Adderall Starting Dose

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    • #110510
      me9013
      Participant

      My doctor recently prescribed 10 mg of instant-release Adderall, to be taken once a day. I have been taking it for a couple of days now, and I have noticed that, while I do feel some effects all day long, I generally start crashing after about 4 to 5 hours. What has your experience been with starting doses? Is this a common one? I read that there is an extended-release version of Adderall that lasts all day long, but I don’t know whether to discuss this with my doctor just yet, as he just started me on this medication.

    • #110621
      MadisonDee
      Participant

      Hi I don’t have any experience with Adderall but, I was recently in with my psychiatrist who really went in to great depth with me on all of my medication options for my adhd. He spoke about adderall for several minutes and when he was listing the cons to adderall he stated EXACTLY what you’re having a problem with. He told me that it’s common to experience “peaks and valleys” with adderall as it’s more of a short acting medication. Which he said is very helpful for some and not so much for others. With me personally our goal was to keep me medicated through out the entire day with as small a dose as possible so he started me on Concerta, which is an extended release form of ritalin. I have to take it very early because it lasts so long it can keep you up late. So I usually take it about 8 am, but with this medication as my doctor stated its more of a “steady incline and decrease” so it’s a subtle all day effect. Quite honestly while the “all day effect” has been nice, it doesn’t exactly work as well as I’d hoped it would, but I can feel it taking effect now that its been a couple weeks. So I may increase my dose and see how it goes. ANYWAY, lol I hope me sharing my personal experience helps you a bit on figuring out on what’s best for you. This medication thing is hard right? I can’t wait until I’m on the exact right dose so I can start improving my life.

    • #110802
      Penny Williams
      Keymaster

      Instant release is only meant to last about 4 hours. Most people take it more than once a day. With ADHD stimulant medication, you have to start at the lowest dose and increase only if and when needed. There are two types of stimulants: amphetamine (Adderall, Vyvanse, Evekeo…) and methylphenidate (Ritalin, Concerta, Quillivant…). Almost everyone does well on one type or the other, but not both.It could be that amphetamines aren’t best for you.

      Talk with your prescribing doctor about all of this and decide next steps together.

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

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

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