i am begging doctors to stop telling new adderall patients to start at 20+mg. you need to be starting at around 2mg and observing what happens carefully. some people are genetically vulnerable to amphetamine psychosis yes but thats not even what im talking about, i mean the standard 30mg adult dose is too high for most adults starting out and it is absurd to blitzkrieg someone with amphetamines like that.
if you get a new adderall prescription i am medically advising you to start your first dose at 5mg or below, same for ritalin. the entire idea of medication of this type is to titrate up slowly until you hit the homeostasis of your own tolerance, genetic metabolic factors, and use case. titrating DOWN from a dose thats too high is wasteful and unpleasant and puts you at higher risk of psychosis
i posted on here a few days ago the idle thought that i wondered if prescribing physicians are all on long term adderall tolerance anyway (based on the adderall usage stats in med schools) so they think their patients should be started at higher doses and one of my pharmacy industry mutuals replied to me privately and just said “yep” so keep in mind the entire field of western medicine as it exists today is practiced by functional speed freaks and adjust your expectations
ACCEPT the higher prescription dose, build up a surplus because the shortages will get you eventually, just dont take that higher dose at home until/unless youve worked your way up from a much lower dose
