I was diagnosed with ADD a few years ago and was prescribed Vyvanse .25mg once a day. I now live in Australia and New Zealand throughout the year and Vyvanse is not available in either country. Vyvanse worked very well for me as I have difficult time stay focused on simple tasks and get overwhelmed easily if I have too much to do then I end up feeling stuck and get nothing done. As long as I took it before 11am I didn't have any problem sleeping at night while taking this medication. I'm a 48 year old female. A regular MD who specializes in ADD was my doctor in the USA but I think Australia and NZ may require me to see a mental health professional. Is there another prescription you can recommend that is available in these two countries?
Hello I believe I can help you with your concern
I am so sorry that Australia and New Zealand has limited medications to treat your ADD/ADHD
I spoke with a colleague recently about this and he told me that the only effective medications to treat ADD/ADHD in those two countries are Concerta, Ritalin, dexamphetamine, and Strattera.
Since Dextroamphetamine is the active metabolite in Vyvanse, I would suggest trying Dextroamphetamine, but I believe that it only comes in 5mg tablets, which is a low dosage and may not be effective for you.
Ritalin is a Methylphenidate type medication for the treatment of ADD/ADHD and works differently the Vyvanse and Adderall medications, but may be effective for you as well, but will have a different mechanism of action then the Vyvanse that you are used to
Concerta is also a Methylphenidate type medication but lasts longer than the Ritalin, by a few more hours, so that could be an option as well for you because of the Vyvanse that you are used to has a similar effective half-life.
And the Strattera is a non-stimulant type and selective norepinephrine reuptake inhibitor medication, which may or may not be effective for you. This medication is short acting, typically with a half-life of around 5 hours and may not be as effective as the Vyvanse, so I think medication is something you may not want, but I wanted to mention it to you
I see that you are offline right now, but when you get back online I would be very interested in continuing this discussion with you and talking about anything further you would like to share regarding your concern, so if you respond in the chat box I will be able to get back to you as soon as possible.
I forget to mention that I have a slight case of glaucoma. Pressure is being controlled with Travian drops. I researched Dextroamphetamine and there seems to be a concern using this drug if a person has glaucoma. However, I read the reviews for Dextro and they seem very favorable and I would like to consider using it and would like your advise...thx!
thank you very much! Appreciate your help =)
Hi Dr. Z
I was able to get a prescription for Dextro. As you said, it comes in 5mg tablets and my doctor is starting me out with 2 tablets a day and each week increase it by 1 tablet until I max out to 60mg per day (12 tablets). He is not familiar with the Vyvanse I use to take (50mg) since it is not available in Australia and wanted me to ask you your professional opinion of what he prescribed and how it compares. What has been the general feedback (good/bad) when your patients have taken either drug?
Is the amino acid L-lysine something that can be prescribed to balance things out with Dextro?
Hi Dr Z~
I've been on 10mg of Dextro since last Saturday and noticed that as it wears off (3 hours later) I get a bit agitated then I feel like a bus crashed into me. If I take a 20-30 min nap I feel better but sometimes I'm not in a position to just lie down and take a snooze. I am supposed to go up in dosage 5 mg every Saturday. Should I spread this out so I feel more leveled out?
Also, over time will these symptoms fade away?
Hi Dr Z...thank you for answering all my questions. Regarding the crash symptoms, do they become more intense with higher dosages with some patients? Also, I plan on visiting family in the USA in March. Should I decide to get a Vyvanse prescription while I am there, is it typically advisable to switch from Dextro to Vyvanse over night or do I need to stop taking Dextro for awhile before taking Vyvanse again? Thx...