Ok...so I've been on adderall xr (20mg) for about 2 and a half weeks now...and I have noticed a significant drop in both the side effects and the intended effects (I realize that this is normal, but it's more than a little bit) and have been noticing when I am on it focus is still a little bit better...not as much as before, not even close....but I think I am having like a problem with anxiety/irritability....like right now my roomate has music on and is like singing to it is litterally driving me insane!

So I'm fairly sure I could use 5-10 added mg dosage....so my questions are:

1. I know you guys arent dr.'s...but would you agree with that assumption?

2. This will be my first appointment at this dr. (switching to one closer to where I live in college) and this will only be my second month of getting prescribed...I do have a history from when I was young (1st grade - 8th grade) on various add meds....but I understand from reading that it can be bad to ask for a higher dosage, or even a particular med...and Im just afraid the dr will want to switch me off adderall or refuse me thinking I'm abusing.....because for the first week or so it was making a huge impact on my studies and all other aspects of life (its amazing the small things that I do now that just make the cogs of day to day life turn much more smoothly)....

Soo...any precautions I should take at this appointment? How should I mention I think a higher dose might be a good idea?

Thanks alot!


P.S. With finals coming up...would it hurt or generally be a bad idea to take an extra dose / half dose before an exam?

Describe what you need the increase for in detail, don't act anxious just be firm and direct and if he says no this month, ask him next month. Doctor's look for anxiety or rushing into dose increases, it is early in treatment though so you may still be in the titrate phase.

See if you have a Medical College in your area.
Doctors under this type of environment can be more open-minded.

I never have problems getting what I ask for, but I am very specific about the reason for the request. I also write down some of these reasons on paper or give supporting research to strengthen my request. I feel a type written page helps doctors feel more at ease, because they have a record to fall back on if something goes wrong.

I am also very disciplined in my med use and understand the responcibility it requires.

If these little tricks fail find another Doc; I interviewed 12 doctors before I choose one to see my son.

You are the customer.

Tom