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Re: Adderall - maximum dose guidelines

Posted by Bill LL on December 31, 2003, at 9:02:43

In reply to Re: Adderall » Bill LL, posted by Laree on December 30, 2003, at 21:30:12

I just did a quick search and got this from healthcalls.com :

What is the best dose of Adderall?

Question: "Is there a guideline by weight for the amount of Adderall to be taken? I am 6'3," 190 pounds. I take 5 mg in the morning, and it doesn't seem to make much difference. Should I take another 5 mg in the afternoon or would it be better for me to take 10 mg in the morning?"

Answer: Regardless of weight, the general rule for prescribing a psychostimulant like Adderall is to start low (2.5 mg to 5 mg of Adderall taken twice a day) and build up each dose slowly, increasing it by 2.5 mg to 5 mg every three days or so until the patient either has unpleasant side effects (like jitters, fast heart beat, or sleeplessness) or no greater benefit from a higher dose. In the case of unpleasant side effects and no good effects, the medication should be discontinued. However, if there are both good effects and side effects, it may be worthwhile continuing the medication for a few days to see if the side effects wear off.

If there is a positive response to a dose of the medication, the patient should continue on that dose for five days or so and then try a slightly higher dose to see if even more benefit can be obtained. If there is no further improvement, then the patient should return to the previously beneficial dose.

The effect of each dose of Adderall or Ritalin usually lasts from three to five hours, with higher doses of Adderall lasting longer than lower doses. Longer acting forms of most ADD medications are now available.

There are no good guidelines for determining what is the best dose of ADD medication for any individual. Trial and error are required. However, the maximum dose of Adderall is thought by many doctors, including the Harvard University ADD Group, to be 3/4 of a milligram per pound of body weight (120 mg per day for a 160 pound person). The maximum dose for Ritalin is thought by many doctors to be 1 milligram per pound of body weight (160 mg per day for a 160 pound person.) While these maximum doses are considerably higher than the 60 mg per day approved by the US Food and Drug Administration and more than most people need, some people do not get much benefit from doses of 60 - 80 mg per day. Please work with your doctor to find the correct dose for you.


> Can I ask where you got this information from? I thought the max. dose was 60 mg./day...and I did not think it had anything to do with body weight. I'm about 125 or so pounds, and I take 50 mg./day, which I think is a pretty high dose, or so it seems...thanks
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> > The maximum dose for Adderal depends on body weight. But it is about 160 mg per day.
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> > > I first started on Straterra, they moved me up to the highest dose, nothing. Then switched me to Adderall 10mg/3xday. Still nothing, nada, goose egg.
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> > > Has anyone tried these and then switched to something else that did work?
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poster:Bill LL thread:294669
URL: http://www.dr-bob.org/babble/20031231/msgs/295045.html