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This document was developed by Nationwide Children’s Hospital in conjunction with Partners For Kids using evidence-informed clinical guidelines and expert opinion, where evidence is lacking, and is generally reflective of FDA approved indications and recommendations.
- Overview
- Attention Deficit Hyperactivity Disorder
- Narcolepsy
- Frequently asked questions
- More about Adderall (amphetamine / dextroamphetamine)
- Further information
Generic name: DEXTROAMPHETAMINE SACCHARATE 1.25mg, AMPHETAMINE ASPARTATE MONOHYDRATE 1.25mg, DEXTROAMPHETAMINE SULFATE 1.25mg, AMPHETAMINE SULFATE 1.25mg
Dosage form: tablet
Drug class: CNS stimulants
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.
•for the presence of cardiac disease (i.e., perform a careful history, family history of sudden death or ventricular arrhythmia, and physical exam) (see WARNINGS).
•the family history and clinically evaluate patients for motor or verbal tics or Tourette’s syndrome before initiating Adderall® (see WARNINGS).
Not recommended for children under 3 years of age. 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.
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.
Where possible, drug administration should be interrupted occasionally to determine if there is a recurrence of behavioral symptoms sufficient to require continued therapy.
Prior to treating patients with Adderall® assess:
•for the presence of cardiac disease (i.e., perform a careful history, family history of sudden death or ventricular arrhythmia, and physical exam) (see WARNINGS).
•the family history and clinically evaluate patients for motor or verbal tics or Tourette’s syndrome before initiating Adderall® (see WARNINGS).
Usual dose 5 mg to 60 mg per day in divided doses, depending on the individual patient response.
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 to 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.
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Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.
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Sep 16, 2024 · The maximum dosage of Adderall tablet is 40 mg daily. If your doctor prescribes Adderall XR, your starting dose will likely be 20 mg. You’ll take this amount once daily. This is the...
May 6, 2024 · The maximum dosage is 40 mg per day. For Adderall XR, the recommended dosages based on age are below: 6-12 years old: The usual starting dosage is 5-10 mg once daily in the morning. If needed, your child’s daily dose may be increased by 5-10 mg every week, up to a maximum of 30 mg per day.
Treatment of ADHD. Clinical practice guidelines published by the American Academy of Child and Adolescent Psychiatry (AACAP) 2 and the American Academy of Pediatrics (AAP) 14 recommend pharmacologic and behavioral interventions for individuals with ADHD.
Tics. Note that stimulants do NOT exacerbate tics on average. Tics are common and usually transient in children, wax and wane on own. Weigh benefits of improved ADHD vs degree of impairment with tics. Consider lowering dose of stimulant. Consider switching to different stimulant.
May 7, 2024 · Adderall comes in seven dosages: 5mg, 7.5mg, 10mg, 12.5mg, 15mg, 20mg, or 30mg. Kids typically take it two times a day. During the school day, they generally go to the nurse’s office for their second dose. Adderall XR comes in six dosages: 5mg, 10mg, 15mg, 20mg, 25mg, or 30mg.
