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    Old 01-10-2002, 03:44 PM   #1
    saje
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    Question adderall dosage

    Hey there...

    I have very recently been diagnosed with ADHD inattentive type and was prescribed adderall.

    my question...

    First of all, i am very concerned with gaining an addiction to this drug. it seems taking adderall on a regular basis, twice a day, will gradually lead me on the path of becoming psychologically reliant on the drug...which i DON"T want to happen. What are the pros and cons of taking the drug at crucial times when concentration is absolutley required, as opposed to on a daily basis. In this way, I feel like I am less likely to grow addicted.

    Also, i have to say before i started taking the drug, i daydreamed for about 90% of the day. and now i'm not. which, I suppose is what i wanted. At the same time, i sort of miss my fantasy world. (very rarely are the Positive qualities of us dreamers talked about) It seems so much a part of who i am. Is there a way to have both "worlds", perhaps by taking adderall when I WANT to focus for a period of time. ???

    please help...

     
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    Old 01-11-2002, 06:32 AM   #2
    mlgable
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    I am unsure of how they came across your diagnosis since daydreaming is not usually part of ADD or ADHD. You normally have trouble staying on task meaning that if you were working on a paper and someone or something disrupted you you would have no clue where you were on that paper when you tried to go back to it. The daydreaming sounds more like ADD tendencies than ADD or ADHD. Also you did not mention being hyperactive and if you aren't hyperactive then ADHD is definately not a proper diagnosis. If the adderall helps then by all means use it only when you need to but be sure you have a concrete diagnosis via proper testing. ADD tendencies which is what you sound like is generally treated with seeing a psychologist/counselor. It might help if you posted how they arrived at your diagnosis but in any case whether or not to use the medication all the time or only at certain times is up to you.

     
    Old 03-10-2005, 07:40 AM   #3
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    Re: adderall dosage

    daydreaming is definitely and add symptom. i'm new to all of this, just diagnosed, second day of the lowest adderall dosage. so i can't offer any experience -- but if the adderall is cutting of your daydreaming altogether, why don't you ask your doc to give you a lower dosage?

    also, you might try the extended version. it might give you a more even feeling through the day.

    i don't know about the addiction thing. but the way i look at it, if it significantly helps you daily, you'll probably end up takind it daily. it's not like you'll be on it for 3 months, then be better and need to get off it.

    yeah, it's hard to feel like you need to rely on a drug to get by. but if your frontal lobe isn't putting out enough chemicals, and the adderall helps -- you shouldn't feel like a weaker person for it. it's like someone with a thyroid problem taking thyroid medication.

    good luck with figuring out the right med & dose so you can help reduce the daydreaming without eliminating it.

     
    Old 03-11-2005, 01:46 PM   #4
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    Re: adderall dosage

    I've been taking Adderall for about three years and it's definitely made a difference in my life (for the better). I'm on a pretty high dosage - 20mg. four times a day. I understand that's higher than the usual prescribed dosage but that's what it took to work for me. I usually don't take it at least one day a week, and every once in a while I'll go off it for two or three days. I've never had a problem with not taking it, so I guess that means it hasn't been addictive for me. But everyone reacts differently to meds. and I've certainly heard that some people have had trouble with addiction. Guess I'm one of the lucky ones (at least, among those of us with ADHD).

    I would discuss it with your doctor. Also, monitor yourself closely. You're the best judge of how you feel and will know if you start feeling like you can't do without it. That will definitely raise a red flag.

    I wish you the best of luck.

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    Old 03-12-2005, 09:39 PM   #5
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    Re: adderall dosage

    Quote:
    Originally Posted by mlgable
    I am unsure of how they came across your diagnosis since daydreaming is not usually part of ADD or ADHD.

    Also you did not mention being hyperactive and if you aren't hyperactive then ADHD is definately not a proper diagnosis.

    Whaaaah????? Both of these statements are outrageously false.
    "Someone" needs to review a symptoms checklist and maybe a Myth-Buster FAQ page. This type of assumption has kept many a sufferer from being diagnosed (much to their detriment)

    I am glad you have been diagnosed and are now starting treatment. Let me strongly add that medication alone will not be enough. Joining a "community" or therapy group, seeing a counsellor, and keeping yourself educated about ADD are all things that you'll need to learn to live with this unique mind you've been born with. It CANNOT be cured (personally I say, "what's to cure? it's part of who I am!") but you really do have to learn to manage it, and that takes practice and a lifetime of patience, understanding, and self-acceptance.

    This BB is a great place to "commiserate" and get others' feedback who share your problems. Seeing a therapist or coach is also important so that you can work through some of your earlier disappointments and find ways to cope from this point forward. Reading a wide range of books on the subject is also a great way to keep yourself informed on the latest info, and they are very helpful when the first two venues are a bit limited.

    Welcome to a brand new ADD life! It might be a weird ride, but at least you are no longer blindfolded. Sit back and have fun with it.

    Amy

     
    Old 03-14-2005, 10:10 PM   #6
    Jennita
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    Re: adderall dosage

    Quote:
    Originally Posted by saje
    Hey there...

    I have very recently been diagnosed with ADHD inattentive type and was prescribed adderall.

    my question...

    First of all, i am very concerned with gaining an addiction to this drug. it seems taking adderall on a regular basis, twice a day, will gradually lead me on the path of becoming psychologically reliant on the drug...which i DON"T want to happen. What are the pros and cons of taking the drug at crucial times when concentration is absolutley required, as opposed to on a daily basis. In this way, I feel like I am less likely to grow addicted.

    Also, i have to say before i started taking the drug, i daydreamed for about 90% of the day. and now i'm not. which, I suppose is what i wanted. At the same time, i sort of miss my fantasy world. (very rarely are the Positive qualities of us dreamers talked about) It seems so much a part of who i am. Is there a way to have both "worlds", perhaps by taking adderall when I WANT to focus for a period of time. ???

    please help...
    You can not only become psychologically dependant but physically as well, as your brain will become accustomed to the actions produced in the brain from the drug. Then it will not only stop trying to produce the chemicals on it's own but may defend itself setting up opposing receptors (aka tolerance). In worst case scenario, tolerance is pretty nasty, causing the drug to become ineffective, and having withdrawals while still on the med! This calls for higher and higher dosing, which endangers a person to suffer from more side effects of the drug.

    Sometimes tolerance can be avoided by not taking a drug everyday.

    You know, I see no reason why you couldn't just take it on an as-needed basis(for those focus times) as I've read only antidepressants must be taken daily to be effective.

     
    Old 03-15-2005, 12:11 AM   #7
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    Re: adderall dosage

    Quote:
    Originally Posted by saje
    What are the pros and cons of taking the drug at crucial times when concentration is absolutley required, as opposed to on a daily basis....
    You should ask your doctor this question. I'd be interested to hear what he/she says.

     
    Old 04-01-2005, 06:11 AM   #8
    CeShell
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    Question Re: adderall dosage

    WOW
    I have a 12 year old son. He is on 70mg of Adderal a day. My normal family doctor sent him to a specialist 1 year ago and he went from 20 mg up to 70mg. The specialist said that the dosage is determined by his need ... not his age or weight. The school has noticed a huge improvement. But it wears off about 5pm and then I am left with the behaviors in the evening.
    does anyone have any suggestions as to what might help me out from5 pm to 7am?

     
    Old 04-02-2005, 02:33 PM   #9
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    Re: adderall dosage

    Quote:
    Originally Posted by CeShell
    does anyone have any suggestions as to what might help me out from5 pm to 7am?

    I'm no expert on 12-year-olds, but here are my suggestions...you've probably already tried this stuff.

    No caffeine. Make him drink Sprite and Caffeine-Free Coke, even early in the day. (Diet soda would even be better...stay away from as much sugar as possible.) Stear clear of foods that have a lot of dark chocolate, as they can be loaded with caffeine. They are sneaking it into all kinds of foods and drinks these days, (water, orange soda, sports drinks, energy bars, etc) so read the labels.

    Cut back on sugar and starchy foods. It's hard to watch what he eats when he's at school. There's corn dogs and french fries in the lunch room, and some schools have snack machines with candy bars and chips. Just let him know that these things will make him feel bad when the "effect" wears off (usually around 5:00) and he will either get grumpy, or agitated and high strung. It's best to eat more protein, which lasts longer and doesn't have that "wearing off" side effect.

    Right before you think his calm mood is running out, sit down with him and play a board game or a craft or something that is sedentary and calming. Something quiet but FUN that you can do together. (Not homework. That will have the opposite effect! LOL!) Anyway it would be best to try to do this before he gets wound up, or it will be hard for him to settle down and concentrate on your quiet together time.

    Anyway, I'm sorry if my suggestions sound too simplistic. Like I said, you've probably already tried that. My son's a l-o-n-g way from being 12, so I can't think of any better suggestions at the moment. Hope something works!

    Last edited by Amy2838; 04-02-2005 at 02:35 PM.

     
    Old 05-03-2005, 04:13 PM   #10
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    Re: adderall dosage

    I am a 31 year old male that has severe ADHD. I have never been treated for my disorder until a year ago. My doctor put me on Strattera for a brief peiod that did provide some relief but I developed Prostatitis and needed to stop using it. I am now seeing a nuerologist who is an ADD/ADHD specialist and he prescribed Ritalin starting with 10mg 3x a day and then increased to 15mg, 20mg, 30mg. I noticed very little benefit with this drug until I got to 40mg and I started to be much less hyper and a bit more calm. I still needed a higher dose and settled out at 60mg 4 times a day. I sounds like a ton of drugs to me and has me a bit worried. I have had no real side effects except feeling dry and having to drink more water. The doses only lasted about 2 hrs and I had severe rebound so I have switched to Adderall as of last month. I was started at 30mg 2 times a day and did notice an increase in durration and the drug felt much more even, not peaky like the Ritalin. I then increased to 45mg a week later as directed and was having some depression /anxiety like symtoms returning. The next week I went to my dose he felt would be most benificial, 60mg. It is more effective than the Ritalin with me and I feel more even durring my medicated state of 5hrs. I do get 1 hr of rebound but nowhere near as severe as the Ritalin. I am still feeling somewhat depressed and anxious every now and then and called my doctor to ask what to do. I see him in less that a week and he told me it may be too low of a dose for me and told me to try 75mg 2 times a day. It helps a bit and I do not in any way get "up" on this drug. It calms me down to a level of the average person. I sit still, don't talk as much, and my anger and rage is far less. I still have some impusivity issues and concentration issues as well but am overall much calmer. I do feel that 75mg is a bit high for my body and am cutting back to 60mg. He does think I need a third dose in the evening and I would agree. I think he will put me on Wellbutrin and a lower dose of Adderall when I see him this week.

    I have not heard of many people taking this high of a dose of either drug. I am all of 130lbs and 5' 7" tall so it's a mystery to me why I need so much. I lost 15lbs on Strattera and now eat about 3000-4000 calories a day of food to keep my weight the same. My Metabolism is sickly fast, I can eat anything and not gain a pound. Not I'm trying to get my weight back and it is slowly being put back on. I do worry about long term effects of these drugs and do not want to do any damage to my vital organs. My blood pressure has been consistant and not changed at all and averages below normal (ex. 117/72) but my heart rate is a bit higher than normal. Sitting and working-low 80s walking around and active-90 to 100. Sleep has always been tough but it's doable.

    Anyone else have any experience at these higher doses??????? I do know of many doctors that are having better results with adults with higher doses, I just don't know how high people go.

     
    Old 05-03-2005, 08:55 PM   #11
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    Re: adderall dosage

    I have been back anf forth on concerta and addreall xr. Concerta worked but not as well as adderall. I hate adderall side effects but it is much better for me for now.?

    You will know when the dose is to high you will feel like you are going in slow motion, this happned to me and I had to keep reminding my self what day it was and I could not remember anything.

    I am a 30yr old F anf I am taking 60mgs for XR I feel like I need to got to regular adderall because I don't like comming down at 4pm.

    I have herd of adults on as much as 120mgs. It is so diffrent for everyone.
    I think you will know when it is to much.

     
    Old 12-15-2005, 09:53 AM   #12
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    Re: adderall dosage

    Amy 2838, notice that the person who made those outrageous statements about syptoms of ADHD is banned from the boards. I wonder why?

    Symtoms of ADHD vary from person to person and only a qualified medical professional can give a diagnoses.


    Quote:
    Originally Posted by Amy2838
    Whaaaah????? Both of these statements are outrageously false.
    "Someone" needs to review a symptoms checklist and maybe a Myth-Buster FAQ page. This type of assumption has kept many a sufferer from being diagnosed (much to their detriment)

    I am glad you have been diagnosed and are now starting treatment. Let me strongly add that medication alone will not be enough. Joining a "community" or therapy group, seeing a counsellor, and keeping yourself educated about ADD are all things that you'll need to learn to live with this unique mind you've been born with. It CANNOT be cured (personally I say, "what's to cure? it's part of who I am!") but you really do have to learn to manage it, and that takes practice and a lifetime of patience, understanding, and self-acceptance.

    This BB is a great place to "commiserate" and get others' feedback who share your problems. Seeing a therapist or coach is also important so that you can work through some of your earlier disappointments and find ways to cope from this point forward. Reading a wide range of books on the subject is also a great way to keep yourself informed on the latest info, and they are very helpful when the first two venues are a bit limited.

    Welcome to a brand new ADD life! It might be a weird ride, but at least you are no longer blindfolded. Sit back and have fun with it.

    Amy

     
    Old 12-15-2005, 06:46 PM   #13
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    Re: adderall dosage

    Adderall, for me, has definately impacted my positively. As a child and young adult, I took my short attn span and inability to stay on task as a part of who I was. I was never successful with school or work, but have since...I believe partly because of the adderall...have found success with both.

    As for dependence...amphetamines are not physically addicting. Your body does not react adversely if you skip a dose. Amphetamines do have a high potential for psychological dependence. Speaking from experience, adderall made once a blurry picture crystal clear. And, over time, I personally wanted that picture clear all the time. That lead to abuse of adderall, particularly during cruch times with exams. Which also led to adverse affects such as hypertension and high blood pressue. So my advice here is not to abuse them. Your script read qd, bid, or tid for a reason. But no harm with missing a dose.

    Daydreaming was also a problem for me and does come along with ADD/ADHD. Your mind goes in a thousand directions. You can't stay on task.

    Also, agreeing with the previous post. Medication alone does not cure ADD/ADHD. For me, I suffered chronically for implusive behaviors. I still had those with the adderall alone. Yet, counseling help me to overcome those behaviors.

    Hope this helps. Also. I've found the Adderall XR to even out the "highs and lows" compared to the traditional tablets, IR. Also, compared to IR, XR has lower potential for abuse. Go to the adderallxr website. Request reading material. This should answer many questions you have.

    Hope this helps.

    Last edited by adderallboy; 12-15-2005 at 06:47 PM.

     
    Old 12-21-2005, 08:47 AM   #14
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    Re: adderall dosage

    Quote:
    Originally Posted by Amy2838
    Whaaaah????? Both of these statements are outrageously false.
    "Someone" needs to review a symptoms checklist and maybe a Myth-Buster FAQ page. This type of assumption has kept many a sufferer from being diagnosed (much to their detriment)
    I was just gonna say something just like that lol. My daughter has been diagnosed the same way. She has some problems staying focused and getting her work done so she is on a low dose of Concerta which has great improved her focus and her grades...she got all As and Bs last quarter! She isn't hyper though at all.

     
    Old 12-23-2005, 12:46 AM   #15
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    Re: adderall dosage

    Amy is right. Once you take on the fact you have a difference (with great positives once learned to manage and accept), you'll find many gifts beyond what the average person is capeable of. Educate your self in what you have. If you have a car, you need to understand what the V8 means to truely appreciate and utilize what you have.

    Daydreaming/mind wandering/inattentativeness... what ever you want to call it; it's the big time symptom for us inattentative types. Adderal helped greatly with me. My doc has me on it "as needed". She also recommends take a break everyonce in a while. I don't normally take it on the weekends, on vacations or when the boss is out I also believe that your love for the "surreal imagination" (my term for your fantasy world, which I enjoy also) would quite possibly "hinder" that psycological addiction.

     
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