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Old 06-18-2009, 08:51 PM   #1
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maximum adderall dose for adults with high tolerance

what would be the maximum adderall dose for adults with high tolerance?

 
Old 06-19-2009, 01:05 AM   #2
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Re: maximum adderall dose for adults with high tolerance

For the treatment of ADHD, it is generally not recommended to exceed 40mg/day. For treatment of Narcolepsy, does of up to 60mg/day are acceptable.

To my knowledge, your doctor can decide to go beyond the maximum recommended dosage, but I would suspect that most doctors would be uncomfortable with doing so.

 
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Old 06-29-2009, 11:47 PM   #3
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Re: maximum adderall dose for adults with high tolerance

I'm in the same boat as you are Stephrodz. I'm 50 years old and wasn't diagnosed with ADD until about two years ago. When I first started taking Adderall, the doctor I was seeing started me on 15 mg twice a day. It got me through the whole day for a while. But as the effects of the initial dose diminished, I started taking them both at the same time. This got me through the whole day. But 30 mgs. eventually lost it's effects. My doctor agreed to move it up to 40 mg. 40 mg gets me through 6 to 8 hours, but it don't get me through the whole day. My doctor said if I need any more than 40 mg I'd have to go see a psychiatrist. As soon as I get back to work from my layoff and get my benefits back, I'm definitely going to do that.

Dr. Daniel Amen MD (the pioneer of ADD) wrote in his book Healing ADD, that he prescribes up to 80 mg per day. But he's a psychiatrist and does SPECT imaging. I recommend you and anyone else suffering from ADD to read that book. I learned more about ADD from that one book than I have learned from everything else I've ever read. He covers ADD from A-Z and talks about things most doctors don't even know about. He's been specializing in ADD for 28 years now, and had been specializing in it 20 years when he wrote the book.

Now I just need to find a psychiatrist that does SPECT imaging in the area of the country I live in. Dr. Amen has clinics in California and other western states. His book was written in 2001, (but it's more up to date than any other writing I've read) and he says in it that SPECT studies may take from 10-15 years to become a norm. So they're still 1-6 years away from common use by doctors, and in clinics.

SPECT studies remove any doubts a doctor may have about a drugs effect on the brain. The effects are visible in the images. Since the maximum dose of Adderall in the medical field is 40 mg, if you ask for more than that, doctors that don't specialize in ADD consider you a speed freak. That's why I'm looking for a doctor that does SPECT studies. So he/she can see that 40 mg is not having a full effect on my brain and I'm not a speed freak asking for as much as I can get a doctor to give me.

Dr. Amen reveals all of the untrue myths still believed to be true by doctors that don't specialize in ADD. And he counters the myths with absolute facts. The only criticism I have towards Healing ADD is the title. All of us with ADD know it's not curable, only treatable. But if treated correctly, I believe we could all feel healed. That's why I'm not gong to quit looking for a specialist in the St. Louis, Mo. area until I find one. Then I will become the advertising department for that doctor. Not for the doctors benefit, for the other ADD suffers in the Midwest.

If you read Healing ADD, you'll know more about ADD than most of the doctors treating it. And if you have to see a doctor that isn't a specialist, you'll know if he/she is about to treat you improperly. Allowing you to either discuss the treatment with the doctor, or go find a new one.

Take care and good luck with your journey through the jungle of ADD. It sucks and I don't wish it on my worst enemy.

Last edited by timwell; 06-30-2009 at 12:13 AM.

 
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Old 06-30-2009, 02:21 AM   #4
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Re: maximum adderall dose for adults with high tolerance

Have you considered that maybe you're taking too much adderall? I've found that once I've been on it for so long, that I have to cut back on my dose. The way it was explained to me by the psychiatrist who diagnosed me way back in the day, was that the purpose of getting on adderall was to train your brain to function properly and that the longer you are on it, the less adderall you should need. Taking too much adderall makes it seem like your ADD symptoms are back, when in reality, you're just suffering the side effects of a slight overdose! I can tell when it's time for me to cut back, because it will feel like I haven't taken my afternoon dose, when I know that I have! So I cut my afternoon dose by half a pill. Then after so long, I cut my morning dose by half. Then after so long, I cut my afternoon dose again..... etc..... Anyway, it's such an easy thing, most people won't even try it, but it's so worth it if you do!

 
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Old 06-30-2009, 06:25 AM   #5
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Re: maximum adderall dose for adults with high tolerance

Hi Marisuela,

Dr. Amen don't mention anything in his book about cutting back on medication as one progresses into treatment. He does point out that there's 6 types of ADD. Each one affects different parts of the brain, and that some areas of the brain need different kinds of medicine than the typical drugs known to be used for ADD.

He has a question/answer test in his book that helps one determine if they have ADD and what type(s) of ADD they have. My original psychiatrist sent me to a psychologist to be diagnosed. He determined that I did have ADD also by a question/answer test. The questions he asked were similar, but they weren't the exact same questions. All the psychologist's test determined was that I had ADD. Dr. Amen's test in his book determined that I had strong symptoms of two types of ADD, and minor symptoms of three other types of ADD. Since ADD can be caused by genetics and head injury, it's very likely I do have all five that Dr. Amens test indicated. By my mental performance in school I know I've had it since childhood. What type(s), I don't know. But after high school, I received severe head injury in an automobile accident. Severe enough to cause a personality change. So I probably need more than just the adderall.

That's why I'm looking for a doctor that uses SPECT imaging. He/she will be able to see what areas of my brain are not performing correctly, and will be able to know what drug will effect that area of the brain. Then it will just be a matter of seeing how my body responds to the drug of choice and adjusting them for maximum benefit. SPECT imaging takes away all of the guess work.

New drugs hit the market and every doctor is pushing them without consideration of their long term side effects on the human body. But a new medical device comes along allowing doctors to perform their practice via visual effects instead of guess work, and it takes years and years for the medical community to accept it. What a screwed up system.

I'll withhold my opinion on the pharmaceutical industry and their money because it's not all of the money pharmaceutical companies are making with their drugs that is keeping SPECT machines from becoming popular quicker. It's the lack of money that insurance companies will pay for the services of SPECT machines. I hope to see the day that SPECT machines are as popular as x-ray and MRI machines. Right now, I'd just like to find one with a qualified doctor to use it within 100 miles of me. But the closer the better since the prescriptions for adderall and some of the other meds used to treat ADD are controlled substances and have to be picked up monthly and in person.

Have you read Healing ADD by Dr. Daniel Amen, MD. If not it's only $13.95 through * link to commercial website removed by hb-mod, moderator * . It's well spent money because of not only what it will teach you about ADD, but also the brain. And the reason I recommend buying it over getting it from a library is because you can use it to help other people suffering from ADD or their family members suffering from ADD identify that they are a family member is suffering from it, understand it, and seek help for it. But then again, I'm a Christian that will go out of my way to help others. I have plans to buy one for every teacher I know once I get called back to work from my lay-off so it will help them identify children with ADD and let them know how they can best help students with ADD. I wish a teacher would have identified I had it so I could have gotten help much sooner. But I'm 50 years old. ADD wasn't even known about when I went to school. Much less effective treatment. Now it's just a matter of getting the medical equipment and qualified doctors into society so they can treat it effectively.

Once I complete all of my research, and locate qualified doctors in my area of the country, my publicity campaign will begin. Too many people are being treated improperly causing them to refuse treatment, and giving ADD treatment a bad name. When all of us that have suffered from it all of our lives thank God we have been released from the cage we have been captive in all of our lives. I just need my medication tweaked so I can quit procrastinating about things and some of the other symptoms that go along with ADD.

Thanks for your questions and suggestions. They are new to me and I will add them to my research.

Tim

Last edited by hb-mod; 06-30-2009 at 08:57 AM. Reason: Please don't post links and/or information regarding commercial websites as per Posting Policy. Thanks.

 
Old 06-30-2009, 06:49 AM   #6
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Re: maximum adderall dose for adults with high tolerance

stephrodz1,

Every post you got so far is absolultely correct. They are different possible solutions or good reasons to look for another solution.

Let me add another: Dexedrine. I'm very new to Dexedrine - just short of a week into it -after a switch from Adderall which I took for close to three years.

There is a few different acceptable ways to slice up Adderall. One is; 73% dextroamphetamine and 27% levoamphetamine. Levo or l-amphetamine has significantly more nasty side-effects than d-amphetamine. L-amphetamine also works on the neurotransmitters differently and so for some people Adderall works better. But not everyone - not by a long shot. My case, my response to Adderall would suggest the physical dextro to l-amphetamine ratio to be about 40% dextro and 60% levo, yes, it is subjective but a not at all an unique description.

I admire, respect and have read Dr. Amen in print and on-line. I believe also that he is the ADHD trail blazer. All other doctors concerned with ADHD either learn from him or are flunkies. My shrink is as good as Amen and doesn't like going over 40mg of Adderall because the more over 40, the greater the cardio-vascular risk.

At my prompting my shrink immediately prescribed 30mg of Dexedrine/day. It appears as if all my med troubles are over - at least for a while. My medication dose is within the acceptable risk range and I know for a certainty 60mg of Adderall wasn't the solution anyway. I'm bad, evil, criminal and tried 60mg on my own. Then I told my shrink. He whinned about how I should have asked first but his body language said "now I (the shrink) know where to go." This is clandestine ADHD operations so don't tell anyone, OK?

Ask your doctor about Dexedrine. He'll probably flip. He'll think you are a druggy and blah, blah, blah. So, if you have insurance - lots of insurance, see if he'll give you Vyvanse. It is a dextroamphetamine prodrug. That means it ain't d-amphetamine until you're body breaks off the lysine it's bound too. That means it is an extended release formulation. That means the bioavailability is spread out over time. That could mean it doesn't work. Or it works better. All depending.

I, myself, don't like "depending." It is damn difficult to get Dexedrine unless you are Canadian. You know the Canadians call us dumb Americans but, hate to say it, the Canadians are right.

Bob

 
Old 06-30-2009, 08:36 AM   #7
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Re: maximum adderall dose for adults with high tolerance

Quote:
Originally Posted by timwell View Post
Hi Marisuela,

Dr. Amen don't mention anything in his book about cutting back on medication as one progresses into treatment.
Tim,

In fact cutting back on Adderall can improve its performance. I do better on a lower dose of Adderall just not good enough.

Quote:
Originally Posted by timwell View Post
That's why I'm looking for a doctor that uses SPECT imaging. He/she will be able to see what areas of my brain are not performing correctly, and will be able to know what drug will effect that area of the brain. Then it will just be a matter of seeing how my body responds to the drug of choice and adjusting them for maximum benefit. SPECT imaging takes away all of the guess work.
That's all true, BUT, there is the radiation risk. A good shrink can accomplish the same thing by simply asking the patient how they are responding to the medication.

You can go straight to an Amen clinic. Even at an Amen clinic the SPECT scan is optional. Dr. Amen needed SPECT to gain the understanding he and his staff now have, sometimes the patient needs empiracal proof too - hence the SPECT option.

Quote:
Originally Posted by timwell View Post
I'll withhold my opinion on the pharmaceutical industry and their money because it's not all of the money pharmaceutical companies are making with their drugs that is keeping SPECT machines from becoming popular quicker.
Well now, Tim, here is where you and I differ. I don't withhold my opinion on the theiving, extorting, scum buckets.

Quote:
Originally Posted by timwell View Post
Have you read Healing ADD by Dr. Daniel Amen, MD.
Yes - and have referred to Healing ADD countless times since my first read. "Healing the Six Types of ADD" is the preeminent ADHD work for the layman and a good starter kit for the professional.

Quote:
Originally Posted by timwell View Post
But I'm 50 years old. ADD wasn't even known about when I went to school.
Timmy, you but a young pup. I'm 57. So there.

Quote:
Originally Posted by timwell View Post
When all of us that have suffered from it all of our lives thank God we have been released from the cage we have been captive in all of our lives.
Did you rob that from me?

Quote:
Originally Posted by timwell View Post
I just need my medication tweaked so I can quit procrastinating about things and some of the other symptoms that go along with ADD.

Tim
Be careful on that last one. Yes, indeedy, you or I aren't going far without the meds tweaked. Our problem is a few thousand bad habits we learned by having uncontrolled ADHD most of our lives.

My experience: Everything around me looked like the inside of my head.

Files spread across several different computers and hundreds of folders on each. Ok, I can't put everything in MyDocuments. Didn't know where I put them.

Home workshop: I have so many duplicate tools I can open a tool store. Home workshop became like the Blob - you are old enough to remember. It oozed out into the entire cellar, the garage, the yard, the shed, the trunks, the porch, a few pieces made it indoors until they got pitched by wife out into yard where they stayed. She hates stuff laying in the yard so finally tools made back into a shed at least.

Home Office: I couldn't find anything. Piles upon piles of paper, books, hundreds of notebooks with first page entries only, millions of pens, cases full of CD/DVD's all over the place.

I never would have kept an appointment, paid a bill, or planned anything, except my lovely wife saved me with reminders and beatings for years. I'm trying hard now to relieve her from that most unnecessary burden.

Procastinating is so badly exacerabated when you can't find anything. Each job became two jobs. Find the stuff - 3 hrs. Do the job - 5 minutes.

All of the above has taken over two years to fix. I happy with my fix results but live in fear of backslids. My backslids can be avalances.

All of the above is for stephrodz1 benefit.

Bob

 
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