Wednesday, May 30, 2012

Wednesday, December 03, 2008 DrBB01 asks

Q: For the Summit: ADHD Stimulant Meds for Adults--Can They Be Safely Mixed?

I am a 58-year old ADHD male who has been taking 72 mgs of Concerta for about seven years. Recently, I have found that its effectiveness seems diminished, both in terms of intensity and duration. My psychiatrist has prescribed Vyvanse, and I am now taking 60 mgs. It seems to be effective. However, here is my "dilemma." Just before I received the prescription for Vyvanse, I received three months worth of Concerta from my mail-order prescription plan that is sitting on my shelf.

 

So, I am wondering whether it would be problematic to "mix-and-match" 36 mgs of Concerta with 30 mgs of Vyvanse until I exhausted my Concerta. I would be willing to have a less-than-optimal-but improved impact of meds (over the 72 mgs of Concerta regimen) in return for being able to use up all the Concerta--and save a ton of cash--if the two drugs don't have any bad interactions or synergies. Is there any known risk for mixing these two meds?

 

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Answers (3)
Terry Matlen, ACSW, Health Guide
12/ 3/08 10:33pm

Hi Curious,

 

Since I'm not sure the Summit will be taking questions from the boards here, I thought I'd answer your question, just in case.

 

First, even though Concerta and Vyvanse are both stimulants, they are not the same medication, though both are long acting. It is imperative, and I cannot stress this enough, for you to discuss your thoughts of combining the two with your psychiatrist. You could easily be overmedicating yourself using the plan you are describing, since you cannot compare the two in terms of not just their chemical makeup, but also by their dosages.

 

Since I am not a physician, I cannot make any recommendation other to STRONGLY suggest you discuss this with your doctor. Better that you are out a bit of money than to risk your health.

 

Terry

Reply
6/11/11 2:46pm

Ask your doc for a Vyvanse starter kit. My son's Dr. gave me one and there is a discount card in it for your script. When you go to the pharmacy to fill, you give them the card. It is entered like an insurance card so make sure you give it to them BEFORE the fill your perscription, not after. It is good for 12 months with the hopes that insurance companies will be covering the new meds by then. Good luck!

Reply
12/12/08 12:57am
Its like taking amphetaminw and cocainw. Very dangerous. Plus burns out ur receptors and exhausts ur dopamine/serotonin storage.Plus I KNOW ur phychMD doesent prescribe u both Concerta and Vyvance since DEA will simply flag her. They are both C-II substances and are controlled in every state. You seem to be pretty tolerant. I was playing around with two ADD meds plus coke and stuff at a time and earned myself an intense Anxiety Disorder. Sometimes less is more... Reply
12/12/08 12:57am
Its like taking amphetaminw and cocainw. Very dangerous. Plus burns out ur receptors and exhausts ur dopamine/serotonin storage.Plus I KNOW ur phychMD doesent prescribe u both Concerta and Vyvance since DEA will simply flag her. They are both C-II substances and are controlled in every state. You seem to be pretty tolerant. I was playing around with two ADD meds plus coke and stuff at a time and earned myself an intense Anxiety Disorder. Sometimes less is more... Reply
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By DrBB01— Last Modified: 06/11/11, First Published: 12/03/08