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need advice.
charmallen posted:
my husband has been taking adderal for a little over a year. he started off with the regular release but he was feeling the ups and downs in between the doses. Then they started him on the sr or xr can remember which on. he does not feel the ups and sowns but in the am he is so lethargic it takes alot to get him up. If you would let him he would sleep all morning. and it is not because he is up late and not getting enough sleep. I was wondering if the dr could order a reg in the am and then a xr for the later morning. just wondering what people thought of that.
Gina Pera responded:
Hi there,

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).

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