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[QUOTE=JeremyT]I have been on Adderall now for about a month and half now. I take 3 - 10 MG pills per day basically one every 4 hours. My issue is its not working this week. I feel like im coming to a screeching halt, I cant concentrate im reading stuff about 3 or more times. I am having a hard time scheduling things at work and staying on top of my tasks.

I was considering a dosage increase from my psych when I go back in a week. However Im wondering if it will do it again in a month and a half? Does the dosage matter by body weight? If Im 260 LB's do I need a bigger dose then someone who is say 180 LB's? Does it work this way? All I know Is the first month everything was great, I was getting stuff done, I was motivated, I was able to stay on task and finish projects. It even helped with the social disorder however all that is gone this week.

Help[/QUOTE]

Tolerance is a big issue with these meds. You can up the dose but later on tolerance can set in again, and higher dosing can increase chances of unwanted side effects of the drug.

Also, with continued exposure to a chemical like amphetamine, brain receptors can downregulate or shut down so original condition can seem worse upon discontinuation. IMHO, the meds don't solve the problem in the long run and could make it worse... but that's up to the individual to outweigh the risks to benefits ratio of taking the drugs.
Ok im confused Now Im having people tell me once i find the right dosage i wont gain tolerance. And I have people telling me I will. Basically your saying I will keep gaining tolerance so by this time next year I will be on over 200 MG of adderall

Im confused now

JT
[QUOTE=JeremyT]Ok im confused Now Im having people tell me once i find the right dosage i wont gain tolerance. And I have people telling me I will. Basically your saying I will keep gaining tolerance so by this time next year I will be on over 200 MG of adderall

Im confused now

JT[/QUOTE]

No, tolerance doesn't always build up that quickly, especially when you do get to higher doses. It can take many years to get to the point you would need 200 mg! (would they even write a prescription out for that much?)

Tolerance is a possibility with any drug down the line, but they will always find other meds and ways to make the medication work, well, at least part of the time anyway.....that's just it: you can't expect the med to get rid of ADD for good or work forever correctly or completely!

Sometimes people just lower their expectations down the line.....for example, I know many people who have have built tolerance to Ambien for sleep, yet they can't sleep without it (dependancy) so they accept the fact that they may only get 4 hours of sleep when they take it, whereas when they first went on it they got full nights sleep on it.

I had a simular problem with Ativan for sleep, except that I did not accept the fact that when I was in tolerance it would only work on some nights or that I only slept 4 hours on it (it used to provide 6-7 hours of sleep).

So I decided enough is enough I got off it and after a very protracted (and horrific) post-withdrawal period my sleep finally came back naturally.

So if you take a drug that is psychoactive for years, you most likely will depend on it greatly since it is also a dependancy drug so you won't be able to just quit it and might probably accept the times, as many do, when it fails because of the times when it does kick in a bit to help your ADD.

But it's important to never increase your dose on your own if it doesn't work down the line, you should always consult the doctor.
[QUOTE=JeremyT]what about if I switch to stratterra? Its a non stimulant? would that be a better choice. I understand that the better choice would be to learn to cope but I dont want to go to that.

Right now I am excelling at my job like I have never before, im getting things done. My social anxiety is better. It hasnt been the greatest the last couple weeks because of the tolerance but overall its helping[/QUOTE]

If you make the choice to go the drug route then you must accept the bad with the good. I think Strattera is a safer drug overall; however, I've heard alot on these boards about some people not being happy with it; seems it only works for a few. But you could try it; perhaps you are one of the people it would work for, and at least you'd be off amphetamines. If it doesn't work you can always go back to Adderall, right?
well went back to my psych yesterday told him about the tolerance. He upped my dosage. The only way I could really explain the situation to him was to say projects that I get at work seem more difficult when the adderall is working they dont seem difficult at all.

Today I started my new dosage. Everything seems good. I noticed something thought when I was playing a video game. Before the adderall kicked in I was going around gun ho barging into doors shooting anything that moves. After the adderal kicked in I was being cautious. Moving slower, planning my movements ahead more less taking my time. Sorry I just had to explain this cause it was of interest to me.

What natural methods are there? To dealing with this? If I could approach obstacles and problems the way I do with Adderall without it I would give up the med. However I really need to keep my job and I need to make sure I can perform to par. My psychiatrist recommended a book called driven by distractions. I asked him if I should talk with a counselor he said it wouldnt really help. I think he doesnt want to loose my business. He told me if the new dosage of atterall doesnt work he will put me on something else.

Is ADD a chemical imbalance in the brain or isnt it? If it is dont you need med's to correct the problem?
[QUOTE=JeremyT]well went back to my psych yesterday told him about the tolerance. He upped my dosage. The only way I could really explain the situation to him was to say projects that I get at work seem more difficult when the adderall is working they dont seem difficult at all.

Today I started my new dosage. Everything seems good. I noticed something thought when I was playing a video game. Before the adderall kicked in I was going around gun ho barging into doors shooting anything that moves. After the adderal kicked in I was being cautious. Moving slower, planning my movements ahead more less taking my time. Sorry I just had to explain this cause it was of interest to me.

What natural methods are there? To dealing with this? If I could approach obstacles and problems the way I do with Adderall without it I would give up the med. However I really need to keep my job and I need to make sure I can perform to par. My psychiatrist recommended a book called driven by distractions. I asked him if I should talk with a counselor he said it wouldnt really help. I think he doesnt want to loose my business. He told me if the new dosage of atterall doesnt work he will put me on something else.

Is ADD a chemical imbalance in the brain or isnt it? If it is dont you need med's to correct the problem?[/QUOTE]

First off, it is thought or believed to be a chemical imbalance, it is not proven so remains a theory not fact. For example, in the 1960's they discovered that a serotonin drug called LSD, although very toxic, did have some interesting side effects like mood lifting, so they concluded that serotonin must be short in people with low mood.....but they really have yet to prove this theory as there still is no way to test the living brain for any deficient chemicals.

But they do know that chemicals in the brain actually come from what we ingest...that's how they are made. For example, serotonin is made from protein synthesis of the amino acid tryptophan, which is found in many high quality proteins, and complex carbs are needed in the synthesis. If you look up all the amino acids(which are mainly protein components) you will find how each manufactures various neurotransmitters for different brain and body benefits.

Drugs do not increase any of these neuros but will mimic them or prevent their normal metabolism in the brain, which is unnatural and the brain eventually fights back(tolerance).

So eating well helps and certain supplements also have shown to help, such as Omega 3's like fish or flax oil which are rich in nutrients for the brain. But also I've heard many praise that book your doc gave you as being an enormous help to them so definately read it.

I understand you can't risk your job, but maybe reading the book, adding fish oil, eating good proteins and vitamin rich foods (don't forget complex carbs, they are important) may help enough to either ward off more tolerance or even allow you to decrease your dosage eventually. I remember a long time ago someone on this board was able to do that with the fish oil and ended up completely off meds, but everyone is different so it's hard to say in each case.

Maybe search the net for more natural alternatives; I haven't lately so all I know is the fish oil and also heard magnisium really plays a part too. Besides supplements, magnisium is rich in foods like peanuts (as long as you aren't allergic though!)

But a search around might show up some new alternatives; I wouldn't just up and quit the Adderall if some of these things work but just reduce slowly. Good luck I hope you find some alternatives in case you are the type to build tolerance quickly to amphetamines or start having some negative effects with higher doses.

It's always good to try the alternatives because you never know.....and always check stuff with your doc for any interactions with your med beforehand.
Hi Jeremy, It looks like you're getting alot of good information here, I just thought I would add a bit. First of all, it is also my understanding that you should not develop a tolerance to Adderall. I've been on 30mg/Ritalin for over a year. Some days it works better than other days (btw am 5/6" female, and 115 pounds so I don't think the dosage has to do with body weight) but I do not have a tolerance. However, when I first started taking it, there was a period where my brain was not used to it and I felt almost high, I had so much energy and drive. THAT part does not last, nor should it. Not sure how long you've been on it? But I think after a couple of months, it should stable out to where you feel pretty normal, just with a greater ability to concentrate. Do not mistake this for tolerance. Also, remember that the Adderall cannot do it all. You are still going to get tired, get irritable with people, have trouble concentrating, etcetera so definitely don't assume that a bad day means that the meds aren't working for you. Just maybe give it some time - as Jennita said - a good diet and enough rest are so vital for me. Simple sugar is a recipe for disaster during the day with blood sugar spikes, etc.
I know the changes in my life are profound, yet subtle enough to where I feel that I do not depend on my meds to do my job or get through my responsibilities such as grocery shopping (though they do make these things more possible for me).
Good luck!





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