EDIT: It turns out my ignorance of chemistry is enough to get me downvoted. In any case, thank you to the kind souls that have educated me on the matter.

[–] DRx@lemmy.world 21 points 7 months ago (1 children)

Well, as a pharmacist whose been stable on 50mg of vyvanse for more than 3 years, your wife and Doc are both incorrect…

Both are stimulants, yes, but

Vyvanse is an amphetamine and works to produce more neurotransmitters you don’t already have.

Cocaine is a reuptake inhibitor… thus preventing the breakdown of neurotransmitters you do already have.

While fundamentally they may look like they’re doing the same thing, they are in fact 2 totally different mechanisms. Furthermore, in neurotransmitter depletion the effects of cocaine will severely diminish, where as amphetamines will thrive.

[–] SuiXi3D@fedia.io 6 points 7 months ago

That’s awesome info, thank you.

[–] franklin@lemmy.world 13 points 7 months ago

I think it's important to note that while chemicals can be similar in structure minor differences affect both their chemical properties and the way they interact with our body. Being close to something chemically has no bearing on what it does.

[–] JimboDHimbo@lemmy.ca 11 points 7 months ago (1 children)

...tell them both to visit erowid or wikipedia, and look up cocaine and amphetamine separately. Then, look at vyvanse's wikipedia page. That type of description is part of the reason why it's tough for us ADHD folks to get access to our meds.

[–] Daze@kbin.social 5 points 7 months ago

Definitely this.

Concerta is diet cocaine, whereas Vyvanse is a miracle (and Lisdex is the devil's apple)

[–] naeap@sopuli.xyz 5 points 7 months ago

But that's a completely different molecule
https://en.m.wikipedia.org/wiki/Lisdexamfetamine

Adderall is practically pharmaceutical street speed. That's why I got interested that they found a new application for coke again, besides as a numbing agent.