Adderall instructions for administration

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Instructions for administration

General recommendations

Attention Deficit Hyperactivity Disorder


Narcolepsy




General recommendations

Regardless of indication, amphetamines should be administered at the lowest effective dosage and dosage should be individually adjusted according to the therapeutic needs and response of the patient. Late evening doses should be avoided because of the resulting insomnia. Return to top

Attention Deficit Hyperactivity Disorder

Not recommended for children under 3 years of age. Return to top

Patients age 3-5 years

In children from 3 to 5 years of age, start with 2.5 mg daily; daily dosage may be raised in increments of 2.5 mg at weekly intervals until optimal response is obtained. Return to top

Patients age 6+ years

In children 6 years of age and older, start with 5 mg once or twice daily; daily dosage may be raised in increments of 5 mg at weekly intervals until optimal response is obtained. Only in rare cases will it be necessary to exceed a total of 40 mg per day. Give first dose on awakening; additional doses (1 or 2) at intervals of 4 to 6 hours. Return to top

Drug interruption

Where possible, drug administration should be interrupted occasionally to determine if there is a recurrence of behavioral symptoms sufficient to require continued therapy. Return to top

Narcolepsy

Usual dose 5 mg to 60 mg per day in divided doses, depending on the individual patient response. Return to top

Patients under age 12

Narcolepsy seldom occurs in children under 12 years of age; however, when it does, dextroamphetamine sulfate may be used. The suggested initial dose for patients aged 6-12 is 5 mg daily; daily dose may be raised in increments of 5 mg at weekly intervals until optimal response is obtained. In patients 12 years of age and older, start with 10 mg daily; daily dosage may be raised in increments of 10 mg at weekly intervals until optimal response is obtained. If bothersome adverse reactions appear (e.g., insomnia or anorexia), dosage should be reduced. Give first dose on awakening; additional doses (1 or 2) at intervals of 4 to 6 hours. Return to top



Adapted from the FDA Package Insert.


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