Maximum/Day Comments 40 mg
> Short-acting stimulants often used as initial treatment in small children (< 16 kg), but have disadvantage of bid-tid dosing to control symptoms throughout day.
> Longer-acting stimulants offer greater convenience, confidentiality, and compliance with single daily dosing, but may have greater problematic effects on evening appetite and sleep.
> Adderall XR cap may be opened and sprinkled on soft food. 30 mg
40 mg 70 mg
FDA
20 mg 30 mg
> Short-acting stimulants often used as initial treatment in small children (< 16 kg), but have disadvantage of bid-tid dosing to control symptoms throughout day.
60 mg 60 mg
> Longer-acting stimulants offer greater convenience, confidentiality, and compliance with single daily dosing, but may have greater problematic effects on evening appetite and sleep.
> Metadate CD, Ritalin LA, and Focalin XR may be opened and sprinkled on soft food.
> Concerta tab should be swallowed whole with liquids. > Concerta nonabsorbable tab shell may be seen in stool.
72 mg 30 mg
Lesser of 1.4 mg/kg or 100 mg
> Consider if active substance abuse or severe side effects of stimulants (mood liability, tics).
> Give q am or divided doses bid (effects on late evening behavior).
0.4 mg 4 mg 9
> Do not open cap. > Monitor closely for suicidal thinking and behavior, clinical worsening, or unusual changes in behavior. > Not a Schedule II medication.
> Taper when discontinuing — 0.1 mg q3-7d
