ADHD medication is definitely not a one-and-done process. A patient’s experience with each medication is very individualized, as it depends on that individual’s neurotransmitter levels/function, genetics, and metabolism. The first medication and dose is rarely the right one.
The best care practice for ADHD medication is to start at the lowest dose and only increase if and when needed.
And, there are two types of stimulants: amphetamine (Adderall, Vyvanse, Evekeo…) and methylphenidate (Ritalin, Concerta, Quillivant…). Almost everyone does well on one type or the other, but not both. So, if there are many side effects with Vyvanse it could be that she can’t tolerate amphetamines well and needs to try a methylphenidate.
ADDitude Community Moderator, Parenting ADHD Trainer & Author, Mom to teen w/ ADHD, LDs, and autism