20mg methylphenidate vs 20mg amphetamine salts?

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This topic contains 4 replies, has 5 voices, and was last updated by  jenjen 6 months, 1 week ago.

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  • #130718

    FailureToThrive
    Participant

    My 11 year old and sixteen year have been diagnosed with ADHD. At our second appointment after he read our ADHD questionnaire and we had a discussion about Adderall. When we picked up our prescriptions it was Ritalin. We called the physician’s office and he said it would be fine and come back in a month.

    Yesterday during our follow up visit I asked him about our prior visit and how we discussed Adderall but was prescribed Ritalin. He told me they were the same thing but just different brand names. I told him the 20mg of Ritalin was losing its effect before 12:00PM and he wrote a new prescription for 20mg Adderall XR which I have not filled yet.

    Is this safe? It doesn’t appear, dose for dose that Ritalin and Adderall are equal. I guess I have lost confidence in our pediatrician.

  • #130722

    jlynn37
    Participant

    Hello! It is so frustrating keeping up with all the different medications. I would suggest, especially since you are just starting out, to find a good child psychiatrist to help with the medications. Pediatricians can really only understand and prescribe so much, as it is not their speciality. We love our pediatrician but she even told us to find a child psych after the first couple of medications didn’t work. Good luck to you all.

  • #130829

    Penny Williams
    Keymaster

    Methylphenidates and amphetamines are two different types of stimulants — they are much more different than just the brand. Almost everyone does well on one type or the other, but not both.

    The best practices when prescribing stimulants is to start with the lowest dose and increase only if and when needed. The lowest dose of Adderall XR is 10 mg, so that is what your children should have been prescribed.

    A Patient’s Primer on the Stimulant Medications Used to Treat ADHD

    You definitely need to find a new clinician to work with your children on ADHD medications.

    Penny
    ADDitude Community Moderator, Parenting ADHD Trainer & Author, Mom to teen w/ ADHD, LDs, and autism

  • #134354

    ivry321
    Participant

    Just a heads up with some unsolicited advice.

    Definitely, as Penny said you need a new practitioner but more so Have someone explain why the meds are necessary. It takes some super good parenting to raise kids with ADHD the meds will help slow them down hopefully enough so they can be taught the correct responses to things. The parent and teachers have the responsibility to teach those responses.

    I wouldn’t hold your breath on the teacher if its a public school but you as a parent need to really understand the ADHD mind and not just stick the kids on medication just because they are calmer. You must take advantage of their calmness and explain why they have to turn in their homework or stop falling asleep or disrupt the class.

    Those kids of yours are a ball of energy that simply needs to be redirected to something they really enjoy engaging in.

    Lots of patience,they can be off the meds in a couple of years in some cases.

  • #134913

    jenjen
    Participant

    From what I’ve been told, Ritalin is the first adhd med that gets prescribed and then if it doesn’t work the doc maybe will prescribe Adderall or something else.
    For me, I’ve tried both, however Ritalin works the best for me but the best for me is the long acting version concerta. I heard the long acting Adderall Vyvanse works well for others. I like to think the concerta is like a little border collie sheep dog keeping the ‘sheep’ (dopamine) where it should stay put and keep me focused and content to do all the boring necessary things I need to do. From my experience Adderall makes more ‘sheep’ happen but for me they don’t hang around much and my poor little sheepdog is non existent. But that’s my brain. Anyways, I hope you find a good thing to keep things going xxx

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