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Dosage and Administration

DOSAGE FORMS AND STRENGTHS
VYVANSE capsules:
How To Buy Vyvanse Online Capsules 10 mg: pink body/pink cap (imprinted with S489 and 10 mg)
Capsules 20 mg: ivory body/ivory cap (imprinted with S489 and 20 mg)
Capsules 30 mg: white body/orange cap (imprinted with S489 and 30 mg)
Capsules 40 mg: white body/blue-green cap (imprinted with S489 and 40 mg)
Buy Vyvanse 50 mg Online Capsules 50 mg: white body/blue cap (imprinted with S489 and 50 mg)
Capsules 60 mg: aqua blue body/aqua blue cap (imprinted with S489 and 60 mg)
Capsules 70 mg: blue body/orange cap (imprinted with S489 and 70 mg)
VYVANSE chewable tablets:
Chewable tablets 10 mg: White to off-white round-shaped tablet debossed with ‘10’ on one side and ‘S489’ on the other
Chewable tablets 20 mg: White to off-white hexagonal-shaped tablet debossed with ‘20’ on one side and ‘S489’ on the other
Chewable tablets 30 mg: White to off-white arc triangular-shaped tablet debossed with ‘30’ on one side and ‘S489’ on the other
Chewable tablets 40 mg: White to off-white capsule-shaped tablet debossed with ‘40’ on one side and ‘S489’ on the other
Buy Vyvanse 50 mg Online Chewable tablets 50 mg: White to off-white arc square-shaped tablet debossed with ‘50’on one side and ‘S489’ on the other
Chewable tablets 60 mg: White to off-white arc diamond-shaped tablet debossed with ‘60’ on one side and ‘S489’ on the other
Dosage should be individualized according to the therapeutic needs and response of the patient. Vyvanse should be administered at the lowest effective dosage. In children with ADHD who are 6-12 years of age and are either starting treatment for the first time or switching from another medication, 30 mg once daily in the morning is the recommended dose. If the decision is made to increase the dose beyond 30 mg/day, daily dosage may be adjusted in increments of 20 mg/day and at approximately weekly intervals. The maximum recommended dose for children is 70 mg/day; doses greater than 70 mg/day of Vyvanse have not been studied in children. Amphetamines are not recommended for children under 3 years of age. Vyvanse has not been studied in children under 6 or over 12 years of age.
Vyvanse should be taken in the morning. Afternoon doses should be avoided because of the potential for insomnia.
Vyvanse may be taken with or without food.
Vyvanse capsules may be taken whole, or the capsule may be opened and the entire contents dissolved in a glass of water. If the patient is using the solution administration method, the solution should be consumed immediately; it should not be stored. The dose of a single capsule should not be divided. The contents of the entire capsule should be taken, and patients should not take anything less than one capsule per day.
Where possible, drug administration should be interrupted occasionally to determine if there is a recurrence of behavioral symptoms sufficient to require continued therapy.

CONTRAINDICATIONS

Advanced arteriosclerosis, symptomatic cardiovascular disease, moderate to severe hypertension, hyperthyroidism, known hypersensitivity or idiosyncrasy to the sympathomimetic amines, glaucoma.
Side Effects
Common side effects of Vyvanse include:anorexia,anxiety,decreased appetite,weight loss,diarrhea,dizziness,dry mouth,irritability,sleep problems (insomnia),nausea, abdominal or stomach pain,vomiting,increased heart rate,constipation,jittery feeling,mild skin rash,an unpleasant taste in your mouth,headache,nervousness,sweating, and restlessness.
serious side effects of Vyvanse including blurred vision, fast/pounding/irregular heartbeat, mental/mood/behavior changes (such as agitation, aggression, mood swings, depression, hallucinations, abnormal thoughts or behavior, suicidal thoughts or attempts), uncontrolled movements, muscle twitching or shaking, numbness/pain/skin color change/sensitivity to temperature in the fingers or toes, outbursts of words or sounds, a change in sexual ability or interest, swelling ankles or feet, extreme tiredness, rapid or unexplained weight loss, or frequent or prolonged erections (in males).

Warnings

Serious Cardiovascular Reactions: Sudden death, stroke, and myocardial infarction have been reported in adults with CNS stimulant treatment at recommended doses. Sudden death has been reported in children and adolescents with structural cardiac abnormalities and other serious heart problems taking CNS stimulants at recommended doses for ADHD. Avoid use in patients with known structural cardiac abnormalities, cardiomyopathy, serious heart arrhythmia, coronary artery disease, and other serious heart problems. Further evaluate patients who develop exertional chest pain, unexplained syncope, or arrhythmias during VYVANSE treatment.
Suppression of Growth: CNS stimulants have been associated with weight loss and slowing of growth rate in pediatric patients. Closely monitor growth (weight and height) in pediatric patients treated with CNS stimulants, including VYVANSE. In a 4-week, placebo-controlled trial of VYVANSE in patients ages 6 to 12 years old with ADHD, there was a dose-related decrease in weight in the VYVANSE groups compared to weight gain in the placebo group. Additionally, in studies of another stimulant, there was the slowing of the increase in height
Hypertension and other Cardiovascular Conditions: Stimulant medications cause a modest increase in average blood pressure (about 2-4mmHg) and average heart rate (about 3-6 bpm), and individuals may have larger increases. While the mean changes alone would not be expected to have short-term consequences, all patients should be monitored for larger changes in heart rate and blood pressure. Caution is indicated in treating patients whose underlying medical conditions might be compromised by increases in blood pressure or heart rate, e.g., those with pre-existing hypertension, heart failure, recent myocardial infarction, or ventricular arrhythmia (see CONTRAINDICATIONS). Assessing Cardiovascular Status in Patients being Treated with Stimulant Medications 6 Children, adolescents, or adults who are being considered for treatment with stimulant medications should have a careful history (including assessment for a family history of sudden death or ventricular arrhythmia) and physical exam to assess for the presence of cardiac disease, and should receive further cardiac evaluation if findings suggest such disease (e.g. electrocardiogram and echocardiogram). Patients who develop symptoms such as exertional chest pain, unexplained syncope, or other symptoms suggestive of cardiac disease during stimulant treatment should undergo a prompt cardiac evaluation. WIKI.

 

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