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Titration question - Elvanse (feddit.uk)

submitted 2 weeks ago by [email protected] to c/adhd

17 comments fedilink hide all child comments

Hi everyone!

I’ve just recently started titration, I’m now on 50mg of Elvanse (Lisdexamfetamine).. curious if anyone has had the same effect as I am having now.

On the 30mg I felt like the static/shouting/noise whatever in my brain was muted but I had access to it, like it was in a cabinet in my head. I was able to focus on tasks at work and all that, although it didn’t last all day, maybe until about 2pm (taking the dose between 830 and 9).

A couple days ago I moved up to 50mg and the first day was… okay. I have definitely been able to concentrate on work. Yesterday was like I was a zombie. During the work day I got plenty done. It was like I was in a controllable hyper focus all day, but I didn’t feel like myself, and I feel like the personable side of me is not there. I’m not sure if it’s lack of emotion or what.

I had volleyball practice last night and honestly I felt like a zombie. A completely empty shell by that point, which I have had pre-medication after coming out of a particularly long hyper-focus before, but I am a bit worried about this because it was not pleasant. I’m not sure if I could face that every day.

I am due to increase to 60mg from next Wednesday and it is making me nervous. Will the impact of the medication reduce a bit over the next few days or is this what it will be like?

Out of curiosity, is anyone on a lower dose like 30 or 40mg? If you are do you do a booster in the afternoon?

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[–] [email protected] 3 points 2 weeks ago* (last edited 2 weeks ago) (2 children)

I'm on the same dose at the moment - 50mg i take it at the same time and feel like i start crashing by about 2-3pm. My psychiatrist mentioned it but then was reluctant to give me an extra top up of adderall last time I spoke to him but I'm going to push for it next time I see him. I'd be a mess if i had to do anything in the evening after taking the vyvanse in the morning. But the effects are good generally and very few side effects for me.

Are you sure you aren't just worn out by the evening?

[–] [email protected] 2 points 2 weeks ago (1 children)

If you're prescribed a higher dose you can split it for an afternoon booster.

[–] [email protected] 1 points 2 weeks ago (2 children)

How do you split the capsules? Are they just powder inside?

I am scared to open one 😅

[–] [email protected] 2 points 2 weeks ago (1 children)

Elvanse/Vyvanse are capsules packed with powder. You can carefully twist them open, gently get out some powder upon a teaspoon by squeezing the sides of half capsules until the desired (eyeballing the size is easy enough) amount is out, and then close up the capsule again for later consumption. The powder is slightly bitter to taste.

[–] [email protected] 2 points 2 weeks ago

Thank you so much, I think this is going to be a massive help!

[–] [email protected] 1 points 2 weeks ago

It could be exhaustion. I tried having a much higher protein breakfast this morning (ended up with a hot Huel meal in the end) and I didn’t feel quite as zombie-ish today but I still think everything is a bit too muted on this dose.

I still have a few days of the 50mg left and then I’m due to go up to 60, with my follow up with the doc next week.