A member asked:

My child was diagnosed with adhd several yrs ago & takes adderall (dextroamphetamine and racemic amphetamine) xr 20 mg. recently he is havin bad anger problems. he is frowning out of it or wat?

6 doctors weighed in across 2 answers
Dr. Johanna Fricke answered

Specializes in Pediatrics - Developmental and Behavioral

Outgrowing the dose : is possible, if he's had a rapid growth spurt in puberty. Stimulant doses are not based on mg/kg of body wt., but the maximum amphetamine dose is 1 mg/kg/day up to the adult max of 40 mg./day. Ask his prescriber for Vanderbilt ADHD questionnaires for parent & teacher updates. Look for environmental stresses at home & school. If family history is + for mood disorders, that could present in puberty.

Answered 2/22/2015

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New diagnosis: Some children with ADHD will develop a mood disorder (depression), or frustration if they are having difficulty with academics. You should discuss this with the doctor who is prescribing the Adderall (dextroamphetamine and racemic amphetamine).

Answered 3/26/2015

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