Switch from Vyvanse to Concerta?

Kelly - posted on 10/29/2010 ( 26 moms have responded )

27

2

3

My son has been on Vyvanse for about 8 months - best therapuetic dose has been 30 mg. He's 9 years old. New psychiatrist wants to try him on Concerta 36 mg. My son has been doing great in school, just some moments of daydreaming but no impulsivity, doing great socially, and doing well on tests, etc. At home, though, he's had a lot of anger when meds wear off or haven't kicked in and trouble sleeping...I think this is why he wants us to try Concerta. My son just took his first dose. Luckily, he has today off of school...so if disastrous at least he's just here at home.

Anyone have any feedback on this? I know every child is different, but...you know sometimes feedback is comforting. (((((HUGS))))) to my fellow adhd kiddo mommas out there :)

MOST HELPFUL POSTS

Deborah - posted on 12/05/2012

1

0

0

My daughter is 12 and she has been on Vyvanse for about 2 years now. Lately (about 2 months now) she has been so angry. She is constantly complaining about everything, argues with everyone, and when we get into fights, then look in her eyes is scary! She has been diagnosed with ADHD, ODD, and Severe Anxiety and takes medicine for her anxiety also. I figured that some of her anger and arguing may have to do with hormones as she is in puberty but it is out of control. The worst times are in the afternoon and everning when the medicine has wore off. She does things just to start arguments and has no respect for anyone! She tells me at times that she doesn't mena to be this way but can't help it. I feel so bad for her! The other day, she had a check up with her psychiatrist and I told her what was going on. She said that she has seen this before in children that have taken Vyvanse for a long time. She told me not to give her any ADHD medication for the next 2 days and then she wants her to start on Focalin. OMG!! What a difference!! She was a little overactive for the 2 days but the respect she had for others and no arguing was amazing!!! She told me "Mom, do you think I'm acting happeir? Because I feel happier." I broke my heart to know that it was a medicine that I was giving her that was making her that way. If you notice a change in your child, PLEASE talk to your doctor!!

Melissa - posted on 10/29/2010

200

40

30

Have you thought of trying a natural supplement in addition to or by itself? My son uses a supplement (after he reacted to meds), and he's doing great. The mood swings "coming off" meds were too much. I'm a special ed. teacher, mom of 4 and a person with ADHD. I would love to give you some suggestions for your son in the classroom. Feel free to e-mail me at kidsfirst6@yahoo.com.

George - posted on 10/05/2012

2

0

0

My son was diagnosed by a psychologist with ADHD at the age of 6. His doctor started him out on Vyvanse 20mg. Within few months, he was up to 40mg. He is now 7 and has been on 40 mg of vyvanse for a year. It works great until about 4 pm. Early in the morning before taking the med and after 4pm, he is a little "monster". Before the med kicks in and after it wears off around 4, my son becomes someone I do not know. He gets very angry, yells, very mean to his siblings. He has a hard time sleeping. Just the sleeping issue is taking its toll on me. My doctor recommended concerta. He stated concerta has three levels to the drug. It is slow releasing, and is time controlled. Due to the three tier and time control release and slow release, it last 12 hours. That would be great. We are going to try it for the first time tomorrow. I will be excited if I get my beautiful baby boy for the whole day at his sweet self, instead of just until approximately 3 to 4pm at best. God bless you all and thank you for your stories on concerta. It gives me the peace and confidence I needed as this is a new med that I never heard of. Thanks again.

Luanne - posted on 11/03/2010

1

14

0

My daughter was on Vyvanse for a year and I HATED it and I believe she did too. We moved to NC 2.5 yrs ago and her pediatrician put her on Concerta 36 mg and Prozac 10 mg. She is doing wonderful. It took some time to get to this point of the right dosage (had to work our way up). But I finally feel she is somewhat "normal". She goes to bed like my other girls with no problems or issues. She has a very hard time waking up for school, but otherwise her sleeping is much better. When she was on the Vyvanse it was HORRIBLE!!! She was mean, angry, cried everynight, was a complete nightmare to put her to bed. It was a year of hell for all of us. My best suggestion/advice would be to try the concerta for 3-6 mo and see if the changes work for you and your family. You'll never know til you try. Can't get any worse. Hope this helps.

John - posted on 06/15/2013

3

0

0

Hi moms. To start with I am a dad and I am also add. There is a new test out and although you likely already know about it some may not. It is a swab of the mouth the compay my Dr. uses is "GeneSight". No name just a number for the patient. The test results will come back in about two days and will identify which add drugs will work and why. I have been on R for 20 years, 6 ten mil. pills a day. 5,8,11,2,5,8. My daily schedule and I spent a lot of time watching my watch. The drug never stopped working and was as effective the last day I took it as the first. The test, referred to above, came back two days ago and concluded that while R would work, I would need a large dosage because of my over active metabolism and that the better choice for me based upon the results was either Concerta or Vyvanse. I have started on Concerta at 54 mgs a day and so far the result is no different, except of course I am spending a lot less time checking my watch. My recommendation is, make sure the doctor you are using is an expert on these medications. Trial and error should not be necessary, especially with this new test. Best to all John

If you see this, leave this form field blank.
Powered by RESPECT not THUMPS

26 Comments

View replies by

Sharon - posted on 03/28/2014

1

0

0

I too have a son who has add and impulsive behaviors. He has been on vyvance 30 mg for one month and would get so irritated and angry late in the day. We just switched him to concerta 18 mg, he seems ok today buts am hopeful the irritability will cease. I never heard of the mouth swab test and will research this. Does anyone know if it is covered by insurance?

Kendra - posted on 03/24/2014

1

2

0

my son is 7 years old and he has ADD. we had him on adderall xr which altered his personality so we tried concerts 27mg and its not doing anything at all granted he has only been on it two weeks but it has thinned out his hair in one spot… should i try a higher dose or switched to vyvanse

John - posted on 06/16/2013

3

0

0

one of the many important things to remember about kids is that their metabolism will impact on how well the medication will work. If a child is going through a growth spurt, is comming down with the flu or anything that causes a sharp rise in their metabloism, add medications will seem to not be working any more or not as well when in fact all that is happening is they are using up the medication at a much faster rate. This is one of the reasons I was able as an adult to stay on the same dosage for 20 years. Finished growing and no more growth spurts. Once we thought the R was no longer working on our son and we finally saw a "real" expert who asked us if he had recently gone through a growth spurt. He had and all we had to do was increase the medication to compensate. Hope this helps

Amanda - posted on 06/16/2013

12

0

0

Does your son have very bad night mares? Crying and can't remember once you woke them up what they were dreaming about? If I don't wake my daughter up fully she will go back to the same night made and cries and screams

Amanda - posted on 06/16/2013

12

0

0

My daughter been on concerta for awhile but every 3 months I have to ask her dr for higher mg. Its seem OK but am worried about the night mares and sleep walks. I don't know if its the medications or ADHD. She has days she seems happy other days she seem sad for no reason. Her stomach hurts a lot since she took concerts also she don't eat till late at night. She has lost a lot weight. Dr not worried but am very concern

Tanya - posted on 02/27/2013

1

0

0

My son was on Concerta for about a year and a half and was moved to Vyvanse. I've never hated anything more in my life. The Vyvanse has caused uncontrollable emotional outbursts, fits of rage and terrible behaviour. I have decided to take him off completely until able to get to the Dr. again.

Jacqueline - posted on 10/10/2012

1

0

0

my son has aspergers and adhd hes been on concerta for the past year doing ok my problem is he has been complaining of sore bones this has been going on longer than hes been on the meds does anyone else have this problem.

Chalita - posted on 10/02/2012

30

13

10

My son took Vyvanse 30 for about a year. It made him a zombie. Yes he did good in school but socially, OMG, I wanted to know what happened to my baby. I didn't notice any anger while on the Vyvanse after it wore off. I took him off of the Vyvanse and his doctor put him on Concerta 36. He did great in school and he came back to himself and even told me that he felt normal on the Concerta. He is now on Concerta 54 and still doing good in school. However, once it wears off, I get to see him in rare form. He does have trouble sleeping at night. He tends to be a night owl, but I can give him the natural sleeping aid that you buy over the counter and he is fine. There is no anger or anything. As you say, each child is different and I believe that just from dealing with other children with this condition. I hope your son does okay with the Concerta. ((((HUGS)))) to you also.

Crystal - posted on 10/02/2012

1

0

0

Wow.... my son who is 7 has been on vyvanse 30 mg, with .15 respodone. a2months now, at first he was doing really good on it.... now he is very mad, angry, and everything sets him off, he always thinks people is starting stuff, and he hates people, crys constantly, and everyday routines.... it works great til 4 after 4pm, he becomes a handfull. He is now getting so mad @ my husband for telling him to do his 1 chore vaccum, that he says that he hates him, he wants him out of our family and he that he wants to kill himself. (This has caused major strain on our marriage.) This scares me tremendously because he is 7, I know that he needs his medications, and I have tried to talk to him, as to why he feels this way, and it just seems that he knew at the time that would hurt my husband's feelings. I am a little leary of giving him anything, I don't think any kid should want to kill themselves, especially over something so simple as a chore. Does anyone else have any suggestions of what I should ask for medicine wise to help this behavior? I don't need it to get worse. I need it to get better. Thanks for your help.

Chris - posted on 11/06/2010

3

1

0

My sons are on Vvyvance and are doing well. They were on concerta before that an had no appetite.

Becky - posted on 11/04/2010

46

0

3

36 mgs are pretty high. Concerta also maes a 27mg. When my son was in second grade he was on 18mg Concerta

Christine - posted on 11/03/2010

10

22

0

My son used to take concerta yrs ago and when it started to wear off it was l;ike he was going through withdrawl. he is now 13 and we finally have him stable and doing well with 50 mg vyvanse,60 mg of strattera and 2mg risperadal. he takes the risperal before bedtime and it makes him sleepy and help with anger. I have seen almost no side effects. For the first time in yrs he is active in sports ,doing great in school and socially. I would seriously recommend he stay on the vyvanse .Best of luck to u. My son was diagnosed at the young age of 4yrs and finally!!! we have been making progress over the last yr. best of luck

[deleted account]

We found less of a reaction going on and coming off, but my son can't be on Concerta (although we like it better than Vyvanse) due to upset stomach issues.

Susan - posted on 11/03/2010

5

10

0

We tried a few meds before we started Vyvanse. We have been on Vyvanse for years and love it. My son is doing great in school and this has been such a blessing. But each child is different and each medicine works differently for each child Good luck....

Sue - posted on 11/03/2010

1

0

0

My son was on Concerta, and it went well for a year or two, but then it made him edgy and sick to his stomach. I found Vyvanse to work much, much, much better!

[deleted account]

We have switched so many medicines over the years. Our son is 13 and was diagnosed at 6. We started on Strattera for a year, then moved to Concerta for two years, to Medadate for a year to Vyvanse for two years, in the last year we have swtiched back to Concerta.

Being on so many different medicines I can truly see a difference. When he was on Vyvanse, he was a zombie, comparing before-during-and after, he just 'went through the motions' of life, he was just blasey..that is until Vyvanse wore off. Everyone is different and reacts differently to different medications. The reasons we switched back to Concerta, I had always let him 'be in control' if the medicine did not make him 'feel right' to let me know (but I was able to see that he was getting depressed) in his words "the medicine makes me feel sad" He was a happy/angry person when Vyvanse wore off and 'whatever happens, happens person when it was in full vigor. Being back on Concerta has made a difference he is no longer moppy or zombied.

Karen - posted on 11/03/2010

6

30

0

We were on Vyvanse about 6 months ago ... sorry I cannot remember the dosage. Our biggest problem was the emotional outbursts. My son just turned 8. He would cry at the drop of a hat. We're on 54 mg Concerta and the mood swings have improved. The biggest problem is it takes a FULL HOUR to take effect in the mornings. He's very sassy and mouthy until the medicine takes effect and he turns back into my sweet little boy. I am very pleased with the increase in his appetite. And yes, each child is different. We are starting this year - 2nd grade - to have issues with social studies and science and retaining information and are working with the schools to test for qualifications for IEP and/or 504 plan.

Good luck and God bless.

Maxine - posted on 11/03/2010

1

25

0

hi my daughter has been on CONCERTA as well as RISPERIDONEfor about 1 year know and she take's 4 pill's in the moring, afternoon and let me tell when the do not kicking right away i know about it... she very hyper very fast and 1 wrong word trigger's and out burst....she has been disgnosed with HYPER MENTAL LEARNING DISORDER which way worse then a.d.h.d. and a.d.d. put together...

Kelly - posted on 10/29/2010

27

2

3

Thanks for your feedback. This is all so tough - on one hand the Vyvanse is awesome because he is great at school...but, man once it wears off he can be flat out MEAN and ANGRY which is not really his personality at all? I hope the Concerta will be the answer. Ugh.

Jenni - posted on 10/29/2010

43

44

1

My son is vyvanse 60 mg and he is doing great but it wears off once he is done with school when not suppose too. he also gives me a hard time after school and going to bed and getting up in morning.

If you see this, leave this form field blank.
Powered by RESPECT not THUMPS

Join Circle of Moms

Sign up for Circle of Moms and be a part of this community! Membership is just one click away.

Join Circle of Moms