Dose - How to tell Dr afternoon dose seems low???

[blackdb1]

Swim is going to see his doc soon and is wondering howto tell the Dr that he feels 30mgs Adderall in the morning works, however that the 10mg afternoon dose does not keep swim motivated fully through the afternoon?

Swim would love any opinions. He also appreciates any guidance received!!! Thanks all -bdb1-

[Laudaphun]

40mg adderall (amphetamine salts) is the maximum recommended daily prescribed dosage. More than likely SWIY dr will suggest you take 20mg in the morning and 20mg in the afternoon instead of 30 in the AM and 10 in the PM...

[jbutler827]

laudaphun no offense but that is not correct. the maximum daily dosage is 60mg. i'm sure if swiy just tell swiy doctor that it is not working for you in the afternoon he will increase swiy dosage. don't try to be sly about it. be honest and tell swiy doctor that you think you might need a higher dosage in the afternoon because it is not having any affect. good luck.

[Laudaphun]

Originally Posted by jbutler827

laudaphun no offense but that is not correct. the maximum daily dosage is 60mg. i'm sure if swiy just tell swiy doctor that it is not working for you in the afternoon he will increase swiy dosage. don't try to be sly about it. be honest and tell swiy doctor that you think you might need a higher dosage in the afternoon because it is not having any affect. good luck.

Actually, you are correct if he was being treated for narcolepsy in which case the maximum recomended daily dosage of racemic amphetamine salts is 60mg, however in the case of ADHD it is 40mg.

That doesn't mean a dr. will not prescribe dosages greater than recommended, but it would be more common for a dr. to follow indications advised by most pharmacology texts.

[blackdb1]

Swim thanks swiyou guys! Swim will just tell his Dr that he is not feeling his afternoon dosage... thanks alot

[AmIHighYet]

Originally Posted by Laudaphun

Actually, you are correct if he was being treated for narcolepsy in which case the maximum recomended daily dosage of racemic amphetamine salts is 60mg, however in the case of ADHD it is 40mg.

That doesn't mean a dr. will not prescribe dosages greater than recommended, but it would be more common for a dr. to follow indications advised by most pharmacology texts.

Swim talked a dr into 60mg a day but she knew he was a dumb one to begin with

[dark12]

Let us know how it goes!

[blackdb1]

Swims appointment is this weekend so will definately let swiyou guys know how the appointment went!!

Swim is hoping for the best!!!??? He also is worried about the Dr trying to taper down his Klonazepam dosage (currently it's at 1mg AM, 2mg PM)!??? Swim has been on the Klonopin for about 7months and without it KNOWS he wouldn't have been able to stay sober because of his panic and anxiety (this is his Suboxone Dr also)!!! Swim fears coming off the Klonazepam because of his crippling anxiety disorder and would most likely turn back to opiates for his anxiety!

Thanks for all the replies swimmers!!! Wish swim the best of luck!!!
-bdb1-

[jbutler827]

well i'm am prescribed 50 mg a day for adhd by a doctor. i also have the option of being prescribed 60mg if i asked for it. that is the max though. i know this for a fact. look it up because it says it all over the internet too.

[Laudaphun]

Originally Posted by jbutler827

well i'm am prescribed 50 mg a day for adhd by a doctor. i also have the option of being prescribed 60mg if i asked for it. that is the max though. i know this for a fact. look it up because it says it all over the internet too.

Please re-read SWIM's post and notice the word "recommended." SWIM does not have to look it up on google becaue she has a bookshelf of current up-to-date pharmacology books. 40mg is the max "Recommended" dose for ADHD while 60mg is the max "Recommended" dose for narcolepsy. Look a little harder on the internet and you will find this to be true. Just because the max "recommended" or max suggested doses are 40mg for ADHD really doesn't mean a whole lot as while many dr. will not exceed this, it is merely a "suggested" max dosage. If a dr. wants to prescribe you 60mg/day then there is really nothing to stop him/her.

Do not misinterpret this post as an attack but merely as a clarification of SWM's former post. Hope all goes well, and things work out.

[dark12]

Very interesting,
SWIM sometimes gets groggy when he takes his prescribed stimulants. It kind of bugs him to be honest. He wishes they filled him with energy like he expected them to.

[blackdb1]

Well swim saw his Dr and stayed at 30mgs inn the morning and got bumped up to 20mgs in the afternoon. Swim thinks this regiment will work much more effectively and is very happy that now he can be productive throughout the whole morning and afternoon!!!

Swim thanks all for replies again!!! All have a great day and be safe -bdb1-

[dark12]

SWIM is very glad to see SWIy got what he wanted!
Hope everything works great for you!!

[blackdb1]

Swim says big thanks swiDark12!!! Swim appreciates the positive support!!!

[VSOP~on~tap]

SHIT. I know some chicks with 3 of the INSTANT RELEASE 30s a day and this one lady even has 2 of the 5 mg desoxyn a day to go with it. course she also used to get the max oxy dose (680 mg oxycodone day) and now she takes 120 deathadones a month and 300 perks........
ANYWAYS my point is a doctor can prescribe you whatever they want. thats the purpous and the whole point of a doctor: they ARE HUMAN medicine (at least wester medicine) if they feel you need something, as long as the drug itself is legal for medical use, the doctor can write you as much and as many different combos as they like. the DEA may watch them...........but shit REALLY WHEN ARENT we all being watched? you can see your own house on google earth so...)

I have legit scripts for 2 of the strongest benzos around and at the very highest dose reccomended for panic disorder/GAD but it also helps my tourrettes and some other things anyways 6 mg of that, a 2 3 times a day but doctors prescribe up to 20 or 30 mg of clonazepam a day if it is what is needed in a patient (with say, Epilepsy, because these doses are NOT reccomended for anxiety panic or sleep only for seizure control. I do believe 6 mg is the "reccomended" max for anxiety, it may even be just 4. however my friend used to take 4 2s a day by script and Ive heard of other people with 180 2mgers a month............but seeing as how I also have a script same doc (for my whole life) for temazepam which I take 30 mg a night so its basicaly like Im taking 8 mg of the strongest stuff (clonaz, triaz, and alpraz of course) and temazepam is Much more sedating and feels much stronger than any of the other benzos. at the 30 mg caps I NEVER need more than one (or ill black out and wake up somewhere odd with 2 coats on and shoes and hats and I wont know how I got there)

Im just giving examples, but to show you how much a person can be prescribed, that lady just before they switched her over to done and perks, was taking 680 mg oxycodone a day, 8 noros a day, 4 somas a day, 4 adderall IR ten a day, 3 desoxyn 5 a day, and 180 xanax bars (2's) along with a few other oddities thrown in their.
If a doctor feels you need to take something its no one elses right to interfere WHATSOEVER. I USED to be on 24 mg Buperenorphine at a time along with the 6 mg kpin and 30 mg restoril and my docs didnt care about the benzos AT ALL even at those doses cause ive been on em forever. oh I was also on lyrica and soma. so yeah thats a pretty hefty dose of shit right there. Im SOOOO happy Ive been able to get through some cold turkey wds (opium)
sadly, I KEEP FUCKING RELAPSING because I really do have the need for the pain meds. so I guess I go to my doctor and get somethign that actualy works (methadone 2 twice a day would be PERFECT with maybe 2-3 breakthrough norcos. thats really not very much too ask for--and it would be the SHIT ouf of trying to get by ona script for just 120 7.5/325 hydros a month. thats 4 a day. so I ended up needing 8 a day and filling every 2-3 weeks, so it would only make sense to give someone in that situation somethign they can take LESS often, and get Better pain releif and NOT damage the liver soo much at teh young age of 22????????? methadone is all I can think of but im sure youd get shot if you asked your doc for it. but yeah i wont ever touch a prescription pain pill again in my life unless it is methadone at a decent dose because its the only opiate that actualy helps my pain in ANY way. none of the others do except IV morphine, and I refuse to abuse medicine so I cant be getting into that.


ANYWAYS sorry this was soo long.

My REAL point is, if YOU REALLY NEED SOMETHING-IT IS YOOOOOOOUR RESPONSIBILITY and NO ONE elses to do something about. and what you need to do is simply, and honestly, go to your doctor and explain the situation. he will have no problem raising you or switching you to somethign more effecient. thats what they get paid to do. if your meds arent working and you just complain but keep getting em filled and taking em, I CANT feel bad for you. if your doc gives a shit and or wants to keep their customer base they will give you the medicine you need (sometimes JUST want--it is a business afterall) but good docs will stick to what they believe in their heart will help you. bad docs shove whatever the reps with sweaty wads of money paid them to push on you and keeo you addicted. dont trust a doc like that. dont trust ANY DOCTOR who will NOT or refuses to let You play a role in your Own treatment. People are smart, and they know what their bodies need (often) and they have had experiene and know what works for them and what doesnt. so if you have an honest relationship with your doc all you EVER need to do if you feel your meds arent workign is go in (honestly WITHOUT the soul intent of JUST getting more pills to get wasted or sell or whatever. it is powerful medicine whic should NEVER be abused (amphetamine, or anything else pharmie for that matter) go in with an open mind and maybe you can atualy get your problems cleared up. here Ill spell it out for you:

patient(you): "Hi doctor" Doc: "hello what seems to be troubling you today?" "well, my medicine doesnt seem to really be working in the afternoon. it works great in the morning I couldn do without it, but I feel that the afternoon dose is wrong or perhaps im on the wrong medicine" doc: "well, if its workign in the morning and the afternoon dose is only half as big, lets first try upping your afternoon dose to around the same as the morning dose. if this doesnt work then we will consider another medication such as focalin or desoxsyn or dexerine. there are many godo drugs on the market sometimes it just takes some experementing to see what works best for you" you: "Gee thanks doc! that sounds great, I guess Ill give it a try and let you know how its working." "good; acll me and let me know actualy, after about a week. this stuff shuld work basicaly instantly so just call me if you have any problems" he explains the dose to you, writes you out and hands you a script, and you leave his office.

I MEAN COME ONE HOW ELSE ON EARTH WOULD YOU POSSSSSSIBLLLLLLYYY go about asking for your dosage to be raised or to tell your doc the dose isnt right or the drug isnt working? thats up to you and you dont need to feel like a junkie. they get paid, and love to hand out scripts, so do your research and bring it with you and get the medical care you need.
peace

[Laudaphun]

Originally Posted by VSOP~on~tap

...dont trust a doc like that. dont trust ANY DOCTOR who will NOT or refuses to let You play a role in your Own treatment.

SWIM was going to reply somewhat differently until she read the above sentance in SWIY's post. Unfortunately, there seems to be the problem of finding a middle ground. A person who is lucid and capable of rationally making decisions should be able to do exactly as you said. But, with the law enforcement some may be scared to do this. Some doctors let the patient PLAY THE role and prescribe medicines that patients want but don't need. Those are the ones that make the "good doctors" more rare. A good dr. should want to allow a patient to take an active role based upon the knowledge of the patient about medicine, if the patient wishes (some don't want to take an active role and just do whatever the dr. says), assuming the patient is being honest and the doctor believes this is so. Honestly, these kinds of doctors are hard to find, due to the financial powers of the pharmaceutical companies and their ties with the government. Practices often want to hire doctors who are handing out brand-name under patent type medicines SWIM has found too often the case. But, SWIY made a great point about many dr.s who just keep prescribing you essentially the same crap. How many people have been fed SSRI after SSRI and they keep giving the exact same side-effects and the exact same "Lack of effect" as the last one? They tell you to just keep trying them and eventually they will find the correct one for you and that it is just a matter of finding that "one" SSRI that was made for you...

Sometimes SWIM would put blame on the doctors, because they may not care about you. SWIM has found that the "best" dr. around sometimes is the worst as they more often treat you like a number, whereas lesser known dr.s that operate on a smaller scale treat you on a more personal level. So, in a case where you have a dr. operating on a smaller level in a practice they don't own they are not studying to become a dr. anymore, so while they do keep up or at least should keep up with modern medicine, changes in it, and new studies, now they probably have families, husband/wife with kids and less time for "research".

THIS is where the pharmaceutical companies are to blame, as they send their reps out who are supposed to educate dr.s about their new product. SWIM feels that these reps may mislead or manipulate dr.s about the saftey and efficiency of different medicines. Especially if the doctor is refusing "free lunches" or kick-backs and such. The dr. whose name is on the business may be the only one who actually meets with these reps and then he tells the dr.s that work for him/her about the latest greatest drug on the market. SWIM doesn't know this all for sure but has seen enough that she suspects that this is fairly accurate.

One thing SWIM does know is that, money motivated medical practice is a problem. But, in the U.S. SWIM doesn't really see this changing anytime soon.

...so if you have an honest relationship with your doc all you EVER need to do if you feel your meds arent workign is go in (honestly WITHOUT the soul intent of JUST getting more pills to get wasted or sell or whatever. it is powerful medicine whic should NEVER be abused (amphetamine, or anything else pharmie for that matter) go in with an open mind and maybe you can atualy get your problems cleared up.

Yes, agreed. This is essential, yet harder to comeby for those that have had a substance abuse problem in the past and/or present. Many dr.s quite simpily don't want to treat you if you have a substance abuse issue. Eventually, people become afraid to tell their dr. about some things because they have had so many bad experiences with trying to be honest with a dr. and then the dr. really would rather have someone else deal with them. Sometimes it is almost important for the dr. to get to know you before telling them about a substance abuse issue as they will then perhaps understand or at least sympathize since you are a person instead of "another addict" or "drug seeker" which inevitably gets stamped on many patients charts by the nurse before the dr. even sees the patient. So the dr. may already have formed a negative opinion of the patient before meeting them. It is quite frustrating. But, at least the idea of people self-medicating because they really do need treated for something and have gone either untreated or undiagnosed is becoming more accepted along with the term pseudoaddiction