Concerta back to Vyvanse

I'm on 36mg Concerta that I take every morning. It wakes me up. My focus isn't the best but I'm not in school anymore I just want to deal with my chronic fatigue. I used to take 72mg in the morning but I can't handle that dose anymore for some reason.

I'm afraid of my heart beating at a resting heart rate of 90-100bpm for too long. It's not too bad considering the average resting heart rate is 60-100bpm. Concerta might be increasing it. I just want it to go down more to like 80-85bpm. I tried going without the 36mg Concerta in the morning and it's painful to be so tired.

I'm thinking of asking the doctor to switch me to Vyvanse but I'm not sure which dose. 30-40mg? I was told long ago by a doctor that it would be better for the heart long term than Concerta. I've been taking Concerta every morning for 5 years now.

I took Vyvanse twice. Once at 60mg and then switched to Concerta. Then I was put on 30mg Vyvanse.

I found that Vyvanse took too long to kick in so I'm thinking to take a 5mg Dexedrine in the morning with 30mg Vyvanse? I think that will do..

Thoughts would be appreciated thanks

hi. i don't know about cardio stuff. a while back, there was a huge to do in the media about people dying from legally prescribed stimulants within the normal dosage range. then...well...i guess everyone shrugged it off, because stimulants are more widely prescribed now than they were back then.

i guess just try to keep your dosage as low as possible. stimulants are relatively safe, but pscyh effects and other adverse effects do pop up, now and then.

an AM tablet of dexedrine or maybe adderall would work more quickly. the adderall would probably produce more jitters, but it also lasts a bit longer than dexedrine.

combining stimulants with tranquilizers might increase the TD risk, according to a former shrink. i don't know if that's based on actual research, but it does make sense, intuitively. then again...shrinks are known for just kind of making stuff up, so there's that, too.

i guess work with the prescriber, 'start low, go slow,' watch for problems. good luck.