question

iVillage Member
Registered: 05-03-2003
question
5
Sat, 08-23-2003 - 3:14pm
Hi, Can anyone tell me how much adderall xr a 70 pound boy should take? I know this is really a question for the doc , but I not very pleased with him right now. Also, for those of you whose kids take this, how long does it last for them? I thought it was supposed to last at least 8 or 10 hours. Any input would be great. Thank you all!!!
Avatar for kathy_in_ga
iVillage Member
Registered: 03-26-2003
In reply to: maybell2000
Mon, 08-25-2003 - 11:13pm
Hi. My son is 8 and weighs 75 lbs. He has taken Adderal for about 3 years now. And Adderall XR for over a year. He is on a dose of 20 Mil in AM. I also give him a dose of 5 mil when he gets home from school to help him do homework. Yes they say Adderall XR is SUPPOSED to work for that long, but I can tell it wears off sooner for my son. What kind of doc are you taking your son to? You can always change docs. I take my son to a certified child psychiatrist for him medications.
iVillage Member
Registered: 03-25-2003
In reply to: maybell2000
Mon, 08-25-2003 - 11:46pm
when my ds was on adderall XR: he's 45 lbs, 7yrs old, he was on 15mg XR but it would wear off around 4:30 pm and he would rebound horribly!!! If I was quick and got him the second he got off the bus and gave him 2.5mg reg adderral he would do ok. Tried the 5mg (just didn't break it in half) but it kept him up all night.

So between rebounds and sleeplesness we switched meds, but before we switched this is what he was on! Hope that helps!

~Jenell

iVillage Member
Registered: 03-29-2003
In reply to: maybell2000
Tue, 08-26-2003 - 5:28am
Hi~

I typically post on the PP ADHD board and lurk on PS boards, but I thought I'd see if I could be of help here.

In any case, the October, 2001 volume of The American Academy of Pediatrics outlines the AAP policy with regards to the

>Clinical Practice Guidelines for the Treatment of the School-Aged Child With ADHD.<

"Unlike most other medications, *stimulant dosages usually are not weight dependent.* Clinicians should begin with a low dose of medication and titrate upward because of the marked individual variability in the dose-response relationship. The best dose of medication for a given child is the one that leads to optimal effects with minimal side effects."

http://www.aap.org/policy/s0120.html

------------------------------

Additionaly, the AAP also details in PDF format (yuck) the acceptable parameters within which to safely prescribe stimulant medications:

Adderall--

*Dosage range -- 2.5 to *40* mg per day

*Dosage schedule -- 1-2 times/daily



*Peak clinical effect -- 1 to 2 hours

*Onset of behavioral effect -- 30 to 60 minutes

http://www.aafp.org/afp/20010901/817.pdf

Before I forget, IIRC, the duration in which the medication lasts is completely dependant on the person taking the meds (how fast it's metabolized, excreted from the body, etc) and varries from person to person.

Good luck!

~Ami




iVillage Member
Registered: 05-03-2003
In reply to: maybell2000
Tue, 08-26-2003 - 9:32am
Thank you all for your advice. My son has only tried 1 stimulant, so I will ask the doc to try a different one at our next appointment. I don't know what I would do without all of your knowledge. I really don't have anyone else to discuss this with. Thanks again!!
Avatar for kathy_in_ga
iVillage Member
Registered: 03-26-2003
In reply to: maybell2000
Tue, 08-26-2003 - 9:18pm
We have tried several different combos, and several different ADHD meds. A few ADHD meds did not agree with my sons mood disorder, which is why I am always slow to try a different one. Keep trying until you find one that has the least side effects for your son. Each child is different and we can only give our our own experiences with the meds. If your son is in school I would let the teacher know that he is trying a new med. This way she can look out for any unwanted side effects at school. I always did this when we made a change, it helped us out a lot having someone there to let us know what they saw. We always had to have someone watch him because of the mood disorder, esp when he had bad reactions.