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On adderall. Doctor refused to increase the dose. Reasonable?

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General & Family Physician
Practicing since : 2001
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I am currently on 20 milligrams of adderall 3 times a day. It doesn't seem to have the efficacy that I need. My doctor refuses to increase my dose beyond this. I'm a 6-foot-4, 220 pound male. Is she being unreasonable?
Posted Fri, 26 Jul 2013 in Medicines and Side Effects
Answered by Dr. Michelle Gibson James 32 minutes later
Hi, thanks for using healthcare magic

Adderall is most commonly used for narcolepsy and adhd though some doctors may use it for other conditions where it may also be beneficial.

Adderall is a combination of amphetamine and dextroamphetamine, because of this is classified by the FDA as a schedule ii controlled substance. This classification means that they are worried about the potential for abuse and dependence on the medication and the government would set limits on its use.

In ADHD , the dose is rarely above 40mg
In narcolepsy the total recommended daily dose is up to 60mg.

Unfortunately there are limitations to the amount of medication your doctor is able to prescribe for you. If the present dose is not effective you may consider asking her if there is anything else that can be added to help relieve any symptoms you are experiencing.

I hope this helps, feel free to ask any other questions
Above answer was peer-reviewed by
Follow-up: On adderall. Doctor refused to increase the dose. Reasonable? 2 hours later
when you say 40mg, do you mean per dose or per day? per day that seems awfully low. per dose that would probably be right about where I need to be. and when you mention govt XXXXXXX are you implying the dosage limit is regulated?
Answered by Dr. Michelle Gibson James 4 hours later

That is the daily dose, but it can go up to 60mg a day maximum which is the present dose that you are taking.
It is the highest recommended dose at present.
Because of the type of drug it is , doctors are recommended to prescribe it sparingly and to give the lowest possible effective dose.
Pharmacists are also advised to dispense it sparingly.

If your doctor goes over the suggested guidelines and complications occur then may cause problems. In general an excess dose can cause dependence as well as cardiac complications because of the stimulant effect.

Please feel free to ask anything else
Above answer was peer-reviewed by
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