I have ADHD and have been self-medicating for years with bb stims and caffeine and finally decided that probably wasn't the best route, so I went to doc and got script for Adderall XR; the effective dose for me, after ramping up slowly is 60mg/day, but it's not without it's side effects.
Trying to eat enough to put mass onto a 250-some-odd frame is insanely difficult while on that amount of dextro-A. Yes, I am very focused, it calmed me down considerably, I slept better at night, I was less impulsive, my wife said it took away the "asshole" side of my personality, I have much more patience, but at the same time it changed my personality and made me much more focused internally.
I never got the elevated blood pressure or elevated, resting pulse rate that some get or the other host of sides. I do know that my chest would feel like it was going to explode if I took any other stims and lifted! (not smart). I say all of these things in the past tense because I'm in the process of tapering myself down and hopefully off of adderall all together.
I found I can avoid fogginess and lack of focus if I stay away from carbs almost entirely (i'm reactive hypoglycemic) and I have adequate zinc, mg, and calcium in my diet. I made that decision because I started researching the adverse sides of Adderall and it's effects on the adrenal and endocrine system and I fell that I would rather try some other route than A's. From what I've read, adrenal fatigue is a real issue these days and it can very negatively affect your lifting and destroy an anabolic environment.
If you're a fast-oxidizer and happen to be sympathetic nervous system dominant and you're taking stims (whether it be Adderall or the other), you're throwing gas on an open fire. If you happen to be taking adderall and you don't legitimately have ADD/ADHD, watch out-they are scheduled the way they are for a reason; they are addictive and they are had to give up. There are taper and supplement protocols out there specifically for coming off of adhd meds...if that gives you any idea what you might be getting yourself into.
Personally, I loved the benefits of Adderall, but the long-term risk profile for the drug just doesn't fit into where I see myself going. I'm even going to go as far as to have a hair mineral analysis done my a place called HealthExcel and get my metabolic profile done and see if I happen to have low-level heavy metal deposits or other imbalances that may cause the ADHD, or at least aggravate the tendency...obviously this is geared more toward the guys with ADHD who might be interested in alternative to stim meds.
Currently I'm on 30mg and seems to be doing better now that I have really steered clear of anything that causes insulin spikes (outside of peri-nutrition) and also take plenty of insulin-sensitivity supps (fish oil, fenugreek, etc) to help iron out wild fluctuations and store carbs more efficiently as glycogen. I'm going on and on, but I thought somebody might sympathize with the situation on this thread. Slowly I'll get down to no Adderall and figure out why the hell I have become so freaking hyperactive (my thoughts still lead me to believe it's diet/metabolic/mineral imbalances, but I'm no pro.)