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Even when taken exactly as directed, Vyvanse, as an amphetamine, can trigger a number of adverse physical and psychological side effects, including: High blood pressure Alternately, abnormally low blood pressure, leading to dizziness and fainting Raynauds phenomenon decreased blood flow to the extremities Rapid heartbeat Reduced seizure threshold Muscular tics Erectile dysfunction Too-frequent/unwanted erections Priapism prolonged, painful erections Profuse sweating Blurred vision Nasal congestion Nosebleeds Excessive teeth-grinding Dry mouth Faster and deeper breathing Abdominal pain Loss of appetite Nausea/vomiting Weight loss Difficulty in urinating Constipation Anxiety Grandiosity Mood swings Overactive libido Irritability Obsessive behavior Restlessness Delusions Paranoia Why Do People Abuse Vyvanse