STRATTERA vs VYVANSE
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Strattera vs Vyvanse
strattera versus vyvanse
WHAT ARE STRATTERA AND VYVANSE?
Let us compare these two medications.
Both Strattera and Vyvanse are used for treatment of ADHD (attention
deficit and hyperactivity disorder) in children aged 6 through 12,
teenagers, and also for ADD (attention deficit disorder) in both
children and adults. Strattera was the first medication approved for
adult ADHD. Though, unlike Strattera, when launched, Vyvanse was not
officially approved for adult ADHD, the situation changed in June 2007
when Shire PLC (Vyvanse's manufacturer) announced that a supplemental
New Drug Application had been submitted to the FDA for the treatment of
ADD/ADHD in adults.
Strattera is classified as a non-stimulant drug, while Vyvanse is a
stimulant belonging to amphetamines. Together with a well-known Effexor
medication, Strattera is in the group of drugs called SNRIs -
inhibitors. The medication increases levels
of serotonin and norepinephrine by inhibiting
their reabsorption into cells in the brain, thus affecting our mood and
mind condition. Vyvanse is closely related to Adderall (Adderall XR),
both of them having the same active ingredient - lisdexamfetamine
dimesylate. The main difference between Vyvanse and Adderall is that
Adderall is a mixture of four amphetamine salts, three of which are
classified as d-amphetamines and the fourth one is l-amphetamine, while
Vyvanse is a 100% d-amphetamine.
Strattera is not a scheduled controlled substance, since it has a much
lower potential for abuse than amphetamines. Vyvanse is a schedule II
controlled substance. However, it also features a much lower potential
for abuse, as compared to other amphetamines due to the fact that it
has produces effects when being snorted or injected. The matter is that
Vyvanse is a prodrug, i.e. its contents have to pass through the
digestive system and the liver to get converted into an active form.
Actually, we may say that Vyvanse becomes a sort of Adderall after it
is swallowed and digested.
However, all amphetamines are stimulants. When taken in large
quantities, they may make one feel "high". Strattera may not. That is
why it can be called a safer medication than Vyvanse. But Strattera
works slower than Vyvanse and other stimulants. It usually takes
several weeks before the body and brain get accustomed to the
medication and the desired effects are achieved. During this period of
adaptation, the patient may experience a number of unpleasant feelings,
such as tiredness, drowsiness, grogginess, etc. The positive
effects of Vyvanse are usually observed at once the treatment is
started - on condition that the patient is able to respond to
the treatment positively.
Some people say that Strattera features more steady effects, making
feel all right throughout the day, while Vyvanse, like other
amphetamines, just boosts their abilities for a short period after
In this "Strattera vs Vyvanse" issue it is quite impossible to give
superiority to any of the medications. Strattera works better for some
individuals, Vyvanse is more effective and better tolerated by others.
It is all a matter of the patient's system and abilities. So the
treatment must be individually fitted. That includes selection of
medications, dosages and possible combinations of drugs.
CAN STRATTERA BE COMBINED WITH VYVANSE?
One should not take Strattera together
with Vyvanse, Wellbutrin, etc unless it is recommended by his or her
the combination of these two medications seems to have no dangerous
risks. There point is that the dosages of the medications have to be
altered in case they are combined. If they are not decreased to some
extent the combined action of the two medications may worsen possible
side effects of them both. Generally speaking, it is better to opt for
the one you seem to respond to better.
Anyway, there is some evidence that in some children who are extremely
hyperactive and impulsive, a combination of Strattera and a stimulant,
such as Vyvanse, works better than either medication alone. Also, some
patients report that on Strattera they feel rather tired all the
time, and on Vyvanse they have more energy though their ability to
concentrate is less, and the increased level of energy leads to
excessive agitation. But when they take Strattera and Vyvanse together
they do not
experience the fatigue caused by Strattera and they have a better
focus than on Vyvanse itself. But remember, if Strattera and Vyvanse
taken together, their doses have to be properly adjusted.
- Strattera dosage
- Strattera and
STRATTERA VS VYVANSE IN THE COURSE OF TIME
Also, any medication may seem to loose
some of its efficacy in the
course of time, either because the patient gets too much accustomed to
it, or due to age-specific changes in the body and brain. It happens
that, as times passes, one has to switch over to a different medication
because his or her usual one seems to begin working worse than before.
To summarize, we may conclude that the problem of Strattera vs
Vyvanse is to be solved individually by each patient together
with his or her physician.