Question regarding experiences with Elvanse (Lisdexamphetamin) in combination with…
Anyone who uses max dosis of Elvanse, but still has the need for combining with other medication to cover a whole day? And any experiences with a recommended combi?
I take 60-70 mg Elvanse (longlasting) - and it works amazingly, is life-changing and with absolutely no side effects.
I usually burn medicine quickly (like some people do) and for Elvanse the effect stops working after about 6-7 hours.
My problem?: I need to be covered all day, so I can take care of my kids from morning 7.00 am to 8.00 pm)
(I used Methylphenidate variants before and I had so many unacceptable side-effects: hopelessness, fatigue, shaking, irritability, loss of focus, jointpains, feeling of having fever - so, unfortunately, any methyphenidate variation is not possible for me)
My previous doctor would not use combi-treatments (which is thinking from the 90’ies) so I am planning to go to my sister’s doctor who is more updated in his research…
My sister already told me that her doctor suggests a combination of Elvanse (long) + Attentin (short) or the combi of Elvanse + Atomoxitin (small dosis as a 24 hour cover underneath)
I have no history of any drug/substanse abuse, ever, at all, not even being extremely drunk on alcohol (never liked it…I need my brain
The thought of being covered all day…oh, I so whish it is possible for me - would be life-changing for me.
I’ve also heard about very often and I’m sorry, that your Doc would not go with you.
But, what about caffeine I’ve tested for me, in the afternoon and it works. No sleeping problems at night I think, it’s individual, but maybe also a way for you, for a test?
Or a nearby date, with your sis’s doc @Lady_North, to get a partner for Elvanse
I have the same “Problem” like you (including side effects with Methylphenidate).
My doctor gave me more then one dose of Vyvanse (Elvanse) per day to cover the whole day (I take completely 60mg but in smaller dose during the day. Otherwise I have no chance to cover the day.)
Maybe you can think about it and ask your doctor about his thoughts?
Worst case you may want to ask the doctor about TDM (therapeutic drug monitoring) to measure the concentration levels of DEX (Dexamphetamine) in the bloodstream after time X, if you feel like it is not lasting long enough.
Elvanse/Vyvanse + Attentin (minimal dose - just enough to boost the plasma concentration level to stay in the therapeutic range) would be a working combo anyway.
Stimulants + non-stimulants work as well.
According to Russel Barkley, such a combination should (ideally) result in lower doses of both medications (which would be beneficial) and at the same time cover a wider range across the adhd symptom complex.
I‘m sure there are longer and more detailed videos out there by now, but I find it quite helpful
Thanks for the advice Silberlocke.
Caffeine was what I was living on before ADHD-meds But for me the combi of stimulants and caffeine is not good - super uncomfortable side effects and bad sleep. But I know it works for some people
Thank you for the response SneedleDeeDoo.
I have not heard of TDM being used in DK at all—not that I know of anyway. I’m hoping to try the Elvanse + Atomoxitine combi—it sounds interesting and promising.
…now I just have to wait for a new appointment again since my previous doctor did not use “combi”.
…Yes, I can also split the dosis.
Actually, my doctor initially prescribed that I take (due to my fast burning of the meds):
60 + 20 mg
or 40 +40 mg
But 40+40 gives me too little in either end of the day and too much in the overlap.
Somehow 60 mg + 20 mg later feels better. No idea why. But I don’t really feel the 20 mg, I guess.
I’ve tested for me, in the afternoon and it works. No sleeping problems at night 
I think, it’s individual, but maybe also a way for you, for a test?
since my previous doctor did not use “combi”.
)