None if you were or have a history of substance abuse no stimulant medications will be good for you it will lead to more addiction.

I tried Ritalin but it did nothing for me. I've been on Adderall for about 5 years now and it has worked well once I figured out the right dose. I also found that the extended release capsules work better than the tablets which seem to wear off quicker even though I was taking half a dose in the morning and the other half at lunchtime. We have to consider though that everyone responds to different meds differently than other people so it's all about finding what works best for you. Best wishes!

My only experience with adderall is after using for awhile it made me really anxious. Now I’m not on it at all and suffer from panic attacks.

Hi mom, You’ve just written and told my story in the same age bracket been on Ritalin Didn’t seem to find much of an improvement for about 10 months and then I asked my psychiatrist if I could start on Adderall or, it was oh that’s much stronger the dosage is going to be a little lower but there has been a slight improvement today is day to take 10 mg in the morning 10 at lunch I’ll see what happens

Hi John,

I'm also an Alcoholic and ADDer in Recovery. I've been sober for 24 years, and found out that I have ADHD about 2 years ago. As you know, AA members are chuck full of opinions on this subject. That being said, AA as a whole has no opinion on outside issues, and ADHD is an outside issue.

Time-released Vyvanse has worked pretty well for me. I'm on a low dose of 20mg. Insurance wouldn't pay for it until I tried something cheaper, like Adderall. Adderall didn't work well for me personally because it starts and stops working so quickly and leaves me in an unprotected ADHD state in the late afternoon. Given my addiction history, my Med Manager thought Vyvanse would be better choice because of how its effectively diminishes more slowly. While those with a history of addiction to speed could be susceptible to stimulants, there's no medical evidence that ADHD stimulant meds CAUSE addiction. Simulants have been found to be very effective at relieving of Executive Function challenges, with most people finding 'some' relief and some people finding a lot of relief.

There are other approaches for alleviating challenges of ADHD: Exercise, certain nutrients like Activated Folate, B6, Zinc and Fish Oil, consistent mindfulness practice, ADHD Coaching, support groups of ADHD adults (like those found in CHADD and ADDA at ADD.org), gratitude lists work well to help refocus, Dynamic Proprioceptive Activities (climb a tree, balance on a ball) for Rumination, boundary work, managing underlying conditions like Apnea to get a good night sleep, eating well, etc. Hope that helps. If you want to chat more, feel free to reach out. Warmest Regards, Will W

Hi John,

I'm 63 years old and have been on meds since 2006 for ADD(inattentive type). I have been on Ritalin for 7 or 8 years. I was taking 40mg ERT + 10mg IR in the morning and 40mg ERT + 10mg IR at noon for at least the last 2-3 years. I didn't feel like they were working very well any longer so I talked to my doctor about switching to Adderall. So, last October (2019) He switched me to Adderall XR 20mg in AM and 20mg at noon. I didn't notice ANY difference to speak of. Then my doctor left the clinic and I had to get a new doctor. My first appt with the new doctor, I said I didn't think Adderall was helping enough. Well, new doctor had a whole new philosophy about ADD meds and gave me the lecture right off about how addicting they were blah, blah, blah. I left that first appointment feeling accused of being an addict and at the same time she increased my dose to 40mg in AM and 20mg at noon, but wrote for the IR(Immediate release or short acting) instead of the XR. I questioned the pharmacist when I picked up the prescription, and she assured me that is what the doctor wrote, so, not wanting to argue with this new doc I sucked it up and took it home and tried it. Needless to say, it was not a good month. I was pretty much done for the day by 4pm and if I was home, I was asleep by 5pm. Any scheduled evening activities I was totally useless, my brain was just done for the day. When I had my month follow-up I told her I had no idea she was changing me to the short acting and told her I did not remember discussing it (thinking it was my ADD and I just missed that part of the conversation), and then I said I left last month feeling accused of being an addict. Well she admitted she made an error in writing the prescription, apologized, and then I said she had no concerns about me having any addictive tendencies!! Once we got that out of the way, I said I didn't think Adderall worked any better than Ritalin, and we decided to go back to taking Ritalin. She refused to prescribe the amount I was on previously, (100mg/day) and said the most she would allow was 60mg/day. So, Ok, I start taking 60mg ERT per day, 40mg in the morning and 20mg at noon. I honestly can't tell the difference, and I'm surprised by that. So I'm sticking with Ritalin 60mg per day which according to this new doctor is the max dose. I checked with the pharmacist, and she said 60mg is the RECOMMENDED max dose but the literature says "some people may need up to 100mg/day". Either way, I can't say I felt any difference between Ritalin and Adderall...at all. I'm going to work with a therapist now who specializes in ADD and see if that helps. I have never EVER felt taking ADD meds have helped me a LOT. I know without them, I might as well stay home, sit in a chair and look out the window watching the world go by because that's about all I can be good at. As far as the addicting part, I'm not addicted and I know that because I can stop at any time and I am not crushing them and snorting them to get high which is what those without ADD do to get high. I feel if you have ADD these meds will not work to get you "high". I wouldn't take them if I didn't need them to function and they certainly don't give me any kind of super power when it comes to focus. I still struggle with the many of the typical ADD challenges, meds haven't been able to solve that. I've been able to muddle through life using many compensatory strategies I have created on my own. I also use my cell phone for many reminders and take notes or tape conversations so I can review them later. You have to adapt how your brain works to the world to get by. I have recently been researching L-tyrosine, an amino acid that helps build neurotransmitters. I ran that by my doctor at my appt a few days ago and she gave me the go ahead to try it. I haven't ordered it yet, but I'm thinking it may make my ADD meds work better.

Sorry so long, this whole ADD thing is such a process...

Kim

John,

I was diagnosed at 63 and put on Concerta, it was good, but Vyvanse was Better with a 5mg Adderall booster around 3pm. I am on Vyvanse 50mg. Each ADHD situation is different and of course an co-morbids.

Scott

I am a 62 y/o male who switched from Adderall to Ritalin, so this may not be all that helpful. When first diagnosed at 55 with ADD (which I’d had essentially all my life), I was prescribed Adderall, but after several weeks of no visible benefit and growing muscle tightness, it turned out I was allergic to the binder (I had developed carpal tunnel syndrome, strangely) and was switched onto regular Ritalin, which I’ve been on for the past seven years. Initially, Ritalin was helpful with sustaining attention, but in recent years, it has felt like my symptoms have returned to where they were when I first started Ritalin. Since I don’t seem to benefit nearly as much as I did initially, I am weaning off of it slowly, going from 20mg every 4hrs [at 6, 10, 2, 6 = 80mg] down to zero over 9-10 months or more. So individual responses to stimulants may vary across a wide continuum, but dose of use over time and age should be considered as well.

I can talk about Adderall. It comes in 2 forms. One is Adderall, and the other is Adderall XR; it depends on which one you are taking, and the dosage is important.

As far as the comparison with Ritalin, it is another stimulant, and the main element in it is methylphenidate. Ritalin is faster in efficacy as compared to Adderall. Both of these medicines have different reactions.

What other medical conditions do you have? Are you taking extra medications along with it? So there must not be any contraindication that can be very problematic in the long run.

Medication for ADHD different in terms of absorption rates, the effect that lasts(in hours), risk of abuse, and availability/access of generic.

For your age, medical history will matter also. Talk to your doctor about all other alternative medicines best suited for your situation.

Do not forget to mention any recent health developments too. Stay healthy.