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I’ve been using Vivance for adhd. I also have to take Norco for my RA. I was amazed to find out that pain management prescribes stimulants with pain meds. It has been proven to make the pain meds work alot better for cronic pain and you don’t need as much of the pain med. It also helps not to get resistant to the pain med as quickly. Among other helpful things. I read about this on the Pain Management web site. I tried it with a smaller dose and was happy with the results mainly because I won’t have to raise my dose as soon, and can use alot less.