Vyvanse vs. Metadate CD

Discussion in 'General Parenting' started by msmlb, Jul 1, 2011.

  1. msmlb

    msmlb New Member

    I have been noticing that a lot of difficult child's with ADHD and ODD are taking Vyvanse. What is the difference between Vyvanse and Metadate CD? We tried a switch of daughter's medications back in April from Metadate CD to Concerta and her teacher reported that her impulstivity was in full swing and it was like she wasn't medicated. So went back to Metadate CD. Just wondering about the Vyvanse and how it has helped with issues.

  2. sunxstone

    sunxstone New Member

    We just started Vyvanse this morning with difficult child, and OMGAH, it's totally had an immediate effect. He came home very emotional, agitated (which I feared with his bipolar and it being a stimulant medication) but then he calmed down, CLEANED HIS ROOM of his own accord, and his focus is improved amazingly. Unfortunately, it's also improved his focus when he's trying to lawyer is way into/out of things (I'm exhausted.. get off me, kid!) but yeah, I'm seeing a major difference all ready.

    We'll have to see where it takes us. Sorry, I've never heard of metadate so I can't help you there!
  3. DDD

    DDD Well-Known Member

    Every child is different and therefore it often takes awhile to find the "right" stimulant medication. In our family we have tried them all over the past forty plus years. The youngest (now 9) takes Vyvanse with success although she does need a small booster stimulant late in the afternoon. The boys did well with Concerta. All I think you can do is keep a daily small journal tracking the behaviors so if your first choice doesn't work well you can show the Doctor how your child has reacted to the medication. Good luck. DDD
  4. syykkogrl

    syykkogrl New Member

    In answer to your thread, Metadate is from a family of stimulant medications called methylphenidate, the same thing that Ritalin is derived from. Whereas Vyvanse is Lisdexamfetamine, and is a "Pro-Drug", which is a drug that has no physiological activity of and in itself, but once metabolized by the body (after passing through the liver) it is transformed into an active drug. There is a protein attached to the medication that prevents it from taking effect until after it is processed through the liver, making the Drug non-habit forming. Finding the right medication for your child is always a trial and error process, as there are no set rules one can follow for EVERY child. Most of the time, your Dr. will try a drug from the methylphenidate family (like Ritalin or Focalin XR), and if there is no success, will then try a drug, like Adderall, from the amphetamine or dextroamphetamine family and compare the results. If one medication seemed to work better than the other, the Physician will most likely, then attempt to prescribe different medications in the same family of the medication that had a better effect. Vyvanse is becoming increasingly more popular because many parents see the effects of the medication immediately, and because it cannot be abused like many other medications for ADHD that are on the market. My daughter has Asperger's Syndrome and ADHD, and Vyvanse has worked amazingly for her, as well as my youngest son (who has only ADHD). My oldest son has been on Focalin XR for several years with excellent results, so we have not changed his medication because the Focalin XR DOES work very well for HIM. It was not easy to find the correct medication and dosage for each child, even though they are siblings. It took months of trial and error for each child to find the medication that worked well (and the correct dose of the medication) for their individual needs. I hope that this answers many questions, and that it better informs you of what to expect if you are just embarking on the journey of ADHD with your child. Good Luck!
  5. LittleDudesMom

    LittleDudesMom Well-Known Member Staff Member


    we often refer to the change and trial of medications as the "medication merry-go-round". It it definitely trial by error since all of our children are different and their bodies metabolize medications differently. My son's first adhd medication was metadate and he was on it for two days - it was a complete disaster! We saw an immediate positive change in the adhd symtoms but the emotional toll was bad. He was then on Concerta for about a year and a half with much success until it was deemed necessary for an increase due to his increased inability to focus.

    Immediately upon the increase from 18 to 27 mg my difficult child began having extreme raging at school (never at home). His medication (among a number of other things) was changed to adderall and he did great on that from 2nd grade through 6th. In 7th grade we started vyvanse because it had a "smoother" delivery system and he is now in 10th grade.

    I give you this "brief" history so you will see that even if a medication has worked wonderfully, the changes in our kids as they grow, hormones coming into play, etc., often make medication changes necessary.

    For my difficult child, the vyvanse was "smoother". It's kinda hard to put into words but that's how I describe it -- the adderall seemed to give him a "hit" in the morning and a "hit" in the afternoon that could often result in negative moodiness. The vyvanse is different.

    Another difference was that the vyvanse doesn't affect his appetite as much but it does last longer and it is important to get it in him as early in the day as possible.