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What is Adderall?
Adderall is a prescription stimulant containing a combination of amphetamine and dextroamphetamine. It's commonly prescribed to treat attention-deficit/hyperactivity disorder (ADHD) and sometimes narcolepsy. Adderall increases levels of certain neurotransmitters in the brain (dopamine and norepinephrine), which can improve focus, attention, and impulse control.
Dosage — Typical Guidelines
Dosage depends on the formulation (immediate-release IR vs extended-release XR), the patient's age, medical history, and response. The following are commonly reported starting and maintenance doses — always follow your prescriber's instructions.
| Age / Group | Common Starting Dose | Typical Maintenance / Notes |
|---|---|---|
| Children (6–12 years) | 5–10 mg once daily (morning) | Increase by 5–10 mg weekly as needed; Adderall XR max commonly up to 30 mg/day (varies by guidance). |
| Adolescents (13–17 years) | Typically 10 mg once daily (morning) | May be increased (e.g., to 20 mg/day for XR) under medical supervision. |
| Adults | Commonly 10–20 mg once daily for XR; many prescribers start around 20 mg/day for XR in adults. | Individualized — some clinical sources report maintenance doses up to 60 mg/day in select cases, but higher doses increase risk of side effects. Consult prescriber. |
Sources vary — see authoritative prescribing information (FDA), Mayo Clinic, and national health services for exact, product-specific recommendations. Never alter dosage without medical advice.
Key Information & How It Works
- Formulations: Immediate-Release (IR) — taken 1–3 times daily; Extended-Release (XR) — taken once daily in the morning.
- Onset & Duration: IR works within 30–60 minutes and lasts several hours; XR releases medication gradually and can last 8–12+ hours depending on the product.
- Expected benefits: Improved attention, reduced impulsivity, and better task completion when used as prescribed as part of a treatment plan.
- Common side effects: decreased appetite, insomnia, dry mouth, jitteriness, increased heart rate or blood pressure. Seek medical help for chest pain, fainting, severe mood changes, or hallucinations.
- Dependence & misuse: Adderall is a controlled substance with potential for abuse and dependence. Use only as prescribed and keep it secure.
Who Should Use — and Who Should Avoid Adderall
Good candidates (under medical supervision):
- People diagnosed with ADHD after a thorough evaluation by a qualified clinician.
- Individuals with documented benefit and tolerated side effects on stimulant therapy.
When to avoid or use with caution:
- History of heart disease, uncontrolled hypertension, structural cardiac abnormalities, or serious cardiac arrhythmias — stimulants can increase heart rate and blood pressure.
- Personal or family history of certain psychiatric conditions (e.g., psychosis, severe anxiety) — stimulants may worsen symptoms.
- Current use of monoamine oxidase inhibitors (MAOIs) or within 14 days of MAOI therapy — contraindicated.
- Substance use disorder — discuss carefully with your doctor due to abuse potential.
- Pregnancy and breastfeeding — risks/benefits must be carefully weighed with your provider.
Always provide a full medical history and a list of current medications to your prescriber to avoid dangerous interactions.
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Important Safety Notes
- This article is informational and not a substitute for professional medical advice. Always consult a healthcare provider before starting or changing medication.
- Store Adderall securely to prevent misuse. Keep out of reach of children.
- If you experience serious side effects (chest pain, difficulty breathing, severe mood changes), seek emergency care immediately.
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