Help!! Vyvanse wears off | ADHD Information

My son was on Vyvanse for about 60 days. The first 30 days were wonderful, but then he started experiencing a horrible 'rebound' in the evenings. When the meds wore off he was aggressive, agitated, easily frustrated. It became too much for us (and him!) and we switched to Ritalin.

Unfortunatley, he has to take 3 doses a day -- morning, noon, and 5 p.m. but it has been much, much better for us.

Hope this helps!

I hope this is in the right forum. My 11 year old son is currently taking Vyvanse 50mg. The medicine works extremely well for him. My problem, and I am sure many other people experience this..in the evening/night, my son is extremely hyper. Obviously, the meds have worn off and he has a  terrible time controlling his actions or what he says. I am hoping someone will have some advice or ideas that might make our evening time more pleasant. ThanksMy DD was on Vyvanse for 2 and a half years.  After awhile we started to notice it was wearing off and it began to get earlier and earlier in the day.  At the beginning, she was also having trouble sleeping so the doctor put her on clonidine.  That helped with the sleep issues and it helped calm her in the evening.  Finally, when the Vyvanse started wearing off around 1pm we switched to Intuniv...for us, it has been fantastic, but it can work differently for different kids.  May be worth a try though.
If the medication works well except for it wearing off then ask the doctor for a short acting "booster" dose in the afternoon.  My son did this when he was on Adderall XR.  He took a short acting dose in the afternoon before the other dose wore off and it helped!  I would try this before you switch meds completely.  It just might do the trick and you won't have to go through the trouble of trying a whole new med.I'm doing this with my son right now. He takes 10 mg focalin XR but it's
wearing off around 5 hrs. I'm giving him a 2.5 booster at 11:30 after giving
him the XR at 7:00 am. I wish it lasted the 8 to 12 hrs it claims, but I know
some people metabolize it faster.

? to Logans mom,

Do you know if you can take a "booster" dose, short acting in the afternoon even if you are taking a long acting stim in the morning?  It seems that the long acting stims, tolerate him well, but they do not add full day coverage.  We are lucky to get eight hours of coverage.  My DS has anxiety and refuses to go to the nurse at school for meds, so I don't think at this point we could switch to short acting stim several times a day.  thanks for your input.

Yes it is exactly that. I give him two boosters. Very low dose 2.5 mg short
acting Focalin at 11:00 and then again at 2Pm. The short acting is supposed
to last 4 hrs, but doesnt quite, and it also takes time to kick in so we try to
catch the XR on the way down, and then give "booster" allowing time for it
to kick in. It seems to be helping him maintain that even level for the
extended period that the XR is supposed to beYes, you can do a short acting booster after the long acting dose. Actually it's very common.  When my son was on Adderall XR he took a regular short acting Adderall (the generic was called amphetamine salts) in the afternoon to keep him covered until night time.  It's very common that the extended release meds don't last as long as they're supposed to.  Many kids just metaboize the meds too quickly. Definitely talk to your doc.  It shouldn't be a problem to get the booster dose. Good luck!

So, is focalin XR a long acting stim (time realease)? what booster dose do you give him in the afternoon?

Thanks for the information.  We saw the psycharistist thursday and he recommended that we try the Vyvanse again along with the Zoloft.  Since starting we have seen more OCD behavior, but not too awfully bad, we are cutting the lowest dosage possible.  Also, have Intuniv to introduce if we need to after his body gets adjusted to the Vyvanse.  thanks again for your posts.