I was recently put back on adderall and had my dose upped to 20mg 2x a day however i usually take only the ammount i need when needed, if i am not doing anything that day no adderall,if i have a busy day but have lethargy due to my other meds and have tried but still can't muster the energy then i will take 10mg or 20mg then if i don't need the second dose avoid taking it. Anyway i am someone who has a history of using amphetamines recreationally, more specifically meth but i no longer uae it, however i decided to go ahead and put 10 pills away in my stash which are ok to be used recreationally but no more for that month if i use them, even then on rare occasions. I have heard DXM can help prevent tolerance i am wondering if this is true, the reason being i would like to apply this so i can use it when taking a recreational dose or occasionally with my needed doses to avoid tolderance and deminished effects. I know baking soda with a glass of water helps alkalize the stomache and make amphetamines last longer and absorb better plus decrease excreetion but i want ro know if there are any other ways to either raise the effectiveness of a smaller dose and prevent tolerance rising. I want to rarely enjoy the stimmulant high with euphoria but not get in the way of my therapudic effects since they are helping me function normally after trying every other class of psych med for my bipolar I disorder. (I know many say this is a bad combo however my psych approved it since it seems to calm me during hypomania and help with racing thoughts and fight the severe lethargy from taking 1,200mg of lithium dailt with other meds which are sedatives to sleep yet remain causing me fatigue the following day. After re-evaluating me thoroughly she suspects i may have comorbid ADD or ADHD with bipolar I and with such a high dose of a mood stabilizer i should be fine but monitered.) it has helped me so much thay i finally feel i can.hold a job long term if they continue well and i get things done, when taking regular prescribed doses i have no euphoria just focus, motivation, and my impulsiveness seems to be relieved where i don't do things which affected my life and those around me negatively anymore. I can sleep because i am aware of when i should limit my dosing time and surprisingly my hypomania becomes calmed in the sense that i can focus instead of being overly exagerating movements or rapidly speaking. Why idk but it does. Now when i take higher doses say 60-80mg i get slight euphoric and speedy, which is enjoyable but i can still get things done if i want. I have looked everywhere and i found little info on dxm with adderall and what dose is needed to help reset and avoid tolerance, if it should be with the med or at bedtime or how it works. I have heard magnesium helps but again how much, when, and is there any scientific proof for this? Any help would be great, here is a lisg of my meds as of current in case it matters
Lithium carb 1,200mg
Prozac 20mg
Adderall 20mg x 2 day (as needed though)
Klonopin 1mg 3x a day (tapering back down to 1mg or .5mg a day)
Gabapentin 800mg (1-2 times a day as needed)
Ambien 10mg
Lunesta 2mg
Melatonin 3mg
Lithium carb 1,200mg
Prozac 20mg
Adderall 20mg x 2 day (as needed though)
Klonopin 1mg 3x a day (tapering back down to 1mg or .5mg a day)
Gabapentin 800mg (1-2 times a day as needed)
Ambien 10mg
Lunesta 2mg
Melatonin 3mg