A bit of my personal experience with high dosege levels of
Adderall. Also, trying to deal with comorbid issues and ADD at the same time. Might be relevant to some, or at least a data point as we collectively try to figure this all out.
I have been on Adderall XR / Regular release for about 6 months, in combination with other meds at times (Effexor which I phased out as I started Adderall, and various mood stabilizers) for ADD. Doc thinks this is comorbid with some form of psychic agitation-like mood cycling.
Dosege of Adderall. Doc had me up to 90mgXR in the morning within 10 days of starting treatment. For about four months I was at 90 MG XR twice a day (for me, the effect is pretty much gone in 6 hours.) Currently, we are trying regular release Adderall three times daily and have gradually brought each dose down to 70MG. (Total 210 mg daily). Doc has other patients on 200mg Adderall daily. And yes, I got a through going-over by the pharacist when I filled the first script.
Typically I tolerated the Adderall well - no great problems sleeping the first few months: though
Ambien was prescribed, I didnt take it.
There has been a deluge of personal issues that have piled up recently (I was fired right before starting treatment and have not started working yet, lost apartment, seperated from my wife, money issues, etc.) and my mood has been very off, e.g. not sleeping well even with Ambien, bleakness, hopelessness at times etc. But it seems difficult to seperate what may be an expected reaction to the stress from a reaction to the dosage level. And this is all being complicated by the psychic / psychotic agitation cycling symptoms I have which are consistent with bipolar disorder. Hence the mood stabilizers.
From my reading, there is one position that ADD and Bipolar can be (often are?) co-morbid. In which case this combination of mood-stabilizers with stimulants has apparently produced very good results. A book just came out on this.
This contasts with previous treatments, I think. Traditionally, from my reading, there has been the understanding that Bipolar and ADD were many times incorrectly diagnosed - often ADD diagnosed instead of bipolar(ism?). In this case, the conventional wisdom was to treat with mood stabilizers alone thinking that stimulants just made bipolar symptoms worse.
Frankly, I feel like a work in progress now and an experiement to some extent. I have recently grown pretty frustrated and am pushing the doc to work my med levels down overall in the hopes this lessens agitation / mania symptoms while still still treating the ADD.
Also, I have taken anti-depressents including, as I mentioned, Effexxor, before I was ADD diagnosed and had good results with mood. I had an atypical response of increased need to sleep. (up to 14 or 16 hours a day on Effexxor which is the opposite of what is expected.) She has resisted anti-depressents b/c of the bipolar symptoms (thinking is they induce mania) but I would like to try.
Anyways, if anyone has any thoughts on this, I am interested to hear about them. I dont think I have read of anyone else taking such high levels of Adderall but maybe they are out there.
Quote:
Originally posted by Fightingillini
About 3 weeks ago my psychiatrist just started me on Adderall XR (for adult ADHD). She is working me up to 100MG all taken in the morning (that's 5 20mg pills).
Does this seem a bit too high to anyone else? she said it can take a high dose for adult males. I am a pretty big guy, tall and about 225 lbs., mid 20's. I thought the max dose was 60 mg...
Any ideas? I've also been started on
Effexor. She gave me
Xanax to take short term also...I feel like I'm being over prescribed.
Oh, and with the Adderall XR, I have ZERO appetite. I have to force myself to eat, eating is actually very unappealing. Dry mouth is getting better though.
100mg?!?!?! my doctor told me the maximum recommended dose was 40mg unless you have narcolepsy too. i am 5'0" tall, 120lbs, and 26 years old. i am currently taking 45mg of regular adderall daily, and i was under the impression that was a high dose; i guess i was wrong. to be honest i could really use 60mg but i've also been taking it for 5 years so my tolerance is higher. (oh and i also take effexor XR).
the only reason i can guess as to why your doctor is starting you out so high is due to your size. however, the most i would have expected you to start at would have been 40mg. but hey, i'm no doctor :shrug: