I was recently diagnosed by a psychiatrist as having adult ADD (or i suppose ADHD-inattentive's the right term now?) and told to take 3 x 20 mg dose of adderall xr to start out with, three times a day for the first month. this seems like an inordinately high beginning dose. i am a 27-year-old, 5'11, 116-pound woman. the doctor didn't consult my previous chart in any way and seemed to make this evaluation on the basis of my conversational style, which is somewhat erratic, and a prevalent pattern of ADHD in my family. my life has a disorganized and chaotic pattern that might reflect ADD, and i have thought this for some time: on the other hand, despite having struggled and possibly achieved below my capabilities in life, i also managed to be high school valedictorian and experienced some level of academic success. so i don't know. adderall, after 2-3 days of doing this, tends to calm me down although i feel as if i'm crashing within 6 hours or so into a slight state of depression - i don't feel inspired to clean my house, etc., more just like sitting around, and my motivation at work hasn't improved. in short i can see how there would be benefits to this, but i'm a little concerned about whether i should be concerned about possible addiction/dependence issues, excessive weight loss given my current weight, etc. given that i haven't received the most thorough evaluation. My inclination has been to just take the meds as prescribed - I was told it would "change my life". And I do feel better, no trouble with sleep etc. really, but it seems that people generally start adderall at a much lower dose and I'm concerned about developing some kind of immediate tolerance to it. My boyfriend's been severely ADHD since he was a child and is just prescribed 2 x 20 mg adderall a day, which he uses primarily when studying and attending classes and with holidays on the weekends. Any advice about what I should do with the meds? I just want to be prudent (and maybe wash some of the dishes this weekend) and I'm wondering if you guys could help me. i've read elsewhere that if one really doesn't have ADD, addiction can become a problem...but the advice on the internet is sort of contradictory. i've read that if you don't really have the condition, adderall will affect your brain differently and have a calming effect...however, reading and hearing other people's descriptions of what the prescribed vs. non-prescribed meds actually do for them, the effects don't seem to vary all that much. Is there anything I can gauge in my own reaction to the drug that might let me know if I'm misusing it? I didn't mean to do this irresponsibly, and of course these are prescribed through a doctor, but I just want to make sure.

Thanks very much, and I would love to hear anything you'd have to say - I'm a little worried. Sorry for the epic length of this post but I've been freaking out reading stuff on the web for a few days.

nicole

Dosage is based on severity of symptoms, not on body weight or height. I took 30 mgs for 4 days then 60 mgs thereafter.

The street wisdom is that if you do not have ADHD, adderall will speed you up, and that if you DO have adhd hyperactive type, it will slow you down. In real terms , everyone is a little different. If you take 60 mg adderall 3 times a day and can still sleep , it is similar to experiences that others with adhd have reported on this forum. The street wisdom would suggest that this is typical for people with adhd. In contrast, one would expect a non-adder to be very, very speedy on that much adderall.

The reality is, if you take enough of it, you will speed up. ADHD or not.

The trouble is, everyone is a little different. Some people are very good metabolizers of medication and it takes lots of it to work at all for them. Other people are not good metabolizers and will only need tiny amounts ofstimulants to be effective for their adhd. It really does vary a lot. I have read accounts of people who can't tolerate more than 5 mg of adderall. At the same time, there are people who take as much as you do, and more in order to get to teraputic levels.

From what I've seen on the forums there are people taking more adderall than you have been prescribed. There are also people who are taking a lot less. As long as you take the meds as prescribed you will be okay.

The internet is loaded with misinformation, work with your doctor, let him prescribe your meds, and don't let some netloon you don't even know sell you on some snake oil version of how medications are supposed to work.

Me :D

I think your Doctor is confused and giving you too high a dose.

I'd say that is a large dose for a loading dose, YES.


Even the "CLUE" that the units of ADDERALL XR start at 5 mg (FIVE), etc, seems like that must be some sort of hint about dosing, no?

If the lowest dose is 5 mg, then you are taking 12x the dosage.

Do you think your Doctor is confusing the ADDERALL XR with the ADDERALL IR?

Talk to your PHARMACIST about it, or ask the PHARMACIST about getting a PHOTOCOPY of the Adderall product "MONOGRAPH".


SIDE EFFECTS: (They are often dose-dependent.)

(EG headaches, muscle tension (head, neck, shoulders, back), stomach pains, abdominal activity (frequent BMs; diarrhea), peeing too frequently, dry mouth, insomnia, no appetite, sweating, short of breath, rapid heartbeat; in very high doses you'll see breathing problems (short of breath), exercise intolerance, chest pain,increased body temp).

SHIRE makes ADDERALL, and i believe they have information online.

Hi Nicole,

I was only diagnosed in the past month (with the inattentive variant), so don't have tons of experience to offer you, but I can tell you how medication has been prescribed and worked for me so far.

I initially started off on Ritalin, at the low dose of 10 mg a day, for a week's trial. It was to be a kind of experiment as the dr. suspected ADD but didn't know. It didn't seem to affect my concentration much, but it did improve my mood (also am being treated for clinical depression). It also threw off my sleep patterns a lot, causing me to wake up in the night, wide awake. The psychiatrist then had me go on Concerta, at a low dose of 18 mg taken in the morning. I immediately felt that this med improved my mood even further, making me feel more motivated and alert, but not really affecting concentration. I continued to get feedback at work about "spacing out" incidents and failures to follow directions. So after about 3 weeks, I went up to 27 mg, and the effect does feel phenomenal. The first two days I felt a little overagitated, and at work I noticed that I was now actually aware of the number of times my attention was leaving the task at hand (I'm an editor and could just feel my mind drifting from the graphs numerous times). But by the end of the week, I suddenly felt "in the zone," and was concentrating well, feeling absorbed in the editing despite lots of noise going on in the department around me.

Like you, I had a lot of doubts in the beginning about whether I could actually have ADD. It had never occurred to me because I associated it with hyperactivity and I'd also managed to do well in school and go on to grad school. But I realize that it took a huge effort on my part to do well, and I pretty much did it at the expense of most extracurricular activites and social life.

Anyway, from what I've read, it seems like getting the right dosage does take a trial and error, and that the kind and dosage of med that one person takes won't work for someone else. Since you're following the dr. prescription, you aren't misusing the drug. I feel I lucked out with finding a dosage and med that worked pretty quickly. When I was in the midst of the worst of my depression, I tried at least 3 antidepressants in various combinations before I found what seemed to work well (the old tried and true Prozac).

Take care, and let us know how you do.
Kyla

thanks for answering so fast..i haven't been on this forum before and it's great to hear from you.

and kyla, that's good to hear somebody has sort of similar experience..i'm also a humanities person who managed to limp through grad school and have had problems with depression and major, major spaciness at work.

thanks for the advice, y'all...hilariously i don't even know whether i HAVE IR or XR (i thought it was the same thing, but that XR just allowed you to double up on the IR dose, and i didn't keep a copy of the prescription). just good old generic "amphetamine salt combo 20 mg" substituted by pharmacy, no questions asked. jeepers. i think my boyfriend takes XR and his pills are orange too, so i was just assuming.

Orange Adderall XR is a 30 mg capsule :) I take 2 per day. Apparently things are very different in the US and Canada. I would not worry about this dose you are on very much unless its causing you too many "sped up" symptoms after a few weeks on it. As long as your concentration and attendence to tasks is improved then you probably have the correct dose.

Even the "CLUE" that the units of ADDERALL XR start at 5 mg (FIVE), etc, seems like that must be some sort of hint about dosing, no?

If the lowest dose is 5 mg, then you are taking 12x the dosage.Not necessarily. There are chidren who take Adderall who need smaller doses and its finally becoming common knowledge that average dosing for adults is typically not too high? Its too LOW.

I dont take adderall XR. I take adderall regular and take 20 mg a day max. I'm 145 lbs and I've been on adderall for 12 years.

Thats way too high a dosage for you I think, but I could be wrong. When I took 20mg of adderall XR, it didn't help me at all.

Dosage is based on severity of symptoms, not on body weight or height.IF you think bodyweight has nothing to do with the dosage they give you, you're on a different planet.

I keep reading about people who are starting on low doses at work and then crashing midday to early afternoon...I think that's probably making it worse for them.

Do you think tolerance correlates more with body weight or particularities of somebody's metabolism? My doctor did say, "oh, how tall are you?" and i was wearing a michelin-man overcoat and baggy pants at the time, so i mean one could assume anything.

:eek: WOW!! THAT DOSEAGE - at the INDUCTION PHASE no less - would be considered CRIMINAL at the mental health agencies I've been to. I've been treated with stimulant medication for the past FIVE years, and my shrink will STILL say to me that 20mg AdderallXR is a "HUGE DOSE"! I'm not saying that I believe that opinion, but that I've had to enlist my therapist to ACTIVELY advocate for me to get my dose increased to 30mgs. And this after FIVE YEARS!!!

Just sharing. Wow!
(What part of the country did you say you're you from?) :p

ouch. the South, of course. :)

why do you say it'd be considered "criminal" in terms of consequences etc. for the patient? thanks for your concern.

ouch. the South, of course. :)

why do you say it'd be considered "criminal" in terms of consequences etc. for the patient? thanks for your concern.I am in the South too!

IF you think bodyweight has nothing to do with the dosage they give you, you're on a different planet. Nonsense...I just checked and I am right here :p body weight does not determine dosage, the cessation/improvement of symptoms does. You are mistaken. Please research this better, I do not have time to mess with research right now :)

why do you say it'd be considered "criminal" in terms of consequences etc. for the patient?


What I meant by "criminal" is that at the various mental health offices that I'VE been to (and it may just be my area of the world??) - you'd think that I were asking the practitioner for one of his/her KIDNEYS!! I remember (after seeing a couple of prescribers that wouldn't prescribe me any type of the stimulant meds) asking about Provigil and my shrink looking at me as if I were asking her for a couple of her prescribing pads and say, "I CAN'T give you THAT!!"

So when I hear posters state that they've just been diagnosed, and that the 60 mgs (or more) of Adderall XR they've been given to try is _____________ - well, I'M SURPRISED that people are prescribed that much after all of the grumbling and fuss that I've experienced just trying to try ANY amt of this medication. Ya dig?

Sorry for choosing YOUR post to vent about. It's nothing personal!

Sue

I am in the South too!

Nonsense...I just checked and I am right here :p body weight does not determine dosage, the cessation/improvement of symptoms does. You are mistaken. Please research this better, I do not have time to mess with research right now :)
Adderall isn't different than other drugs! Can a big person drink more alchol than a little person? YES. Can a big person handle more adderall than a little peson? YES.

I'm not saying its the only factor in determining dosage.

if you're not sure, break it in 1/2 and take it once, see how you feel. you dont want to make yourself feel crappy all day. if thats ok, then increase it on your own to your prescribed dose. why ask for trouble? ;)

and to me, that sounds high. i am fine on 20mg/ DAY and im only a little smaller than you. but i also fight horrible insomnia regardless of meds.

Wow, lots of bad suggestions and poorly worded responses being given here. Body weight absolutely does correlate to the proper dosage.

Consider this, if you weighed 5 pounds, a 5mg dose would give you a concentration of 1mg/lb, whereas if you weighed 150 pounds you would have a concentration of (1/30)mg/lb. While the effect of the drug is the primary consideration for dosage adjustment, body weight is a very very significant consideration.

in all honesty, starting out at 60mg per day is WAY TOO MUCH. Once your body has a chance to properly adjust to dosages and give you some feedback about what is going on, yeah, then MAYBE 60mg would be appropriate.

What your psych did was just plain irresponsible his/her license should be revoked.

I'd like to say one thing: I am a small person and I take 60mgs Adderall. My daughter is certainly a small person at age 11 and she takes 72mgs Concerta. This is all perfectly normal according to my psychiatrist who had ADHD himself. He told me its about the level of relief.

Please explain this and maybe you will be spreading the proper information :)

Folks, lets keep in mind that none of us should be using advice/opinions given on these forums in place of actual medical advice given by a medical professional.

Also, please be polite to those that respond with information. If you believe its incorrect, providing evidence to the contrary (usually with a link to the factual information) should address concerns of incorrect information posted.

That being said, I've pulled together a little information below related to Adderall and dosages.
==========================================
ADDERALL

Attention Deficit Hyperactivity Disorder

Children 3 to 5 years of age: The usual starting dose is 2.5 milligrams daily. Each week, the doctor will raise the daily dosage by 2.5 milligrams until the condition is under control.

Children 6 years of age and older: The usual starting dose is 5 milligrams once or twice a day. Each week, the daily dosage may be increased by 5 milligrams. Only in rare cases will a child need more than 40 milligrams per day.

The doctor may interrupt therapy occasionally to see if the drug is still needed.

Narcolepsy

Adults: The usual total daily dose ranges from 5 to 60 milligrams, taken as 2 or more smaller doses.

Children under 12 years of age: The usual starting dose is 5 milligrams daily. Each week, the doctor will raise the daily dose by 5 milligrams until the condition is under control.

Children 12 years of age and older: The usual starting dose is 10 milligrams daily, with weekly increases of 10 milligrams daily until the drug takes effect.

ADDERALL XR

Attention Deficit Hyperactivity Disorder

Children 6 years of age and older: The usual starting dose for children taking Adderall for the first time is 10 milligrams once daily in the morning. At weekly intervals, the doctor may increase the daily dosage by 5 or 10 milligrams, up to a maximum of 30 milligrams a day.

Children already taking regular Adderall are prescribed a single dose of Adderall XR equal to their previous daily total.

Adderall XR has not been tested on children under 6.

http://www.pdrhealth.com/drug_info/rxdrugprofiles/drugs/add1008.shtml
==========================================

Attention Deficit Disorder with Hyperactivity: Not recommended for children under 3 years of age. In children from 3 to 5 years of age, start with 2.5 mg daily; daily dosage may be raised in increments of 2.5 mg at weekly intervals until optimal response is obtained.

http://www.rxlist.com/cgi/generic/amphet_ids.htm

==========================================
DOSAGE AND ADMINISTRATION

In children with ADHD who are 6 years of age and older and are either starting treatment for the first time or switching from another medication, start with 10 mg once daily in the morning; daily dosage may be raised in increments of 5 mg or 10 mg at weekly intervals. When in the judgement of the clinician a lower initial dose is appropriate, patients may begin treatment with 5 mg once daily in the morning. Dosage should be individualized according to the needs and response of the patient.

Amphetamines should be administered at the lowest effective dosage. The maximum recommended dose is 30 mg/ day; doses greater than 30 mg/ day of ADDERALL XRª have not been studied. Amphetamines are not recommended for children under 3 years of age. ADDERALL XRª has not been studied in children under 6 years of age.

Patients Currently Using ADDERALL ®

Based on bioequivalence data, patients taking divided doses of immediate-release ADDERALL ® , for example twice a day, may be switched to ADDERALL XRª at the same total daily dose taken once daily. Titrate at weekly intervals to appropriate efficacy and tolerability as indicated.

ADDERALL XRª capsules may be taken whole, or the capsule may be opened and the entire contents sprinkled on applesauce. If the patient is using the sprinkle administration method, the sprinkled applesauce should be consumed immediately; it should not be stored. Patients should take the applesauce with sprinkled beads in its entirety without chewing. The dose of a single capsule should not be divided. The contents of the entire capsule should be taken, and patients should not take anything less than one capsule per day.

http://www.drkoop.com/druglibrary/93/adderal_xr-indications_dosage.html
=============================================

http://www.healthsquare.com/common/images/pdr_drugs/P05333C3.jpg

http://www.healthsquare.com/common/images/pdr_drugs/P05333C4.jpg

Holy crap, I can't believe they make 30mg immediate release. If I took one of those, I'd need to go to the hospital.

I'd like to say one thing: I am a small person and I take 60mgs Adderall. My daughter is certainly a small person at age 11 and she takes 72mgs Concerta. This is all perfectly normal according to my psychiatrist who had ADHD himself. He told me its about the level of relief.

Please explain this and maybe you will be spreading the proper information :)I'm surprised you can handle 60 mg without getting the shakes. And yeah its about the level of relief, a 200 lb person is usually going to need more than a 120 lb person. If the 120 lb person has really bad ADD, then they might need as much as the person that weighs 200 lbs but doesn't have ADD so bad.

damn lady...

is adderall approved for children 3-5?

I'm surprised you can handle 60 mg without getting the shakes. And yeah its about the level of relief, a 200 lb person is usually going to need more than a 120 lb person. If the 120 lb person has really bad ADD, then they might need as much as the person that weighs 200 lbs but doesn't have ADD so bad.

damn lady...This is where the severity of an individuals adhd comes into play. I know people who would go CRAZY (almost literally) taking a 30mg tab. I, on the other hand, take 30mg IR doses daily. I don't get itchy or crazy or jumpy or anything like that. At such a dosage i become much MORE relaxed and focused. Like i said earlier, you are correct about body weight, but the severity of symptoms and an individuals biochemistry are also equally important factors.

It is very possible that the OP may very well need 60mg daily, all i was upset about is the fact that her doc didn't gradually increase dosage to find the lowest beneficial amount. Not that i advocate defying your doctor, but it would be smarter for her to start herself out on smaller doses and find the best one for herself.

I'm surprised you can handle 60 mg without getting the shakes. And yeah its about the level of relief, a 200 lb person is usually going to need more than a 120 lb person. If the 120 lb person has really bad ADD, then they might need as much as the person that weighs 200 lbs but doesn't have ADD so bad.

damn lady...Yep, we both manage the best on our so-called enormous doses :D and no, we don't get the shakes. "Damn" would be a good choice of word to define our level of severity, though. I just hope the OP and others can benefit from our experiences :).

When it comes to ADHD meds, the proof is in the pudding. You have to bear in mind that both of us are taking sustained release/extended release medications, so we are not getting 100% of the total dose all at one time.

is adderall approved for children 3-5? Attention Deficit Disorder with Hyperactivity: Not recommended for children under 3 years of age. In children from 3 to 5 years of age, start with 2.5 mg daily; daily dosage may be raised in increments of 2.5 mg at weekly intervals until optimal response is obtained.That's Andrew's info gleaned from the internet :)

Holy crap, I can't believe they make 30mg immediate release. If I took one of those, I'd need to go to the hospital.
That makes me feel like a weirdo, I am on 30mg IR 3x a day. :p

So you take a total of 90 mg a day?

60mg is a very high initial dose, in my opinion. I think you will find that even if you can get to sleep on that high a dose right off the bat, your quality of sleep will not be as good.

And the less obvious problem is that you probably won't notice it, because from my personal experience adderall prevents your brain from acknowledging just how exhausted you really are.

I was thinking a really interesting study for someone with a medical or science background to conduct would be to monitor sleep patterns (in terms of deep sleep, etc.) for people on various doses of adderall. Of course you would need a decent size sample because reactions would likely vary from person to person, but my hypothesis is that you'd find that a lot of people who take 60mg+ of adderall on a daily basis become sleep deprived without realizing it.

I really, really think this happened to me when I first increased my dosage from 30mg XR once daily to 30mg XR twice daily (this was after about 4 months on adderall).

I would get upset because I'd feel I was developing a tolerance, and the adderall wasn't working as it once did. Doing a little research (sorry I don't have the link anymore) I found that tolerance to adderall should only occur in a small minority of users--yet on these forums, and if you talk to others taking the med personally, you'll find that MANY people report a perceived tolerance.

What I think might be happening is that you aren't actually developing a tolerance--instead, because your quality of sleep goes down with you knowing it, you gradually become increasingly fatigued, and as you do so, the adderall is less capable of overriding that tiredness. If you look up symptoms of sleep deprivation, you'll find that many of them are identical to those of ADD.

To sum up: I think that if you have ADD (keep in mind this is my personal hypothesis and I am by no means sure of it) and adderall helps your symptoms but eventually seems less effective, this might not be because of a tolerance but is instead because of an unknown lack of quality sleep that, as it accumulates into a larger and larger sleep debt, the adderall is less able to hide. When your exhaustion then becomes more apparent, it would be VERY easy to mistake it for typical ADD symptoms, leading us to think the adderall is less effective.

I really wish I could find a study on this--or that I had the background (and tools) needed to conduct such a study.

Put me in the "it's too high" group. I have said it before but it's always better to start low and work up. It's better to have too little than too much. I personaly would be going out of my mind... or just going to sleep on 60mg a day. A prudent starting dose is 20mg XR (or 10mg IR twice per day) or less... Now I know SOME PEOPLE need high doses but the point is you don't know that for sure when your just starting out. And I have a problem with people just blindly following what a doctor says. They are human, they make mistakes and doseing is FAR from an exact science. The side effects can also be VERY BAD and compounded at the higher doses.... like mild phycosis... and yes some people have experinenced this first hand.

I chuckle at the poor logic occuring in this thread...

it's been said something to the effect that "since large people can handle more alcohol than small people, then obviously large people can handle more adderal than small people"

If we were to research the effects of various dosages on people, it wouldn't be a bad hypothesis to make and test. But to say outright that this hypothesis is true is grossly misguided. Mathematically, one needs to find but one counter-example to disprove a theorem. So, let's see... let's find something that small people can metabolize better larger quantities of than large people. Oh yeah. Food.

I chuckle at the poor logic occuring in this thread...

it's been said something to the effect that "since large people can handle more alcohol than small people, then obviously large people can handle more adderal than small people"

Ok,

Bigger guys can handle bigger drugs. Since in this case we're talking about amphetamines specifically, perhaps the amphetamines produce something that makes it not a good idea for big people to take much of (ie: maybe it causes too much stress on the heart for a heavier person).

But as far as the drugs impact, name a drug that smaller people can handle just as well or better than a larger person in the same quantities.

Mind you, we're talking about people who have never been on the drug before so are relying on their natural tolerance, and not one they've built up through repeated usage.

You're going to have to stretch pretty far to find the evidence you're looking for.

I chuckle at the poor logic occuring in this thread...

it's been said something to the effect that "since large people can handle more alcohol than small people, then obviously large people can handle more adderal than small people"

If we were to research the effects of various dosages on people, it wouldn't be a bad hypothesis to make and test. But to say outright that this hypothesis is true is grossly misguided. Mathematically, one needs to find but one counter-example to disprove a theorem. So, let's see... let's find something that small people can metabolize better larger quantities of than large people. Oh yeah. Food.A sincere "thanks" from the small-people-on-"high"-doses gang..! :)

But as far as the drugs impact, name a drug that smaller people can handle just as well or better than a larger person in the same quantities.Lamictal :) its a well-known fact that the proper amount for this bipolar medication has absolutely nothing to do with body weight, only relief of symptoms. I know a guy here whom is larger than I who does very well at 25mgs, whereas sis and I take 100mgs :cool: it does happen ya know...and for the record, back when I did drink, I drank many a huge biker right under the table. People would gather round and place bets, even :D.

^That's because the purpose of the drug usage isn't to reach your threshold, it was to stabilize yourself. In other words, maybe his bipolar symptoms aren't as bad as yours.

Like I said about the alcohol, you might find some genetic freaks...but if you take two new drinkers, and one weighs a lot more than the other person, big odds on the bigger guy.

Why do my analogies keep getting deleted by mods?

Some hyper sensitive moderators. I didn't indrectly insult anyone. I called the guy 'chuckles', if anything you should have removed that.

I'm not a "hyper sensitive moderator", I'm an irritated Administrator. Your insults will only get you warned, and ultimately banned, on this forum. Learn to get along without putting people down, or throwing insults out, and we'll all get along smashingly.

^That's because the purpose of the drug usage isn't to reach your threshold, it was to stabilize yourself. In other words, maybe his bipolar symptoms aren't as bad as yours.
Same can be said for Adderal, which ultimately contradicts your initial clause whereby "IF you think bodyweight has nothing to do with the dosage they give you, you're on a different planet. "

I'm not a "hyper sensitive moderator", I'm an irritated Administrator. Your insults will only get you warned, and ultimately banned, on this forum. Learn to get along without putting people down, or throwing insults out, and we'll all get along smashingly.Warn me for the insults I've put out then. I haven't insulted anyone. I called the guy chuckles, warn me for that...at least it makes sense (not much sense).

Here's the problem, as a mod, you should be looking at the quality content of information thats being presented, rather than playing mommy and daddy.

Inadvertenly, this might also prevent the perceived insults from occuring in the first place (with my poor analogies in an attempt to explain things). This forum has no doctors or medical professionals to step in. So when you have people with first hand experience with lots of drugs, everyones like, "Oh, he doesn't have a certificate so he doesn't know what hes talking about."

How is it that I can co-exist on so many other forums with grown adults, but only run into problems on this one?

Go to any other forum and there's an established heirarchy of people who know their sh*t. Here, it's a total free-for-all. And to make matters worse, people have ADD and don't read things thoroughly. Or they go on heirsay and haven't experienced any of this on their own.

Go into the parental forums and you can read about parents putting little kids on adderall thinking that in 10 years, they can just stop taking it if they want to. As if its that easy. Maybe that should be a priority for you rather than my poor analogies that are misconstrued as insults towards a race.

Same can be said for Adderal, which ultimately contradicts your initial clause whereby "IF you think bodyweight has nothing to do with the dosage they give you, you're on a different planet. "A doctor is going to feel more comfortable giving a bigger person a higher dosage than giving it to a smaller person.

If a small person is on a crapload (notice the spelling) adderall, the doctor is going to be scratching their chin.

Actually...since you're making this a public spectacle, I'll confirm that you've been warned for posting insulting analogies.

The information on this forum is not intended to replace information and advice members should be seeking from a medical professional.

Any medical professional worth the degree printed on their diploma, wouldn't give medical advice on a web forum. In fact, we specifically prohibit medical professionals from identifying themselves as such on these forums, to prevent members from taking what's said as medical advice.

As for your personal experiences with this and other forums, I always encourage members to find a place that's more to their liking.

Staff member here do the best they can to identify problems, and address them as quickly as possible. Should you (or any other member) find a problem here at these forums, they are encouraged to REPORT it, using the http://www.addforums.com/forums/images/buttons/report.gif button at the top of the respective post. You'll be given an opportunity to document what you feel is an issue that needs to be addressed.

All of these reported issues are a priority to myself, and the very dedicated staff here. That includes insensitive and insulting analogies.

How is it that I can co-exist on so many other forums with grown adults, but only run into problems on this one?
Good question. Perhaps we're just a little less tolerant of certain actions and behaviors than others.

A doctor is going to feel more comfortable giving a bigger person a higher dosage than giving it to a smaller person.

If a small person is on a crapload (of) (notice the spelling) adderall, the doctor is going to be scratching their chin.My doctor feels perfectly comfortable giving me my proper doses, I am sure of it, otherwise he might have chosen not to battle my RX plan for my right to take it.

The only time he scratches his chin is to adjust his rather poofy beard.

I doubt, however, that he appreciates someone else "speaking" for him, or his comfort level...or his chin. Didn't I mention the guy has ADHD himself? He knows perfectly well what he's doing, and I trust him implicitly.

I am gonna share this thread's contents with him on Thursday and see what he has to say...or how hard he laughs, whichever comes first. I will get back to y'all...:cool: In the meantime, can we all try to remember that we have forum members with dyslexia and other learning disabilities that may affect their spelling/grammar from time to time?

Your doctor will probably point out that some people are genetically predisposed to handle certain drugs better (or perhaps he'll think I'm a racist nazi). This point I made was erased when a misinterpretation was made on the part of certain persons (part of the fault being mine because of my limited vernacular, although in my opinion, was still hard to interpret as a stereotype since I did point out that these were 'extreme' instances, and not the norm).

To weigh 115 pounds and be taking 30mg IR 3 times a day...is just WOW. I think we're looking at more than just genetic predisposition, and we need to be asking ourselves how she built up such a high tolerance.

Would I feel the same way if she was a guy weighing 260 lbs? I'd still think thats a lot, but I wouldn't be as in fear for that persons general health.

Hey, you know who's point of view I would really appreciate on the topic? Andrew's. Andrew, why don't you chime in here. No need to be bashful. Share your opinion with us.