{"id":627741,"date":"2024-04-24T09:30:54","date_gmt":"2024-04-24T13:30:54","guid":{"rendered":"https:\/\/www.singlecare.com\/blog\/?p=627741"},"modified":"2025-12-23T14:56:18","modified_gmt":"2025-12-23T19:56:18","slug":"what-happens-when-vyvanse-dose-is-low","status":"publish","type":"post","link":"https:\/\/www.singlecare.com\/blog\/what-happens-when-vyvanse-dose-is-low\/","title":{"rendered":"What happens when your Vyvanse dose is too low?"},"content":{"rendered":"<p><a href=\"https:\/\/www.singlecare.com\/prescription\/vyvanse\"><span style=\"font-weight: 400;\">Vyvanse<\/span><\/a><span style=\"font-weight: 400;\"> (lisdexamfetamine dimesylate) is a stimulant medication approved by the Food and Drug Administration (FDA) to treat attention deficit hyperactivity disorder (ADHD) and <\/span><a href=\"https:\/\/www.singlecare.com\/conditions\/binge-eating-disorder-treatment-and-medications\"><span style=\"font-weight: 400;\">binge eating disorder (BED)<\/span><\/a><span style=\"font-weight: 400;\">. Like other well-known ADHD medications\u2014such as Adderall, Ritalin, and Concerta\u2014it works by increasing the levels of certain neurotransmitters, including <\/span><span style=\"font-weight: 400;\">dopamine<\/span><span style=\"font-weight: 400;\"> and norepinephrine, to help alleviate symptoms such as inattention, hyperactivity, and impulsivity.<\/span><\/p>\n<p><span style=\"font-weight: 400;\"> \u201cWhen people with ADHD have the right dose of the right medicine, it can be dramatic,\u201d says <\/span><span style=\"font-weight: 400;\">Joel Salinas, MD<\/span><span style=\"font-weight: 400;\">, chief medical officer at <\/span><span style=\"font-weight: 400;\">Isaac Health<\/span><span style=\"font-weight: 400;\"> and clinical assistant professor of neurology at <\/span><span style=\"font-weight: 400;\">NYU Langone Health<\/span><span style=\"font-weight: 400;\">. \u201cWhen people are on the right dose, it\u2019s very apparent. They feel like themselves again and can meet their goals for the day.\u201d<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Yet, like any medication, finding the right dose requires working closely with your healthcare provider and seeking medical advice if your symptoms aren\u2019t alleviated or if you\u2019re experiencing side effects, as this could mean your dose is too high. If your dose of Vyvanse is too low, you won\u2019t experience the medication&#8217;s benefits. Here\u2019s what you need to know to help figure out if you need to adjust your dosage of Vyvanse.<\/span><\/p>\n<h2 id=\"signs-your-vyvanse-dose-is-too-low\"><span style=\"font-weight: 400;\">Signs your Vyvanse dose is too low<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">When you\u2019re on a very low dose, you might get little to no relief from your symptoms.\u00a0 \u201cIf you only feel 40% better, it\u2019s probably not enough,\u201d says <a href=\"https:\/\/www.drhamdanimd.com\/\">Sasha Hamdani<\/a>, MD, a board-certified psychiatrist in Leawood, Kansas. <\/span><span style=\"font-weight: 400;\">With ADHD, too low a dose of Vyvanse could mean trouble focusing, limited attention span, or a lack of impulse control.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cWe usually prescribe a starting dose of 30 mg in the morning, and you titrate up to higher doses slowly by 10 mg on a weekly basis,\u201d says <a href=\"https:\/\/www.myisaachealth.com\/joelsalinasmd\/\">Dr. Salinas<\/a>. The target is between 30 mg and the maximum dose of 70 mg per day. Where someone ends up depends on their response, the current life circumstances of a patient, and treatment goals.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">If your Vyvanse dose needs to be increased, you\u2019ll know it,\u00a0 says Dr. Hamdani. \u201cOne real-world example of a sign is dirty dishes piling up in the sink. You run out of dishes, so you get takeout. Then you don\u2019t clean that up. You keep walking past the mess, filled with shame and anxiety. You\u2019re overwhelmed.\u201d<\/span><\/p>\n<p><span style=\"font-weight: 400;\">According to Drs. Hamdani and Salinas, key signs your dose is too low may include:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Poor focus and attention span:<\/b><span style=\"font-weight: 400;\"> If you can\u2019t concentrate or get overwhelmed by routine chores, like the laundry, you may need a dose adjustment.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Impulsive behavior:<\/b><span style=\"font-weight: 400;\"> Lack of impulse control is a symptom of ADHD and binge eating disorder. It could look like interrupting people at work or home, going on an unplanned online shopping spree, or having a binge-eating episode. For kids with ADHD, it might be talking in class without raising their hands.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Hyperactivity: <\/b><span style=\"font-weight: 400;\">If you\u2019re experiencing restlessness, fidgeting, or the need to be constantly busy doing things, that\u2019s a clue.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Mental health symptoms: <\/b><span style=\"font-weight: 400;\">Many people <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC8381237\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">experience depression or anxiety as part of their ADHD<\/span><\/a><span style=\"font-weight: 400;\"> symptoms. When you\u2019re on the right dose of Vyvanse, these symptoms could ease as well.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">If you or a family member spot any of these signs, call your healthcare provider. Even if your Vyvanse dose was previously working well, \u201cVyvanse is something your body builds tolerance to. You may need a higher dose over time,\u201d says Dr. Hamdani.<\/span><\/p>\n\t\t<div id=\"coupon-cta\" class=\"coupon-cta master-template\">\n\t\t\t<p id=\"headline\">Save up to 80% on Vyvanse with SingleCare<\/p>\n\t\t\t<p id=\"subheadline\">Different pharmacies offer different prices for the same medication. SingleCare helps find the best price for you.<\/p>\n\t\t\t<div class=\"details-wrap\">\n\t\t\t\t<div class=\"details\">\n\t\t\t\t\tVyvanse 30 mg (30 Capsules)\t\t\t\t<\/div>\n\t\t\t\t<div class=\"address\">\n\t\t\t\t\t23666 - Hampton, VA\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"api-response\">\n\t\t\t\t\t\t<div class=\"coupon\">\n\t\t\t<div class=\"logo\">\n\t\t\t<img decoding=\"async\" src=\"https:\/\/images.singlecare.com\/content\/images\/pharmacy\/logo-color-cvs.svg\" alt=\"CVS Pharmacy\" \/>\t\t\t<\/div>\n\t\t\t<div class=\"price\">\n\t\t\t\t<div class=\"price-number\">\n\t\t\t\t\t$63.46<br\/>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"price-signup\">\n\t\t\t\t\t<span class=\"info-icon\">i<\/span>\n\t\t\t\t\tPrice with <a href=\"https:\/\/www.singlecare.com\/prescription\/vyvanse#blog-cta\">signup<\/a>\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"couponbtn\">\n\t\t\t\t<a target=\"_blank\" href=\"https:\/\/www.singlecare.com\/prescription\/vyvanse#blog-cta\">Get free coupon<\/a>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"coupon\">\n\t\t\t<div class=\"logo\">\n\t\t\t<img decoding=\"async\" src=\"https:\/\/images.singlecare.com\/content\/images\/pharmacy\/logo-color-publix.svg\" alt=\"Publix\" \/>\t\t\t<\/div>\n\t\t\t<div class=\"price\">\n\t\t\t\t<div class=\"price-number\">\n\t\t\t\t\t$124.74<br\/>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"price-signup\">\n\t\t\t\t\t<span class=\"info-icon\">i<\/span>\n\t\t\t\t\tPrice with <a href=\"https:\/\/www.singlecare.com\/prescription\/vyvanse#blog-cta\">signup<\/a>\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"couponbtn\">\n\t\t\t\t<a target=\"_blank\" href=\"https:\/\/www.singlecare.com\/prescription\/vyvanse#blog-cta\">Get free coupon<\/a>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t<a target=\"_blank\" href=\"https:\/\/www.singlecare.com\/prescription\/vyvanse#blog-cta\" class=\"coupon-see-all-btn\">See Vyvanse prices at all pharmacies<\/a>\n\t\t<\/div>\n\n\t\t\n<h2 id=\"the-impact-of-low-vyvanse-levels-on-mental-health\"><span style=\"font-weight: 400;\">The impact of low Vyvanse levels on mental health<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">When your medication isn\u2019t controlling your symptoms, it can take a toll on your mental health. \u201cAt its heart, ADHD isn\u2019t just a focus issue. It\u2019s an emotional regulation issue,\u201d says Dr. Hamdani.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">For example, when your dose is too low, it means mental health symptoms coinciding with ADHD may not be well-controlled, such as:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Anxiety<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Depression<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Excessive worry<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Constant nervousness<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Physical tension in your body<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Inability to relax<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">But the biggest blow to your mental health, according to Dr. Hamdani, is simply the frustration of poorly controlled symptoms. It can lead to a decreased quality of life that negatively affects school, work, and relationships. \u201cAnxiety, depression, low mood, apathy, obsessive thinking or behavior can all happen when someone is underdosed,\u201d says Dr. Salinas.<\/span><\/p>\n<h2 id=\"how-to-adjust-your-vyvanse-dose-if-it-is-too-low\"><span style=\"font-weight: 400;\">How to adjust your Vyvanse dose if it is too low<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">\u201cGetting the right dose of any psychoactive drug is usually a process of trial and error,\u201d says Dr. Salinas. Dosage adjustments are common. The adjustment process is called medication titration, where a provider starts you on a conservative dose and gradually increases it over time. The goal is to find the lowest dose that optimally controls your symptoms because higher dosages tend to cause common side effects\u2014such as appetite loss, abdominal pain, weight loss, insomnia, headache, tics, or dizziness. You should be aware of potential serious side effects like hypertension, seizures, mania, and psychosis. The titration process can take weeks to months, so be patient. Your healthcare provider will work closely with you to monitor your progress and symptoms.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cYou know the dose is right when you think, \u2018 Yes, my meds are working.\u2019 You\u2019ll feel like you\u2019re operating like yourself on a good day,\u201d says Dr. Hamdani. To track how well your medication is working, Dr. Salinas recommends making a note about your symptoms daily. \u201cNo one knows your brain better than you do. I have people journal their symptoms and the severity of their symptoms on a scale of 0 to 10. Over time, we see the impact of the medication and the dose,\u201d he says. Though any change is a positive indicator, if it\u2019s just a little improvement, a dose change may be in order.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Keep in mind that many factors can affect how your body responds to Vyvanse, including:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Metabolism:<\/b><span style=\"font-weight: 400;\"> Everyone metabolizes drugs differently, and this can affect how you respond to Vyvanse and the dose you need.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Medication history:<\/b><span style=\"font-weight: 400;\"> If you\u2019ve been taking Vyvanse for some time, your body may build up a tolerance to stimulant medication and need an increased dose. Your other medications and supplements also impact its effectiveness. For example, heartburn medications can increase Vyvanse drug levels, and <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/vitamin-c-and-adderall\/\"><span style=\"font-weight: 400;\">vitamin C<\/span><\/a><span style=\"font-weight: 400;\"> may decrease the efficacy of stimulant medications.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Medication adherence: <\/b><span style=\"font-weight: 400;\">Not taking your medication as directed can also cause problems. For example, a missed dose or taking your dose at dramatically different times each day can be an issue.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Severity of symptoms:<\/b><span style=\"font-weight: 400;\"> Some people have more serious or severe symptoms than others, which can impact the dose they need.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Finding the right timing and strength of medication requires a good relationship with your healthcare provider and clear communication. It would be best not to try to adjust the dose on your own. Always work with your prescribing provider to make changes and follow their medical advice.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\t\t<div class=\"singlecare-dynamic-newsletter-wrapper sin-newsletter-wrapper\">\n\t\t\t<span class=\"heading\">Get our mental health newsletter<\/span>\n\t\t\t<form class=\"form-wrapper\" data-newsletter-form=\"1\" data-subsource=\"Mental Health Newsletter\">\n\t\t\t\t<div class=\"input-wrapper\">\n\t\t\t\t\t<label for=\"dynamic-email\">Email<\/label>\n\t\t\t\t\t<input type=\"email\" id=\"dynamic-email\" class=\"email\" required>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"input-wrapper\">\n\t\t\t\t\t<input class=\"submit-form-btn\" type=\"submit\" value=\"Click to sign up\">\n\t\t\t\t<\/div>\n\t\t\t<\/form>\n\t\t\t<p class=\"success-message\" aria-live=\"polite\"><\/p>\n\t\t<\/div>\n\t<\/span><\/p>\n<h2 id=\"managing-low-vyvanse-levels\"><span style=\"font-weight: 400;\">Managing low Vyvanse levels<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">While you\u2019re figuring out the right Vyvanse dose with your provider, or if there is ever a Vyvanse shortage, you can use these pro tips to get the most out of your medicine:<\/span><\/p>\n<ol>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Stay on a schedule.<\/b><span style=\"font-weight: 400;\"> Taking Vyvanse at the same time every day will go a long way to making sure it\u2019s effective. Don\u2019t try to remember on your own\u2014set an alarm on your phone or use a medication tracking app so you never forget a dose.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Drink water and eat balanced meals.<\/b><span style=\"font-weight: 400;\"> Good nutrition and hydration can help you feel your best. A <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/adhd-diet\/\"><span style=\"font-weight: 400;\">diet<\/span><\/a><span style=\"font-weight: 400;\"> based on produce, lean protein, and fiber-rich whole grains supports brain health and gives your Vyvanse a boost.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Prioritize your sleep. <\/b><span style=\"font-weight: 400;\">Poor sleep can make your ADHD symptoms worse. Get the seven to eight hours you need. If your Vyvanse dose is too high, it can interfere with sleep, says Dr. Salinas. Taking it in the morning can help you get the shuteye you need while benefiting from the drug.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Use non-drug therapies.<\/b><span style=\"font-weight: 400;\"> Dr. Salinas says that combining Vyvanse with talk therapies such as cognitive-behavioral therapy (CBT) or mindfulness and meditation is a great way to improve symptom control. The <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/adhd-facts-myths\/\"><span style=\"font-weight: 400;\">drug and non-drug therapies complement each other<\/span><\/a><span style=\"font-weight: 400;\">, making each more effective than it would be alone.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Communicate with your healthcare team.<\/b><span style=\"font-weight: 400;\"> You should have ongoing conversations with your healthcare provider about your symptoms, side effects, and overall treatment. This dialogue makes it easier to spot any dose issues quickly and resolve them.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Make lifestyle adjustments. <\/b><span style=\"font-weight: 400;\">Try including stress-reduction techniques such as exercise, yoga, or meditation in your treatment plan. These lifestyle upgrades can support overall mental health and enhance the effects of Vyvanse.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Don\u2019t drink or use recreational drugs.<\/b><span style=\"font-weight: 400;\"> If you want Vyvanse to do its job, it\u2019s best to avoid other substances that can interfere with that. For example, alcohol can <\/span><a href=\"https:\/\/alcohol.org\/mixing-with\/vyvanse\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">minimize the effects of Vyvanse<\/span><\/a><span style=\"font-weight: 400;\">, and it can also lead to issues including high blood pressure, rapid heart rate, chest pains, and risk of seizure, heart attack, and stroke.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Cut back on <\/b><a href=\"https:\/\/www.singlecare.com\/blog\/adderall-and-caffeine\/\"><b>caffeine<\/b><\/a><b>.<\/b><span style=\"font-weight: 400;\"> \u201cPeople sometimes self-medicate with caffeine before they start a prescription drug, and the combination can make people very jittery and anxious,\u201d says Dr. Salinas.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Watch out for side effects. <\/b><span style=\"font-weight: 400;\">You should always be vigilant about any possible reactions to Vyvanse or any other drug. Tell your healthcare provider right away if you notice anything unusual. This is especially important as you adjust your dose. Remember, the goal is to find the sweet spot of maximum benefits and minimum side effects.<\/span><\/li>\n<\/ol>\n<h2 id=\"the-bottom-line-vyvanse-should-control-symptoms\"><span style=\"font-weight: 400;\">The bottom line: Vyvanse should control symptoms<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">If you\u2019re taking Vyvanse to treat ADHD or binge eating disorder and you are still experiencing symptoms, call your healthcare provider. \u201cIf it feels like you\u2019re not taking anything, it\u2019s probably not working,\u201d says Dr. Hamdani.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The best way to find the right dose of Vyvanse for you is to regularly monitor your symptoms until you find the dose that helps you feel like yourself and get on with your life. \u201cI say I want patients to feel like themselves on a good day,\u201d says Dr. Salinas.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Vyvanse (lisdexamfetamine dimesylate) is a stimulant medication approved by the Food and Drug Administration (FDA) to treat attention deficit hyperactivity disorder (ADHD) and binge eating disorder (BED). Like other well-known ADHD medications\u2014such as Adderall, Ritalin, and Concerta\u2014it works by increasing the levels of certain neurotransmitters, including dopamine and norepinephrine, to help alleviate symptoms such as [&hellip;]<\/p>\n","protected":false},"author":135,"featured_media":627532,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[4589],"tags":[15107,8905],"coauthors":[21033],"class_list":["post-627741","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-drug-info","tag-adhd","tag-seasonal","wpautop"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.4 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>What happens when your Vyvanse dose is too low?<\/title>\n<meta name=\"description\" content=\"Discover the right Vyvanse dosage for effective ADHD\/BED management. 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