When it comes to medical conditions, there are often several treatment options on the table.
It’s part of what makes medicine such an inexact science. There may be multiple drugs that can treat one condition, but those drugs may have distinct differences between them that make them more effective in some people but less effective for others.
A great example is the case of Vyvanse vs. Adderall.
Both are possible treatment options for someone who’s been diagnosed with attention deficit disorder (ADD), but they are by no means the same drug.
There are many variations of ADD with differing symptoms, but in large part, it’s defined by having difficulty staying focused on a single task or controlling impulsive activity (4). The exact cause of ADD is unclear, but there’s enough evidence to show that it causes an imbalance among the neurotransmitters in the brain that help to regulate behavior (4).
Despite not knowing its exact cause, scientists do feel confident classifying ADD as a neurological problem (4), meaning it is not brought about by environmental factors. This makes it possible for drugs like Vyvanse and Adderall, among others, to alleviate symptoms of ADD by changing brain chemistry.
Let’s explore some of the similarities and differences between Vyvanse and Adderall to determine when it’s appropriate to use each drug for treating ADD.
A diagnosis of ADD, which is officially called attention deficit/hyperactivity disorder (AD/HD) may be cause for a doctor to recommend Vyvanse, which also goes by the name Lisdexamfetamine. Vyvanse is a stimulant that’s designed to balance neurotransmitters within the brain (1). It’s common for Vyvanse to be used as part of a larger treatment plan (1), meaning it may be used in conjunction with other remedies.
Vyvanse has also been used as a treatment option for binge eating disorder (1).
Much like the drug helps to balance out neurotransmitters to help combat problems staying focused, Vyvanse helping to bring balance to brain chemistry may help to reduce the occasions a person feels compelled to binge eat.
In some instances, Vyvanse has also been used to treat psychological disorders like depression and schizophrenia (2). It has also been used to combat excessive daytime sleepiness (2).
Of course, using Vyvanse to treat these conditions, as well as binge eating disorder, is considered off-label use of the drug.
Adderall, meanwhile, is also a stimulant that is most commonly prescribed to treat a diagnosis of ADHD (3). Like Vyvanse, it works by altering brain chemistry with the purpose of helping a person stay focused and organized (3).
It is also believed to help improve behavior, which is why so many people associate the drug with children who act out and struggle to pay attention in school.
The drug has also been used to treat narcolepsy (3). By helping a person to remain focused and attentive, they are less likely to spontaneously fall asleep during the day, which is a problem for people who suffer from narcolepsy.
However, it’s important to recognize that Adderall should not be used by those who don’t suffer from a sleep disorder and simply wish to stay awake (3).
In addition to treating narcolepsy and other disorders that may interrupt a person’s normal sleep cycle, Adderall has also been used to treat depression and obesity (3). However, this is considered off-label use of Adderall.
Doctors may prescript Vyvanse to either adults or children over the age of six who have been diagnosed with ADD (5). The drug has never been tested for children under the age of six, nor is it approved for children this young (5). Being an amphetamine, prescribing Vyvanse should not be done lightly by any doctor.
Prior to prescribing Vyvanse, doctors will assess the risk of a patient abusing the drug (5), which is possible with amphetamines. Doctors are also directed to look for signs of dependence or abuse in patients who are taking Vyvanse (5). Any signs of dependency could cause a doctor to stop treating with Vyvanse and consider other options.
The effectiveness of Vyvanse, assuming there’s no dependency, may determine how long a patient continues to take it. It’s common for doctors to stop treating with Vyvanse for a period of time to see if there are any behavioral changes (1). Doing this can help determine whether the medication is making a difference and is worth continuing.
It’s common for Vyvanse to become less effective if a patient continues to take it over a long period of time (1). This points to Vyvanse being more of a short-term solution than a permanent one, especially when the possibility of developing a dependency on the amphetamine is added to the equation.
Similar to Vyvanse, Adderall will be prescribed by doctors only have a diagnosis of ADD has been confirmed (6). There is a specific list of symptoms that must be present for at least six months in order for a doctor to confirm ADD (6). This helps prevent doctors from rushing to prescribe Adderall unless it’s necessary, especially in the case of children.
It’s also common for Adderall to be just one part of a treatment program (7). In many instances, young patients will undergo forms of psychological, educational, or social treatment in conjunction with Adderall in order to combat ADD on multiple fronts (7). Such treatment methods may be attempted prior to a doctor prescribing Adderall.
Much like Vyvanse, Adderall may not be considered a permanent solution. There’s a lack of information about the long-term effects of Adderall (6). As a result, doctors will frequently re-evaluate whether it is making a significant difference and if a patient should continue using the drug (6).
The recommended dosage of Vyvanse is usually one capsule per day (2). Doses typically begin at 30 mg per day (5). At the doctor’s discretion, the dose may be increased by 10 mg each week up to 70 mg (5). However, there are several variables when it comes to increasing the dosage, and it will rarely increase beyond 70 mg per day (5).
With Vyvanse, it’s usually recommended that the capsule is taken in the morning (5). As with most medications, it’s best to make it part of a daily routine so you can take it at the same time and every day and not miss a dose. Taking Vyvanse in the afternoon or evening can put you at risk of insomnia (5).
The easiest way to take Vyvanse is to swallow the capsule whole. However, those who have trouble swallowing pills have the option of opening the capsule and mixing the contents with water, juice, or yogurt (5). When doing this, it’s important to dissolve the contents of the capsule completely and then consume it right away (5)
With Adderall, a doctor may recommend taking more than one dose per day, although it’s usually not taken more than thrice per day (2). When to take each dose will be determined by your doctor, although the first dose of the day is usually taken in the morning (6). If more than one dose per day is prescribed, there is usually four to six hours between each dose (6).
Similar to Vyvanse, taking Adderall too late in the date can lead to difficulty sleeping at night (3). This makes it all the more important to remember to take Adderall at the appropriate time without missing a dose.
Patients prescribed Adderall will typically begin by taking 5 mg per dose in the form of a tablet (6). Most patients will begin at one, perhaps two, doses per day. If necessary, daily doses may be increased on a weekly basis, usually 5 mg at a time (6). The total daily dose of Adderall that a doctor prescribes will usually max out at 40 mg per day (6).
Vyvanse has been shown to have a positive effect on many of the behaviors that plague those with ADD. For instance, many children with ADD have difficulty remaining focused on a task (4). This can refer to children who struggle to concentrate on a task, struggle to begin a task, or fall victim to distractions in the middle of a task (4).
Vyvanse has been shown to improve focus and organization while decreasing the distractibility for those with ADD (8). Improvements in these areas can make it easier for those with ADD to complete tasks without being distracted or losing their concentration.
Children with ADD are also prone to instances of hyperactivity or impulsivity (4). Hyperactivity can manifest in a number of ways, including excessive talking, fidgety movement with arms or legs, and the desire to be always be moving (4). This can add to the difficulty that children have completing tasks and also get them labeled as being problematic.
However, many taking Vyvanse have seen a decline in their agitation levels (8), making them less prone to hyperactive behavior. Vyvanse can also drive down the need to constantly be talking or in motion (8), helping them to remain calm despite being stuck in one place for long periods of time.
In terms of impulsivity, children with ADD may act or speak without thinking, as they are in search of instant gratification (4). Such actions can come across as disruptive or possibly risky; however, they are merely a result of children struggling to control their impulses because of their brain chemistry and not their personality (4).
For those experiencing such symptoms as a result of ADD, Vyvanse has been shown to be helpful in calming impulsive behavior (8). A decline in this impulsive behavior not only makes a different with regard to task completion, but it can also benefit them socially.
Adderall can have a similar effect on the symptoms of ADD as Vyvanse. Stimulants like Adderall alter brain chemistry to improve to flow of certain neurotransmitters (9). This helps to rectify the changes in brain chemistry that cause ADD in the first place, resulting in increased focus and improvement the behavioral deficiencies that can plague those with ADD (9).
The combination of amphetamines present in Adderall works to control the behavior associated with hyperactivity and impulsivity (10), as discussed above. Like Vyvanse, Adderall plays a role in diminishing this type of behavior, leading to improvement in accomplishing tasks, as well as social benefits.
Taking Vyvanse offers a number of benefits for those who have ADD. As discussed above, it helps to curb many of the behaviors that define the condition, allowing those with ADD to concentrate better on the task at hand and become more comfortable in social situations.
Another benefit of Vyvanse that we’ve discussed previously is the fact that it’s typically taken just once per day (5). This is a distinction from Adderall and makes Vyvanse easier to consume on a regular basis. With just one dose per day, the user can incorporate the medication into their daily schedule without having to schedule several doses throughout the day.
The fact that Vyvanse comes in a capsule is another benefit that shouldn’t be overlooked. Young children who suffer from ADD may have difficulty swallowing pills. Being able to open the capsule and mix the contents into a glass of water or a cup of yogurt makes it that much easier to ingest the medicine without hassle.
Beyond the ease in taking Vyvanse, the drug rarely leads to addiction in those who are prescribed it (1). There’s obviously no guarantee when it comes to someone avoiding a harmful addition. But as long as you take Vyvanse as prescribed, starting and stopping as prescribed by your doctor, the odds are in your favor to avoid adverse effects with regard to addiction.
Vyvanse is also categorized as a long-release drug, a type of drug that typically gets better results in clinical settings than short-release drugs when it comes to treating for ADD (11). The relevance here is that each capsule provides a steady improvement over the course of several hours (11). In the case of Vyvanse, each pill will remain effective for 10 to 12 hours (11).
For the sake of comparison, a short-release drug may have a more immediate impact. However, it will wear off faster, creating an instant high but leaving the user eventually wanting and needing more. With a long-release drug like Vyvanse, the user experiences an improvement, but in a way, that’s stable and consistent over the course of the day (11).
Moreover, the nature of Vyvanse allows the user to become accustomed to the changes the drug causes in their behavior and adapt to those changes relatively quickly (11). For anyone taking a prescription medication, knowing how the drug will affect you makes a huge difference, and so Vyvanse’s reliability is a huge benefit.
The way Vyvanse is absorbed is also important to its effectiveness. A vast majority of the drug takes effect in the blood, which is different from other ADD treatments (11). This allows users to take their dose of medication without or without food. Potential variables like fasting or the acidity of your stomach will have little effect in Vyvanse inside the body (11).
Another benefit of Vyvanse is that it’s made of d-amphetamine. Compared to other types of ADD treatment, including Adderall, this helps to reduce anxiety and other types of unusual emotions as a result of the drug (11).
Finally, most ADD treatments are best for short-term use, as their benefits tend to diminish the longer you take it. This is true to some extent with Vyvanse, but studies show that more than half of people taking Vyvanse for a year still experience relief from their ADD symptoms (11). This suggests that patients can stay on the drug longer than other medicines in they event they need to.
Like Vyvanse, Adderall has a long list of advantages. As most people know, Adderall is one of the most commonly prescribed drugs for treating ADD (3). This gives Adderall an extensive track record for helping both children and adults improve their concentration and keep their compulsive behavior under control.
One of the top benefits of Adderall that makes it such a common treatment for ADD is that it’s an instant-release drug (9). The effects of the drug can be seen in patients within an hour or two, with peak effectiveness usually occurring three hours after taking each dose (9). Knowing this can help doctors and patients plan out the optimal times to plan doses throughout the day.
There is also a new version of Adderall developed called Adderall XR (extended release) (9). Instead of needing multiple doses per day, which is common with Adderall, the new version lasts for 24 hours, giving patients the option of only taking one dose per day (9).
Like all drugs, Vyvanse does come with some risk of side effects. However, it’s important to keep in mind that if the drug was properly prescribed and taken as directed, it minimizes the risk of the user experiencing serious side effects (1). That being said, it’s important to be cognizant of the potential risks and side effects of the Vyvanse.
Among the most common side effects include nausea, vomiting, abdominal pain, headache, and dizziness (1). Anyone should contact a medical professional if you experience these symptoms. Other side effects that require medical attention if they persist include loss of appetite, dry mouth, nervousness, irritability, restlessness, trouble sleeping, and weight loss (1).
Vyvanse has also been known to cause more serious and immediate side effects in rare instances. Among these are blurred vision, irregular heartbeat, sudden mood swings that involve aggression or depression, uncontrolled twitching, numbness, changes in skin color, sudden outbursts of words or sounds, swelling, extreme fatigue (1). Such symptoms may require immediate medical intervention.
Allergic reactions to Vyvanse are rare but possible. Symptoms of an allergy include a rash, swelling of the tongue or throat, difficulty breathing, and extreme dizziness (1). Any type of chest pain, shortness of breath, confusion, slurred speech, or sudden vision changes upon taking Vyvanse require immediate medical attention (1), although are rare side effects of the drug.
It’s also possible for Vyvanse use to raise your blood pressure (1). Your doctor will be aware of this and will regularly check your blood pressure during the course of treatment. However, it can be a good idea to check your blood pressure on your own if possible and contact your doctor if it’s higher than usual.
As mentioned earlier, Vyvanse has a lower incidence of addiction than other types of ADD treatment, but being a stimulant, dependency is still possible (8). Issues with Vyvanse related to dependence or tolerance are more common when the drug is misused, although, in some instances, it’s also possible with long-term use (8).
A condition called Vyvanse Use Disorder can alter brain chemistry and functioning, often leading to malnourishment and chronic insomnia (8). Issues with vision, damage to the liver, seizures, and cardiovascular problems are also possible (8). For younger users, Vyvanse Use Disorder can also suppress growth (8).
It bears repeating that serious side effects and dependency issues with Vyvanse are rare. However, anyone taking the drug should be aware of the possible risks and side effects as a way to recognize the importance of taking Vyvanse as directed and seek medical attention if any side effects present.
Adderall also comes with a number of potential side effects. Again, like Vyvanse, if Adderall is properly prescribed and taken as directed, it should minimize the risk of serious side effects (1). Nevertheless, it’s important to be aware of the possible side effects.
Some of the more serious side effects of Adderall include bladder pain, frequent urination, painful urination, bloody urine, lower back pain, and an irregular heartbeat (6). Your doctor should be notified as soon as possible at the onset of any of these symptoms when taking Adderall (6).
Immediate medical intervention may also be necessary if you experience issues with blood flow that may manifest as numbness or changes in skin color, mood swings that relate to abnormal aggression or depression, abnormal wounds around your fingers and toes, teeth grinding or constant chewing movement, sudden outbursts of noise, and uncontrolled movements (3).
Just like Vyvanse, serious allergic reactions are rare but possible with Adderall. Signs of an allergy to Adderall include a rash, severe dizziness, itching or swelling around the face or throat, and trouble breathing (3). Any such symptoms will require immediate medical intervention.
Rare but serious side effects of Adderall that also require immediate medical attention include fainting, shortness of breath, irregular heartbeat, severe headache, extreme fatigue, swelling in the feet or ankles, slurred speech, confusion, or weakness on one side of the body (3).
More common side effects of Adderall that may not be serious in the short-term include difficulty sleeping, nervousness, restlessness, dry mouth, stomach pain, nausea, vomiting, constipation, loss of appetite, weight loss, and headache (7). These symptoms may not require immediate medical attention but they should be passed along to your prescribing physician.
Adderall also has a higher risk of dependency than Vyvanse, especially if it’s not taken as prescribed (7). Taking a larger dose of Adderall than what has been prescribed or taking it more often than your doctor recommends can lead to an addiction (7).
Abusing Adderall may lead to symptoms like a rash, insomnia, irritability, and other changes in one’s personality (7). Serious abuse of Adderall can cause symptoms that are nearly identical to schizophrenia (7), which speaks to the importance of taking doses exactly as they were prescribed.
Based on all the information available, both Vyvanse and Adderall are viable forms of treatment for ADD. However, there are distinctions between the two that may make one drug better than the other for certain patients.
To some extent, Vyvanse may be the safer choice for treating ADD. It requires just one dosage per day and has been shown to be less of a risk for addiction than Adderall. It also has less of a history of being abused as a recreational drug than Adderall, which has played a role in the latter drug receiving a bad reputation.
Vyvanse being a long-release drug also makes it safer and more predictable in its results than Adderall. To be fair, Vyvanse has less of a track record for treating ADD than Adderall, but for someone who was recently diagnosed with ADD, it may be a better option to try right off the bat than Adderall.
On the other hand, Adderall is a more established treatment option, having been around longer. There may be a higher risk of addiction when taking Adderall, but as long as the drug is taken as prescribed, those risks can be minimized as much as possible.
Ultimately, Adderall may be considered a slightly more radical treatment, but one that may have a better chance of being successful, at least in the short term. Neither drug should be looked at as a permanent solution for ADD, and both should be taken in conjunction with other forms of treatment.
For someone with ADD, both Vyvanse and Adderall have the potential to curb symptoms. But it’s important to keep in mind that the success of each will vary from person to person and depend in large part on the circumstances of each individual case.
Linapohusu magonjwa, mara nyingi kuna njia kadhaa za matibabu. Ni sehemu ya kile kinachofanya dawa iwe sayansi isiyo sahihi. Kunaweza kuwa na dawa nyingi ambazo zinaweza kutibu hali moja, lakini dawa hizo zinaweza kuwa na tofauti tofauti kati yao ambazo zinawafanya kuwa na ufanisi zaidi kwa watu wengine lakini sio ufanisi kwa wengine. Mfano mzuri ni kesi ya Vyvanse dhidi ya Adderall. Njia zote mbili za matibabu zinapatikana kwa mtu ambaye amepatikana na ugonjwa wa upungufu wa umakini (ADD), lakini sio dawa ileile. Kuna tofauti nyingi za ADD na dalili tofauti, lakini kwa sehemu kubwa, inafafanuliwa kwa kuwa na ugumu wa kukaa umakini juu ya kazi moja au kudhibiti shughuli ya msukumo. Sababu halisi ya ADD haijulikani, lakini kuna ushahidi wa kutosha kuonyesha kwamba husababisha usawa kati ya neurotransmitters katika ubongo ambayo husaidia kudhibiti tabia. Ingawa wanasayansi hawajui sababu halisi ya ugonjwa huo, wanaamini kwamba ugonjwa huo ni tatizo la neva, yaani, hausababishwi na mazingira. Dawa kama vile Vivax na Adderall zinaweza kupunguza dalili za ADHD kwa kubadilisha kemikali ya ubongo. Hebu kuchunguza baadhi ya kufanana na tofauti kati ya Vyvanse na Adderall kuamua wakati ni sahihi kutumia kila dawa kwa ajili ya kutibu ADD. Ugonjwa wa ADHD (Ugonjwa wa Upungufu wa Umakini na Utendaji wa Kiwango) ni ugonjwa wa kawaida ambao unaweza kusababisha daktari kupendekeza Lisdexamethasone. Vyvanse ni kichocheo ambacho kimetengenezwa ili kusawazisha neurotransmitters ndani ya ubongo (1). Ni kawaida kwa Vyvanse kutumika kama sehemu ya mpango mkubwa wa matibabu (1), ikimaanisha inaweza kutumika pamoja na tiba nyingine. Vyvanse pia imetumiwa kama chaguo la matibabu ya ugonjwa wa kula kupita kiasi (1). Kama vile dawa hiyo inasaidia kusawazisha neurotransmitters kusaidia kupambana na matatizo ya kukaa umakini, Vibrio kusaidia kuleta usawa kwa kemia ya ubongo inaweza kusaidia kupunguza matukio mtu anahisi kulazimishwa binge kula. Vibrio pia hutumiwa katika matibabu ya magonjwa ya akili kama vile ugonjwa wa akili na schizophrenia. Pia imetumiwa kupambana na usingizi mwingi wakati wa mchana (2). Kwa kweli, kutumia VivaLabs kutibu hali hizi, pamoja na ugonjwa wa kula kupita kiasi, inachukuliwa kuwa matumizi ya dawa hiyo nje ya lebo. Adderall ni dawa ya kuchochea ambayo hutumiwa kwa kawaida kutibu ADHD. Kama vile Vivax, inabadilisha kemikali za ubongo ili kusaidia mtu awe na uwezo wa kukaza fikira na kupanga mambo. Pia inaaminika kusaidia kuboresha tabia, na kwa hiyo watu wengi huhusianisha dawa hiyo na watoto ambao hujiendesha vibaya na wanajitahidi kuzingatia shuleni. Dawa hiyo imetumiwa pia kutibu narcolepsy (3). Kwa kumsaidia mtu kukaa makini na makini, ni rahisi zaidi kwa mtu huyo kulala wakati wa mchana, jambo ambalo ni tatizo kwa watu wanaosumbuliwa na ugonjwa wa kulala usingizi. Hata hivyo, ni muhimu kutambua kwamba Adderall haipaswi kutumiwa na wale ambao hawana ugonjwa wa usingizi na wanataka tu kukaa macho (3). Kwa kuongezea kutibu narcolepsy na matatizo mengine ambayo yanaweza kuvuruga mzunguko wa kawaida wa usingizi wa mtu, Adderall pia imetumiwa kutibu unyogovu na unene kupita kiasi (3). Hata hivyo, hii ni kuchukuliwa nje ya lebo ya matumizi ya Adderall. Vyvanse inaweza kuagizwa kwa watu wazima au watoto wenye umri wa zaidi ya miaka sita ambao wamegunduliwa kuwa na ADHD. Dawa hiyo haijawahi kupimwa kwa watoto chini ya umri wa miaka sita, wala haijaidhinishwa kwa watoto wadogo kama hao. Kwa kuwa ni dawa ya amphetamine, daktari yeyote hapaswi kuagiza dawa ya Vyvanse kwa urahisi. Kabla ya kuagiza Vivax, madaktari watathmini hatari ya mgonjwa kutumia dawa hiyo vibaya, ambayo inawezekana na amphetamines. Madaktari pia huelekezwa kuangalia ishara za utegemezi au matumizi mabaya kwa wagonjwa wanaotumia Vyvanse (5). Ishara yoyote ya utegemezi inaweza kusababisha daktari kuacha matibabu na Vyvanse na kuzingatia chaguzi nyingine. Ufanisi wa Vyvanse, kwa kudhani hakuna utegemezi, unaweza kuamua ni kwa muda gani mgonjwa anaendelea kuitumia. Ni kawaida kwa madaktari kuacha matibabu na Vyvanse kwa kipindi cha muda ili kuona kama kuna mabadiliko yoyote ya tabia (1). Kufanya hivyo kunaweza kukusaidia kujua ikiwa dawa hiyo inasaidia na ikiwa inafaa kuendelea. Ni kawaida kwa Vyvanse kuwa chini ya ufanisi kama mgonjwa anaendelea kuchukua kwa muda mrefu (1). Hii inaonyesha kwamba Vivax ni suluhisho la muda mfupi kuliko la kudumu, hasa wakati uwezekano wa kuendeleza utegemezi wa amphetamine unaongezwa kwa equation. Kama ilivyo kwa VivaLight, Adderall itapewa na madaktari tu baada ya utambuzi wa ADD kuthibitishwa. Kuna orodha maalum ya dalili ambazo lazima ziwepo kwa angalau miezi sita ili daktari athibitishe ADD. Hii husaidia kuzuia madaktari kutoka kukimbilia kuagiza Adderall isipokuwa ni muhimu, hasa katika kesi ya watoto. Pia ni kawaida kwa Adderall kuwa sehemu moja tu ya mpango wa matibabu (7). Katika kesi nyingi, wagonjwa wadogo watapata aina za matibabu ya kisaikolojia, ya kielimu, au ya kijamii pamoja na Adderall ili kupambana na ADD kwenye pande nyingi (7). Mbinu hizo za matibabu zaweza kujaribu kabla ya daktari kuagiza Adderall. Sawa na Vyvanse, Adderall haiwezi kuonwa kuwa suluhisho la kudumu. Kuna ukosefu wa habari kuhusu athari za muda mrefu za Adderall (6). Kwa sababu hiyo, mara nyingi madaktari huchunguza tena kama dawa hiyo ina matokeo mazuri na ikiwa mgonjwa anapaswa kuendelea kutumia dawa hiyo. Kiwango cha VivaLight kinachopendekezwa ni capsule moja kwa siku. Kwa kawaida, kipimo cha kwanza ni 30 mg kwa siku. Kwa hiari ya daktari, kipimo cha dawa inaweza kuongezeka kwa 10 mg kila wiki hadi 70 mg. Hata hivyo, kuna tofauti kadhaa wakati wa kuongeza kipimo, na ni mara chache sana kuongezeka zaidi ya 70 mg kwa siku. Kwa Vyvanse, kwa kawaida inashauriwa kwamba capsule inachukuliwa asubuhi (5). Kama ilivyo na dawa nyingi, ni bora kuifanya kuwa sehemu ya utaratibu wa kila siku ili uweze kuichukua wakati huo huo na kila siku na usikose kipimo. Ukiwa na Vivax wakati wa mchana au jioni, unaweza kuwa na hatari ya kukosa usingizi. Njia rahisi zaidi ya kuchukua Vyvanse ni kumeza capsule nzima. Hata hivyo, wale wanaopata matatizo ya kumeza dawa wanaweza kufungua kifungo hicho na kuchanganya na maji, maji ya matunda, au mboga. Wakati wa kufanya hivyo, ni muhimu kufuta yaliyomo ya capsule kabisa na kisha kuitumia mara moja. (5) Kwa Adderall, daktari anaweza kupendekeza kuchukua zaidi ya kipimo kimoja kwa siku, ingawa kwa kawaida haichukui zaidi ya mara tatu kwa siku. Wakati wa kuchukua kipimo cha kwanza cha siku hiyo huamuliwa na daktari wako, ingawa kipimo cha kwanza cha siku hiyo kwa kawaida huchukuliwa asubuhi. Ikiwa zaidi ya kipimo kimoja kwa siku kinapewa, kwa kawaida kuna masaa manne hadi sita kati ya kila kipimo (6). Kama ilivyo na Vivax, kuchukua Adderall baadaye sana katika tarehe inaweza kusababisha ugumu wa kulala usiku (3). Hii inafanya kuwa muhimu zaidi kukumbuka kuchukua Adderall kwa wakati unaofaa bila kukosa kipimo. Kwa kawaida, wagonjwa wanaopokea Adderall huanza kwa kuchukua kipimo cha 5 mg kwa kipimo katika fomu ya kibao. Wagonjwa wengi wataanza kwa kipimo kimoja, labda viwili, kwa siku. Ikiwa ni lazima, kipimo cha kila siku kinaweza kuongezeka kila wiki, kwa kawaida mg 5 kwa wakati mmoja. Kiasi cha kila siku cha Adderall ambacho daktari anatoa kwa kawaida ni 40 mg kwa siku. Vibrio inaonekana kuwa na athari nzuri kwa tabia nyingi ambazo zinashambulia wale walio na ADD. Kwa mfano, watoto wengi wenye ADHD wana matatizo ya kukaza fikira kwenye kazi fulani (4). Hii inaweza kurejelea watoto ambao wanajitahidi kukaza fikira kwenye kazi, wanajitahidi kuanza kazi, au wanakuwa waathirika wa usumbufu katikati ya kazi. Vibrio inaweza kusaidia kupunguza mtiririko wa akili na kupunguza usumbufu kwa watu wenye ADHD. Kuboresha katika maeneo haya kunaweza kuwafanya watu wenye ADHD waweze kukamilisha kazi bila kugeuzwa fikira au kupoteza umakini wao. Watoto wenye ADHD pia huwa na tabia ya kuwa na shughuli nyingi sana au kuwa na mwelekeo wa kukimbilia mambo. Utendaji wa kupita kiasi waweza kuonekana kwa njia mbalimbali, kutia ndani kuongea kupita kiasi, kuhamisha mikono au miguu kwa wasiwasi, na tamaa ya kuwa na mwendo daima. Hii inaweza kuongeza ugumu wa watoto kumaliza kazi na pia kuwafanya waonekane kuwa na shida. Hata hivyo, watu wengi wanaotumia Vivax wameona kupungua kwa viwango vyao vya msisimko, na hivyo kuwafanya wawe na mwelekeo mdogo wa kuwa na tabia ya kupita kiasi. Vibrio pia inaweza kupunguza uhitaji wa kuzungumza au kusonga daima, ikisaidia kudumisha utulivu licha ya kukwama mahali pamoja kwa muda mrefu. Kwa sababu ya msukumo, watoto wenye ADHD wanaweza kutenda au kusema bila kufikiri, kwa kuwa wanatafuta kuridhika mara moja. Hatua kama hizo zinaweza kuonekana kuwa zenye kuvuruga au zenye hatari; hata hivyo, ni matokeo tu ya watoto wanaojitahidi kudhibiti msukumo wao kwa sababu ya kemia ya ubongo wao na sio utu wao. Kwa wale wanaopata dalili kama hizo kama matokeo ya ADD, Vyvanse imeonyeshwa kuwa na msaada katika kutuliza tabia ya kukimbilia (8). Kupungua kwa tabia hii ya msukumo sio tu hufanya tofauti kwa suala la kukamilisha kazi, lakini pia inaweza kuwafaidi kijamii. Adderall inaweza kuwa na athari sawa juu ya dalili za ADD kama Vyvanse. Dawa za kuchochea kama vile Adderall hubadili kemikali ya ubongo ili kuboresha mtiririko wa neurotransmitters fulani (9). Hii husaidia kurekebisha mabadiliko katika kemia ya ubongo ambayo husababisha ADD, na kusababisha kuongezeka kwa umakini na kuboresha upungufu wa tabia ambayo inaweza kuwaathiri wale walio na ADD. Mchanganyiko wa amphetamines katika Adderall hufanya kazi kudhibiti tabia inayohusiana na hyperactivity na impulsivity, kama ilivyojadiliwa hapo juu. Kama vile Vivax, Adderall ina jukumu katika kupunguza tabia hii, na kusababisha uboreshaji katika kutimiza kazi, pamoja na faida za kijamii. Kuchukua VivaLight ina faida kadhaa kwa wale ambao wana ADD. Kama ilivyojadiliwa hapo juu, inasaidia kuzuia tabia nyingi ambazo hufafanua hali hiyo, ikiruhusu wale walio na ADD kuzingatia vizuri kazi iliyopo na kuwa na raha zaidi katika hali za kijamii. Faida nyingine ya Vyvanse ambayo tumezungumzia hapo awali ni ukweli kwamba kwa kawaida inachukuliwa mara moja tu kwa siku (5). Hii ni tofauti kutoka Adderall na hufanya Vyvanse rahisi kutumia kwa ukawaida. Kwa kipimo kimoja tu kwa siku, mtumiaji anaweza kuingiza dawa hiyo katika ratiba yao ya kila siku bila kuhamisha vipimo kadhaa kwa siku nzima. Ukweli kwamba Vyvanse inakuja katika capsule ni faida nyingine ambayo haipaswi kupuuzwa. Watoto wadogo wanaosumbuliwa na ADHD wanaweza kuwa na ugumu wa kumeza dawa. Kuweza kufungua capsule na kuchanganya yaliyomo katika glasi ya maji au kikombe cha yoghurt hufanya iwe rahisi zaidi kumeza dawa bila shida. Vyvanse ni dawa ya kawaida ya kulevya ambayo ni rahisi kuchukua, lakini kwa wale wanaopokea dawa hiyo, ni nadra sana kuwa na tabia ya kulevya. Ni wazi hakuna dhamana linapokuja mtu kuepuka kuongeza madhara. Kama wewe kuchukua Viprezi kama ilivyoelezwa, kuanzia na kuacha kama ilivyoelezwa na daktari wako, uwezekano ni kwa niaba yako ili kuepuka athari mbaya kwa suala la ulevi. Vibrio pia ni dawa ya kutolewa kwa muda mrefu, ambayo kwa kawaida hupata matokeo bora katika mazingira ya kliniki kuliko dawa za kutolewa kwa muda mfupi wakati wa kutibu ADD. Kwa sababu hii, kila capsule hutoa uboreshaji wa mara kwa mara kwa masaa kadhaa. Kwa VivaLens, kila kidonge kinaweza kutumika kwa masaa 10 hadi 12. Kwa ajili ya kulinganisha, dawa ya kutolewa kwa muda mfupi yaweza kuwa na athari ya papo hapo zaidi. Hata hivyo, itatoweka haraka, ikitokeza msisimko wa papo hapo lakini kumwacha mtumiaji hatimaye akitaka na kuhitaji zaidi. Kwa dawa ya kutolewa kwa muda mrefu kama Vyvanse, mtumiaji hupata uboreshaji, lakini kwa njia, hiyo ni thabiti na thabiti katika siku nzima (11). Kwa kuongezea, asili ya Vivax inaruhusu mtumiaji kuzoea mabadiliko ya tabia ambayo dawa hiyo husababisha na kuzoea mabadiliko hayo haraka sana. Kwa mtu yeyote anayetumia dawa ya dawa, kujua jinsi dawa hiyo itakavyokuathiri hufanya tofauti kubwa, na hivyo kuegemea kwa VivaLight ni faida kubwa. Njia Vyvanse inavyoingizwa pia ni muhimu kwa ufanisi wake. Dawa hiyo ina athari kubwa katika damu, ambayo ni tofauti na matibabu mengine ya ADD. Hii inaruhusu watumiaji kuchukua kipimo chao cha dawa bila au bila chakula. Vipengele kama vile njaa au asidi ya tumbo yako itakuwa na athari ndogo katika Vivava ndani ya mwili. Faida nyingine ya Vyvanse ni kwamba imetengenezwa kwa d-amphetamine. Kwa kulinganisha na aina nyingine za matibabu ya ADD, ikiwa ni pamoja na Adderall, hii inasaidia kupunguza wasiwasi na aina nyingine za hisia zisizo za kawaida kama matokeo ya dawa hiyo. Kwa upande mwingine, matibabu ya ADD ni bora kwa matumizi ya muda mfupi, kwani faida zao hupungua kadiri unavyotumia muda mrefu. Kwa mfano, Vivax inatoa athari nzuri kwa watu ambao wamekuwa wakitumia Vivax kwa zaidi ya mwaka mmoja na bado wanapata mapumziko kutoka kwa dalili zao za ADD. Hii inaonyesha kwamba wagonjwa wanaweza kukaa juu ya dawa kwa muda mrefu kuliko dawa nyingine katika kesi wanahitaji. Kama vile Vyvanse, Adderall ina orodha ndefu ya faida. Kama unavyojua, Adderall ni moja ya dawa za kawaida zinazotumiwa kutibu ADHD. Hii inatoa Adderall rekodi kubwa ya kufuatilia kusaidia watoto na watu wazima kuboresha mkusanyiko wao na kuweka tabia yao ya kulazimisha chini ya udhibiti. Moja ya faida za juu za Adderall ambayo inafanya kuwa matibabu ya kawaida kwa ADD ni kwamba ni dawa ya kutolewa mara moja (9). Matokeo ya dawa yaweza kuonekana kwa wagonjwa ndani ya saa moja au mbili, na ufanisi wa kilele kwa kawaida hutokea masaa matatu baada ya kuchukua kila kipimo. Kujua hili kunaweza kusaidia madaktari na wagonjwa kupanga nyakati bora za kupanga kipimo cha dawa siku nzima. Toleo la Adderall XR (kufunguliwa kwa muda mrefu) Badala ya kutumia dawa nyingi kwa siku, ambayo ni ya kawaida na Adderall, toleo jipya linaendelea kwa masaa 24, na kuwapa wagonjwa chaguo la kuchukua kipimo kimoja tu kwa siku. Kama dawa zote, Vyvanse inakuja na hatari fulani ya athari za upande. Hata hivyo, ni muhimu kukumbuka kwamba kama dawa ilikuwa vizuri kuagizwa na kuchukuliwa kama ilivyoelekezwa, ni kupunguza hatari ya mtumiaji uzoefu madhara makubwa (1). Hiyo ikisemwa, ni muhimu kuwa na ufahamu wa hatari zinazowezekana na athari za upande wa Vyvanse. Miongoni mwa athari za kawaida ni kichefuchefu, kutapika, maumivu ya tumbo, maumivu ya kichwa, na kizunguzungu (1). Mtu yeyote anapaswa kuwasiliana na mtaalamu wa matibabu ikiwa unapata dalili hizi. Madhara mengine ambayo yanahitaji matibabu ikiwa yanaendelea ni pamoja na kupoteza hamu ya kula, kinywa kavu, wasiwasi, kukasirika, kutokuwa na utulivu, matatizo ya kulala, na kupoteza uzito (1). Vyvanse pia imejulikana kusababisha athari mbaya zaidi na za papo hapo katika visa vichache. Miongoni mwao ni maono yasiyoeleweka, mapigo ya moyo yasiyo ya kawaida, mabadiliko ya ghafula ya hisia ambayo huhusisha uhasama au kushuka moyo, mshtuko usioweza kudhibitiwa, kuzimia, mabadiliko ya rangi ya ngozi, milipuko ya ghafula ya maneno au sauti, uvimbe, uchovu mkubwa (1). Dalili hizo zaweza kuhitaji matibabu ya mara moja. Madhara ya mzio kwa Vyvanse ni nadra lakini inawezekana. Dalili za mzio ni pamoja na mchochota, uvimbe wa ulimi au koo, ugumu wa kupumua, na kizunguzungu kikubwa (1). Aina yoyote ya maumivu ya kifua, upungufu wa kupumua, kuchanganyikiwa, usemi usioeleweka, au mabadiliko ya macho ya ghafla baada ya kuchukua Vivax inahitaji uangalifu wa matibabu ya haraka, ingawa athari za upande za dawa ni nadra. Pia inawezekana kwa matumizi ya Vyvanse kuongeza shinikizo lako la damu (1). Daktari wako atajua hili na atachunguza shinikizo lako la damu mara kwa mara wakati wa matibabu. Hata hivyo, inaweza kuwa wazo nzuri kuangalia shinikizo lako la damu juu ya yako mwenyewe kama inawezekana na kuwasiliana na daktari wako kama ni juu kuliko kawaida. Kama ilivyoelezwa hapo awali, Vivax ina kiwango cha chini cha kulevya kuliko aina nyingine za matibabu ya ADD, lakini kuwa kichocheo, utegemezi bado unawezekana. Masuala na Vyvanse kuhusiana na utegemezi au uvumilivu ni ya kawaida zaidi wakati dawa ni matumizi mabaya, ingawa, katika baadhi ya matukio, ni pia inawezekana na matumizi ya muda mrefu (8). Ugonjwa unaoitwa Vibrio Users Disorder unaweza kubadilisha kemia ya ubongo na utendaji, mara nyingi kusababisha utapiamlo na kukosa usingizi kwa muda mrefu. Matatizo ya kuona, uharibifu wa ini, mshtuko wa moyo, na matatizo ya moyo na mishipa ya damu pia yanaweza kutokea (8). Kwa watumiaji wachanga, Vyvanse Use Disorder pia inaweza kuzuia ukuaji (8). Ni muhimu kurudia kwamba athari mbaya za upande na masuala ya utegemezi na Vyvanse ni nadra. Hata hivyo, mtu yeyote anayetumia dawa hiyo anapaswa kuwa na ufahamu wa hatari zinazowezekana na athari za upande kama njia ya kutambua umuhimu wa kuchukua VivaLim kama ilivyoelekezwa na kutafuta matibabu ikiwa athari yoyote ya upande inapatikana. Adderall pia huja na athari kadhaa za upande. Kwa hiyo, kama vile Vivax, ikiwa Adderall imeagizwa kwa usahihi na kuchukuliwa kama ilivyoelekezwa, inapaswa kupunguza hatari ya athari mbaya za upande. Hata hivyo, ni muhimu kuwa na ufahamu wa athari zinazowezekana. Baadhi ya athari mbaya za Adderall ni pamoja na maumivu ya kibofu cha mkojo, kukohoa mara kwa mara, kukohoa kwa uchungu, kukohoa kwa damu, maumivu ya mgongo, na mapigo ya moyo yasiyo ya kawaida. Daktari wako anapaswa kuarifiwa mara tu anapopata dalili hizi wakati wa kutumia Adderall. Ugonjwa wa damu unaweza kutokea kama vile maumivu ya tumbo, mabadiliko ya rangi ya ngozi, mabadiliko ya hisia zinazohusiana na hasira au kushuka moyo, majeraha ya kawaida karibu na vidole vya mikono na miguu, kupiga meno au kutafuna mara kwa mara, kelele za ghafla, na harakati zisizo na udhibiti. Kama vile Vyvanse, athari mbaya za mzio ni nadra lakini zinawezekana na Adderall. Dalili za mzio wa Adderall ni pamoja na mchochota, kizunguzungu kali, kukwaruza au uvimbe karibu na uso au koo, na shida ya kupumua (3). Dalili zozote kama hizo zitahitaji matibabu ya mara moja. Madhara ya Adderall ambayo ni ya kawaida lakini ya hatari ambayo yanahitaji matibabu ya haraka ni pamoja na kukosa fahamu, kukosa pumzi, kugonga kwa moyo kwa njia isiyo ya kawaida, maumivu makali ya kichwa, uchovu mkubwa, uvimbe wa miguu au vifundo vya miguu, usemi usioeleweka, kuchanganyikiwa, au udhaifu upande mmoja wa mwili. Madhara ya kawaida ya Adderall ambayo yanaweza kuwa si mbaya kwa muda mfupi ni pamoja na ugumu wa kulala, wasiwasi, wasiwasi, kinywa kavu, maumivu ya tumbo, kichefuchefu, kutapika, constipation, kupoteza hamu ya kula, kupoteza uzito, na maumivu ya kichwa. Dalili hizi zinaweza kutohitaji matibabu ya haraka lakini zinapaswa kupitishwa kwa daktari wako wa kuagiza. Adderall pia ina hatari kubwa ya utegemezi kuliko Vyvanse, hasa kama si kuchukuliwa kama ilivyoelezwa (7). Kuchukua kipimo kikubwa cha Adderall kuliko kile kilichopendekezwa au kuchukua mara nyingi kuliko daktari wako anapendekeza inaweza kusababisha uraibu. Kutumia vibaya Adderall kunaweza kusababisha dalili kama vile mchochota, kukosa usingizi, kukasirika, na mabadiliko mengine katika utu wa mtu (7). Matumizi mabaya ya Adderall yanaweza kusababisha dalili ambazo ni karibu sawa na schizophrenia, ambayo inazungumza juu ya umuhimu wa kuchukua vipimo hasa kama walivyoagizwa. Kwa kuzingatia habari zote zinazopatikana, VivaLast na Adderall ni aina inayofaa ya matibabu ya ADD. Hata hivyo, kuna tofauti kati ya dawa hizo mbili ambazo zaweza kufanya dawa moja iwe bora kuliko nyingine kwa wagonjwa fulani. Kwa kiasi fulani, Vyvanse inaweza kuwa chaguo salama zaidi kwa ajili ya kutibu ADD. Inahitaji kipimo kimoja tu kwa siku na imeonyeshwa kuwa na hatari ndogo ya uraibu kuliko Adderall. Pia ina historia ndogo ya kutumiwa vibaya kama dawa ya burudani kuliko Adderall, ambayo imecheza jukumu katika dawa ya mwisho kupokea sifa mbaya. Vyvanse kuwa dawa ya kutolewa kwa muda mrefu pia inafanya kuwa salama zaidi na kutabirika zaidi katika matokeo yake kuliko Adderall. Kwa kweli, Vivax ina rekodi ndogo ya matibabu ya ADD kuliko Adderall, lakini kwa mtu ambaye hivi karibuni aligunduliwa na ADD, inaweza kuwa chaguo bora kujaribu moja kwa moja kuliko Adderall. Kwa upande mwingine, Adderall ni chaguo la matibabu lililotambuliwa zaidi, kwa kuwa limekuwapo kwa muda mrefu zaidi. Kuna uwezekano mkubwa wa kuwa na tabia ya kulevya wakati wa kutumia Adderall, lakini ikiwa dawa hiyo inachukuliwa kama ilivyoelezwa, hatari hizo zinaweza kupunguzwa. Adderall ni dawa ya matibabu ya muda mrefu, ambayo inaweza kuwa na mafanikio zaidi, angalau kwa muda mfupi. Dawa zote mbili hazipaswi kuchukuliwa kama suluhisho la kudumu kwa ADD, na zote mbili zinapaswa kuchukuliwa pamoja na aina nyingine za matibabu. Kwa mtu mwenye ADD, Vyvanse na Adderall zina uwezo wa kupunguza dalili. Lakini ni muhimu kukumbuka kwamba mafanikio ya kila mmoja yatatofautiana kutoka kwa mtu hadi mtu na inategemea sehemu kubwa juu ya hali ya kila kesi ya mtu binafsi.