![[dr. bob]](/dr-bob-sm.gif)
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 9 of 9. This is the beginning of the thread.
Posted by dazed on December 30, 2003, at 11:57:15
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.
Has anyone tried these and then switched to something else that did work?
Posted by Laree on December 30, 2003, at 13:41:54
In reply to Adderall, posted by dazed on December 30, 2003, at 11:57:15
My mom started on Strattera & had a negative reaction to it. They then put her on Adderall (which I am on) 20 mg./2x per day. You may just require a higher dosage of Adderall--may I ask if you are taking it for ADHD, ADD, Narcolespy? My mom and I both have ADHD. Anyway, I have heard that Dexedrine works in certain individuals when Adderall does not (?). You may also want to ask your pdoc about Ritalin, as it's chemical structure(s) are different from Adderall, and likewise, everyone's (chemical/genetical, etc.) make-up differs. I would ask your pdoc for all options available--& don't get discouraged--keep trying! There are lots of options out there. I have heard quite a few negative reactions from people who have been on Strattera; however, I am sure it has worked for many. Like I said, we are all different, and we must seek out the best treatment for ourselves as individuals. Best of luck!!
> 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.
>
> Has anyone tried these and then switched to something else that did work?
Posted by dazed on December 30, 2003, at 15:19:57
In reply to Re: Adderall » dazed, posted by Laree on December 30, 2003, at 13:41:54
I take the Adderall for ADD (inattentive). No hyper whatsoever. Thanks for your input. I go back to pdoc in January, so hope is not far away!
Posted by Bill LL on December 30, 2003, at 16:17:52
In reply to Adderall, posted by dazed on December 30, 2003, at 11:57:15
The maximum dose for Adderal depends on body weight. But it is about 160 mg per day.
> 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.
>
> Has anyone tried these and then switched to something else that did work?
Posted by Laree on December 30, 2003, at 21:30:12
In reply to Re: Adderall, posted by Bill LL on December 30, 2003, at 16:17:52
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
> The maximum dose for Adderal depends on body weight. But it is about 160 mg per day.
>
> > 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.
> >
> > Has anyone tried these and then switched to something else that did work?
>
>
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
>
>
>
>
>
>
>
>
> > The maximum dose for Adderal depends on body weight. But it is about 160 mg per day.
> >
> > > 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.
> > >
> > > Has anyone tried these and then switched to something else that did work?
> >
> >
>
>
Posted by dazed on December 31, 2003, at 9:28:07
In reply to Re: Adderall - maximum dose guidelines, posted by Bill LL on December 31, 2003, at 9:02:43
Thanks for the information. Very interesting.
Posted by EscherDementian on December 31, 2003, at 10:43:20
In reply to Re: Adderall - maximum dose guidelines, posted by dazed on December 31, 2003, at 9:28:07
My ADD Inat. was not affected either, until Adderall 70-80mgs and a PDoc with the courage and authority to perscribe that. I have since been able to come down in dose as i recognize what is needed (or not). Mind, recognition alone has taken over a year - but well worth it.
i am still perturbed about my time and $ wasted on a previous pmhnp who dropped and referred me out with a misdiagnosis (*glad we found that out *whew*) because i wasn't fitting into standard dosage parameters and "wasn't getting better". I've come to learn that not all pdocs know and act on something i'd assumed was in the basic psych. education: that we are unique individuals.
Don't give up yet, dazed. Hope this helps,
Escher
Posted by Alexander on December 31, 2003, at 16:14:25
In reply to Re: Adderall, posted by Bill LL on December 30, 2003, at 16:17:52
> The maximum dose for Adderal depends on body weight. But it is about 160 mg per day.
>
> > 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.
> >
> > Has anyone tried these and then switched to something else that did work?
>
>well,
there was a time in my life in which I suddenly was no longer able to concentrate, whatsoever. And because I had previously witnessed the beneficial effect that stimulants can have on the ability to concentrate, I assumed that this, again, must be due to "tolerance" and "requested" higher doses "until it works again".Literature says:
no therapeutic effect & no side effect --> increase dosage until either therapeutic effect is reached and/or side effects occur at which point one has to consider decreasing the dosage or switching meds.Literature also says that setting minimum and maximum dosages of any med undermines the very purpose of pharmacotherapy to begin with.
I have seen ppl who eat barely 3 sandwiches a day and are obese, while I can eat 3 very full plates and will not gain a kg.
This is the end of the thread.
Psycho-Babble Medication | Extras | FAQ
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.org
Script revised: February 4, 2008
URL: http://www.dr-bob.org/cgi-bin/pb/mget.pl
Copyright 2006-17 Robert Hsiung.
Owned and operated by Dr. Bob LLC and not the University of Chicago.