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Yes indeed. Many people with ADHD find it incredibly hard to get up in the morning.
If we remember that ADHD can impair both motivation and initiation (not to mention restorative sleep), it makes perfect sense that pulling themselves out of sleep with no medication in the system can be a challenge.
There are many strategies for dealing with this. Some people set two times on their alarm clock -- one to wake up and take the medication the second about a half hour later to actually get up.
Yes, it would be possible to take a short-acting stimulant before or after the Adderall XR/SR, but then again you'd have to pay careful attention to timing (knowing when to start the next dose).
You might want to look into a more smoothly delivered, longer-acting stimulant such as Vyvanse or Concerta (two different classes of stimulant).View Thread

It sounds like you need an overview of the various medication choices for ADHD. Here is one that is fairly easy to understand:
http://tinyurl.com/c3zcr44View Thread

What was the process undertaken when the physician started your child on medication? Was he started at a low dose (18 mg is the lowest for Concerta) and monitored over weeks/months as the dosage was increased for maximum effect?
The idea is to keep increasing slowly until side effects outweigh positive effects -- and then to back down.
Are what you describe "serious side effects" from the medication? I cannot say as I am not a medical professional. But I can tell you if my family member was experiencing them, I'd be concerned.
What does your physician say?View Thread

Yes, indeed -- all those things you mention would be familiar to many people with ADHD.
Not all, mind you, because there is nothing "all" about ADHD. It is a highly variable syndrome, and of course other aspects of personality come into play.
Math can be a challenge for some people with ADHD because it demands a lot of working memory -- the short-term memory that you use to "hold numbers in your head" as you figure out the problem.
Learning the rules of games (even the rules of the road) can be difficult for other people with ADHD. Who goes first (prioritization)? Whose turn is it next (sequencing)? What is the strategy (planning)? How do you not get bored and stay engaged while waiting for your turn to come around?
When socializing, it's important to be able to focus on what another person is saying rather than be distracted by everything else going on around you. That way, you can reply in a way that is appropriate.
So, yes, these can be common problems when ADHD remains untreated, and yes, for many people, medication can help alleviate these challenges.View Thread

Many people with ADHD suffer socially because they cannot track a conversation, pay attention to social cues, etc. They get distracted or lose interest, etc. Medication can help many of them to be less distractible and inattentive, more able to channel their focus where they want to. They can also participate more actively in the classroom, at home, etc.
All that said, I am not a fan of Adderall. While it works well for many people (might even work the best of all the stimulants), for many others, it causes as many problems as it resolves.
For one, it can produce a visceral "speedy" feeling. Other stimulants are more subtle.
It can also be addictive.
I encourage you to learn more about Adult ADHD and its treatment strategies before experimenting with medications that aren't prescribed for you. Not only is it illegal, but you could jeopardize your chances of finding a treatment strategy that will work well for you over the long haul.
Good luck!
GinaView Thread

One thing: you say your pharmacist is having trouble getting any amphetamines. Ritalin is not an amphetamine; it's a stimulant. Ritalin is in the methylphenidate class of stimulants. The amphetamine class includes Adderall and Dexedrine.
In general, ADHD experts recommend the longer-acting medications when possible. Not only do they provide longer coverage throughout the day, but the modern delivery systems in Vyvanse, Concerta, Daytrana deliver the medication more smoothly.
Fast-acting medications can often create a "roller coaster" effect of ups and downs throughout the day.
Whatever you decide, with your physician, to try next, there should be a METHOD to it. Not just stabbing as tails on a donkey.

First identify your challenges. You'll want some targets for your medication, so you know if it's working as it should.
Second, you should give a trial to each class of stimulants (methylphenidate and amphetamine), so you know which one works better for you.
Start low, and increase slowly over time, paying attention to symptom alleviation and any side effects.
Good luck,
GinaView Thread

But you've tried sprinkling a capsule's contents into food, and she won't eat it? (This is assuming it's the kind of medication that works in this manner.)
You still haven't explained your child's emotional reaction to the medication, her understanding of why she is taking it, etc.View Thread

Whether the boy has ADHD or not is hard to say; too little information to go on.
But this idea of taking off his shoes and pants and running around.....could very well be he is bored and seeking some stimulation.
Could be ADHD. Could be that this daycare doesn't know how to engage young children.View Thread

It can increase irritability.
It's not as effective or long-lasting as well-prescribe stimulants.
My understanding is that it can even decrease blood flow to the brain -- NOT what you want when you have ADHD.
Substances such as nicotine and caffeine, which seem to improve focus short-term, also carry a risk of developing a secondary addiction. Giving young people an addiction? Doesn't seem like a good idea to me.View Thread

It's good the doctor is being careful in considering other potential physical causes of your cognitive symptoms.
Here's the not-so-good part: She's prescribed Focalin without, it sounds like, helping you to focus on your specific symptoms and gauge the medication's effectiveness.
You do NOT gauge a medication's effectiveness by "feeling it hit." Sometimes people with ADHD don't even notice the medication taking effect, but OTHER PEOPLE DO.
That's why you need more objective measures to help you know when the medication is working. For example, if you have a hard time keeping your eyes open during one particularly onerous textbook, try it when the medication is in effect. Are you better able to read, comprehend, and stay awake?
Objective measures are SO IMPORTANT. You simply cannot rely on a general "how are you feeling?"
A medication's duration of effectiveness (DOE) varies among individuals. Pay attention to when the medication seems to be wearing off. Then consider a booster dose a half hour or so before that happens (giving it time to take effect).
It MIGHT keep you awake at night, or it might not. Try it when you don't have an important appointment the next day. It might even help you sleep better!
Good luck,
Gina PeraView Thread
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