My 30yo daughter has had ADHD since 2nd grade. She was on Adderall XR for years and now is back on Adderall and titrating up. She is up to 50mg twice a day. How high have other patients gotten before they have reached maximum benefit from the med without dangerous side effects? She is doing this with supervision from psychiatrist. She takes her BP at least daily and it runs 120s/70s.
I am 33 & have been on these stupid meds since I was a kid when I quit taking them I grew 2 inches at age 21 so they are not good to take long periods at 120 mg. Sometimes you have to do what you have to do to meet deadlines and such but at least ask her to cut in half and give herself a break once a week.
So first, eh, your daughter and her doctor, hopefully, know her body best and what is best for it. Secondly, 50 mg IR 2x a day is a good dose, a very rarely heard of dose, 50 mg XR is debated to be like 30 mg for 4 hours, 20 mg for 4 hours, then the second dose doing the same thing later in the day. Per hour for IRs it would be 12.5 mg/hr if they last the allotted four hours, for XRs it would be 6.25 mg/hr if they last their stated 8 hours, 8.3 mg/hr if they only last for 6 hours. Recommended doses are 60 mg IR per day, and 120 mg XR per day, I wish I could show where those numbers came from but I have read that multiple times, but I am so not a trusted resource. I have read about an individual who jumps through hoops to get his Adderall prescription. I looked up everything he said, and even while in that city checked out the place and doctor, and everything is real, but this lad claimed to be prescribed 500+ mg/day of Adderall.
He knew more about what police do to you than I could ever imagine when you get too much, and it all seems legit. So your daughter's dose is not unheard of, but could be getting considered up there. I would stay as involved as possible with her and try to notice significant behavioral mood swings, one week she's great, the next she's depressed horribly, that's a sign of misuse. Trust her though, she's already told you she's taking that much so maybe she's totally in control and that would be totally awesome. Prayers are going out to you NMcD, worried parents have it tough.
- Adderall Information for Consumers
- Adderall Information for Healthcare Professionals (includes dosage details)
- Side Effects of Adderall (detailed)
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