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Post by kluv2jazztoo on Dec 23, 2010 13:14:14 GMT -5
Logan,12, is currently on Adderall XR 60 mg and a short acting noon dosage in school. He takes Pristiq for anxiety as well.
He has been on the Adderal for 2 years and his head is just in the clouds lately. He stands there and will do nothing but maybe fiddle with his nail when he is supposed to be getting ready. He doesn't even answer you right away. It is like he is always day dreaming. Even for lunch today, he was just sitting there instead of eating. I am having to cue him to even begin eating. He has taken in the past, a BP med (can't remember), strattera, metadate cd, concerta, a bunch of short acting ritalins, vyvanse, and now this. Vyvanse worked the best but we got horrible rebound. That was right before the adderall 2 years ago. Has anyone tried to go back to a med that had rebound? It worked so well for him attention wise. I was wondering if the noon dose of the adderall could stave off the rebound? He would be fine all day on the Vyvanse, but then about 4:00 he would become aggressive when we tried to do homework. I just don't know what direction to go anymore.
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Post by Mayleng on Dec 23, 2010 14:09:02 GMT -5
How long did the rebound last before you took him off vyvanse? My son had the anger rebound while on Adderall.
We know now thru' many members' experience that vyvanse does cause a lot more anger/mood issues with our kids.
Let us know how Logan does on vyvanse again. It might be better this time because he is older. Keeping my fingers crossed for you.
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Post by kluv2jazztoo on Dec 23, 2010 14:50:34 GMT -5
Well it took me a couple weeks to even figure out that was what was causing it. On a lower dose he didn't have the anger issues. It was only once we went up on the dose that the meltdowns started. and do ya think I can remember what dose we went up to? I go Monday to talk to the doctor. We shall see what he thinks. It was the first time in his life that Logan was able to follow even a 3 step direction. Is there a point in time that the rebound might resolve itself it I wait it out?
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Post by healthy11 on Dec 23, 2010 14:58:01 GMT -5
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Post by Mayleng on Dec 23, 2010 16:05:36 GMT -5
Well, if he was ok on the lower dose, try that. Did the lower dose help though?
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Post by kluv2jazztoo on Dec 23, 2010 16:27:43 GMT -5
Nope, that was someone else's post. I just replied to their post about how Logan reacted on the vyvanse. It was when he was 10 that he was on it. We had him on it in the summer and then when school started was when I decided to up the dosage. I would say we did it maybe 3 or 4 months, but only a few weeks probably on the upper dosage. We probably should have tried to go back down to the lower dose. It did help, just not as good as I would like. He is really inattentive though, so we have not had really good results with attention with any of the drugs.
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Post by healthy11 on Dec 23, 2010 17:18:28 GMT -5
Sorry for the confusion in the other post. Truthfully, with a 12-yr-old, you're likely to be seeing some hormonal fluctuations coming into play, and that makes medication management all the more difficult to predict. Is Logan showing any signs of a growth spurt, or other indications of puberty?
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Post by kluv2jazztoo on Dec 23, 2010 19:32:09 GMT -5
omg I think he started going through puberty at 9! He is most definately now....pimples, voice deepening, height. and I have been told that meds can become ineffective during puberty. Adding the short acting at noon helped with the homework, but he is just so out of it even without that dose. I don't think he is over medicated but I would be inclined to think so if he hadn't already been on this original dose for some time. Have you heard of a drug called Cylert? Someone just mentioned that one to me and I hadn't heard of it. I am off to google it.
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Post by kluv2jazztoo on Dec 23, 2010 19:35:42 GMT -5
oh it says cylert is no longer available in the US.....causes liver failure in some. scary.
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Post by jw on Dec 23, 2010 23:23:09 GMT -5
Hi,
DS had rebound on Adderall XR the first time he tried it, and then tried again a few years later and didn't have any problems. He was on it for a while and then started having irritability problems (also coinciding with hormonal fluctuations) but when we switched to another drug the irritability went away almost overnight. Some doctors (including mine) think you will get a better result with Vyvanse if you slowly increase the dose. My doctor says it is OK to open the capsule and pour some out or even pur it into a glass of water to titrate if you are trying to get an "in between" dose. They also have more doses of vyvanse available now than when it first cam out - it goes up by 10 mg increments instead of 20 mg, so that might help you as well.
Good luck! jw
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Post by kluv2jazztoo on Dec 24, 2010 6:42:03 GMT -5
oh that is good information. I do think we doubled his dose when we went up on it, though I can't tell you now what it was. It was only after going up, that we started having the issues and only in the evening. I wish we would have tried going down now. See! I should have came and asked you guys!! Thank you all soooo much for being here. Merry Christmas to you all!
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Post by kluv2jazztoo on Dec 27, 2010 13:17:13 GMT -5
Starting 30 mg Vyvnase tomorrow. He said we can use the 10mg short acting adderal at noon as needed still. I will update as we progress.
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Post by Mayleng on Dec 27, 2010 17:15:54 GMT -5
goodluck.
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Post by kluv2jazztoo on Dec 29, 2010 18:17:44 GMT -5
30 mg not enough. calling dr. in the morning. at least first script was free from vyvanse.com  |
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Post by jw on Dec 29, 2010 18:19:33 GMT -5
Hi,
I have a card that give me half off my copay for Vyvanse for 12 months - maybe ask your doctor if he has anything like that...Good luck, jw
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Post by kluv2jazztoo on Dec 29, 2010 18:57:39 GMT -5
oh really? thanks. maybe I'll google it.
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Post by kluv2jazztoo on Jan 2, 2011 13:03:08 GMT -5
today is day 3 of 50 mg....so far, so good. I don't know that the focus is where I want it and he is still a bit hyper, but all in all not too bad. I don't want to up the dosage too quick for fear of the anger/rebound issues. He is back to school tomorrow, so we shall see how he does with that.
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Post by kluv2jazztoo on Jan 15, 2011 18:41:47 GMT -5
Today is the 15th and we are still doing okay. I would like to bump him up to 60 mg to see if we can improve his focus a bit but I am hesitant to move too fast. So we are waiting. He is still taking a booster dose of short acting adderall at noon on school days and homework has been okay, at least as hard or easy as it ever was. We are not getting any rebound on the weekends without the adderall. I am hopeful.
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Post by healthy11 on Jan 15, 2011 18:54:57 GMT -5
Glad to hear it!  |
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Post by Mayleng on Jan 15, 2011 19:49:36 GMT -5
Wishing you continued success and goodluck.
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Post by kluv2jazztoo on Jan 16, 2011 7:13:18 GMT -5
Thank you guys!  ) |
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Post by kluv2jazztoo on Jan 16, 2011 7:13:47 GMT -5
hey that was supposed to be a smiley, lol!
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Post by momof4 on Jan 24, 2011 8:00:36 GMT -5
Hi there. I have 2 sons on vyvanse. One 12, one 10. My 12 year old just started vyvanse, has previously been on Adderal, Concerta and Strattera. Except for strattera which was awlful for him and lasted less than 3 weeks, each med has been helpful, but the adderal and concerta seemed to need to be upped quickly, and the effects plataued. Vyvanse is new as of last week -- seems to have the expected appetite suppression but his science teacher said he was "on" last week, so I'll go with it for awhile.
My Dr. did give me the cards referred to above, and it cuts my co-pay by 50% for my 10 year old.... when i filled the second scrip I could not use the card... must be filled for the first time by 12/31/10. I would like to call Shire, the company behind it to ask, but haven't done that yet.
All that aside... my 12 year old is in middle school and daffy is the most polite word I can use for some of his behavior. He is early into puberty so I am bracing for a long 'bout with this behavior. Good luck there, from what I hear from friends, we are all in the middle school years attitude together. Patience and a sense of humor are what I am trying now (but REALLY trying not to make him feel like I am laughing at HIM)
Now my neighbor had aggression issues on vyvanse, and my Dr. did say they may pop up, and I would know. fortunately, I have not seen that. However, my neighbor's 12 year old (daughter) is now having wonderful results on another Shire product.... intuniv which is more of a blood pressure medication. My Dr. said it was our next step if vyvanse was not effective as my 10 year old has anger/resentment/oppositional issues. My neighbor says it has been great, except it is a Tier 1 drug, so the copay tends to be higher.
Good luck!!
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Post by kluv2jazztoo on Jan 24, 2011 14:42:56 GMT -5
Thanks for sharing your info. It always helps so much to hear where others have been. So far we are doing okay with the 50 mg and adderal booster at noon. No rebound issues on the weekends either. Daffy is a pretty good description for over here too.
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Post by kluv2jazztoo on Feb 17, 2011 18:31:48 GMT -5
well we tried to go to the 60 mg and once again it was just too much. He began to have anger issues again and to just get extremely upset over things that weren't that important. I tried for a couple weeks and just this week went back down to the 50mg again. It's not perfect, but it is okay.
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Post by healthy11 on Feb 17, 2011 19:37:43 GMT -5
Medication is definitely a "balancing act" between improvement in some areas, and dealing with less-than-ideal side effects in others....I'm glad things are at least okay for your family right now.
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Post by kluv2jazztoo on Feb 18, 2011 9:10:31 GMT -5
Thanks Healthy. I think puberty has thrown a kink in things as well. I wish there was a perfect drug out there.
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Post by healthy11 on Feb 18, 2011 9:18:41 GMT -5
When I attended a recent International Chadd seminar, I remember one presenter talking about how there are researchers trying to come up with ways to better identify which individuals will have better responses to which types of meds. I suspect the research is in its infancy, and it's not going to help our kids before they're adults, but since even some adults will benefit from continuing to use medications, it could still be useful to know. (I imagine the first breakthrough might be in terms of general category of meds, like saying stimulants vs. antidepressants. Later, they might be able to identify "Ritalin vs. Adderall" but I suspect the decision about best dosages, etc, is still likely to be a "trial and error" sort of situation...)
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Post by healthy11 on Mar 8, 2011 9:27:34 GMT -5
Kluv, I just noticed today is your birthday ~ hope it's wonderful!  |
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Post by healthy11 on Jan 9, 2012 18:48:34 GMT -5
My son weighs 150-160 lbs. and uses 15mg. Adderall short-acting, or 30 mg. AdderallXR (extended release) so his psychiatrist said that he'd recommend 60 mg. Vyvanse.... Apparently, although the capsules aren't manufactured above 70mg, that's not the maximum dosage. Below is the section of an article I found at www.healthcalls.com/HighDoseMedication.htmThe table below lists maximum daily doses used by some treatment groups. (Note, these are maximum, not average or standard doses.) Body Weight - methylphenidate maximum dose - amphetamine maximum dose - Vyvanse maximum dose* 100 pounds -90 mg per day - 50 mg per day - 115 mg per day 120 pounds - 110 mg per day - 80 mg per day - 140 mg per day 140 pounds - 125 mg per day - 100 mg per day - 165 mg per day 160 pounds -145 mg per day - 120 mg per day - 190 mg per day 180 pounds - 165 mg per day - 140 mg per day - 200 mg per day 200 pounds - 185 mg per day - 150 mg per day - 225 mg per day Note: Vyvanse (which contains dextroamphetamine) has a maximum dose two and a half times larger that the other amphetamines. This is because each molecule of dextroamphetamine in Vyvanse is bound to an inactive but heavy molecule that keeps the dextroamphetamine from working. After Vyvanse is taken orally, the inactive molecule is split from the dextroamphetamine by digestive enzymes in the intestines, allowing the dextroamphetamine to be slowly absorbed and used by the brain. |
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