Adderall vs Vyvanse - What's the difference between them?

The main difference between Adderall and Vyvanse is that Adderall is a mixture of four different kinds of amphetamine salts while Vyvanse only contains one type of amphetamine salt, called lisdexamfetamine.

Lisdexamfetamine (Vyvanse) is a prodrug that gets converted into dexamphetamine once it is in the body. The four amphetamine salts that Adderall contains are dextroamphetamine saccharate, amphetamine aspartate, dextroamphetamine sulfate, and amphetamine sulfate.

One advantage of Vyvanse is it may be less likely to be abused; however, there are no head-to-head trials that compare the abuse potential of Vyvanse to Adderall. One small study (n=24)¹⁴ that compared Vyvanse to d-amphetamine (a component of Adderall) reported the pharmacokinetics and pharmacodynamics of lisdexamfetamine (Vyvanse) were similar to d-amphetamine administered 1 hour later, and that lisdexamfetamine was likely associated with a similar risk of oral abuse as d-amphetamine.

Because both drugs contain amphetamines, they work in a similar way. Studies have shown that Vyvanse is just as effective as Adderall, and side effects are similar.

The risk of dependence (this means how likely you are to become dependent or addicted to the drug) appears similar for both Adderall and Vyvanse.

See also: Drugs.com Compare Tool - Adderall vs Vyvanse

What is in Adderall and Vyvanse?

Adderall is a brand name for a combination drug that contains four different types of amphetamines (dextroamphetamine saccharate, amphetamine aspartate, dextroamphetamine sulfate, and amphetamine sulfate). It's easier to call these mixed amphetamine salts, or MAS for short.¹

Vyvanse is the brand name for lisdexamfetamine. Once lisdexamfetamine is inside the body it gets converted into dextroamphetamine (its active form) as soon as it touches red blood cells.²

Because Adderall and Vyvanse both contain amphetamines they work in a similar way, and that is by blocking the re-uptake of two neurotransmitters (chemical substances that help nerves talk to each other) in the body. These neurotransmitters are called norepinephrine and dopamine. By blocking their re-uptake, levels of these neurotransmitters between nerves are increased, which helps relieve symptoms of inattention and agitation in children and adults with ADHD.¹

Are there any studies that directly compare Adderall to Vyvanse?

Unfortunately, few studies have looked at how Adderall compares to Vyvanse in humans. One study did look at the effect both drugs had on classroom-based behavior in a group of children with ADHD, and reported that both seemed equally effective at improving attention-span, rule following and interactions with peers and adults. Both were well tolerated and no significant differences were noted in their side effects.^3,4 Similar results were reported in a trial of 18 adults with ADHD. It took about two hours for Adderall to start working and three hours for Vyvanse, and the effects of each drug lasted for approximately 16 hours. ^5,6

Another study found similarities in their pharmacokinetics and pharmacodynamics, but there was a lag time of about an hour for d-amphetamine (a component of Adderall).14

Many other studies have compared Adderall or Vyvanse to placebo (an inactive pill) or to other medications used for ADHD and confirmed that both Adderall and Vyvanse improve various symptoms of ADHD.^7,8,9,10,11 Researchers did not find one type of drug more effective than another and side effects such as decreased appetite, insomnia, and abdominal symptoms were common but similar among different preparations. However, it is worthwhile noting that most trials in people with ADHD last less than six months, are poorly reported and fail to include important social outcomes such as parent stress and quality of life.

Related questions

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Which drug is more likely to be abused?

Adderall has more potential to be abused, mainly because it contains free amphetamine salts. Lisdexamfetamine (the ingredient of Vyvanse) requires contact with red blood cells in the body to be activated into dextroamphetamine, which suggests it has inbuilt abuse-deterrent properties⁴. Unfortunately, no head-to-head trials comparing the abuse potential of Vyvanse to Adderall have been done.^4,12

Lisdexamfetamine is still classified as a controlled substance with a high potential for abuse, and those people prescribed Vyvanse and Adderall should take care to store their medicines safely to avoid non-authorized use, as misuse of amphetamine-type medicines can cause sudden death, stroke, heart attack, convulsions and psychotic reactions.^1,2,12

Which is cheaper? Adderall or Vyvanse?

Adderall is usually less expensive than Vyvanse, but the cost depends on your insurance plan and if you have a copay card. Some insurance plans and Medicare prescription plans do not cover brand name drugs such as Adderall and will only pay for the generic versions, which are significantly cheaper. Vyvanse is covered by up to 80% of insurance plans, but is not commonly covered by Medicare part D plans. However, the Vyvanse copay costs can vary widely.

If you don't have an insurance plan and are paying full cost, the cost of Adderall or Vyvanse depends on the pharmacy you use but is usually around $11 per tablet for brand name Adderall or $19 a tablet for brand name Vyvanse. With some pharmacy discount cards, the cost may be around $20 to $30 for 30 generic Adderall 20 mg capsules or less, and for generic Vyvanse, around $80 for 30 generic Vyvanse 30 mg capsules.

For more information, see Adderall Prices, Coupons, Copay Cards & Patient Assistance or Vyvanse Prices, Coupons, Copay Cards & Patient Assistance.

Is Adderall better because it is available as an extended-release?

No. Although Adderall is available in both an immediate-release and extended-release form, an expert review failed to find any differences in effectiveness between immediate and extended-release dosage forms.¹⁰

Interestingly, Vyvanse actually "behaves" like an extended-release form once it is inside the body - because the contact with red blood cells and the cleaving off of dextroamphetamine takes time. ⁴

Read next

See also:

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• Amphetamine (141 reviews)
• Vyvanse (979 reviews)

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