Vyvanse

If you or someone you know is navigating attention deficit hyperactivity disorder (ADHD) or binge eating disorder (BED) in Australia, you may have heard of Vyvanse (also known as Elvanse in some countries). This medication has become a key treatment option for many, but how does it work, and what should Australians know before starting it? In this guide, we’ll break down everything you need to know about Vyvanse in Australia—from its uses and benefits to potential side effects and legal considerations.

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What Is Vyvanse?

Vyvanse (lisdexamfetamine) is a stimulant medication primarily prescribed for:

  • ADHD in children and adults – Helps improve focus, impulse control, and hyperactivity.
  • Moderate-to-severe binge eating disorder (BED) in adults – Reduces episodes of compulsive overeating.

Unlike some other ADHD medications, Vyvanse is a prodrug, meaning it’s inactive until metabolised by the body into dextroamphetamine, a central nervous system stimulant. This delayed release leads to a smoother, longer-lasting effect (up to 14 hours), making it a preferred choice for many patients.

How Does Vyvanse Work for ADHD and Binge Eating Disorder?

For ADHD

ADHD is linked to imbalances in dopamine and norepinephrine, neurotransmitters that regulate attention, motivation, and impulse control. Vyvanse boosts these chemicals, helping to:

  • Improve concentration and task completion
  • Reduce impulsive behaviours
  • Enhance working memory

Studies show that long-term use of Vyvanse can lead to structural brain improvements in people with ADHD, supporting better cognitive function over time.

For Binge Eating Disorder

Vyvanse is the first FDA-approved medication for BED. It helps by:

  • Reducing the urge to binge eat
  • Increasing feelings of fullness
  • Improving control over eating habits

Unlike ADHD treatment, which may be long-term, BED treatment with Vyvanse is often short-term, combined with therapy for lasting results.

Side Effects of Vyvanse

Like all medications, Vyvanse has potential side effects.

Common Side Effects:

  • Decreased appetite
  • Anxiety or irritability
  • Trouble sleeping
  • Dry mouth
  • Nausea or diarrhea

Serious (But Rare) Side Effects:

  • Increased heart rate or blood pressure
  • Mood swings or mania
  • Psychotic symptoms (hallucinations, paranoia)
  • Serotonin syndrome (if mixed with certain antidepressants)

If you experience severe side effects, seek medical help immediately.

Is Vyvanse Addictive?

Yes, Vyvanse has a high potential for abuse, especially if misused (e.g., taking higher doses or snorting). In Australia, it’s a controlled substance, meaning:

  • You need a special prescription.
  • Doctors monitor its use closely.
  • Illegal possession or distribution can lead to legal consequences.

Patients with a history of substance abuse should discuss risks with their doctor before starting Vyvanse.

Vyvanse vs. Other ADHD Medications

How does Vyvanse compare to alternatives like Ritalin (methylphenidate) or Adderall (mixed amphetamines)?

MedicationDurationProsCons
VyvanseUp to 14 hoursSmooth, long-lasting effectHigher abuse potential
Ritalin3–6 hoursFast-acting, less addictiveMultiple doses needed
Adderall4–6 hoursImmediate effectMore side effects (jitters, crashes)

Many Australians prefer Vyvanse because it provides consistent symptom control without the sharp peaks and crashes of shorter-acting stimulants.

Vyvanse in Pregnancy and Breastfeeding

The safety of Vyvanse during pregnancy or breastfeeding is not well-established. Some studies suggest risks, including:

  • Low birth weight
  • Premature birth
  • Withdrawal symptoms in newborns

If you’re pregnant or breastfeeding, discuss alternatives with your doctor.

How to Get Vyvanse in Australia

  1. Consult a Psychiatrist or Specialist – General practitioners can prescribe Vyvanse, but a specialist assessment is often required.
  2. Obtain a Schedule 8 Prescription – Due to its controlled status, prescriptions are tightly regulated.
  3. Pharmacy Pickup – Not all pharmacies stock Vyvanse, so call ahead.

Cost:

  • PBS Subsidised: If approved for ADHD, Vyvanse costs around 30–30–40 per script.
  • Private Script: For BED (not PBS-listed), prices can range from 80–80–120 per month.