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What is Adderall?
Adderall is a prescription medication that contains two drugs: amphetamine and dextroamphetamine. It belongs to a class of medications called stimulants. It’s most commonly used to treat attention-deficit hyperactivity disorder (ADHD). It’s also used to treat narcolepsy.
Adderall is considered a first-choice treatment option for ADHD. Studies show that it improves attention and focus, and reduces impulsive behaviors. Between 75 percent and 80 percent
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Adderall is also effective for increasing daytime wakefulness in people with narcolepsy, although there is little related research available.
Generic Adderall
Adderall oral tablet and Adderall XR extended-release oral capsule are both available in generic forms. The generic name for the drug in both the tablet and the capsule is amphetamine/dextroamphetamine salts.
Generic drugs usually cost less than the brand-name version. In some cases, the brand-name drug and the generic version may be available in different forms and strengths.
Adderall ingredients
Adderall contains a mixture of different forms of amphetamine and dextroamphetamine. Specifically, these forms include amphetamine aspartate, amphetamine sulfate, dextroamphetamine saccharate, and dextroamphetamine sulfate.
Long-term effects
Adderall is safe to use long term when taken at doctor-recommended dosages. For many people, common side effects such as loss of appetite, dry mouth, or insomnia are reduced with continued use of the drug. For others, these side effects may continue.
Long-term use of Adderall or other stimulants may cause some changes in the brain, such as decreases in the amount of the chemical messenger dopamine. This seems more likely to happen in people who abuse Adderall in high doses.
When Adderall is misused or abused, long-term use can lead to physical and psychological dependence. Inappropriate use can lead to many serious side effects, including:
severe insomnia (trouble sleeping)
fatigue
depression
skin disorders
moodiness or irritability
symptoms of psychosis such as aggression and hallucinations
heart damage
anorexia and unwanted weight loss
Adderall high
When taken at typical doses for conditions such as ADHD, Adderall doesn’t usually cause a feeling of being high.
Some people who take Adderall may experience feelings of being energetic, focused, excited, or self-confident. Feelings of euphoria also sometimes occur. These effects are more likely when the medication is misused or abused.
Constipation
Constipation is a common side effect of Adderall. In some studies, constipation occurred in 2 percent to 4 percent of people who took Adderall XR. This side effect may decrease with continued use of the drug.
Hair loss
Some people who take Adderall have reported hair loss. However, it’s not clear how often this occurs or if Adderall was the cause of this effect.
Psychosis
Symptoms of psychosis, including hallucinations, agitation, or disordered thinking, are a rare side effect of Adderall. In some cases, these symptoms have occurred in people taking typical, recommended doses of Adderall.
Symptoms of psychosis are more likely to occur in people who have a history of psychosis before they start taking Adderall. They’re also more common in people who misuse or abuse Adderall.
If you have this side effect while taking Adderall, talk with your doctor right away. You may need to stop taking Adderall.
Dry mouth
Adderall XR commonly causes dry mouth in up to 35 percent of people who take it. This side effect may decrease with continued use of the drug.
Insomnia
Insomnia, or trouble sleeping, is one of the most common side effects of Adderall. As much as 27 percent of people who take Adderall XR can have insomnia. This side effect may decrease with continued use of the drug.
Chest pain
People with a healthy heart don’t usually have chest pain while taking Adderall. If you do, it might mean that you have a heart condition.
If you have chest pain after taking Adderall, call your doctor right away.
Side effects in children
Some children can have slightly slowed growth in height and weight while taking Adderall. This is usually temporary, and growth typically catches up over time. Your doctor will monitor your child’s growth during treatment with Adderall.
In some cases, if a child’s growth is slowed too much, the child’s doctor may stop their treatment with Adderall.
Adderall dosage
The Adderall dosage your doctor prescribes will depend on several factors. These include:
the type and severity of the condition you’re using Adderall to treat
your age
the form of Adderall you take
other medical conditions you may have
Typically, your doctor will start you on a low dosage and adjust it over time to reach the dosage that’s right for you. They’ll ultimately prescribe the smallest dosage that provides the desired effect.
The following information describes dosages that are commonly used or recommended. However, be sure to take the dosage your doctor prescribes for you. Your doctor will determine the best dosage to suit your needs.
Forms and strengths
Immediate-release tablet: 5 mg, 7.5 mg, 10 mg, 12.5 mg, 15 mg, 20 mg, and 30 mg
Extended-release capsule: 5 mg, 10 mg, 15 mg, 20 mg, 25 mg, and 30 mg
Dosage for attention deficit-hyperactivity disorder (ADHD)
Adderall tablet
Adults (ages 18 years and older)
Typical starting dosage: 5 mg once or twice daily.
Dosage increases: This dosage may be increased by 5 mg each week until it has the desired effect.
Note: The first dose of the medication should be taken when you first wake up. Any additional doses should be taken every four to six hours.
Children (ages 6–17 years)
Typical starting dosage: 5 mg once or twice daily.
Dosage increases: This dosage may be increased by 5 mg each week until it has the desired effect.
Note: The first dose of the medication should be taken when your child first wakes up. Any additional doses should be taken every four to six hours.
Children (ages 3–5 years)
Typical starting dosage: 2.5 mg once or twice daily.
Dosage increases: This dosage may be increased by 2.5 mg each week until it has the desired effect.
Note: The first dose of the medication should be taken when your child first wakes up. Any additional doses should be taken every four to six hours.
Children (ages 0–2 years)
Adderall tablets aren't recommended for treating ADHD in children under the age of 3 years.
Adderall XR extended-release capsule
Adults (ages 18 years and older)
Typical starting dosage: 20 mg once daily.
Dosage increases: This dosage may be increased or decreased each week until it has the desired effect.
Note: The medication should be taken when you first wake up.
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