Adderall to Vyvanse Conversion Calculator
Convert between Adderall (mixed amphetamine salts) and Vyvanse (lisdexamfetamine) doses. Supports IR and XR formulations with evidence-based conversion ratios.
Stimulant Conversion
⚠️ Important: These conversions are approximate. Individual response varies significantly. Always titrate to clinical effect. This is not an exact 1:1 conversion.
Disclaimer: For educational purposes only. Not a substitute for clinical judgment.
About This Calculator
Adderall vs. Vyvanse: Understanding the Pharmacology
Adderall (mixed amphetamine salts) contains a 3:1 ratio of d-amphetamine to l-amphetamine as a mixture of amphetamine aspartate monohydrate, amphetamine sulfate, dextroamphetamine saccharate, and dextroamphetamine sulfate. The d-isomer is the more pharmacologically potent CNS stimulant, while the l-isomer contributes more to peripheral sympathomimetic effects. Adderall IR reaches peak plasma concentration in approximately 3 hours and lasts 4–6 hours, while Adderall XR uses a bead delivery system to achieve an initial peak at ~3 hours and a second peak ~7 hours after dosing, lasting 10–12 hours.
Vyvanse (lisdexamfetamine dimesylate) is a prodrug — the amino acid lysine is covalently bonded to d-amphetamine. After oral ingestion, lisdexamfetamine is absorbed intact, then enzymatically cleaved by red blood cell aminopeptidases to release active d-amphetamine. This rate-limited conversion provides a smooth pharmacokinetic profile with peak plasma levels at approximately 3.5–4.5 hours and duration of 10–14 hours. Because the prodrug mechanism limits the rate of d-amphetamine release regardless of the amount ingested, Vyvanse has a lower abuse potential compared to immediate-release amphetamine formulations.
Why Conversion Is Not Exact
Several factors make Adderall-to-Vyvanse conversion inherently approximate:
- Different active moieties: Adderall provides both d-amphetamine and l-amphetamine, while Vyvanse delivers only d-amphetamine. Patients may respond differently to the absence of l-amphetamine.
- Prodrug conversion efficiency: Approximately 29.5% of lisdexamfetamine's molecular weight is active d-amphetamine (after enzymatic cleavage). Thus, a 70 mg Vyvanse capsule delivers approximately 20.6 mg of d-amphetamine.
- Different pharmacokinetic profiles: Even at equivalent d-amphetamine exposure, the rate of absorption, peak concentrations, and duration differ between formulations.
- Individual variability: Enzyme activity, pH, body composition, and genetics all affect drug metabolism differently for each formulation.
Titration Guidance
When switching from Adderall to Vyvanse, most experts recommend starting at the lower end of the equivalent dose range and titrating upward in increments of 10 mg per week until optimal efficacy is achieved with acceptable side effects. The maximum recommended dose of Vyvanse is 70 mg/day for ADHD in adults and children ≥6 years. For binge eating disorder (BED) in adults, the recommended dose is 50–70 mg/day.
🔑 Clinical Pearls for Switching
- The switch can be done abruptly — take the last Adderall dose as scheduled, then start Vyvanse the next morning. No taper is needed.
- Vyvanse should be taken in the morning; afternoon dosing may cause insomnia due to its long duration.
- If a patient was well-controlled on Adderall XR 20 mg, starting Vyvanse at 40 mg (lower end of the 40–50 mg range) is a reasonable approach.
- Monitor for both under-treatment (return of ADHD symptoms) and over-treatment (anxiety, insomnia, appetite suppression) during the first 2 weeks.
- Heart rate and blood pressure should be monitored at baseline and during titration, as with all stimulant medications.
D-Amphetamine Content Comparison
| Medication | Total Dose | d-Amphetamine Content |
|---|---|---|
| Adderall 20 mg | 20 mg mixed salts | ~15 mg d-amp + ~5 mg l-amp |
| Vyvanse 50 mg | 50 mg lisdexamfetamine | ~14.8 mg d-amp (29.5%) |
| Vyvanse 70 mg | 70 mg lisdexamfetamine | ~20.6 mg d-amp (29.5%) |
Key References
- Vyvanse (lisdexamfetamine dimesylate) prescribing information. Takeda Pharmaceuticals America, Inc. Revised 2023.
- Goodman DW. Lisdexamfetamine dimesylate (Vyvanse), a prodrug stimulant for attention-deficit/hyperactivity disorder. P T. 2010;35(5):273-287.
- Biederman J, Boellner SW, Childress A, Lopez FA, Krishnan S, Zhang Y. Lisdexamfetamine dimesylate and mixed amphetamine salts extended-release in children with ADHD: a double-blind, placebo-controlled, crossover analog classroom study. Biol Psychiatry. 2007;62(9):970-976.
- Ermer JC, Pennick M, Engel G. Pharmacokinetics of lisdexamfetamine dimesylate after targeted gastrointestinal release versus intact capsule. Drug Metab Pharmacokinet. 2011;26(6):626-633.
- Heal DJ, Smith SL, Gosden J, Nutt DJ. Amphetamine, past and present — a pharmacological and clinical perspective. J Psychopharmacol. 2013;27(6):479-496.
Formula last verified: February 2026