The highest therapeutic dose is normally reserved for adults with Narcolepsy and that dose tops out at 80 mg./day total for the immediate-release formula, I believe. However, from what I understand, it is not common to Rx that high of a dose.
For ADHD in adults, the highest dose is 60 mg./day total.
60 mg/ daily is the max dose, unless, as answered above, narcolepsy is only diagnosis allowed to max out at 80mgs daily. Most drs, especially the ones I've been to and/heard about 2nd hand won't start you at higher than 10/day and gradually increase doses over time. I have been on adderall most of my adult life, & EVERYTIME I've had to switch drs for whatever reason, they all make you start at lowest possible clinical dosage and if you,after several months, need more to get the desired therapeutic effect, will only up to 20s... I had to basically beg mine to give me 30/ twice daily, only after he was able to verify from past medical records that I, indeed, had been on that dosage for years.
After just leaving my extremely Pro-Active "concierge" doctor of 5 years- and reading through his medical prescription "dictionary" with him in an effort to find the answer to this question - In Maryland - the highest maximum dose is 40 mg for IR and 30 mg for XR.
We did not see a difference in quantity regardless of reason (i.e. Narcolepsy, ADD, etc.). In fact - the book stated that 20 mg of XR was max dose for adults.
If anyone can advise any different in Maryland - please advise.
So I was diagnosed as a child with ADHD but my family refused treatment and explained it as me being smarter than others. This year (so nearly 20 years later) I saw a nuerologist for a different matter and brought up the possible ADHD. After a few minutes he said adderall would help and started me at 30mg of xr. After 2 months it was increased to 40mg of xr and now a new doctor wants to add an ir in addition to it. I really don't think their is a max. My likely new treatment will be around 70mg a day with almost half being "as needed" I will update after increase if anyone is interested. Having a doctor who understands that the xr does not last 12 hours or even close to that is a huge help in getting proper treatment.
Trials are the FDA used to set max doses. If they only text to 60 mg, that is generally the max dose approved. The max approved dose does not determine the amount the doctor prescribes; each doctor used there discretion & it SHOULD be based in symptoms - also determined by the provider.
I find it absolutely laughable that this person sits here and says it's a legal fact that those low doses are the law and narcolepticy is the only illness that stimulants are used to treat other than ADD / ADHD. I have a traumatic brain injury and I've been studying secondary ADHD as a comorbid condition with brain injury for years. I've met people who have regular ADHD who take over 250mg of Adderall From a doctor. No special doctor, no illegal crap going on, it's all in the doctors perview. Go online and look up " stimulants for TBI", and read the studies, articles, medical journals talking about high dose stims for brain injury recovery. There is no one size fits all dosage of Adderall for any condition!! There are over 20 factors that involve dosage for a particular person on a case to case basis. Do you seriously believe everything the doctor tells you? Lol!!! I stopped doing that along time ago.
They will tell you anything , they think they are superior to everyone in society in some cases. I personally know brain injured people who take " 120 mg" of addy, Vyvanse, Ritalin, etc, for breakfast and then have the same amount 4 hours later. I've read of normal folks taking 500 mgs a day for fun. Secondary ADHD is like ADHD times 100!! A normal dose of Adderall won't even touch the cognitive deficits that a TBI survivor experiences daily. The science and data is all online. I don't what planet you live on that you never looked online and actually found out the truth about this issue before going on here and spouting nonsense. Your doctor is simply limiting you so your don't ask questions or try to actually make yourself better. It's easier for her/ him to just lie to you then go through the process of upping your dose to 160 or 180 a day.
- Adderall Information for Consumers
- Adderall Information for Healthcare Professionals (includes dosage details)
- Side Effects of Adderall (detailed)
Search for questions
Still looking for answers? Try searching for what you seek or ask your own question.
Posted 12 Nov 2010 • 3 answers
Posted 2 May 2014 • 2 answers
Posted 15 May 2014 • 3 answers
Posted 15 Apr 2015 • 3 answers
Posted 25 Nov 2017 • 1 answer