Getting Started on Vyvanse
(lisdexamfetamine dimesylate)

Once-daily Vyvanse is available in 6 dosing strengths

Vyvanse dosage

Capsules shown are not actual size.

Your teen's doctor will determine the starting dose and when to make adjustments

It's important to work with the doctor to find the dose that is right for your teen. The recommended starting dose for Vyvanse is 30 mg once-daily. In order to help the medication meet your teen's needs, the doctor will begin medication at a starting dose, and if needed, periodically increase or decrease the dose to effectively control his or her ADHD symptoms and manage side effects. This is called titration. Dosing titration may happen in the beginning of your teen's medication therapy, or sometimes later, as his or her needs change. With 6 dosing strengths of Vyvanse, your teen's doctor has the flexibility to make changes to improve symptom control and/or manage side effects.

Tips to get started on Vyvanse

Take Vyvanse exactly as the doctor prescribes
The doctor may change your teen's dose until it is right for them
Take Vyvanse 1 time each day in the morning
Vyvanse can be taken with or without food
Vyvanse capsules may be swallowed whole
If your teen has trouble swallowing capsules, he or she may open the Vyvanse capsule and pour the powder into a glass of water
- Use all of the powder from the capsule to get all of the medicine
- Using a spoon, break apart any powder that is stuck together. Stir the powder and water until they are completely mixed together
- Drink the entire glass of water right away after mixing. Do not store. It is normal to see a filmy coating on the inside of the glass after drinking all the medicine
The doctor may sometimes stop Vyvanse treatment for a while to check your teen's ADHD symptoms
The doctor may do regular checks of your teen's blood, heart, and blood pressure while taking Vyvanse
Children should have their height and weight checked often while taking Vyvanse. Vyvanse treatment may be stopped if a problem is found during these check-ups
Store your medicine in a safe place and count your pills regularly to make sure no one else is using them
Do not give Vyvanse to other people, even if they have ADHD. It may harm them and it is against the law. Do not throw away unused Vyvanse in your household trash
If your teen takes too much Vyvanse, call your doctor or poison control center right away, or get your teen to the nearest hospital emergency room

Tips that may be helpful while on treatment

Here are a few things you may wish to do during the ADHD treatment process:

Learn more. Read books and articles on ADHD and visit these Web sites
Build a team. Enlist the help of family and friends, ﬁnd a therapist or coach, talk to teachers, or join a support group.
Be candid. Continue to update the doctor as symptoms and side effects change so he/she can better monitor your teen's treatment.

Save money on your teen's Vyvanse prescription* plus get a FREE Information Kit*Restrictions may apply.

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Get AWARE:
a parent's guide to proper stimulant use.

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INDICATION

Vyvanse is a prescription medicine for the treatment of ADHD in patients 6 years and above.

IMPORTANT SAFETY INFORMATION

Vyvanse (lisdexamfetamine dimesylate) has a high risk of abuse or dependence. Keep in a safe place to prevent misuse and abuse. Selling or sharing Vyvanse may harm others and is illegal.

Do not take Vyvanse if you or your child:
- is taking or has taken within the past 14 days an anti-depression medicine called a monoamine oxidase inhibitor or MAOI
- is sensitive to, allergic to, or had a reaction to other stimulant medicines
Some people have had the following problems when taking stimulant medicines, such as Vyvanse:
1. Heart-related problems including:
  - sudden death in people who have heart problems or heart defects
  - sudden death, stroke and heart attack in adults
  - increased blood pressure and heart rate
  Tell your doctor if you or your child has any heart problems, heart defects, high blood pressure, or a family history of these problems.
  Call your doctor right away if you or your child has any signs of heart problems such as chest pain, shortness of breath, or fainting while taking Vyvanse.
2. Mental (psychiatric) problems including:
  - new or worse behavior and thought problems
  - new or worse bipolar illness
  In Children and Teenagers
  - new psychotic symptoms such as:
    - seeing things or hearing voices
    - believing things that are not true
    - being suspicious
  - new manic symptoms
  Tell your doctor about any drug abuse, alcohol abuse or mental problems that you or your child has had, or about a family history of suicide, bipolar illness, or depression.
  Call your doctor right away if you or your child has any new or worsening mental symptoms or problems while taking Vyvanse.
Vyvanse may cause serious side effects, including:
- slowing of growth (height and weight) in children. Your child should have his or her height and weight checked often while taking Vyvanse. The doctor may stop treatment if a problem is found during these check-ups.
The most common side effects reported in studies of Vyvanse (lisdexamfetamine dimesylate) were:
- anxiety
- decreased appetite
- diarrhea
- dizziness
- dry mouth
- irritability
- loss of appetite
- nausea
- trouble sleeping
- upper stomach pain
- vomiting
- weight loss

For additional safety information, click here for Prescribing Information and Medication Guide and discuss with your doctor.

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088.

Important Safety Information

Getting Started on Vyvanse(lisdexamfetamine dimesylate)