Adderall

Generic name: Amphetamine salts

What is Adderall?

Adderall is indicated for the treatment of attention-deficit/hyperactivity disorder (ADHD) and narcolepsy.

What is the most important information I should know about Adderall?

The following have been reported with the use of Adderall and other stimulant medications: heart-related problems such as sudden death in patients who have heart problems or heart defects; stroke and heart attack in adults; and increased blood pressure and heart rate. Call the doctor right away if you experience any signs of heart problems such as chest pain, shortness of breath, or fainting while taking Adderall.

Other serious side effects that have been reported include mental problems such as new or worsening behavior and thought problems; new or worsening bipolar disorder; and new or worsening aggressive behavior or hostility. It is especially important to monitor children and teenagers for any new psychotic or manic symptoms.

Who should not take Adderall?

Adderall should not be taken if you have heart disease or hardening of the arteries; have moderate to severe high blood pressure; have an overactive thyroid; have an eye disease called glaucoma; are very anxious, tense, or agitated; have a history of drug abuse; are taking or have taken within the past 14 days a type of medication called a monoamine oxidase inhibitor (MAOI); or if you are sensitive to, allergic to, or had a reaction to other stimulant medicines.

Adderall is not recommended for use in children under 3 years old.

What should I tell my doctor before I take the first dose of Adderall?

Tell your doctor about all prescription, over-the-counter, and herbal medications you are taking before beginning treatment with Adderall. Also, talk to your doctor about your complete medical history, including heart problems, heart defects, high blood pressure, or a family history of these problems; a history of mental problems or a family history of suicide, bipolar disorder, or depression; tics or Tourette's syndrome; liver or kidney problems; thyroid problems; and seizures or an abnormal brain wave test (EEG).

Tell your doctor if you are pregnant, planning to become pregnant, or breastfeeding.

What is the usual dosage?

The information below is based on the dosage guidelines your doctor uses. Depending on your condition and medical history, your doctor may prescribe a different regimen. Do not change the dosage or stop taking your medication without your doctor's approval.

Attention-Deficit/Hyperactivity Disorder

Adults and children 3 years and older: Adderall is not recommended for children under 3 years old. In children 3 to 5 years old, the usual starting dose is 2.5 milligrams (mg) daily; daily dosage may be raised in increments of 2.5 mg at weekly intervals until the optimal response is achieved.

In children 6 years and older, the usual starting dose is 5 mg once or twice daily; daily dosage may be raised in increments of 5 mg at weekly intervals until the optimal response is achieved. Only in rare cases will it be necessary to exceed a total of 40 mg per day.

Narcolepsy

Adults and children 6 years and older: The usual dose is 5 mg to 60 mg per day in divided doses, depending on individual patient response.

How should I take Adderall?

Adderall tablets are usually taken two or three times a day. The first dose is usually taken when you first wake in the morning. One or two more doses may be taken during the day, 4 to 6 hours apart. Adderall can be taken with or without food.

What should I avoid while taking Adderall?

Amphetamines may impair your ability to engage in potentially hazardous activities such as operating machinery or vehicles; use caution while taking Adderall.

What are possible food and drug interactions associated with Adderall?

If Adderall is taken with certain other drugs, the effects of either could be increased, decreased, or altered. It is especially important to check with your doctor before combining Adderall with the following: antidepressant medications (including MAOIs), blood pressure medications, blood thinners, cold or allergy medicines that contain decongestants, seizure medications, and stomach acid medications.

What are the possible side effects of Adderall?

Side effects cannot be anticipated. If any develop or change in intensity, tell your doctor as soon as possible. Only your doctor can determine if it is safe for you to continue taking this drug.

Serious side effects may include: slowing of growth (height and weight) in children; seizures, mainly in patients with a history of seizures; eyesight changes or blurred vision

Common side effects may include: headache, stomachache, trouble sleeping, decreased appetite, nervousness, dizziness

Can I receive Adderall if I am pregnant or breastfeeding?

The effects of Adderall during pregnancy and breastfeeding are unknown. Amphetamines are excreted in human milk. Mothers taking amphetamines such as Adderall should refrain from nursing. Tell your doctor immediately if you are pregnant, plan to become pregnant, or are breastfeeding.

What should I do if I miss a dose of Adderall?

Take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and return to your regular schedule. Never take 2 doses at the same time.

How should I store Adderall?

Store in a cool, dry place in a tightly closed, light-resistant container.