The Carlat Psychiatry Podcast Stimulant Dosing
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Feb 19, 2024 Learn about stimulant dosing in psychiatry with Chris Aiken, MD and Kellie Newsome, PMHNP. Topics include challenges in diagnosing adult ADHD, risks of high stimulant doses, optimal dosing of Adderall XR, maximizing ADHD treatment, exploring methylphenidate dosage and effects.
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High Stimulant Doses
- High stimulant doses in adults are increasingly common, possibly due to the rise in adult ADHD diagnoses.
- The rewarding nature of stimulants and the difficulty of accurate adult ADHD diagnosis contribute to this.
Stimulant Dosing Approach
- Stimulant dosing requires a cautious, non-collaborative approach due to their rewarding nature.
- Patient-led dosing isn't suitable; consider the potential for misuse.
Amphetamine Dosing Zones
- Consider amphetamine doses in three zones: safe (below 40mg), gray (40-60mg), and danger (above 60mg).
- Exceeding 40mg of Adderall daily requires careful justification, like severe symptoms and documented impairment.