Posted by jerrympls on October 2, 2005, at 2:03:19
In reply to Re: dexedrine dosage - what's correct/incorrect?, posted by med_empowered on September 29, 2005, at 20:50:07
> stimulant dosing is tricky; the ideal way to go is keep it as low as you can for as often as you can, and try to keep temporary upward adjustment to a minimum. Soooo...if you can keep it at 20-30mgs for day-to-day stuff, that's good; keeping upwards adjustments as low as possible can be done by looking at what the FDA recommends for narcolepsy--usually its a 60mgs recommended cap, but in practice it can go up to 100; above that isn't all that common. For the anxiety...if its minor, and it goes away with a **small** dose of sedative medication, then I wouldn't worry about it. But..if its intense, or you turn OCD (staring at the TV for hours, etc.), you should use a lower dose the next time around. Some people take breaks--over the summer for kids, on weekends, holidays/vacations, while they're sick (I always stopped adderall during a cold..I needed my sleep), if they've had trouble sleeping, etc. It really depends on what all you've got going on...unfortunately, its going to require a bit of trial-and-error to get things exactly right. But...for day to day use, the FDA recommnended max of 40mgs dexedrine is probably a good one; I used 60mgs/adderall for a while, and it seemed to be a bit much. For as-needed super-stimulation, I'd just recommend staying below 100mgs...other than that, I have no specific advice. The social thing really depends on you...I have social phobia, but I also can be really chatty. If its people I know well and I'm comfortable around, I either keep it at standard dose or add 10-15mgs. For high-pressure stuff with people i don't really know, its more like 5-10mgs + a bit of klonopin, maybe some propranolol. But...that's been my experience: as with anything else, your mileage may vary. Good luck!
I agree with much of what med says. I currently take 20mg Adderall XR 3x daily it and works great for me. At one time I was on 80mg of Dexedrine spansules -which was a tad too much I think now.
And I don't think you're going to grow a tolerance to Dexedrine if you only increase the dosage slightly every so often.
poster:jerrympls
thread:561056
URL: http://www.dr-bob.org/babble/20050927/msgs/561835.html