[true_religion]

I have taken adderall consistently for the past 13 years. I began as an adult. As for my health, I am in better shape today than when I first begun despite now being well past middle age. As for tolerance, I will take a maximum of 15mg per day, which is the same limit I was first prescribed to. My daily regime still holds at 5mg, with holidays.

[Powerofmene]

I have taken Adderall now for 20 years and although my prescription has increased over the years, it is still well under the maximum daily allowable dosage.

It is important to understand that ADD/ADHD also affects sleep quality/quantity which in turn affects daytime sleepiness which further impairs focus/concentrate. In many ways ADD/ADHD medications are a viscous cycle so if someone can find alternative methods (to medications) for managing their ADD they are more fortunate than those of us who cannot. I, for one, see my prescription as a tool I use (not abuse) to be as productive and focused as I can be. Both I and my job deserve nothing less than my best.

[corporateslave2]

Nice, is it still effective for you at that dosage (compared to when you first started)?

Mind if I ask, have you ever taken above the prescribed dosage?

[Powerofmene]

I was at one time diagnosed with narcolepsy and was taking 20 mg Adderall tabs to get out of bed and 30 mgs Adderall XR 2x a day w/ 200 mg Provigil 2 x a day. Initially, I did not sleep for 2 days and on average only slept 3-4 hours after that. I finally saw a neurologist who specializes in sleep issues said my previous dr had me totally jacked up and dialed it back tremendously. Now, a 10 mg tab in morning and 1 XR a few hours later along w 200 mg of Provigil is my sweet spot for productivity and allows me to get 6 hrs of sleep a night. Six hours seems to be my optimal number of hours of sleep in order to think clear etc.

I can tell you when you are taking as much as they had me on initially, you tend to focus on the minutiae around you rather than the issues at hand. Over use of a drug like Adderall is not advisable. I would never intentionally over use my meds. I can tell you when I had to come off of the tons my first dr had me on in order to do a sleep study it was excruciating. My head hurt so bad I thought I was having a stroke. It was the worst 5 days of my life and I never want to repeat that experience. Don't overtake these meds and it is good to take med breaks when you can in order for them to be as effective as possible. However, I will tell you during med breaks you will be super tired but it is worth it in the long run.

[true_religion]

It's still effective for me. The heavy euphoric effects of it only lasted about 3 months in the beginning, and it'd take the maximum dosage prescribed to get even a semblance of that now.

I've never taken above the maximum prescribed. Though everyone is different, and you'd have to work things out with your doctor.

For me, the maximum prescribed is a high water mark, which shouldn't be needed daily but is available if absolutely necessary (e.g. I'm having a very bad day, and have something time critical to do).

The advise I have is to take the lowest effective dose, daily, and titrate downwards if it is less effective until you aren't taking it anymore for a while.

That's what's needed if you plan to take the medication for decades.