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I am wanting to know what to do. His school work is low b, c,and d's. This is with Vyvanse 50mg. He has anger outbursts mostly at me about homework taking a bath or when i tell him no. He doesn't give my husband as much trouble. The doctr has him on Abilify for that issue and Melotonine for sleep. Nothing seems to be working in the last 3 or 4 works. We go to our DR. on Tuesday. What do you sugest.
Carla
[QUOTE=drcr89;4199111]I am wanting to know what to do. His school work is low b, c,and d's. This is with Vyvanse 50mg. He has anger outbursts mostly at me about homework taking a bath or when i tell him no. He doesn't give my husband as much trouble. The doctr has him on Abilify for that issue and Melotonine for sleep. Nothing seems to be working in the last 3 or 4 works. We go to our DR. on Tuesday. What do you sugest.
Carla[/QUOTE]



Hey I'm 17 and have been diagnosed with ADHD since I was 7, and my mom has basically had me try every medication under the sun, and to be honest I don't see how your son can handle such a large dose of vyvanse. I mean no wonder he has sleeping problems lol a dose that high is closer to a hit of meth than an add medication. I have friends that apparently get "real high" off that amount of vyvanse.

I've been on ritalin, concerta, vyvanse, and adderal, and as far as getting my work done adderal has definitely been the best.

I take a dose of 10 milligrams instant release (the extended release capsules cause me to have trouble sleeping) before I go to class and it helps a ton. I don't take it on weekends and I won't take it after 12 noon because of trouble getting to sleep.

I think a lot of it is his own will. I mean adhd is definitely a crutch but its something your child is going to have to learn to manage on his own and not with high doses of different drugs. The adderal does is give me a small kick in the right direction so I can focus and actually want to do my work for the time I'm in school instead of cracking me out like large amounts would.

as for Abilify, some bullshit therapist misdiagnosed me with bi-polar disorder and prescribed me that for it, I took it for a week and quit because it made me feel unusual. I doubt your 10 year old child needs to be on that.

meletonin is completely natural and a great way to get to sleep but my own personal opinion is if you get into a habit of taking it every night before you go to sleep, you'll have a much harder time falling asleep without it. I'd suggest getting your child up earlier, and promoting physical activity in the afternoon after school to tire him out and let him fall asleep at a reasonable time.

Sorry if I ended up rambling, I hope some of this helped.

EDIT: Also remember when you go to the doctor, they get paid to prescribe pills, so even if its not the best option most doctors will be quick to write a prescription that a person doesn't necessarily have to be on to live an enjoyable productive life.
Never having tried Vyvanse, I can't say from personal experience, but 50mg is not overly high according to the dosage recommendations I've read. The recommended dosage ranges from 30mg to 70mg, with 50mg being approximated to a 20mg dose of Adderall.

That said, I see a lot of wisdom in the above post, and I would wholeheartedly suggest that you consider the issues raised therein. Remember that Vyvanse is (eventually) an amphetamine, just like most other stimulant-based ADHD meds, and can most certainly cause sleep issues if taken too late in the day, or in the wrong dosage (proper dosage is determined by personal response to the medication, rather than by an 'one size fits all' chart).

Another idea to consider is that your son may have issues metabolizing Vyvanse. Before Vyvanse can take its useful form, it must be metabolized in the gut, so any deviations from the norm in your son's metabolic rate will impact the amount of time required to convert Lisdexamfetamine to Levo- and Dextroamphetamine. I have never had much luck with Concerta and other meds that require metabolic change, which has led me to believe that my metabolism isn't suited to converting those meds in a proper timeframe (this is my personal feeling, I cannot back this up with supporting literature).

It may, therefore, be a good idea to consider another medication to treat the ADHD. The most likely suggestion would be Adderall, because it seems to be one of the most widely accepted options for treatment of ADHD. Other options to consider may be Ritalin, Dexedrine or perhaps Focalin. All these enter the body in usable form and don't require metabolic action before they can do what they're intended to do. The doctors will prefer extended release versions of the meds, but it may be wise to consider instant release formulations early in the day to allow your son to focus in school, while still having the ability sleep.

As mentioned above, with proper stimulant treatment, you may be able to reconsider the Abilify and Melatonin treatments, as the issues that require those meds may become less pronounced.





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