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Cake day: July 7th, 2023

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  • I’ve been on 70mg of Vyvanse (Elvanse) for a few years. It’s just enough to get me through a 10 hour work day. Everyone’s bodies react differently.

    You’ll get used to the medication, so a given dose will feel like it’s doing less over time. If I don’t take my meds for a few days, my pulse will be elevated when I start taking them again. After a few days of that, it’s about 10 BPM higher than my non-medicated heart rate. I’ve found the first day of a new stimulate medication to be not at all representative of what long term use is like. After being on a few stimulant medications for a while, it eventually feels like I’m my normal self, just more focused.

    Do not split the pills over food without talking to a pharmacist first. With stuff like Adderall XR, splitting the capsule can make the meds instant release. I’m not sure if Vyvanse is the same way or not. Either way, don’t rely on an idiot on the Internet (me). Ask a professional.

    Personally, I’ve found Adderall XR to work decently well for 6 to 8 hours. That’s not enough for me, but it might be for you. A smaller dose of Elvanse is also a good idea. Personally, I’d go with changing dosage before changing meds. If the smaller dose is still not going well, try a different med. I tend to give myself a couple of weeks on the med before I think about changing it unless I have an extreme reaction. I only did one day of Ritalin because it made me extremely aggressive, for example.

    Good luck.





  • The last outbreak was not contained. Prior to 2022, there was no sustained transmission outside of central Africa. The 2022 outbreak saw significant transmission all over the world. There were 30,000 confirmed cases and 42 deaths in the US alone.

    Just because something isn’t extremely contagious right now doesn’t mean it can’t become a pandemic. A virus can will mutate, it can go unnoticed, etc. As it stands, mpox can be transmitted by respiratory droplets.

    Smallpox was a related virus. It too was transmissible through close contact with other people. It killed 300 million people in the 20th century. While vaccination is likely going to prevent mpox from becoming anywhere close to that deadly, I’d rather not play with fire. Don’t ignore a nasty virus.




  • I’m on Vyvanse. The name brand stuff definitely reduces my anxiety and makes me less prone to depressive thoughts.

    I’m still experimenting, but the generic (when I can get it) might give me anxiety. I’m not totally sure because it’s pretty subtle.

    Try a lower dose. Try different meds. You’ll react to each med differently, and everyone reacts to meds differently. Don’t be like me and be afraid to experiment with different meds. (When I say experiment, I mean have your prescriber give you different meds.) Stimulants are easy to gauge effectiveness compared to other drugs like antidepressants. Stimulants either work, or they don’t, and their effects usually aren’t that subtle.

    Good luck.











  • Check out the FDA’s drug shortage website for Vyvanse. The only version that’s not in shortage is the name brand version. So forget about getting generic (I just spent $300 on name brand because my insurance doesn’t cover it!) Ask specifically for the name brand if they’re out of stock of the generic.

    As far as I’ve been able to figure out, there are only a few pharmacy suppliers out there. Different pharmacies can use the same suppliers, and will therefore have the same supply issues.