Vyvanse in Canada
ByUpdated February 1, 2010:
Vyvanse has been officially launched in Canada as of today.
This means that it is available in pharmacies (though if you are the first person to take a prescription to your pharmacy, they may have to order it in and it may take a day or two…).
In Canada, Vyvanse has been approved at only two dosage strengths: 30 mg and 50 mg. Health Canada has asked for more data to approve the 70 mg capsule. Hopefully this dosage will get approval soon. When Vyvanse launched in the US, it was approved initially with the three doses – 30 mg, 50 mg, and 70 mg. Later, Shire got approval for the 20 mg, 40 mg and 60 mg. Hopefully, we will get more dosage strengths in Canada as well – but for now, let’s be happy that we have a new medication option in Canada.
Vyvanse is a the first prodrug for ADHD. This means that the medication is inactive until an enzyme in the body works to activate it. To read more about how it works, visit this blog post on Vyvanse.
To read the press release on Vyvanse being released in Canada, please view it here.
This blog has several articles on Vyvanse, but my favorite is the one where my readers have shared their experiences with Vyvanse (almost 700 comments at this time) about whether Vyvanse works.
Please share any comments or issues with Vyvanse being in Canada below.
Best,
Dr. Kenny
31 Comments
November 14th, 2007 at 12:10 am
To Francie: My 8 yr old son was diagnosed with ADHD @ age 3, and with Asperger’s disorder at age 7. We have run the gamut of meds for ADHD. He has been on Concerta (which proved to be a miracle drug with my 12 yr old when he started it at age 5), Ritalin, Ritalin LA, Focalin, Strattera, and finally Adderall. In the meantime, his psychiatrist–who specializes in kids with these types of problems–has added Depakote, Risperdal, Cogentin, and Prozac to the cocktail. Our problems were there, but they were survivable. Two and a half weeks ago, he was switched to Vyvanse from Adderall in an attempt to control his fits–which occurred on a regular basis. Within two weeks, his fits had become violent and more frequent. Last week in school, he even went so far as to throw chairs across the room–a behavior that had stopped when he was in kindergarten–3 years ago. My baby is now in an adolescent ward in a psychiatric hospital in a desperate attempt to help him. When he is not throwing fits, he is loving and affectionate, and a truly happy child. But it seemed as if a switched was turned when he lost control and his fits began–even more so since Vyvanse was introduced. At this point, after reading about all of the wonderful results of other parents, I am beginning to wonder if our problem was caused by the combination of the Vyvanse and another one of his many meds rather than the Vyvanse alone. I would urge any parent whose children have other conditions coexisting with ADHD to proceed with caution when their MD mentions Vyvanse. For the parents who have had success with Vyvanse, I am so very happy! I have walked many miles in your shoes, and I truly believe that every child needs to be evaluated and treated as individual cases, and what works for one doesn’t necessarily work for another. If it did, then there would only be one type of ADHD med out there! I will add more postings as we get more info on my son’s condition.
February 8th, 2008 at 3:34 am
I have been visiting this site a lot lately, so i thought it is a good idea to show my appreciation with a comment.
Thanks,
Jim Mirkalami
February 22nd, 2008 at 6:31 pm
Wow. That hurts. I feel your pain. From the first time I had to give my son (diagnosed with ADHD, ODD & LD) medication, it killed me. To have that happen to you when you are only trying to fo the best for your kids…it hurts. Perhaps its the combination. I am interested in this new drug. We’ll see. Currently my son is on Concerta and Risperdal in the A.M. and Ritalin and Risperdal in the pM. I hope it was just the combo and you can figure it out. As for me…I have lots of research to do! I just want my son to be able to function with society and not be judged based on his conditions that are out of his control.
All the Best, Nicole
March 31st, 2008 at 11:47 am
My 15 year old was diagnosed with ADHD in kindergarten and was put on Adderall . He was on Adderall until recently and it worked very well until he reached 14. He objected to having to take imedicine at school. Because Adderall is not long lasting, he had to take it in the morning and at lunch. Recently he was put on Vyvanse because it lit is suppose to last for 12 hours and he wouldn’t have to take it at school. Recently it seems to me that his behavior has gotten worse. He seems more angry and has more outbursts. The reason for this could be several things but I am trying to do some research to see if other parents have noticed these behaviors after their children started taking Vyvanse.
April 10th, 2008 at 8:03 pm
A few years ago, my 13 yr old daughter (age at the time) started having discipline problems and occasional angry outbursts. Her problems continued and worsened. She went through three years of misdiagnoses and incorrect treatments. It’s taken us until this year to get her a proper diagnoses, along with a correct combination and dosage of medication. It was during her recent hospital stay that she was diagnosed with bi-polar. Most of the children diagnosed with bipolar disorder also meet the criteria for ADHD. In her case, this was correct. Having BP and ADHD together, she could not risk taking Vyvanse or any stimulant. ADHD stimulant medication has been known to trigger anger/violent episodes. Bipolar disorder typically surfaces in adolescence. If your child’s mood becomes aggressive with stimulants, it may be a sign of a larger issue.
May 8th, 2008 at 8:50 am
My 11 year old has just started taking Vyvanse 30 mg and while it has helped him to focus better in the classroom, he is not eating at all. He has no appetite what so ever and I have to literally force him to eat a piece of toast in the mornings. It’s only been a week and he has already lost 5 pounds. My son is tall and slim and so I worry about how much more weigh can he afford to shed before something serious happens . We have tried numerous other medicines and so far over the past 5-6 years nothing has proven to be worth the trouble. I am also concerned with what it will do to him later in life with his liver. Is it really worth going through all of this ? I have also noticed him refraining from doing any outdoors activities with us. It’s like he would like to be left alone. I know my child and this is not how my son is. My husband wants him taken off these drugs and I am stuck in a hard place to help him better in school or have him not eat all day.
May 8th, 2008 at 9:19 am
Ashley,
I suggest you contact your child’s doctor for advice on how to proceed with Vyvanse.
You can also view many people’s experience with Vyvanse by looking at the comments here:
http://www.addadhdblog.com/does-vyvanse-work/
All the best,
Dr. Kenny
May 9th, 2008 at 3:50 pm
My son’s doctor says that Vyvanse is the same as adderall except that the effect of Vyvanse lasts longer. Is Vyvanse the same as adderall?
May 9th, 2008 at 5:40 pm
Vyvanse is just about the same as Adderall. There are some minor differences, but they are not very substantial.
To read more about vyvanse, visit:
http://www.addadhdblog.com/vyvanse-the-new-medicine-for-addadhd/
Dr. Kenny
September 16th, 2008 at 4:29 pm
Vyvanse in Canada | ADD ADHD Blog.com…
Vyvanse is the newest medication to come out for ADD and ADHD in the USA. I have posted articles on Vyvanse, and many of my readers have shared their experiences with Vyvanse (over 50 comments) about whether Vyvanse works….
September 16th, 2008 at 4:42 pm
Vyvanse in Canada…
Vyvanse is the newest medication to come out for ADD and ADHD in the USA. I have posted articles on Vyvanse, and many of my readers have shared their experiences with Vyvanse (over 50 comments) about whether Vyvanse works….
September 16th, 2008 at 4:48 pm
Vyvanse in Canada | ADD ADHD Blog.com…
Vyvanse is the newest medication to come out for ADD and ADHD in the USA. I have posted articles on Vyvanse, and many of my readers have shared their experiences with Vyvanse (over 50 comments) about whether Vyvanse works….
November 3rd, 2008 at 11:42 am
Hi,
My son is 10 and was diagnosed with ADHD when he was 8, we have tried Ritalin with no effect and have been on Adderall for about a year. It was working great at first and then he started having some trouble in school and at home. I went back to the doctor and she gave him Vyvanse, we have been on it for 3 days and it’s been awful so far. My son is crying, screaming, throwing major fits, and even physically attacked me yesterday. I had to send him to school today and I’m terrified of how his behavior might be. I am currently waiting for a call from the doctor.
My son said this med has mad him angry, sad, and feel like he could hurt someone.
November 5th, 2008 at 5:23 pm
I wrote a comment last March about the change in my son’s behavior since taking Vyvanse. His physician assured me that it was the same as adderall except that it lasts longer. He stayed on the medication but his behavior has gotten worse. His anger episodes have gotten worse to where he punches holes in the wall and he has all but given up in school. I receive calls from teachers frequently about his behavior including today in which his teacher said that his behavior is not like him at all and is similar to the way Carrie described her son mad, sad. Basically he has given up. He is irritated at me when I try to talk to him about this but he told me he doesn’t know why he is so angry. He always apologizes after he calms down and I really feel that maybe he can’t control his anger. I have another appointment with his physician tomorrow to talk about his medication. My son does not want to quit taking Vyvanse because when he takes Adderall he has to take a dosage at school which he does not want to do. That is one of the reasons that we tried something different but it is hard for me to believe that Adderall and Vyvanse are the basically the same medications. I am terribly worried about Jordan and if anyone has more information about Vyvanse for me to show his physician I would appreciate it.
January 21st, 2010 at 5:43 am
I’m in Canada. Both my son & I have been on Adderall. It only lasts 6 hours in me. He has been switched to Vyvance and his teacher is very pleased with his improvement but our drug plan probably won’t cover it once it officially enters the market.
I am in University taking a class at 10:30 & 3:05, Tuesday & Thursday. Currently my doctors instructed me to take my Adderall @ 9:00am so it is running out during my 3:05 class. I can’t sit still. (It’s the 1st week. After class someone even asked what I was on because I looked like I was on something BAD. LOL)
Does anyone know if Vyvance and Adderall can be taken on different days (ie Vyvance on class days {OR Tue-Thur} and Adderall on non-class days since I may have to pay for the Vyvance?)
January 21st, 2010 at 12:07 pm
Belinda – You probably can take the different medicine on different days. Of course, you can consider taking the Adderall XR 2 times per day. Talk to your doctor about the options.
Best,
Dr. Kenny
January 21st, 2010 at 3:28 pm
When Adderall 30 mg daily maximum is divided it doesn’t seem to help much for either time. I don’t have faith in My GP’s ADHD treatment. She doesn’t know much about ADHD so my son gets better treatment than me. When my son was taking Adderall Dr. Ahmed said he couldn’t take it after 12:00 because later than that messes up sleep.
February 8th, 2010 at 8:44 pm
Hi Doc:
I am going to ask my psychiatrist to switch me from Concerta (and Ritalin) to Vyvanse. The reason for this is to get a longger duration of effect (DOE). However, I am skepticle of their claims that the DOE is 13 – 14 hours. For instance, I have noticed that Shire always reports effiacy at 2 hrs after ingestion. And, the measure DOE from the time of ingestion. Given that it is a prodrug, I would suspect that it takes longer to reach efficacy and that is why the use the 2 hour measurement versus the 1 hour measurement that all other stimulant manufacturers use.
Interestingly, as a patient, I am only interested in the duration of therefutic effect. Gor instance, if I take a pain reliever, I don’t consider it to be effective until I obtain adequate pain relief. Actually, I am quite interested in duration until therepeutic effect. I think that there is a lot of misrepresentation of datataking place which leads to patients, like me, having unrealistic expectations.
Therefore, I am cautiously optimistic that I will obtain a longer DOE (therepeutic) but I hope that it is not a waste of my time. I know that these companies invest heavily in their indirect marketing, so I always erie about claims about specific products, even if they are from health care professionals.
Any thoughts?
February 8th, 2010 at 11:19 pm
Jeds,
You make some good arguments. The newer studies measure the medicine at 1.5 hours.
That said, now that I’ve had some patients try it, and I am getting feedback, many are noticing that the onset of action is the same as the other medicines – and I had a kid in today where the parent was able to conclusively say that Vyvanse started working after 30 minutes! And it lasted pretty long – though they couldn’t report exactly when it wore off… (so I can’t give you a full DOE for this kid).
So – the effect may be different for you- but here’s to hoping that it works well.
February 9th, 2010 at 7:49 pm
You said Vyvanse was launched Feb 1 but I thought it was supposed to be launched at a big party on Feb 11.
February 11th, 2010 at 2:03 am
Hi,
I’m not sure about any party.
It was officially ‘launched’ i.e. available in Canada on February 1st. See here: http://www.newswire.ca/en/releases/archive/February2010/01/c5329.html
If you have a party to go to – have fun!
Dr. Kenny
February 11th, 2010 at 2:41 am
Our ADHD doctor is going to Montreal for some official launch today.
February 16th, 2010 at 6:41 pm
Hi,
Where can we purchase Vyvanse? This was supposed to have been available Feb 1 but no one seems to have it yet.
Thx, Nadine
February 17th, 2010 at 1:00 am
is vyvanse available by mail-order to the u.s.? i’m hoping for a lower price than the current $150 a month i’m paying now. i’d appreciate any information about being able to order from the u.s.!
February 17th, 2010 at 3:08 am
Nadine,
You can see the list of pharmacies that have Vyvanse available here: http://www.addadhdblog.com/vyvanse-in-canadian-pharmacies
Good luck.
Dr. Kenny
February 17th, 2010 at 3:08 am
Three boys mom – I don’t know, but I doubt that you can buy it from Canada to mail order to the US.
Dr. Kenny
February 22nd, 2010 at 7:05 pm
Just had vyvanse prescribed for 12 yr.old son, little success with concerta, addera, bi-fentin etc.
So far neither Shoppers drug mart or Pharmaplus is able to get it in.
After reading these experiences, I’m afraid to give it to him. We were really counting on it, with hope and prayers.
March 2nd, 2010 at 2:29 pm
My son 13 was just prescribed with Vyvanse. He started this morning actually. This drug is available in Newfoundland but the pharmacy had to order it in. I’m keeping my fingers crossed that it works out for him.
March 4th, 2010 at 6:12 pm
Vyvance seems like the maricle medication for my son. I wish I was on it too.
March 5th, 2010 at 7:27 pm
I don’t know where other Canadians are getting their Vyvanse. I have. A one month old prescription at my pharmacy that still hasn’t been filled. They say that their wholeseller still isn’t stocking it. This is a major pharmacy! Anyone else having this problem?
March 7th, 2010 at 10:32 am
My son was diagnosed with ADD in grade 4. We tried many drugs and combinations of drugs because we were also treating depression. He is now 15 and in his first year of high school. The start to high school was horrible, he was falling asleep, could not pay attention did not participate. My husband and I did not think he would be able to graduate. We went to his pysciatrist in one last attempt to saw “what else can we do”. He suggested a second opinion on the meds.
This second opinion led us to a doctor who told us that ADD/ADHD symptoms peak during adolesants and that our son’s meds were probablly half of what they should be.
We started to increase the Straterra – in total we moved from 25mg to 40. Good results with the mood.
As this doctor was part of the Vyvanse trial we started him on the drug and from day 1 we go amazing results and feedback. He may actually make it trough high school. By the end of 2009, kids were callig him for school help, he was participating in class etc.
We are now 3 months in, school is still fine but I have noticed side effects that are continuing – weight loss, picking at the skin around his fingers, angry outbursts/frustration.
As my son was 6′1″ and 105 pounds to start the weight loss makes him look quite sick. At this point I’m just letting him eat anything he wants, it is very concerning
The skin around his fingers is so bad they bleed and I wouldn’t be surprised if he lost a finger nail or too. It is horrible.
The outbursts came out of the blue all of a sudden, 3 months in.
I’m going to have to decide what to do. From a purely ADD perspective, it has been a miracle. Thus, it will be a difficult decision.