Adderall XR may be a prescription drug, but abusing it can be just as dangerous as abusing an illicit drug.
Adderall XR is a formulation of the well-known drugAdderall. The “XR” stands for extended-release because it is released slowly throughout the day.
Article at a Glance:
- Adderall XR is astimulant medication, the generic name isamphetamine, which is similar in structure and effects to the street drugmethamphetamine.
- It can be prescribed by doctors to treat attention deficit hyperactivity disorder (ADHD) or sometimes narcolepsy.
- Both Adderall IR & XR are abused because they produce feelings of wakefulness, euphoria and energy.
- Tampering with Adderall XR to bypass the time-release mechanism is extremely dangerous.
- Both formulations of the drug areSchedule II medications, which means they carry a high potential for abuse and addiction.
Comparing Adderall XR & IR
Adderall XR is usuallyprescribed for people with ADHDwho need treatment for their symptoms all day. After taking Adderall XR, it is designed to release slowly into the blood, over12-16 hours. For people with ADHD, Adderall XR is convenient because it can be dosed once per day, rather than several times throughout the day.
Not all forms of Adderall are designed to last this long. Adderall IR (immediate-release) has no special formulation and works for about4-6 hoursin most people.
When people abuse Adderall, they often prefer Adderall IR because it gives a bigger “rush” since the dose is absorbed all at once. When people abuse Adderall XR, they may first tamper with it to break the “extended-release” so that the drug is absorbed faster. Common methods of tampering include dissolving it in water, chewing, snorting or crushing it.
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What Does Adderall XR Look Like?
Adderall pills that are extended-release are usually capsule-shaped, and one end may be clear so you can see what looks like tiny balls or pellets inside. They are usually printed with the name of the drug and the strength. The colors of Adderall pills that are XR include blue and orange primarily.
Snorting Adderall is Dangerous
Some forms of the medication, like the extended-release formulation, can deliver extremely high doses when snorted because the time-release action is bypassed. Tampering with Adderall XR is dangerous because the stimulant can cause toxic effects at higher doses. Tampering with Adderall XR can also increase therisk of physical dependence and addiction.
When abused at high doses, serious side may include:
- Heart attack
- High blood pressure
- Hyperthermia
- Movement disorders
- Psychosis
- Rapid heart rate
- Seizures
- Stroke
Adderall XR Is Improperly Used
Adderall is often abused for recreational and performance-enhancing purposes. Sometimes high school and college students abuse Adderallas a study aidto help them prepare for an exam or to help them focus during class when they are sleep-deprived. They may obtain Adderall XR from a classmate with a valid prescription, often without knowing that doing so is acriminal offense.
Sometimes Adderall XR is used as a performance-enhancer in sports. Athletes, both amateur and professional, have used Adderall XR to increase their athletic performance since the drug helps them feel sharp and alert. Amphetamines like Adderall XR are often banned in competitive sports and using them can have career-ending consequences for athletes.
Adderall XR is a prescription drug because it is dangerous to use it without medical supervision from your doctor. In addition to Adderall’s common side effects for a normal dose, people who take Adderall and don’t have ADHD or narcolepsy can experience paranoia, mania and malnutrition. People with pre-existing conditions like seizure disorders and heart disease are at particularly high risk.
Abusing Adderall XR often can also lead to developing a tolerance, where you need more and more of the drug to have the same effect. This increases therisk for overdose and fatal side effects. Adderall also has a risk for dependence, where the body experienceswithdrawal symptomsif the person stops taking Adderall.
Both Formulations are Addictive
Regardless of which formulation is taken (Adderall IR or Adderall XR), they contain the same active drug: amphetamine.Amphetamine is addictiveand canchange the behavior of people who use it.
Symptoms of Adderall XR addiction include:
- Continuing to use it even when it causes physical or mental harm
- Continuing to use it even when it causes problems in relationships
- Developing a tolerance
- Giving up things that you’d normally find enjoyable to use Adderall XR instead
- Neglecting work, home, or school to use Adderall XR
- Spending a lot of time using or getting Adderall XR
- Taking Adderall XR in higher amounts than you want to
- Trying to cut down usage but not being able to
- Urges and cravings to use it
- Using Adderall XR even if it puts you in dangerous situations
- Withdrawal symptoms
Addiction is also called a substance use disorder (SUD). According to theDSM-V, two or more of the above symptoms may mean the person has SUD.
Health Risks & Side Effects
Even when used at normal doses under the supervision of a doctor, Adderall XR can causeserious physical and mental side effects.
Short-term effects may include:
- Agitation
- Anxiety
- Decreased appetite
- Decreased blood flow
- Depression
- Eyesight changes
- Faster breathing
- Fatigue
- Hypersomnia
- Increased blood pressure
- Increased blood sugar
- Increased heart rate
- Insomnia
- Nervousness
- Serotonin syndrome
- Stomach upset
Long-term abuse of Adderall XR can cause:
- Anger
- Mood swings
- Paranoia
- Personality changes
- Psychosis (delusions, hallucinations, intrusive thoughts)
- Overdose
Other Commonly Prescribed Stimulants
Prescription stimulants all have a high potential for abuse and addiction. The following commonly prescribed stimulants are Schedule II controlled substances. People with ADHD, narcolepsy and other conditions that can benefit from prescription stimulants can discuss their benefits and risks with their doctor.
- Adderall (IR) Generic name: Dextroamphetamine/amphetamine salts
- Concerta Generic name: Methylphenidate
- Dexedrine Generic name: Dextroamphetamine
- Ritalin Generic name: Methylphenidate