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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.

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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.