Craving for illicit drugs may be lessened and habituation rarely occurs with proper treatment. Treatment of adults with ADD is identical to the treatment of children . Choice of drug, dosage and timing can usually be adjusted, such that the anorexia and insomnia common in children do not persist in adults. Indeed, many adults report that appetite and sleep are improved on stimulant drugs. If the medicine produces persistent, unacceptable side effects, the diagnosis may be in error.
Dosage based on weight is less reliable.
Smoking and a history of high tolerance to other medications may predict the necessity for relatively higher dose levels of stimulant medicines. Treatment Strategies Maintain detailed records. Describe the basis for the diagnosis. Document your explanation of indications, contraindications, risks, side effects, expected outcome, alternative therapies. Preprinted instructions may help.