ADHD: Medication Dosage - Duration of Effectiveness

http://www.corepsychblog.com/2011/05/adhd-medication-dosage/ ADHD Medication Timing - Exactly Measuring Duration of Effectiveness [DOE], is everything in treating ADHD. In my book "ADHD Medication Rules" I outline these issues in detail - and recently found that "Rules" hit #1 on Amazon - see this link for Amazon documentation: http://skit.ch/b269 Stimulant medications last only a short time, less than a full day - and often they are either dosed too high, or too low, leaving the patient with a feeling like... "nothing works." DOE [Duration of Effectiveness] is the key. Read much more in ADHD Medication Rules second chapter and why meds can become unpredictable - at: http://bit.ly/medrules

Then, for a brief 23pg *Complimentary Special Report* on ADHD Meds: *Predictable Solutions For ADHD Meds - Correcting the 10 Biggest Problems* see this link:
http://www.corepsychblog.com/adhdbook - Immediate download

Category:

Howto & Style

Tags:

• ADHD Medication
• ADHD Medication Dose
• Duration of Effectiveness
• Stimulant Half Life
• Stimulant medication dosage
• correcting poor dosages
• rekrap
• drcharlesparker
• vyvanse
• ritalin
• adderall
• concerta

[JayParkeroni]

I'm on concerta for ADHD, and I'm concerned that I keep getting used to the dosage to a point that I feel as though I need to keep moving up in dosages...I'm afraid this will continue and that I will eventually be hitting beyond normal dosages by the time I am, 20.

[DrCharlesParker]

@JayParkeroni If you experience constant needs for changing dosage, whatever psych med you are on, but most importantly the stimulants, you quite likely are suffering with a metabolic challenge in the background - too subtle to be considered a problem. I call this the "Roving Therapeutic Window" and you can learn more about that phenomenon over at CorePsych Blog - search that term there. Best!

[JayParkeroni]

@DrCharlesParker Thanks dawg, you a life saver. By the way, you found me on twitter lol

I was in jail for the last two days haha, so yeah thanks again! Concerta helps me with impulse control as well, part of the reason I'm gonna need it, considering I end up i jail without it -.-"

[DrCharlesParker]

@JayParkeroni Hey Jay, get that dose right, watch the DOE and jail becomes a bad memory. No reason not to dial it in correctly, and if the window moves you can fix the dose by unearthing the underlying metabolic challenge. If it moves: measure it!

[kalikiter1]

Wait so is the take home message here, that if you are on IR adderall, switch to XR? I am currently taking 20mg IR's and have a love hate relationship. The drug has changed my life dramatically, but often times I have a hard time determining appropriate times to take them and will often suffer for it (no sleep til early morning if taken to late). Im curious about asking my doc for xr, but not sure.. My biggest issue is sleep deprivation and somehow I don't see a XR pill fixing that.

[DrCharlesParker]

@kalikiter1 Right, it sounds like you are already having some problems with duration, often a key sign that either the dose is too much, coming out the top of the window, or that you have some metabolic background noise causing the IR Adderall to burn unpredictably long. That unpredictability could be corrected by assessing and understanding possible challenges that at firs appear sub clinical. - cp

[DrCharlesParker]

Without an exam, without talking to you in detail, I can speculate just a bit: you are either a fast burner, metabolizing the meds too quickly, but more likely do have an associated biomedical issue, likely from the work I have been doing secondary to immunity. Go to CorePsych Blog and type "immunity" or "IgG" into the SEARCH box there for more info.

[BeYeaY]

I meant less then 108 mg of Concerta is not notable.

[BeYeaY]

Correct me if I'm wrong-the highest dose of Concerta can be 2mg/kg ?? My main problem less then of 108 mg of Concerta if not notable what so ever !! Tolerance ??

[DrCharlesParker]

@irishjohn831 Sorry to be so late getting back Irish... you are absolutely correct on the outdated way of looking at the Adderall effect. Too often folks get caught up with the more somatic *feeling* of the stimulant meds, rather than the objective of cognitive, thinking improvement. In addition, those with ADHD often seek to correct the executive function that has been compromised for years by running the dose too high as they take the correction process to the max, out the top!