Every individual responds differently to ADHD medications because their effectiveness depends on individual traits — metabolism, genetics, and neurochemistry.
The standard best care practice in prescribing ADHD medication is to start at the lowest dose and increase only if and when needed. Sometimes, things get worse on too low of a dose and then do well when the dose is increased. Sometimes doing poorly on the lowest dose is showing that it isn’t the right medication at all. It’s a process of trial and error. You need a physician who understands these medications thoroughly and has a lot of experience with them for the best results.
Plus, it takes more than just medication for optimal results. A combination of medication and therapy show the best results.
ADDitude Community Moderator, Parenting ADHD Coach & Author, Mom to teen w/ ADHD, LDs, and autism