What is the recommended dosage when switching a patient from Adderall (amphetamine and dextroamphetamine) 10mg Immediate Release (IR) to Extended Release (XR)?

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Switching from Adderall 10mg IR to XR

When switching from Adderall 10mg IR to Adderall XR, start with 10mg XR once daily in the morning. 1, 2

Conversion Rationale

The conversion is straightforward because 10mg XR is the standard starting dose for Adderall XR and provides equivalent total daily amphetamine exposure to the immediate-release formulation through its unique two-phase delivery system. 1, 2

Key Pharmacokinetic Considerations

  • Adderall XR releases medication in two phases: 50% immediately upon ingestion and 50% approximately 4 hours later, providing 12-hour symptom coverage with a single morning dose. 3, 4

  • The bioavailability of Adderall XR 20mg is comparable to Adderall IR 10mg twice daily, establishing the dose equivalence pattern. 3

  • Time to peak concentration (Tmax) is delayed by approximately 3 hours with XR compared to IR formulation, but therapeutic effects begin within 1.5 hours. 3, 4

Practical Switching Protocol

  • Discontinue the IR formulation and initiate 10mg XR the following morning. 1, 2

  • Administer once daily in the morning to minimize sleep disturbances. 1, 2

  • Allow at least one week at the new dose before considering any adjustment to properly evaluate therapeutic response. 1, 2

  • Titrate in 5mg weekly increments if symptom control is inadequate, up to a maximum of 50mg daily. 1, 5, 2

Monitoring After Conversion

  • Assess blood pressure and pulse at the first follow-up visit after switching. 1, 2

  • Evaluate symptom control throughout the day, particularly in afternoon and late afternoon periods, as XR provides extended coverage compared to a single IR dose. 6

  • Monitor for appetite suppression by weighing the patient at each visit. 1, 2

  • Screen for side effects including insomnia, anorexia, headaches, and social withdrawal. 1

Common Pitfalls to Avoid

  • Do not start at a higher XR dose (such as 20mg) simply because the patient was taking 10mg IR—this would represent dose escalation, not conversion, and increases unnecessary side effects. 1, 2

  • Do not split or crush XR capsules, as this destroys the extended-release mechanism and can cause dangerous immediate release of the full dose. 5

  • Do not overlook food effects: High-fat meals significantly reduce early amphetamine exposure from XR formulations, potentially causing inconsistent symptom control compared to fasted states. 7

  • Do not increase doses more frequently than weekly, as insufficient time between adjustments prevents accurate assessment of therapeutic response. 1, 2

  • Do not exceed 50mg daily—if maximum dose fails to provide adequate control, switch to an alternative medication rather than exceeding recommended limits. 1, 5, 2

References

Guideline

Adderall Dosing Recommendations

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025

Guideline

Adderall XR Dosage and Administration Guidelines

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025

Research

Pharmacokinetics of SLI381 (ADDERALL XR), an extended-release formulation of Adderall.

Journal of the American Academy of Child and Adolescent Psychiatry, 2003

Guideline

Maximum Recommended Doses of Adderall XR and IR for ADHD

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2026

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Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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