This allows the individual to compare the way he feels on and off the medication. We start with a low dose and gradually increase the number and size of the doses until we reach a satisfactory response or run into side effects. It may be embarrassing or inconvenient for someone to take 3 or 4 doses of medication each day. We may move to a longer acting stimulant such as Adderall or Dexedrine Spansules. As time goes on, we fine tune the size and frequency of the medication doses.
Some people take the same dose every day.
Others may take a lower dose on weekends. Children and adolescents should have their medication supervised and dispensed by an adult. Methylphenidate can be abused by crushing it and using it intranasally. Reducing the person s impulsivity may make it easier for him to make safe choices. However, we do not want him combining stimulants with alcohol or illegal substances.