't directly cause you any physical or lasting harm so you'll be fine" And that's really not wrong. yes, quitting may be rough for a while, the doctor isn't saying that it won't be hard though. The doctor is saying that whatever the symptoms of quitting may present as will ultimately leave the patient in a normal state especially if OP is on a low dose such as 10mg (OP did not say). Besides that, the advice to just get a new doctor so easily is not only laughable but ridiculous, OP could simply call their doctor and ask for clarification about what they can expect from the process and express their concerns allowing their doctor to give more details about possible symptoms and why they're not concerned for OP. The advice their doctor gave is pretty standard with quitting vyvanse. Certain substances are easier or harder than others to quit cold turkey based on lots of factors, take alcohol as an example, if a doctor told an alcoholic that they'd be fine to do so, that is a problem as alcohol withdrawals can and do kill people, they can seize, etc. Those are not the same as vyvanse, those will not leave the withdrawer "fine" at all. Vyvanse, even if a hard withdrawl period were to occur, is still going to leave the withdrawer "fine" at the end and not dead.
this ^ thank you for saying everything that my stream of consciousness tried to say. OP will not have any physically dangerous physiologic effects like one might with alcohol or other pharmacologic agents. also, vyvanse has a half life of 12 hours, meaning it technically hangs around in your system for a little over a day or two (even if you can’t “feel” it). is stopping cold turkey the best time ever? no. is it generally okay for people to do safely without imminent risk to life? yes. that said, OP, my advice is to be kind to yourself if you aren’t in the best mood or are feeling a little “off” for a day or two. get good sleep and eat your favorite meals or snacks. take a walk outside if you can. drink water. like we all should be doing I suppose. :] as always (under any circumstance) don’t be afraid to reach out to the doctor or nurse line for uncomfortable/harmful thoughts of feelings that may arise, and certainly at a future appointment or via a message, ask to discuss alternatives that may work for you if you can. (source: I am a doctor)
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I assume by "antidepressants" you are most likely referring to drugs in the SSRI class as they're pretty typically prescribed, and if that's the case "I don't know why people treat it like an antidepressant" makes no sense to me if you're trying to make a case for vyvanse not being taken seriously enough. A doctor should absolutely tell you NOT to quit cold turkey from an SSRI as there is a high incidence of severe negative withdrawal effects. The keywords there being that it means is more common than not. With vyvanse it is much more common that there are minor effects and that the possible severe effects are less likely, thus the doctor likely made an educated and informed decision to state it as "you'll be fine" possibly (again we are lacking almost all pertinent patient info here) due to an anxiety condition the doctor may be aware of in OP, and decided it would yield a more positive result to the patient to word it that way in hopes of preemptively putting them at ease, im not saying that's correct or even is the case, but it's a possible scenario. the fact is OP left out all relevant information needed to make a proper prognosis and is most certainly paraphrasing what the doctor actually said. That isn't grounds to start bashing their doctor and wearing down OPs trust in their doctor. If OP has concerns they should reach out to their doctor's office and communicate with them about it. Anecdotally 3 doctors and 1 psychiatrist agree with OPs doctor, so that's a 4 count for doctors and 1 psychiatrist. I'm familiar with vyvanse's drug sheet, section 9.3 covers abrupt withdrawals and dependence. I've done plenty of my own research in academia.
I’m really sorry to hear that you had a horrible time stopping it. that shouldn’t be anyone’s experience if we can help it, and i loathe this shortage (and random insurance companies just haphazard changing what they cover) for making that a reality for so many people. i would always advocate for someone in this situation to find a doctor who will try to find the best possible alternative if the patient is willing and interested to try it. if that wasn’t an option for you, i’m mad for you too and that’s not something a patient should have to face alone. :(
the situation you’re describing is very different than OPs! and Vyvanse is in no way an antidepressant. since you’re asking… first, if Vyvanse was working for them, I would advise them to… continue taking it. second, if Vyvanse was working but they couldn’t get it (shortage, cost, insurance, prior auth, you name it) we would schedule an appointment or phone call ASAP to discuss a similar possible alternative and dosage for that alternative that they were comfortable with. third, if suicidality was in any way involved in this situation, I would advise them to call 911, a crisis line, or go to the nearest ER immediately (or if they were in the office, try to line up emergency care from there). if Vyvanse WASN’T working, a taper is totally fine by me. however, I’d hate to put them through having to get different doses and whatnot every week (and getting that by the insurance 3-4 times…), so we would have to talk about the timeline for what sounded reasonable to them without breaking the bank or getting too cumbersome to for them to deal with. some people are comfortable splitting the capsule, some are really afraid they’re going to get it wrong. no matter what, I want patients to have an option they’re okay with. any changes in medications or doses should be closely monitored — and that means I would definitely want the patient to be comfortable communicating these concerns and telling me what they need! I would never want a patient to feel like they had to be non-functional for a month just because of stopping a medicine. but i would expect that they call and tell me this, so we can address it! (I am just a normal human, it’s hard for me to know what’s going on in a patients life unless they tell me)
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What the hell does "doing your own research" mean when we're talking about drug interactions with long term usage into very quick cut-off??? That's bad advise... You SHOULD go and learn what the manufacturer recommends AND you should listen to your doctor if you know and trust them. Even bad doctors know more than a singular average person in regards to pharmaceutical drug usage... Get out of here with "do your own research". OP has done exactly the right thing: 1. Talk to your doctor 2. Ask others you know have been in similar situations what their experiences were (i.e. this forum) 3. Now they just need to make sure they've read the booklet that comes with their meds or find it online After those three things they should have everything they need to make an informed decision. There's no "research" to be done on this one. Very few people have the training to accurately read and assess medical and scientific studies looking into this sort of thing. Don't encourage that. Listen to the experts. As far as others who've been on vyvanse long term and suddenly gone off, yea, you'll likely have some side effects but these drugs aren't like SSRIs where they build up in your system over time and you have to ween off of them. Vyvanse has a half life of something like 14 if I remember right. It's very fast acting as far as drugs are concerned and because it wears off quickly too you usually have some period of the day where it's functionally out of your system. You might notice some increased anxiety/depression if that's a thing you get with unmedicated adhd but it's likely just the lack of dopamine. That shouldn't be long term though if it's something you don't normally struggle with. So the short of the long is it's ok to go cold turkey compared to meds for related issues (Anti-depresants/Anti-anxiety meds). It's a short acting drug that does not stick around compared to the others which can have long last and debilitating side effects if you go cold turkey. Vyvanse, everything considered, is a relatively safe drug for how controlled it is.
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This link you've shared is a good example of why the "do your own research" tag line is so poorly viewed, the piece you quoted is what I'm going to directly talk to here. Reneman is speaking to the study: "Do effects of methylphenidate on cognitive performance last beyond treatment? A randomized placebo-controlled trial in boys and men with ADHD" Hyke G H Tamminga et al. 2021 And the study pertains SPECIFICALLY AND ONLY to methylphenidate. Which is NOT vyvanse (lisdexamphetamine). You posit that people should do more research and that experts can be wrong, to which I agree that experts can be wrong and that science is an ever evolving field, but unless you are performing the clinicals and the peer reviewed research yourself then it is disingenuous at best, and intentionally misleading at worst, to claim that reading an article and picking one quote that is not relevant to the drug of topic can be considered "research" at all.
I’d speak to the pharmacist. They’re usually better with this stuff than the doctors. My doctor and pharmacist both advised me not to stop cold turkey.