How to deal with the Adderall/Vyvanse crash?
January 24, 2014 7:05 AM Subscribe
I am currently on 40 mg of Vyvanse. I usually take it around 7 AM, and by 2 PM I am already starting to crash. By 5 PM I am basically braindead. I had a similar problem with Adderall XR. For people who have had similar problems: Has increasing the dose helped you at all? Did you supplement with a booster? Or was another medication (or quitting) the answer?
posted by Kamelot123 to Health & Fitness (8 answers total) 5 users marked this as a favorite
My day basically goes like this:
I wake up anxious, stressed, don't want to get out of bed (due various life situations I am going through right now that I won't get into). I take the Vyvanse, and after about an hour I feel a rush of calm, focus, and well-being. I am able to channel my thoughts into action, which seemed unthinkable an hour before. I am able to deal with my problems instead of putting them off due to anxiety. I am friendly, able to focus on conversation, and sometimes even get comments ("You seem so... together!")
This usually lasts until around 2 or 3 PM, then I begin to crash. By 5PM or so, I don't really want to do anything that involves any sort of sustained focus. I would say that I'm even worse than I am when I am unmedicated. I get super stressed over small things. Driving, which I normally suck at, I suck even more at. I can even feel the beginnings of depression rearing its ugly head. Plus, if I run into someone I know at the store or gym, the conversations tend to skew towards the awkward as I can't think of anything to say and feel some social anxiety (why didn't you run into me six or so hours ago, I'm saying in my head).
If I have plans with friends, I do my best to 'fake' it when we meet but don't really feel myself and don't even want to do anything in the evenings. I get okay sleep (I think), but this sense of stress and anxiety basically lasts until I take my next med in the morning. I am in my 20's, and this is not acceptable. I cannot handle these meteoric mood swings.
I understand that what comes up must come down. But coming down at, say, 10PM would be a lot more convenient for me - no problem being braindead around that time! I don't want to be sacrificing my afternoons/evenings for increased productivity in the mornings. I'm pretty sure my problem is not due to nutrition, as I am for the most part eating well - no colas, not too many sugars/carbs, lots of protein and good fats, eating out rarely - and am sure to exercise at least 5 times a week.
I tried Adderall XR, and crashed on that as well. I've never had insomnia on my life, so people saying they can't sleep on this stuff is a foreign experience to me. I've been contemplating a move to Wellbutrin as well, as I am getting superstressed lately and understand that this drug may help out with the mood + can possibly help with the ADD. I've thought about non-stimulant ADD meds as well, but as I struggle with my energy levels I am not sure if would give me the "kick" that I need. I was seeing a therapist, but didn't feel comfortable with her and so am currently on a (months-long) waiting list for another.
I am planning on discussing this with my doctor, but am not sure how to proceed. For Mefites who have struggled with the crash: Would increasing the dosage to, for example, 50mg keep it working longer (which I need) or just work stronger until 2 or 3 PM (which I don't need)? Is there an option for taking two Vyvanse at staggered times (with doctor's approval, of course), or is that a slippery slope that I don't want to follow? Have you tried a smaller-dose booster med, and did that work? Did you switch to a non-stimulant ADD med or Wellbutrin? Or did you eventually quit your med because of the crash?