I started taking the 20mg of adderall as prescribed, 1 pill as soon as I woke up and another 20mg at 3pm. I was up all night. So then tried 1 at bedtime and 1 in the am. Still not sleeping. Then tried both pills 40mg in the morning. Still not sleeping. Told to take both, again 40mg at bedtime. Still no sleeping. I was then prescribed 60mg in the am and 60mg 10hr after 1st pill. STILL NOT SLEEPING!!! I am in desperate need of HELP and SLEEP!!! I already take 3 prescribed sleeping pills and 4 1000mg of Valerian Root each night. Still not sleeping. Someone has to know what I can do. My doctor is like "I'm not quite sure what to do... ive never dealt with a patient reacting like this after trying so much"!! If my doctor gives up on me... what am I suppose to do then??? Please... anybody??? And also... i am feeling nothing at all, not the focus I was desperately needing, not a "high"... nothing... noda... nothing except no sleep. I have tried Provigil... i also suffer from depression. Got no results from that either. If I do find anything that works on/for me, my body always seems to adjust or whatever and the meds only work for a very short while, then no help. Which sucks because I also suffer from chronic back pain, and its very hard to deal with the pain when after the first rx, my body doesn't react to it anymore. I have no idea what to do.
I can't imagine taking Adderall XR at bedtime or anytime later in the day. Maybe just 20mgs in the morning is all you need based on what you shared. I have tried Adderall and Provigil and have found that I prefer a sister drug to the Provigil called Nuvigil, but my insurance company won't pay for it so I'm stuck with the Provigil or Adderall. The Nuvigil has a better time release mechanism than the Provigil. Another suggestion which I have not tried is a medication called Vyvanse. You may find that it works better and allows you to sleep at night.
I agree! Taking it later in the day is what is keeping you up. It is formulated to be a 12 hour pill, so if you are taking it later than first thing in the AM it is going to keep you from sleeping. My son was on Concerta and had difficulty sleeping even after just taking one dose early AM and his Dr prescribed Clonidine for bedtime use. The clonidine allows him to sleep. He usually takes it 30-60 min before he's ready to go to sleep and then he is able to sleep all night. You might ask your Dr about clonidine. My son started with a small dose of 0.1mg then later had to go to 0.2mg.
What are chances of you getting another doctor? I don't know much about adhd and treating it. But look at how quickly Laurie and Dzoo came up with more things to try. And also what about Ritalin and Focalin? What bothers me most is your doc's statement that he doesn't know what else to do. It sounds like are quite a few other things to do, unless these were all tried already.
I do know how bad it is to be in need of another doc and not know who to go to, as well as not having money to keep doing it. I'm in a very similar situation but for different reasons. At best I can try 1 different doc a month. But even that will be very hard. So I can appreciate it if you're also in this situation. Maybe you have to do his job for him and suggest these things that Laurie and Dzoo suggested. I've been in this situation too. I have had to tell docs what scripts to write. You learn a lot more than you ever wanted to when you have to do this. That may be the only good thing about this.
One last comment. Before you ask to try other meds why not try one 20 mg XR Adderall in the morning, and that's all, as Laurie said. Maybe it will be the sweet spot dose that you need.
hi stillgoofy... this is danni... my first question is, are u taking the adderall XR? if yes, i am as well, the 20 mg dose. i take 2 of the 20 mg XR in the morning... i do not take any of the XR beyond my morning dose... personally speaking, the XR craps out on me around 2 in the afternoon (I am at work at this time)... some days it is earlier... I have an adderall 20 mg IR boost add-on... some days i take it, not all days, however... really depends on how i am feeling and what i am doing at work...
you're not alone in the tolerance department... it's super common with a med like adderall... i still struggle with sleep on occasion and find melatonin/valerian root combo, if i take 2, work rather well for me... once in a while i will take tylenol pm if i want to fall asleep faster... i am not sure what your schedule is like... i get up around 6am most mornings, so by 10pm at night, my body BETTER be tired, even though my head is NOT, so that's where the sleep aid comes in!
u mentioned having depression. i was diagnosed with depression many years ago and have taken several different anti-d's over the last 12 years. i have been on Celexa the last 2, and it's decent. im considering an add-on, this is normal i hear, and usually helps bolster the the main anti-d...
u said u suffer from chronic pain. i am not sure if you are taking anything for this, as u didn't mention, but i've not heard of any med-clash with narcotics and adderall if u happen to be taking an opiate... i agree with Thor283, u don't paint a pretty picture of your doctor, certainly nothing wrong with trying a new one... that can be easier said than done, i am proof of that (such a huge PITA), so in the meantime, my personal suggestion to u, and u can try this or not, but under no circumstances would i take adderall XR beyond the AM hours... u will greatly increase your chances of getting decent sleep, in addition to your sleep aid... i don't trust XR... it works well enough for me, but it tends to be inconsistent, and some days i feel it stronger than other days, so i have learned it's best for me to not take it late, unless im in a situation where i will be up for a while, which isn't too often...
if you find it doesn't last long enough to cover your day for you, i highly recommend an adderall or dexedrine (dextroamphetamine) IR tablet, to take in the afternoon, if needed. the IR life span isn't more than 3-5 hours (5 hours being the most) so it shouldn't interfere with your sleep.
Good luck. Adderall can be really tricky and is not an exact science for any of us in the beginning, or longer, until we do some trial & error... it helps to have a doc u trust who is willing to be flexible and allow u to experiment... my doc was rigid at first, so i started doing research and providing her with information... obviously she could do this herself, but of course all docs are busy even if they aren't, and i'm the one taking the medication, so i find time to make the time... she appreciates i do the legwork and seems to be willing since i am able (lol)... good luck! let me know how things go for u!
- Adderall Information for Consumers
- Adderall Information for Healthcare Professionals (includes dosage details)
- Side Effects of Adderall (detailed)
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