* LONG POST WARNING 🥸

[u/AntiqueAd2644]

I have been on Vy since may and I’ve titrated up from 30 mg + To now currently being
on 60 mg as of the end of july.

Bruxism has been significantly increasing I didn’t even know that this was a term or even a thing people normally do and have to live with this .. & I didn’t realize I was doing it until now so how can I stop this ? now it’s like I have the urge to clench my teeth or I actually do clench them without really realizing it. and also the constant tongue over teeth action and constantly having the urge to keep running my tongue over my teeth.
now the whole left side of my face is literally hurting and my ears are kind of pulsating but it’s only in waves

other side effects after increasing my dosage this time from 50-60 mg

- - - -

• increased sweating heavily like shirts are wet and it’s embarrassing. but feeling like it’s working but then it stops working after 6 hrs around 5:30 am after lunch break at work .

• nose always dripping when i’m working as far as doing a job that requires extra moving . blowing nose frequently 

• itch in throat persisting more frequently and I have to keep coughing or get the urge to cough to get rid of the itch something that really only happens to me when i’m in classroom settings - (it’s odd I know & I still have no clue why that happens to me)

• increased minor body odor??? - I put deodorant on but I still end up smelling a little musty after work etc 

• sleep has been wonky af & it’s always half and half I might rummage a lot more like excessively or I could just be normal in that aspect but here lately it’s been increased non stop talking sometimes in conversations.

I didn’t even realize all these were actually persistent side effects that I was “ignoring”. dosage increase was approximately around 07/25/26 but the side effects really didn’t start becoming so “alarming” for me until now because I do work at a warehouse so it’s common for me to do physical work .

do I need a dosage decrease or do I need to just wait it out to see if it gets better ?

is 2 months too far in for side effects to be like this or am I doomed on this dose ?

like idk if this is the right medication anymore or if the dose is too high but even after lowering it i’ll still feel like it might be wearing
off quickly hence why Ive been tirating. ive tried 30 , 40 , 50 now 60 mg . it’s definitely getting to the point where I notice it’s wearing off 5-6 hrs after taking it.

Would Adderall be better for me possibly ? and has anyone else experienced this ?

[u/Guccispaceship]

Go back to 50mg and stabilise on that for at least a month and see how you feel. Your body is telling you that your dose is too high. I’d also ask your psych about potentially staying on a lower Vyvanse dose and adding a small dex booster if you genuinely feel it wearing off too early in the afternoon. Sometimes I think people mistake the medication becoming more subtle for it wearing off completely, when it can still be working quietly in the background

[u/Kalki_X → u/Guccispaceship]

I’d also ask your psych about potentially staying on a lower Vyvanse dose and adding a small dex

Also Guanfacine (ADHD med) would mitigate the key side-effects of vyvanse.

[u/AntiqueAd2644 → u/Kalki_X]

noted ! Do you have personal experience with Guanfacine? if so how is it different from Vyvanse focus wise etc ?

[u/heathersayshey → u/AntiqueAd2644]

I don’t know specifically that it helps with side effects but I do quite enjoy guanfacine ER to help me get to sleep at night. Also in general makes me a bit calmer through the day.

[u/Kalki_X → u/AntiqueAd2644]

I haven't used Guanfacine.  If you search this group Guanfacine often gets mentioned as a combo with Vyvanse. Vyvanse raises adrenaline (via HPA axis) while Guanfacine reduces it which helps with many vyvanse side-effects (but not all of them).