Minor shakies, and a touch of euphoria/buzz, (it's nice, but a bit of a red flag in my book).

Is 20mg too high a dose to start out on for someone who drinks no caffeine or other stimulants, and has been off ADD meds (Ritalin,Cylert,Desoxyn) for over 5 years?

Do I just need to give it more time?

I did recently have a sleep study, and had the follow-up appointment. The Doc gave me a script for 200mg Provigil for my excessive day-time sleepiness. Is it too late to stop the Adderall and try the 7-days of Provigil to see how it goes, or will it make the Adderall not as effective if I go back on it?

(FYI - I think I'm both "ADD Inattentive" and "Limbic System Hyperactivity" sub-types)

I'm on week four of adderall, and those shakes went away by day four for me. Right now I have absolutely no negative side effects that I notice, except that it wears off too soon. . .

Is 20mg too high a dose to start out on for someone who drinks no caffeine or other stimulants, and has been off ADD meds (Ritalin,Cylert,Desoxyn) for over 5 years?

I would say that it's a high to start out with. That is basically like taking two 10mg immediate release tablets spaced four hours apart. As an initial dose, it's high, though most don't stay on 10mg XR for very long. Titration can occur rapidly for that first step.

I did notice a very slight buzz (nothing unusual) the first time I took it, but that only happened the first time with me (at 20mg). It never happened when going from 20mg to 30mg with me. Like the previous poster stated... I would give it time. (but that's not medical advice ;) ). You could talk to your doctor as well. :)

If you don't know... amphetamines increase dopamine levels in the synapse even when you're not trying to concentrate (i.e. times of low activity), so you're probably more likely to notice this buzz because it's "always there".

The next lowest dose I think is 15mg XR. 10mg is 2 x 5mg and 15 is 2 x 7.5. 10mg might not be powerful enough, so you do have options.