{"id":631357,"date":"2025-02-11T16:40:04","date_gmt":"2025-02-11T21:40:04","guid":{"rendered":"https:\/\/www.singlecare.com\/blog\/?p=631357"},"modified":"2025-09-12T16:28:56","modified_gmt":"2025-09-12T20:28:56","slug":"phentermine-vs-vyvanse","status":"publish","type":"post","link":"https:\/\/www.singlecare.com\/blog\/phentermine-vs-vyvanse\/","title":{"rendered":"Phentermine vs. Vyvanse: Differences, similarities, and side effects"},"content":{"rendered":"<p><a href=\"https:\/\/www.singlecare.com\/prescription\/phentermine-hcl\"><span style=\"font-weight: 400;\">Phentermine<\/span><\/a><span style=\"font-weight: 400;\"> and <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/vyvanse\"><span style=\"font-weight: 400;\">Vyvanse<\/span><\/a><span style=\"font-weight: 400;\"> are two fairly different prescription drugs. They\u2019re both central nervous system (CNS) stimulant drugs that work by increasing levels of certain neurotransmitters in the brain\u2014but that\u2019s where the similarities end. Phentermine is usually prescribed as a weight loss drug, while Vyvanse is prescribed for attention-deficit hyperactivity disorder (ADHD) and binge-eating disorder. These medications also have different side effects, costs, interactions, and more.\u00a0<\/span><\/p>\n<h2 id=\"phentermine-vs-vyvanse-key-differences\"><span style=\"font-weight: 400;\">Phentermine vs. Vyvanse: Key differences<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Vyvanse is a brand-name medication that is available in tablet or capsule form, and it is also available as the generic <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/lisdexamfetamine-dimesylate\"><span style=\"font-weight: 400;\">lisdexamfetamine dimesylate<\/span><\/a><span style=\"font-weight: 400;\">. It is a stimulant that\u2019s approved by the Food and Drug Administration (FDA) to treat ADHD in adults and children 6 years and older. It\u2019s also the only FDA-approved medication <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/vyvanse-for-binge-eating\/\"><span style=\"font-weight: 400;\">for treating binge eating disorder<\/span><\/a><span style=\"font-weight: 400;\"> in adults.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Vyvanse reduces symptoms of impulsivity and inattention. \u201cIts primary mechanism is to increase the levels of certain neurotransmitters in the brain\u2014dopamine and norepinephrine. This action helps improve attention and focus, and can reduce impulsivity,\u201d says <\/span><a href=\"https:\/\/www.linkedin.com\/in\/danielle-kelvas-md-488936186\/\"><span style=\"font-weight: 400;\">Danielle Kelvas, MD<\/span><\/a><span style=\"font-weight: 400;\">, primary care physician at <\/span><a href=\"https:\/\/www.thehcginstitute.com\/doctors\/danielle-kelvas-md\"><span style=\"font-weight: 400;\">The HCG Institute<\/span><\/a><span style=\"font-weight: 400;\"> and chief medical editor at <\/span><a href=\"http:\/\/www.dkmdconsulting.com\/\"><span style=\"font-weight: 400;\">DKMD Consulting<\/span><\/a><span style=\"font-weight: 400;\">. In many cases, it&#8217;s prescribed as a longer-term maintenance drug.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Phentermine is a generic drug sold in tablet or capsule form. It\u2019s available under the brand names <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/adipex-p\"><span style=\"font-weight: 400;\">Adipex-P<\/span><\/a><span style=\"font-weight: 400;\"> and <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/lomaira\"><span style=\"font-weight: 400;\">Lomaira<\/span><\/a><span style=\"font-weight: 400;\">, and it\u2019s also combined with the anticonvulsant topiramate in a brand-name drug called <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/qsymia\/what-is\"><span style=\"font-weight: 400;\">Qsymia<\/span><\/a><span style=\"font-weight: 400;\">. Phentermine is \u201ca sympathomimetic amine with pharmacologic activity similar to that of amphetamines,\u201d Dr. Kelvas says. \u201cIt suppresses appetite and possibly increases energy expenditure by interacting with the central nervous system.\u201d phentermine is typically only prescribed for short-term use, although some healthcare providers may also approve it for longer treatments.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">It\u2019s worth noting that both medications are classified as controlled substances by the Drug Enforcement Administration. Phentermine is Schedule IV and Vyvanse is Schedule II, which means Vyvanse has a higher risk of abuse and dependence. That\u2019s why Dr. Kelvas says, \u201cIt&#8217;s critical for drugs like this (addictive controlled stimulants) to be given in tandem with cognitive behavioral therapy, or some sort of regular ongoing follow-up.\u201d Many states have additional requirements for physicians to prescribe Scheduled II, III, and VI medications.\u00a0 These requirements may include the patient signing a controlled substance agreement, having the patient perform an initial (and random) urine drug screen, and assess the risk for misuse or abuse.\u00a0\u00a0<\/span><\/p>\n<table class=\" singlecare-table\">\n<thead>\n<tr>\n<th>\n<h3 id=\"compare-phentermine-vs-vyvanse-key-differences\"><span class=\"title\">Compare phentermine vs. Vyvanse key differences<\/span><\/h3>\n<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr class=\"header-row\">\n<td><\/td>\n<td><b>Phentermine<\/b><\/td>\n<td><b>Vyvanse<\/b><\/td>\n<\/tr>\n<tr>\n<td><b>Drug class<\/b><\/td>\n<td><span style=\"font-weight: 400;\">Anorectics<\/span><\/td>\n<td><span style=\"font-weight: 400;\">CNS stimulant<\/span><\/td>\n<\/tr>\n<tr>\n<td><b>Brand\/generic status<\/b><\/td>\n<td><span style=\"font-weight: 400;\">Generic<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Brand-name<\/span><\/td>\n<\/tr>\n<tr>\n<td><b>What are the generic and brand names?<\/b><\/td>\n<td><span style=\"font-weight: 400;\">Brand names: Adipex-P and Lomaira<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Generic: Lisdexamfetamine dimesylate<\/span><\/td>\n<\/tr>\n<tr>\n<td><b>What form(s) does the drug come in?<\/b><\/td>\n<td><span style=\"font-weight: 400;\">Tablets and capsules<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Tablets and capsules<\/span><\/td>\n<\/tr>\n<tr>\n<td><b>What is the standard dosage?<\/b><\/td>\n<td><span style=\"font-weight: 400;\">15\u201337.5 mg once daily<\/span><\/td>\n<td><span style=\"font-weight: 400;\">For ADHD: 30\u201370 mg taken once daily in the morning<\/span><\/p>\n<p><span style=\"font-weight: 400;\">For binge-eating disorder: 50\u201370 mg taken once daily in the morning<\/span><\/td>\n<\/tr>\n<tr>\n<td><b>How long is the typical treatment?<\/b><\/td>\n<td><span style=\"font-weight: 400;\">12 weeks or less<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Long-term<\/span><\/td>\n<\/tr>\n<tr>\n<td><b>Who typically uses the medication?<\/b><\/td>\n<td><span style=\"font-weight: 400;\">Adults and adolescents 16 years and older<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Adults and children 6 years and older<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>&nbsp;<\/p>\n<h2 id=\"phentermine-vs-vyvanse-conditions-treated\"><span style=\"font-weight: 400;\">Phentermine vs. Vyvanse: Conditions treated<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Vyvanse is FDA approved to treat ADHD and binge-eating disorder, and studies have confirmed its effectiveness in <\/span><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC2908054\/\"><span style=\"font-weight: 400;\">improving adult ADHD<\/span><\/a><span style=\"font-weight: 400;\"> and <\/span><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC4966690\/\"><span style=\"font-weight: 400;\">reducing binge-eating episodes<\/span><\/a><span style=\"font-weight: 400;\">. Healthcare providers may also prescribe it off-label to treat depression or narcolepsy. \u201cWhile Vyvanse can help those with binge eating disorder lose weight, it\u2019s not a weight loss drug. However, some people may abuse it to lose weight, as weight loss can occur with Vyvanse use,\u201d says <\/span><a href=\"https:\/\/www.linkedin.com\/in\/michael-mcgrath-a2133468\/\"><span style=\"font-weight: 400;\">Michael McGrath<\/span><\/a><span style=\"font-weight: 400;\">, MD<\/span><span style=\"font-weight: 400;\">, board-certified psychiatrist and chief clinical officer at <\/span><a href=\"https:\/\/theohanahawaii.com\/\"><span style=\"font-weight: 400;\">The Ohana Hawaii<\/span><\/a><span style=\"font-weight: 400;\">. \u201cThere are much safer, and FDA-approved medications for weight loss.\u201d<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Phentermine is only FDA approved for short-term weight reduction, and <\/span><a href=\"https:\/\/onlinelibrary.wiley.com\/doi\/abs\/10.1002\/oby.23152\"><span style=\"font-weight: 400;\">modern research <\/span><\/a><span style=\"font-weight: 400;\">has proven its efficacy (especially when combined with topiramate). In most cases, it works best alongside lifestyle changes like diet and exercise. \u201cPhentermine is not approved by the FDA to treat ADHD but it\u2019s sometimes prescribed off-label for ADHD,\u201d says Dr. McGrath. \u201cThis drug works similarly to ADHD medications, which is why it\u2019s prescribed off-label for this. However, the research is scarce on the effectiveness of <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/phentermine-for-adhd\/\"><span style=\"font-weight: 400;\">phentermine for ADHD<\/span><\/a><span style=\"font-weight: 400;\">.\u201d<\/span><\/p>\n<table class=\" singlecare-table\">\n<thead>\n<tr>\n<th>\n<h3 id=\"compare-phentermine-vs-vyvanse-conditions-treated\"><span class=\"title\">Compare phentermine vs. Vyvanse conditions treated<\/span><\/h3>\n<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr class=\"header-row\">\n<td><b>Condition<\/b><\/td>\n<td><b>Phentermine<\/b><\/td>\n<td><b>Vyvanse<\/b><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Obesity or overweight with a weight-related condition<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Yes<\/span><\/td>\n<td><span style=\"font-weight: 400;\">No<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">ADHD<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Off-label<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Yes<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Binge-eating disorder<\/span><\/td>\n<td><span style=\"font-weight: 400;\">No<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Yes<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Depression<\/span><\/td>\n<td><span style=\"font-weight: 400;\">No<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Off-label<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Narcolepsy<\/span><\/td>\n<td><span style=\"font-weight: 400;\">No<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Off-label<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>&nbsp;<\/p>\n<h2 id=\"phentermine-vs-vyvanse-cost\"><span style=\"font-weight: 400;\">Phentermine vs. Vyvanse cost\u00a0<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">As a generic drug, phentermine often costs significantly less than brand-name Vyvanse. For people paying completely out of pocket, <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/phentermine-hcl\"><span style=\"font-weight: 400;\">phentermine can cost<\/span><\/a><span style=\"font-weight: 400;\"> around $51 for a 30-day supply, while <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/vyvanse\"><span style=\"font-weight: 400;\">Vyvanse costs<\/span><\/a><span style=\"font-weight: 400;\"> around $539.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Of course, not everyone has to pay 100% out of pocket. Some insurance and Medicare Part D plans will cover Vyvanse when it\u2019s deemed medically necessary\u2014although some might have prior authorization requirements. Many insurance and Medicare plans, however, refuse to cover weight loss drugs, so phentermine might not receive coverage. It all depends on your specific plan, so check your formulary to find out for sure.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Yet insurance coverage isn\u2019t the only way to save on phentermine and Vyvanse. Coupons from SingleCare can significantly reduce the price of either drug. It\u2019s free to<\/span><a href=\"https:\/\/www.singlecare.com\/signup\"> <span style=\"font-weight: 400;\">sign up<\/span><\/a><span style=\"font-weight: 400;\"> and you just need to present your discount card at a local participating pharmacy to reap the benefits.<\/span><\/p>\n<table class=\" singlecare-table\">\n<thead>\n<tr>\n<th>\n<h3 id=\"compare-phentermine-vs-vyvanse-cost-coverage\"><span class=\"title\">Compare phentermine vs. Vyvanse cost &amp; coverage<\/span><\/h3>\n<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr class=\"header-row\">\n<td><\/td>\n<td><b>Phentermine<\/b><\/td>\n<td><b>Vyvanse<\/b><\/td>\n<\/tr>\n<tr>\n<td><b>Typically covered by insurance?<\/b><\/td>\n<td><span style=\"font-weight: 400;\">No<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Yes<\/span><\/td>\n<\/tr>\n<tr>\n<td><b>Typically covered by Medicare Part D?<\/b><\/td>\n<td><span style=\"font-weight: 400;\">No<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Yes<\/span><\/td>\n<\/tr>\n<tr>\n<td><b>Quantity<\/b><\/td>\n<td><span style=\"font-weight: 400;\">30, 37.5 mg tablets<\/span><\/td>\n<td><span style=\"font-weight: 400;\">30, 50 mg capsules<\/span><\/td>\n<\/tr>\n<tr>\n<td><b>Cost without insurance*<\/b><\/td>\n<td><span style=\"font-weight: 400;\">$51<\/span><\/td>\n<td><span style=\"font-weight: 400;\">$539<\/span><\/td>\n<\/tr>\n<tr>\n<td><b>SingleCare cost*<\/b><\/td>\n<td><span style=\"font-weight: 400;\">$10<\/span><\/td>\n<td><span style=\"font-weight: 400;\">$105 for generic lisdexamfetamine dimesylate<\/span><\/td>\n<\/tr>\n<tr>\n<td><b>Savings<\/b><\/td>\n<td><a href=\"https:\/\/www.singlecare.com\/prescription\/phentermine-hcl\"><span style=\"font-weight: 400;\">Get coupon<\/span><\/a><\/td>\n<td><a href=\"https:\/\/www.singlecare.com\/prescription\/vyvanse\"><span style=\"font-weight: 400;\">Get coupon<\/span><\/a><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h5><span style=\"font-weight: 400;\">*Cost at time of publication. Drug prices fluctuate and vary by location.\u00a0<\/span><\/h5>\n<h2 id=\"phentermine-vs-vyvanse-side-effects\"><span style=\"font-weight: 400;\">Phentermine vs. Vyvanse side effects<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">The most common <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/vyvanse-side-effects\/\"><span style=\"font-weight: 400;\">side effects of Vyvanse<\/span><\/a><span style=\"font-weight: 400;\"> for adults with ADHD are decreased appetite, insomnia, dry mouth, and irritability. For adults with binge-eating disorder, the most common side effects are dry mouth, insomnia, decreased appetite, and increased heart rate. Abusing Vyvanse can also cause heart arrhythmia and psychosis, according to Dr. McGrath.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/phentermine-side-effects\/\"><span style=\"font-weight: 400;\">side effects of phentermine<\/span><\/a><span style=\"font-weight: 400;\"> include irregular heartbeat, elevated blood pressure, restlessness, dizziness, and insomnia. And per Dr. McGrath, \u201cBoth phentermine and Vyvanse have side effects of dry mouth, nausea, and vomiting.\u201d<\/span><\/p>\n<p><span style=\"font-weight: 400;\">In rare cases, each drug can also cause serious side effects. For example, phentermine may cause cardiovascular issues like pulmonary hypertension, rapid heart rate, and heart failure. Vyvanse can cause similar heart issues, plus <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/serotonin-syndrome-symptoms\/\"><span style=\"font-weight: 400;\">serotonin syndrome<\/span><\/a><span style=\"font-weight: 400;\">, seizures, anxiety, and more. Dr. Kelvas says she also often has patients report palpitations\u2014sometimes to the point that the patient needs to discontinue Vyvanse treatment.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">These are only some of the possible side effects. Talk to your healthcare provider about how either drug may affect you.\u00a0<\/span><\/p>\n<table class=\" singlecare-table\">\n<thead>\n<tr>\n<th>\n<h3 id=\"compare-phentermine-vs-vyvanse-side-effects\"><span class=\"title\">Compare phentermine vs. Vyvanse side effects<\/span><\/h3>\n<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr class=\"header-row\">\n<td><\/td>\n<td colspan=\"2\"><b>Phentermine<\/b><\/td>\n<td colspan=\"2\"><b>Vyvanse<\/b><\/td>\n<\/tr>\n<tr class=\"header-row\">\n<td><b>Side effect<\/b><\/td>\n<td><b>Applicable?<\/b><\/td>\n<td><b>Frequency<\/b><\/td>\n<td><b>Applicable?<\/b><\/td>\n<td><b>Frequency<\/b><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Dry mouth<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Yes<\/span><\/td>\n<td><span style=\"font-weight: 400;\">N\/A<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Yes<\/span><\/td>\n<td><span style=\"font-weight: 400;\">26%<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Insomnia<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Yes<\/span><\/td>\n<td><span style=\"font-weight: 400;\">24%<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Yes<\/span><\/td>\n<td><span style=\"font-weight: 400;\">27%<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Decreased appetite<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Yes<\/span><\/td>\n<td><span style=\"font-weight: 400;\">N\/A<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Yes<\/span><\/td>\n<td><span style=\"font-weight: 400;\">27%<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Diarrhea<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Yes<\/span><\/td>\n<td><span style=\"font-weight: 400;\">N\/A<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Yes<\/span><\/td>\n<td><span style=\"font-weight: 400;\">7%<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Anxiety<\/span><\/td>\n<td><span style=\"font-weight: 400;\">No<\/span><\/td>\n<td><span style=\"font-weight: 400;\">24%<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Yes<\/span><\/td>\n<td><span style=\"font-weight: 400;\">6%<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Feeling jittery<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Yes<\/span><\/td>\n<td><span style=\"font-weight: 400;\">N\/A<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Yes<\/span><\/td>\n<td><span style=\"font-weight: 400;\">4%<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Anorexia<\/span><\/td>\n<td><span style=\"font-weight: 400;\">No<\/span><\/td>\n<td><span style=\"font-weight: 400;\">N\/A<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Yes<\/span><\/td>\n<td><span style=\"font-weight: 400;\">5%<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Increased blood pressure<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Yes<\/span><\/td>\n<td><span style=\"font-weight: 400;\">N\/A<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Yes<\/span><\/td>\n<td><span style=\"font-weight: 400;\">3%<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Agitation<\/span><\/td>\n<td><span style=\"font-weight: 400;\">No<\/span><\/td>\n<td><span style=\"font-weight: 400;\">N\/A<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Yes<\/span><\/td>\n<td><span style=\"font-weight: 400;\">3%<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Restlessness<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Yes<\/span><\/td>\n<td><span style=\"font-weight: 400;\">N\/A<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Yes<\/span><\/td>\n<td><span style=\"font-weight: 400;\">3%<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Sweating<\/span><\/td>\n<td><span style=\"font-weight: 400;\">No<\/span><\/td>\n<td><span style=\"font-weight: 400;\">N\/A<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Yes<\/span><\/td>\n<td><span style=\"font-weight: 400;\">3%<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Increased heart rate<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Yes<\/span><\/td>\n<td><span style=\"font-weight: 400;\">N\/A<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Yes<\/span><\/td>\n<td><span style=\"font-weight: 400;\">2%<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Difficulty breathing<\/span><\/td>\n<td><span style=\"font-weight: 400;\">No<\/span><\/td>\n<td><span style=\"font-weight: 400;\">N\/A<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Yes<\/span><\/td>\n<td><span style=\"font-weight: 400;\">2%<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Tremors<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Yes<\/span><\/td>\n<td><span style=\"font-weight: 400;\">N\/A<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Yes<\/span><\/td>\n<td><span style=\"font-weight: 400;\">2%<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Palpitations<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Yes<\/span><\/td>\n<td><span style=\"font-weight: 400;\">N\/A<\/span><\/td>\n<td><span style=\"font-weight: 400;\">No<\/span><\/td>\n<td><span style=\"font-weight: 400;\">N\/A<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Pulmonary hypertension<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Yes<\/span><\/td>\n<td><span style=\"font-weight: 400;\">N\/A<\/span><\/td>\n<td><span style=\"font-weight: 400;\">No<\/span><\/td>\n<td><span style=\"font-weight: 400;\">N\/A<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Dizziness<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Yes<\/span><\/td>\n<td><span style=\"font-weight: 400;\">N\/A<\/span><\/td>\n<td><span style=\"font-weight: 400;\">No<\/span><\/td>\n<td><span style=\"font-weight: 400;\">N\/A<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Headache<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Yes<\/span><\/td>\n<td><span style=\"font-weight: 400;\">N\/A<\/span><\/td>\n<td><span style=\"font-weight: 400;\">No<\/span><\/td>\n<td><span style=\"font-weight: 400;\">N\/A<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Mood changes<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Yes<\/span><\/td>\n<td><span style=\"font-weight: 400;\">N\/A<\/span><\/td>\n<td><span style=\"font-weight: 400;\">No<\/span><\/td>\n<td><span style=\"font-weight: 400;\">N\/A<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Psychosis<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Yes<\/span><\/td>\n<td><span style=\"font-weight: 400;\">N\/A<\/span><\/td>\n<td><span style=\"font-weight: 400;\">No<\/span><\/td>\n<td><span style=\"font-weight: 400;\">N\/A<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Constipation<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Yes<\/span><\/td>\n<td><span style=\"font-weight: 400;\">N\/A<\/span><\/td>\n<td><span style=\"font-weight: 400;\">No<\/span><\/td>\n<td><span style=\"font-weight: 400;\">N\/A<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Impotence<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Yes<\/span><\/td>\n<td><span style=\"font-weight: 400;\">N\/A<\/span><\/td>\n<td><span style=\"font-weight: 400;\">No<\/span><\/td>\n<td><span style=\"font-weight: 400;\">N\/A<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Changes in libido<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Yes<\/span><\/td>\n<td><span style=\"font-weight: 400;\">N\/A<\/span><\/td>\n<td><span style=\"font-weight: 400;\">No<\/span><\/td>\n<td><span style=\"font-weight: 400;\">N\/A<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h5><span style=\"font-weight: 400;\">Source: <\/span><a href=\"https:\/\/dailymed.nlm.nih.gov\/dailymed\/lookup.cfm?setid=3b44d104-a7d0-4366-9d42-63f784f3cb22\"><span style=\"font-weight: 400;\">Phentermine label<\/span><\/a><span style=\"font-weight: 400;\"> and <\/span><a href=\"https:\/\/dailymed.nlm.nih.gov\/dailymed\/drugInfo.cfm?setid=a310fc51-2743-4755-8398-fed5402283f6\"><span style=\"font-weight: 400;\">Vyvanse label<\/span><\/a><\/h5>\n<h2 id=\"phentermine-and-vyvanse-drug-interactions\"><span style=\"font-weight: 400;\">Phentermine and Vyvanse drug interactions<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">The most serious <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/phentermine-interactions\/\"><span style=\"font-weight: 400;\">Vyvanse drug interaction<\/span><\/a><span style=\"font-weight: 400;\"> occurs when Vyvanse is taken with monoamine oxidase inhibitors (<\/span><a href=\"https:\/\/www.singlecare.com\/drug-classes\/maois\"><span style=\"font-weight: 400;\">MAOIs<\/span><\/a><span style=\"font-weight: 400;\">). Taking them together can cause life-threatening blood pressure spikes, so patients should wait 14 days after taking their last MAOI before taking phentermine. It can also cause seizures when mixed with some antipsychotics (or bupropion) and serotonin syndrome when combined with certain selective serotonin reuptake inhibitors (SSRIs).<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Many of the same drugs can <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/vyvanse-interactions\/\"><span style=\"font-weight: 400;\">interact with Vyvanse<\/span><\/a><span style=\"font-weight: 400;\">. It has the same serious interaction with MAOIs, and drugs that affect serotonin\u2014like SSRIs, SNRIs, tricyclic antidepressants, and some headache drugs. Other CNS stimulants can further push the heart rate and blood pressure to dangerous levels when combined with Vyvanse, and some analyzing agents can reduce the body\u2019s ability to eliminate the drug.<\/span><\/p>\n<table class=\" singlecare-table\">\n<thead>\n<tr>\n<th>\n<h3 id=\"compare-phentermine-vs-vyvanse-drug-interactions\"><span class=\"title\">Compare phentermine vs. Vyvanse drug interactions<\/span><\/h3>\n<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr class=\"header-row\">\n<td><b>Drug<\/b><\/td>\n<td><b>Drug class<\/b><\/td>\n<td><b>Phentermine<\/b><\/td>\n<td><b>Vyvanse<\/b><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Marplan (isocarboxazid)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">MAOI<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Yes<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Yes<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Nardil (phenelzine)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">MAOI<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Yes<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Yes<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Emsam (selegiline)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">MAOI<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Yes<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Yes<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Parnate (tranylcypromine)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">MAOI<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Yes<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Yes<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">ProvayBlue (methylene blue)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">MAOI<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Yes<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Yes<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Zyvox (linezolid)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">MAOI<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Yes<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Yes<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Prozac (fluoxetine)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">SSRI<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Yes<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Yes<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Celexa (citalopram)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">SSRI<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Yes<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Yes<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Zoloft (sertraline)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">SSRI<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Yes<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Yes<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Paxil (paroxetine)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">SSRI<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Yes<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Yes<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Lexapro (escitalopram)\u00a0<\/span><\/td>\n<td><span style=\"font-weight: 400;\">SSRI<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Yes<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Yes<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Pristiq (desvenlafaxine)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">SNRI<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Yes<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Yes<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Cymbalta (duloxetine)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">SNRI<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Yes<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Yes<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Amitriptyline<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Tricyclic antidepressant<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Yes<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Yes<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Buspirone<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Anxiolytic<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Yes<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Yes<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\"><a href=\"https:\/\/www.singlecare.com\/blog\/phentermine-vs-adderall\/\">Adderall<\/a> (dextroamphetamine)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">CNS stimulant<\/span><\/td>\n<td><span style=\"font-weight: 400;\">No<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Yes<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Dexedrine<\/span><\/td>\n<td><span style=\"font-weight: 400;\">CNS stimulant<\/span><\/td>\n<td><span style=\"font-weight: 400;\">No<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Yes<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Ritalin (methylphenidate)\u00a0<\/span><\/td>\n<td><span style=\"font-weight: 400;\">CNS stimulant<\/span><\/td>\n<td><span style=\"font-weight: 400;\">No<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Yes<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Preludin (benzphetamine)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Sympathomimetic amine<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Yes<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Yes<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Bontril (phendimetrazine)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Fluoroquinolone antibiotic<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Yes<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Yes<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Epinephrine<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Alpha\/beta adrenergic agonist<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Yes<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Yes<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Norepinephrine<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Alpha\/beta adrenergic agonist<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Yes<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Yes<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Acetazolamide<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Carbonic anhydrase inhibitor<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Yes<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Yes<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Hydrochlorothiazide<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Diuretic<\/span><\/td>\n<td><span style=\"font-weight: 400;\">No<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Yes<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Chlorothiazide<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Diuretic<\/span><\/td>\n<td><span style=\"font-weight: 400;\">No<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Yes<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Sodium bicarbonate<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Alkalinizing agent<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Yes<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Yes<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Abilify (aripiprazole)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Antipsychotic<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Yes<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Sometimes<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Seroquel (quetiapine)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Antipsychotic<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Yes<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Yes<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Zyprexa (olanzapine)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Antipsychotic\u00a0<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Yes<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Yes<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Wellbutrin (bupropion)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">NDRI<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Yes<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Sometimes<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Zestril (lisinopril)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">ACE inhibitor<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Yes<\/span><\/td>\n<td><span style=\"font-weight: 400;\">No<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Diovan (valsartan)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Angiotensin II receptor blocker<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Yes<\/span><\/td>\n<td><span style=\"font-weight: 400;\">No<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Norvasc (amlodipine)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Calcium channel blocker<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Yes<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Sometimes<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Toprol XL (metoprolol succinate ER)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Beta blockers<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Yes<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Sometimes<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h5><b><i>*This may not be a complete list of drug interactions for phentermine and Vyvanse. Additionally, the likeness or severity of these interactions may depend on the patient\u2019s medical condition. Always consult a healthcare provider before combining drugs.\u00a0<\/i><\/b><\/h5>\n<h2 id=\"phentermine-and-vyvanse-drug-warnings\"><span style=\"font-weight: 400;\">Phentermine and Vyvanse drug warnings<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Patients who should not use Vyvanse include those who have preexisting heart conditions like high blood pressure (since it can cause cardiovascular reactions), a medical history of substance abuse, hypersensitivity to amphetamines, or those who have taken an MAOI within 14 days. On the other hand, phentermine\u2019s label says phentermine use is contraindicated for people who have a history of heart disease, hyperthyroidism, glaucoma, drug abuse, or those who have taken an MAOI within 14 days.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">People who are pregnant or breastfeeding should avoid both drugs because they may harm the fetus and it\u2019s unclear how much of the drugs are passed through breast milk.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">As we\u2019ve already mentioned, both drugs can lead to abuse or physical and psychological dependence. They can also cause withdrawal when a patient stops using them.<\/span><\/p>\n<h2 id=\"bottom-line\"><span style=\"font-weight: 400;\">Bottom line<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Phentermine and Vyvanse might affect the body in similar ways\u2014specifically when it comes to appetite\u2014but they\u2019re very different drugs with distinct uses. While phentermine is a low-cost, short-term, generic option for people looking to lose weight, Vyvanse is focused primarily on ADHD and binge-eating disorder treatment and tends to be more expensive. Regardless, a healthcare provider can provide specific medical advice on which might be best and safest for a particular patient\u2019s condition.\u00a0<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Phentermine and Vyvanse are two fairly different prescription drugs. They\u2019re both central nervous system (CNS) stimulant drugs that work by increasing levels of certain neurotransmitters in the brain\u2014but that\u2019s where the similarities end. Phentermine is usually prescribed as a weight loss drug, while Vyvanse is prescribed for attention-deficit hyperactivity disorder (ADHD) and binge-eating disorder. These [&hellip;]<\/p>\n","protected":false},"author":15,"featured_media":631359,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[8313],"tags":[15107,9825],"coauthors":[8861],"class_list":["post-631357","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-drug-vs-drug","tag-adhd","tag-weight-loss","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>Phentermine vs. Vyvanse: Differences, similarities, and side effects<\/title>\n<meta name=\"description\" content=\"Phentermine and Vyvanse are CNS stimulants, but phentermine is an appetite suppressant, and Vyvanse treats ADHD and binge-eating disorders.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, 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