When I first started on adderall I had a huge initial response and then the intensity dropped off markedly in just a couple days. The reduced intensity level was a much better fit for me, but I was concerned about how fast I adapted to it.
Since then, the adaptation continued, much slower, but significantly. The effects of one extended release pill used to get me through an entire day. Now I’m lucky to get 6 hours.
In my last meeting with the shrink we discussed all this. He was unperturbed by what I felt was a rapid adaptation. The solution was to give me “booster” adderall pills. They’re immediate effect, significantly lower dosage, and don’t last but a few hours. I take one when I feel the extended release wearing off.
This approach works, more or less – maybe less than more. I have a feeling that within a month or two, I’ll need to replace the adderall altogether.