BRAND NAMES: Vyvanse ®

Vyvanse Online

CAUTION: There is a potential for abuse and improper use of this medication. Prolonged usage may result in dependency. Do not extend your treatment period beyond what your physician has advised. Always adhere to the instructions given. Inform your physician if you have a history of substance or alcohol abuse. Misapplication of this medication may lead to cardiovascular complications or, in extreme cases, sudden fatality.

WHAT IS THIS DRUG USED FOR? It is used to treat attention deficit problems with hyperactivity. It is used to treat binge eating disorder. It may be given to you for other reasons. Talk with the doctor.

WHAT DO I NEED TO TELL MY DOCTOR BEFORE I TAKE THIS DRUG? If you have an allergy to this medication, any of its components, or any other medications, foods, or substances, inform your physician and describe the allergic reactions you've experienced. If you or a relative have any of the following health conditions: vascular disease, hypertension, structural heart issues or other cardiac disorders, or Tourette's syndrome or tics. If you are suffering from any of these ailments: Glaucoma, agitation, anxiety, or an overactive thyroid. If you have a history of health issues such as substance abuse or stroke. If you are currently taking any of the following medications: Acetazolamide or sodium bicarbonate. If you have been treated with specific antidepressants or Parkinson's disease medications in the past 14 days. This encompasses drugs such as isocarboxazid, phenelzine, tranylcypromine, selegiline, or rasagiline. Be aware that severely high blood pressure can occur. If you're taking any of the following medications: Linezolid or methylene blue. If you are currently breastfeeding, do not breastfeed while using this medication. This information does not encompass all possible interactions with other medications or health conditions. Inform your doctor and pharmacist about all medications you are taking (prescription, over-the-counter, natural products, vitamins) and about your health conditions. You must ensure it is safe to use this medication in conjunction with all your other medications and health conditions. Never commence, halt, or alter the dosage of any medication without consulting your physician.

WHAT ARE SOME THINGS I NEED TO KNOW OR DO WHILE I TAKE THIS DRUG? Tell all of your health care providers that you take this drug. This includes your doctors, nurses, pharmacists, and dentists. This drug is not approved for weight loss. If you have questions, talk with the doctor. Avoid driving and doing other tasks or actions that call for you to be alert or have clear eyesight until you see how this drug affects you. If you have been taking this drug for a long time or at high doses, it may not work as well and you may need higher doses to get the same effect. This is known as tolerance. Call your doctor if this drug stops working well. Do not take more than ordered. Long-term or regular use of this drug may lead to dependence. Stopping this drug all of a sudden may lead to signs of withdrawal. Talk to your doctor before you lower the dose or stop this drug. You will need to follow your doctor's instructions. Tell your doctor if you have any bad effects. You may need to have some heart tests before starting this drug. If you have questions, talk with your doctor. This drug may cause high blood pressure. Check blood pressure and heart rate as the doctor has told you. This drug may affect certain lab tests. Tell all of your healthcare providers and lab workers that you take this drug. Talk with your doctor before using OTC products that may raise blood pressure. These include cough or cold drugs, diet pills, stimulants, non-steroidal anti-inflammatory drugs (NSAIDs) like ibuprofen or naproxen, and some natural products or aids. A severe skin reaction (Stevens-Johnson syndrome/toxic epidermal necrolysis) may happen. It can cause severe health problems that may not go away, and sometimes death. Get medical help right away if you have signs like red, swollen, blistered, or peeling skin (with or without fever); red or irritated eyes; or sores in your mouth, throat, nose, or eyes. New or worse behavior and mood changes like changes in thinking, anger, and hallucinations have happened with this drug. Tell your doctor if you or a family member have any mental or mood problems like depression or bipolar illness, or if a family member has committed suicide. Call your doctor right away if you have hallucinations; a change in the way you act; or signs of mood changes like depression, thoughts of suicide, nervousness, emotional ups and downs, thinking that is not normal, anxiety, or lack of interest in life. This drug may affect growth in children and teens in some cases. They may need regular growth checks. Talk with the doctor. This drug is not approved for use in children younger than 6 years of age. The risk of long-term weight loss is raised in children younger than 6 years of age. Tell your doctor if you are pregnant or plan on getting pregnant. You will need to talk about the benefits and risks of using this drug while you are pregnant.

WHAT ARE SOME SIDE EFFECTS THAT I NEED TO CALL MY DOCTOR ABOUT RIGHT AWAY? WARNING/CAUTION: Even though it may be rare, some people may have very bad and sometimes deadly side effects when taking a drug. Tell your doctor or get medical help right away if you have any of the following signs or symptoms that may be related to a very bad side effect: Signs of an allergic reaction, like rash; hives; itching; red, swollen, blistered, or peeling skin with or without fever; wheezing; tightness in the chest or throat; trouble breathing, swallowing, or talking; unusual hoarseness; or swelling of the mouth, face, lips, tongue, or throat. Signs of high blood pressure like very bad headache or dizziness, passing out, or change in eyesight. Fast or abnormal heartbeat. Change in color of hands, feet, or other areas. Skin may turn pale, blue, gray, purple, or red. Numbness, pain, tingling, or cold feeling of the hands or feet. Any sores or wounds on the fingers or toes. Muscle pain or weakness, dark urine, or trouble passing urine. Heart attacks, strokes, and sudden deaths have happened in adults taking this drug. Sudden deaths have also happened in children with some heart problems or heart defects. Call your doctor right away if you have a fast, slow, or abnormal heartbeat; weakness on 1 side of the body; trouble speaking or thinking; change in balance; drooping on 1 side of the face; change in eyesight; chest pain or pressure; shortness of breath; or severe dizziness or passing out. A severe and sometimes deadly problem called serotonin syndrome may happen if you take this drug with certain other drugs. Call your doctor right away if you have agitation; change in balance; confusion; hallucinations; fever; fast or abnormal heartbeat; flushing; muscle twitching or stiffness; seizures; shivering or shaking; sweating a lot; severe diarrhea, upset stomach, or throwing up; or severe headache.

WHAT ARE SOME OTHER SIDE EFFECTS OF THIS DRUG? All drugs may cause side effects. However, many people have no side effects or only have minor side effects. Call your doctor or get medical help if any of these side effects or any other side effects bother you or do not go away: Anxiety. Constipation, diarrhea, stomach pain, upset stomach, throwing up, or decreased appetite. Dry mouth. Feeling jittery. Weight loss. Trouble sleeping. Dizziness. These are not all of the side effects that may occur. If you have questions about side effects, call your doctor. Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-332-1088. You may also report side effects at https://www.fda.gov/medwatch.

HOW IS THIS DRUG BEST TAKEN? Use this drug as ordered by your doctor. Read all information given to you. Follow all instructions closely. Take this drug at the same time of day. Take it with or without food. To prevent sleep problems, avoid taking this drug late in the day. Swallow the capsule whole. Do not chew, break, or crush. You may open the capsule and mix the powder with water, orange juice, or yogurt. If needed, a spoon may be used to break apart powder that is stuck together. Mix well. If mixed, swallow the mixed drug right away. Do not store for use at a later time.

WHAT DO I DO IF I MISS A DOSE? Take a missed dose as soon as you think about it. If it is close to the time for your next dose, skip the missed dose and go back to your normal time. Do not take 2 doses at the same time or extra doses.

HOW DO I STORE AND/OR THROW OUT THIS DRUG? Store at room temperature protected from light. Store in a dry place. Do not store in a bathroom. Store this drug in a safe place where children cannot see or reach it, and where other people cannot get to it. A locked box or area may help keep this drug safe. Keep all drugs away from pets. Throw away unused or expired drugs. Do not flush down a toilet or pour down a drain unless you are told to do so. Check with your pharmacist if you have questions about the best way to throw out drugs. There may be drug take-back programs in your area.

GENERAL DRUG FACTS If your health conditions or symptoms do not improve, or if they worsen, immediately contact your physician. It is not advisable to share your medication with others, nor should you consume someone else's drugs. This medication is accompanied by an additional patient information leaflet known as a Medication Guide. Please read it carefully and review it each time you refill this medication. Should you have any queries regarding this medication, don't hesitate to consult with your doctor, pharmacist, or other health care professional. If you suspect an overdose has occurred, immediately call your local poison control center or seek medical attention. Be prepared to provide details about what was ingested, the quantity, and the time of occurrence.

Rx Outreach, America’s Non-Profit Pharmacy, is excited to announce that we will be adding the generic for Vyvanse® in late summer.  We know that many people have been struggling with the national Adderall® shortage and we hope that adding this medication to our formulary at a discounted price will offer relief for those who cannot find the medications they need.

About Rx Outreach:

Rx Outreach is the nation's largest nonprofit, fully licensed, mail-order pharmacy. It offers more than 1,000 medication strengths at affordable prices. Located in St. Louis, Missouri, its mission is to provide affordable medication to the underserved. Rx Outreach partners with hundreds of clinics and organizations across the U.S. to provide a crucial health safety net for those who battle both illness and poverty. Since 2010, Rx Outreach has served over 500,000 people, saving them more than $1 billion on their prescription medications. For more information, visit www.rxoutreach.org, call 1-314-222-0472, or follow on TwitterFacebook, and LinkedIn


Issue Date: 6/21/2023; Database Edition; Copyright 2023 Wolters Kluwer UpToDate, Inc.