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Use: As part of a total treatment program for Attention Deficit Hyperactivity Disorder (ADHD). Usual Pediatric Dose of Adderall for Narcolepsy: IR: Age 6 to 11 Years: -Initial Dose: 5 mg orally per day in divided doses -Maintenance Dose: Daily dose may be raised in 5 mg increments at weekly intervals until optimal response is obtained. Age 12 Years and Older: -Initial Dose: 10 mg orally per day in divided doses -Maintenance Dose: Daily dose may be raised in 10 mg increments at weekly intervals until optimal response is obtained. Comments: -The first dose should be given on awakening; 1 to 2 additional doses should be given at intervals of 4 to 6 hours. -The usual dose is 5 to 60 mg per day in divided doses, depending on the individual patient response. -Dosage should be reduced if bothersome adverse reactions (e.g., insomnia, anorexia) appear. -Narcolepsy rarely occurs in children under 12 years of age.
Take the missed dose as soon as you remember, but not late in the day or you could have trouble sleeping. Skip the missed dose if it is almost evening. Do not take extra medicine to make up the missed dose.
Tell any doctor who treats you that you are using this medicine. Store at room temperature away from moisture, heat, and light. Keep track of your medicine. Adderall is a drug of abuse and you should be aware if anyone is using your medicine improperly or without a prescription.
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[See AAP Treatment Guidelines for further discussion of effectiveness]. It is important to note that all professional guidelines call for medication to be used AFTER behavioral treatment has been tried first and that when medication is used it should be COMBINED with behavioral treatment. According to a study conducted at State University of New York at Buffalo, “combining behavior modification therapy with medication is the most effective way to improve the behavior of many ADHD children. In fact, when the two are combined, the study showed, the amount of medication required to achieve the same results as use of medication alone can be reduced by two-thirds”.
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