{"type":"rich","version":"1.0","provider_name":"Transistor","provider_url":"https://transistor.fm","author_name":"Actually ADHD | Medication Strategies & Clinical Wisdom","title":"Adderall XR v. Ritalin (Amphetamine v. Methylphenidate)","html":"<iframe width=\"100%\" height=\"180\" frameborder=\"no\" scrolling=\"no\" seamless src=\"https://share.transistor.fm/e/aff07f4a\"></iframe>","width":"100%","height":180,"duration":770,"description":"A deep dive into the extended-release ADHD stimulant medications. Jonathan Murphy, PMHNP-BC, walks through every major option in the methylphenidate and amphetamine categories, the clinical reasoning behind choosing one over another, and the specific patient presentations that point toward each medication.This episode covers:The two stimulant categories: methylphenidate and amphetamineOROS technology in Concerta versus micro-bead technology in newer extended-release formulationsWhy Concerta's absorption can be spotty and when to move to Ritalin LAThe methylphenidate bead ratios: 50/50, 60/40, 70/30 and what each one does clinicallyAptensio, Metadate, and Jornay PM as alternatives within the methylphenidate familyFocalin (dexmethylphenidate) as the second-line methylphenidate when standard formulations don't deliverThe amphetamine side: Adderall XR, Vyvanse, Dexedrine, and MydayisWhy dextroamphetamine-only options (Vyvanse) work better for some patients than mixed amphetamine salts (Adderall)The 25-30% of adult patients who do best on a pure dextroamphetamineWhy \"all good, no bad\" is the optimization standard, not \"good enough\"The diagnostic value of medication response: if any properly trialed medication works, the diagnosis is confirmed and other options remain availableWhy FDA-recommended dosing limits are appropriate guardrails, not arbitrary restrictionsThis episode references the Top 10 ADHD Stimulants video on the Focus Path YouTube channel: https://youtu.be/xJQLSCGY9VcThis is the third episode in the sequence covering the optimization process from the book The Process: An Adult's Guide to ADHD Medication, available on Amazon: https://www.amazon.com/dp/B0H2Z6PM4TFind the YouTube channel Focus Path | PMHNP-BC for the full clinical education catalog.For educational purposes only. Not medical advice. Consult your own provider for clinical decisions.","thumbnail_url":"https://img.transistorcdn.com/TQ0cdwY1LDRCErv0owrNaxd6zJJuqtQCa3NYWW3JqR4/rs:fill:0:0:1/w:400/h:400/q:60/mb:500000/aHR0cHM6Ly9pbWct/dXBsb2FkLXByb2R1/Y3Rpb24udHJhbnNp/c3Rvci5mbS8yY2Vj/MzI1NGM3NGJkMzhm/YTFhNGUzZWMzMjg3/NTQ5MS5qcGc.webp","thumbnail_width":300,"thumbnail_height":300}