In February 2015, Vyvanse (lisdexamfetamine dimesylate) became the first and only medication approved to treat moderate to severe Binge Eating Disorder in adults. Vyvanse is not for weight loss. It is not known if Vyvanse is safe and effective for the treatment of obesity.
It is important to talk to your doctor to see if Vyvanse may be right for you, as medicine is not appropriate for all adults with moderate to severe B.E.D.
Vyvanse may help you get control of your Moderate to Severe Binge Eating Disorder
Binge Eating Disorder, or B.E.D., is something I have…not something I do.
When my doctor told me I had moderate B.E.D., it explained why my eating was so out of control.
I’d often eat a lot more than normal in a short period of time, in secret. It was so upsetting. My doctor told me about Vyvanse, the first medicine approved for adults with moderate to severe B.E.D.
Vyvanse shouldn’t be used for weight loss, or to treat obesity.
It has a high risk of abuse or dependence.
Selling or sharing Vyvanse may harm others and is illegal. Store it safely.
Do not take it if you take MAOIs or are allergic to stimulants.
Some patients taking stimulants like Vyvanse experienced: sudden death, stroke, heart attack and increased blood pressure and heart rate.
Call the doctor if you have chest pain, shortness of breath, or fainting.
New or worsening mental illness has occurred while taking stimulants. Call the doctor if you have changes in mood, behavior, or thoughts.
Circulation problems in the fingers and toes can occur.
Call your doctor if they feel numb, cool, painful, are sensitive to temperature, change color from pale, to blue, to red, or develop unexplained wounds.
Ask your doctor about Vyvanse for moderate to severe B.E.D.…so food can just be food again.
Do not take Vyvanse if you are taking or have taken within the past 14 days an anti-depressant called a monoamine oxidase inhibitor (MAOI) or are sensitive to, allergic to, or had a reaction to other stimulant medications.
It's important to know how Vyvanse may be able to help adults who suffer from moderate to severe B.E.D. Remember, Vyvanse is not for weight loss. It is not known if Vyvanse is safe and effective for the treatment of obesity. Below are the highlights of two clinical trials in which adults with moderate to severe B.E.D. took Vyvanse or a sugar pill (placebo).
In the same studies, a tool used by a doctor that measures obsessive binge eating thoughts and compulsive binge eating behaviors related to B.E.D. - the Yale-Brown Obsessive Compulsive Scale Modified for Binge Eating, or Y-BOCS-BE - was used. At the final visit of each of the 12-week studies, patients taking Vyvanse had a greater decrease in obsessive and compulsive thoughts and behaviors about binge eating compared to patients taking a sugar pill.
In the two clinical studies, the percentage of patients who had no binge-eating episodes in the last 4 weeks of the studies was measured. This was defined as a patient who experienced no binge-eating episodes during the 4 weeks leading up to the patients' last visit of the study. Patients taking Vyvanse were more likely to have no binge eating episodes during this 4-week time period compared to patients taking a sugar pill.
In the two studies, doctors also rated patients as much improved or very much improved ("improved"), or not improved, using the Clinical Global Impressions-Improvement rating scale. In Study 1, of patients treated with Vyvanse, 82% were rated "improved" and 18% rated "not improved." Of patients treated with a sugar pill, 47% were rated "improved" and 53% rated "not improved." In Study 2, of patients treated with Vyvanse, 86% were rated "improved" and 14% rated "not improved." Of patients treated with a sugar pill, 43% were rated "improved" and 57% were rated "not improved."
It is important to talk to your doctor to see if Vyvanse may be right for you, as medicine is not right for all adults with B.E.D.
Vyvanse is a once-daily capsule that should be taken in the morning, with or without food, exactly as your doctor tells you to take it.
Vyvanse is available in 7 dosage strengths, including 10 mg, 20 mg, 30 mg, 40 mg, 50 mg, 60 mg, and 70 mg.
Your doctor will determine the dose that is right for you. In clinical studies, adult patients with moderate to severe B.E.D. began treatment at 30 mg per day, and by week 4 were treated with 50 mg or a maximum dose of 70 mg per day.
Your own treatment needs may be different. It’s important to work with your doctor to find the dose that is right for you.
Take Vyvanse exactly as your doctor tells you to take it. Before starting treatment with Vyvanse for moderate to severe B.E.D., tell your doctor about all health conditions, or a family history of any health conditions. Vyvanse is a stimulant medicine. Tell the doctor if you have ever abused or been dependent on alcohol, prescription medicines, or street drugs.
Tell the doctor:
Vyvanse is a stimulant medicine. Prescription stimulant medications are controlled substances (regulated by the federal government) and need to be handled in a serious manner because they have a high risk of abuse and dependence. That's why it's important to understand the appropriate use of stimulants. Learn more about the proper use of stimulant medications.
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