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I am on Vyvanse as well.
I once met an ADHD Specialist – she informed that when the dosage is too high, you may feel shaky and out of focus. IF you are feeling this way, it could be that the 30 mg may be too high for you to start with.
In addition, I have noticed that with ADHD – I have to continuously stay hydrated and eat every 3-4 hours otherwise I get irritable and upset.
The other thing is, trying other ADHD meds can also help once your psychiatrist is back.
Hang in there.