A member asked:

Vyvanse (lisdexamfetamine) states it's not effected by food since it's broken down in the small intestine. is it's efficacy changed by urine ph or frequent urination?

6 doctors weighed in across 2 answers

No: Urine ph or frequency will not effect efficacy of vyvanse (lisdexamfetamine).

Answered 2/28/2013

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Dr. Edward Kuhnley answered

Specializes in Child Psychiatry

Efficacy is not: Affected but excretion of amphetamine is after covalent bond between Dextroamphetamine and l-lysine is broken. The percent of dose excreted as unchanged drug varies greatly depending upon urinary ph & urine flow. At low ph as much as 70% of the dose may be excreted as amphetamine in 24 h, whereas as little as 1% may be excreted within 24 h at alkaline ph (j. Pharm. Pharmacol. 21:241-258 (1969).

Answered 3/31/2023

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