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Adderall is a prescription stimulant used to treat attention deficit hyperactivity disorder (ADHD) and narcolepsy. The effects can be positive when taken as intended but dangerous if you use it without medical supervision

What is Adderall?

Adderall is the brand name for the combination of dextroamphetamine and amphetamine. It’s a prescription stimulant used primarily to treat ADHD or narcolepsy (daytime sleepiness).

The medication alters certain naturally-occurring chemicals in your brain by enhancing the effects of neurotransmitters like dopamine, norepinephrine, and, to a lesser degree, serotonin.

Adderall comes in either an immediate-release tablet or a time-release capsule (Adderall XR). It can interfere with sleep, so it should be taken in the morning. If you’re prescribed Adderall, a doctor will most likely start you off with a low dose to make sure you can tolerate it.

Then, the dose can be slowly increased. Before taking Adderall, talk with a doctor about any preexisting physical or mental health problems you have and list all other prescription and over-the-counter medications you take.

Certain other medications may interact with Adderall and cause serious side effects. These medications can include:

  • certain anti-depression medications
  • certain blood pressure medications
  • seizure medications
  • blood thinners
  • decongestants
  • stomach acid medications, including antacids and proton pump inhibitors (PPIs)

Adderall is a federally controlled substance and should not be taken without medical supervision. Using Adderall without a prescription can lead to misuse or dependence, according to the National Institutes of Health (NIH) database for prescription and nonprescription drugs.

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Why is Adderall prescribed?

The combination of dextroamphetamine and amphetamine (Adderall, Adderall XR, Mydayis) is used as part of a treatment program to control symptoms of attention deficit hyperactivity disorder (ADHD; more difficulty focusing, controlling actions, and remaining still or quiet than other people who are the same age).

Adderall is used to treat ADHD in adults and children 3 years of age and older. Adderall XR is used to treat ADHD in adults and children 6 years of age and older. Mydayis is used to treat ADHD in adults and children 13 years of age and older.

Dextroamphetamine and amphetamine (Adderall) is also used to treat narcolepsy (a sleep disorder that causes excessive daytime sleepiness and sudden attacks of sleep) in adults and children 12 years of age and older.

The combination of dextroamphetamine and amphetamine is in a class of medications called central nervous system stimulants. It works by changing the amounts of certain natural substances in the brain.

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How should I take Adderall?

Take Adderall exactly as prescribed by your doctor. Follow all directions on your prescription label. Your doctor may occasionally change your dose. Do not take this medicine in larger or smaller amounts or for longer than recommended. Adderall may be habit-forming.

Never share this medicine with another person, especially someone with a history of drug abuse or addiction. Keep the medication in a place where others cannot get to it. Selling or giving away this medicine is against the law.

Read all patient information, medication guides, and instruction sheets provided to you. Ask your doctor or pharmacist if you have any questions.

You may take Adderall with or without food, first thing in the morning. Do not crush, chew, break, or open an extended-release capsule. Swallow it whole. To make swallowing easier, you may open the capsule and sprinkle the medicine into a spoonful of applesauce.

Swallow right away without chewing. Do not save the mixture for later use. While using this medicine, your doctor will need to check your progress at regular visits.

Tell any doctor who treats you that you are using this medicine. Adderall can cause unusual results with certain medical tests. Tell any doctor who treats you that you are using this medicine.

Store at room temperature away from moisture, heat, and light. Keep track of your medicine. Adderall is a drug of abuse and you should be aware if anyone is using your medicine improperly or without a prescription.

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Adderall side effects

Get emergency medical help if you have signs of an allergic reaction to Adderall: hives; difficult breathing; swelling of your face, lips, tongue, or throat.Adderall may cause serious side effects. Call your doctor at once if you have:

  • signs of heart problems – chest pain, trouble breathing, feeling like you might pass out;
  • signs of psychosis – hallucinations (seeing or hearing things that are not real), new behavior problems, aggression, hostility, paranoia;
  • signs of circulation problems – numbness, pain, cold feeling, unexplained wounds, or skin color changes (pale, red, or blue appearance) in your fingers or toes;
  • a seizure (convulsions);
  • muscle twitches (tics); or
  • changes in your vision.

Seek medical attention right away if you have symptoms of serotonin syndrome, such as: agitation, hallucinations, fever, sweating, shivering, fast heart rate, muscle stiffness, twitching, loss of coordination, nausea, vomiting, or diarrhea.

Adderall can affect growth in children. Tell your doctor if your child is not growing at a normal rate while using this medicine.

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Common side effects of Adderall may include:
  • stomach pain;
  • loss of appetite;
  • weight loss;
  • mood changes;
  • feeling nervous;
  • fast heart rate;
  • headache;
  • dizziness;
  • sleep problems (insomnia); or
  • dry mouth.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

In case of Adderall overdose

In case of overdose, call the poison control helpline at 1-800-222-1222. Information is also available online at https://www.poisonhelp.org/help. If the victim has collapsed, had a seizure, has trouble breathing, or can’t be awakened, immediately call emergency services at 911.

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Symptoms of adderall overdose may include the following:

  • restlessness
  • confusion
  • aggressive behavior
  • feelings of panic
  • hallucination (seeing things or hearing voices that do not exist)
  • fast breathing
  • uncontrollable shaking of a part of the body
  • fever
  • dark red or cola-colored urine
  • muscle weakness or aching
  • tirednessor weakness
  • depression
  • fast or irregular heartbeat
  • fainting
  • dizziness
  • blurred vision
  • upset stomach
  • vomiting
  • diarrhea
  • seizures
  • coma (loss of consciousness for a period of time)

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Warnings

This drug is not safe for everyone. You should not take it if you have certain health issues. These include:

  • heart disease
  • high blood pressure
  • hardening of the arteries
  • hyperthyroidism
  • glaucoma

You also should not take this drug if you’re pregnant. Taking Adderall during pregnancy can cause premature birth or low birth weight. Babies born to mothers taking Adderall may go through the Adderall crash, as well.

Adderall may also interact with other medications. Tell your doctor about all prescription and over-the-counter medications and supplements you take. Never take more than is prescribed and never take it without a prescription.

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What other drugs will affect Adderall?

Ask your doctor before using a stomach acid medicine (including Alka-Seltzer or sodium bicarbonate). Some of these medicines can change the way your body absorbs Adderall, and may increase side effects.

Tell your doctor about all your current medicines and any you start or stop using, especially:

  • buspirone, lithium, selective serotonin reuptake inhibitor (SSRI) drugs (including citalopram, fluoxetine, paroxetine, sertraline, others), tricyclic antidepressants (amitriptyline, others) or other medicine to treat depression or mental illness;
  • blood pressure medicine;
  • heartburn medicine;
  • a blood thinner such as warfarin, Coumadin, Jantoven;
  • cold or allergy medicine that contains a decongestant;
  • opioid (narcotic) medicine; or
  • seizure medicine.

This list is not complete and many other drugs can interact with Adderall. This includes prescription and over-the-counter medicines, vitamins, and herbal products. Give a list of all your medicines to any healthcare provider who treats you.

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