30yo male, 6’ 155lbs, Athletic
I’ve been on Vyvanse 50mg for about 6 months. It works very well for me but has my resting heart rate sitting close to 100 bpm. My unmedicated resting heart rate is 80 and has been since I was a child. So I do have a naturally high heart rate. 20 bpm increase seems reasonably normal, but if I get stressed then it spikes more and so does my blood pressure.
My doctor suggested adding guanfacine taken once a day before going to sleep as it supposedly lowers blood pressure and is used on it’s own to treat ADHD through a different mechanism.
If I could have the benefit of my vyvanse dose without the cardiovascular side effects, that would be sweet. Does anyone have experience adding guanfacine to an already effective dose of stimulants?
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Seconding clonidine, especially for blood pressure. Also might want to check out ubiquinol (CoQ10).
I take both. I was on guanfacine prior to being on vyvanse. I didn’t notice any help with ADHD from guanfacine. I take it for a different reason. I haven’t had any issues with the combo though. I also have a high heart rate.
If you already have high blood pressure then it couldn’t hurt. My friend takes Guan with focalin