Is is safe to take Vyvanse with a low dosage of Methadone

[kayschwerin4716]

Is it safe to take a low-dosage (5mg)  Methadone BID  for chronic back pain along with Vyvanse 30 mg daily for ADD?

[backhurtz]

JC,
You should NEVER 'play around ' with the dosage of ANY prescribed medication. Doing so can cause overdose, and dangerous exacerbated side effects, including increased heart rate, respiratory issues, and other life threatening problems.
It is ALWAYS the better decision to contact your doctors and find out what they would like you to do when facing intolerable side effects.

[inga511]

Kay-I also take methadone 5 mg in morning and 5 in afternoon for ruptured disc and Fybromyalgia pain. I have a mood disorder and take selexa 40 mg, topomax 200 mg (migrains)and seraquel 200 mg for sleep. I keep the methadone as low as possible bc the withdrawal are awful. Whenever you go to a new Doc always tell them what you are taking. Have a good Holiday.

Inga

[namnam46]

Hi Kay,

First I want to welcome you to the Pain Management Forum and let you know that we are glad you found this Forum. I want to let you know that there are NO Doctors on this Forum only CP - Chronic Pain - Patients that help each other with our OWN expertise and experiences that we have developed through our OWN CP Issues.

Yes, your Pharmacist is always a good source of information BUT I think I would be asking MY Doctor.  Did the same Doctor give you BOTH medications?  IF so then you might want to DOUBLE CHECK with him/her.  If it is TWO DIFFERENT Doctors then you need to call EACH one of them and BE SURE that they know what the OTHER has prescribed for you.  Since these seem possible that they MIGHT interfere with each other you DOCTOR should be making the decision as to what you are taking.

I HOPE that you will get back to us with what your Doctor has told you that you should do about the combination of your medicines.  

I wish you the VERY best and look forward to your update........Sherry

[meeshmina]

i am not a doctor but I can say that I was on Vyvnase 60 mg per day and experimented with opiates including methadone, for chronic pain, chronic bowel issues and for Opiate addiction.  I was talking between 10 and 40 mgs of methadone.
  What you can expect is a severe decrease in the efficacy of your ADD meds Vyvanse.  You will feel tired, or easily exhausted, if you are a man you will likely have a decrease in the amount of testosterone in your system.  This can do all sort of things none of which are particular desirable unless you suffer from one or more of the symptoms/diseases and while remember that these are funny but trust me they are real:

Premature ejaculation, in ability to feel pleasure, incontinence, chronic pain, Hyperhydrosis (sweating), An increase in Add/Adhd related symptoms, decrease in the effectiveness of your stimulant medication.
  Masochism  

  If you do not want to suffer from any of the above side effects do not start methadone treatment.  Those are just a few of the symptoms you will experience.  I could be more comprehensive but if you have questions I will be glad to answer.
My suggestion is that if you suffer from both Add/narcolepsy and chronic pain go with an oc meds or try a Thebiane based opiod/opiate that is drugs like oxycontin, hydrocodone or Bupenorphine.  Many people find these are less sedating and if you are ADD; you will be pleased with the results.  
Best of luck

[JC091186]

Wow.. it's now 2019 March 15th, I was wondering why I was going through five or six different side effects when switching my stimulants completely over to Vyvanse and I already was well invested into a Methadone Maintenance program.  But I was on adderal 30mg 2 x daily, started methadone and then adderall 20mg 1 x day and 40mg vyvanse 1x a day when this all started slowly but I knew something wasnt right. I stuck it out figuring it'll just take some time to adjust switching around the stimulants I completely eliminated adderal and now I am on a 30 mg Vyvanse and a 40 mg Vyvanse both once a day and I have almost an unbeatable drowsiness I cannot kick from the moment I wake up until the time I go to sleep.  If I didn't have a past history of messing with opiates and Somas there is no way I would get through my day like this. So now I toyed around myself with different milligram dosage amounts of my Vyvanse,  and at the amount I was able to actually notice it becoming effective, I would be embarrassed and afraid to explain to my psychiatrist what I've done, just trying to stay awake.   and now for the past week of doing this before discovering an amount that would work I have almost depleted 60 total Vyvanse capsules prescribed in a 30-day prescription in 11 days. I am working on lowering my methadone at the clinic right now but I believe I will have to get off of the Vyvanse if I want to eliminate these bonus side effects have been feeling that are absolutely life debilitating. I have lost all quality I had slowly gained over the past year being in both programs trying to put my life back together. What do I do if anyone is on this combination or just switched to it and reads this post PLEASE switch back off vyvanse as soon as possible &warn your doctor to not do this to anyone else. If I was weak minded and didn't go through what I just went through in the past two years I probably would have done the unthinkable here to stop feeling this way, it's that miserable.

[geminigirl1963]

That's exactly what I was going to suggest - your pharmacist is the best source of this type of information.

[inga511]

Kay-Ask your pharmacist, they should tell you.
Merry Xmas
Inga