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The Risks of Teen Adderall Use

Reading Time: 7 minutes

Adderall abuse is a growing problem among young people. The drug was originally produced to address symptoms of Attention Deficit Hyperactivity Disorder (ADHD). However, Adderall is now used recreationally and as a study aid by thousands of teens and young adults who do not have an ADHD diagnosis and are unaware of the dangers.

The 2015 Monitoring the Future survey revealed that the use of Adderall among high school seniors that year reached 7.5 percent. Among college students, recreational use is even more common.

Stimulants like Adderall and Ritalin are among the four most frequently abused drugs on college campuses, along with alcohol, marijuana, and MDMA (Ecstasy). Moreover, one study of 10,000 college students from across the country found that more than 60 percent of students with a valid prescription for ADHD medication were providing it to fellow students without prescriptions.

Furthermore, young people are not aware of the dangers of Adderall. One study of undergraduate college students found that only 2 percent considered using this drug to be “very dangerous.” In addition, research by the Center for Drug Use and HIV Research found that many young people are unaware that it is an amphetamine. Therefore, they do not realize that the drug has life-threatening side effects.

What Is Adderall?

Adderall, or Adderall XR (extended release), is the brand name of a drug that combines two stimulants: amphetamine and dextroamphetamine. The drug was designed to increase focus and attention span. This is most common in treating ADHD. In addition, doctors sometimes prescribe this to treat daytime sleepiness or narcolepsy.

Furthermore, because it suppresses the appetite, people also misuse it as a way to lose weight. However, taking these drugs to reduce appetite is unhealthy for a number of reasons, especially because the body does not get the nutrients that it needs, according to the National Center for Health Research.

The US Food and Drug Administration (FDA) approved Adderall in 1960. Furthermore, the federal government classifies it as a Schedule II drug. Schedule II drugs, according to US law, have a medical use but also have the highest potential for abuse and dependence.

The FDA has also approved the combination of amphetamine and dextroamphetamine as a generic drug. DSM Pharmaceuticals makes the brand-name drug, and many drug companies make a generic version.

Seeking an Adderall High

Adderall belongs to a class of drugs called central nervous system stimulants. Hence, the drug increases levels of the brain chemical dopamine. Consequently, it activates the body’s fight-or-flight responses. As a result, it stimulates the brain. Moreover, the chemical makeup of Adderall is similar to methamphetamine and MDMA.

Because it increases dopamine levels, it can create a feeling of euphoria. Therefore, teens and young adults use stimulant drugs recreationally, to get high. They typically crush the pills and snort them, or mix them with water and inject them.

Furthermore, they sometimes mix this drug with alcohol and other drugs. As a result, the negative drug interaction can be life-threatening.

In addition, it increases alcohol tolerance. Because this drug makes teens feel more awake and alert, it’s difficult for them to tell how drunk they are getting when they consume alcohol. Therefore, Adderall high side effects are concerning. The risk of overdose and teen alcohol poisoning increases.

Read “The Scary Truth About Teen Alcohol Poisoning.”

Adderall Use Among Young Adults

Both prescriptions and Adderall misuse are increasing among young people. The percentage of young adult women who filled prescriptions for ADHD drugs has increased more than fivefold since 2003, according to the Centers for Disease Control and Prevention. ADHD prescription rates increased sharply in all age groups during that period. However, it rose most dramatically among young adult women ages 25 to 29—a 700 percent increase.

Young adults are also the most likely age group to misuse this drug for non-medical reasons. A 2016 study from the Johns Hopkins School of Public Health examined emergency room visits for non-medical uses of Adderall and other stimulant drugs. Researchers found that emergency room visits tripled for Americans ages 18 to 34 seeking help for stimulant use. Furthermore, the researchers found that, of all Adderall use without a prescription, 60 percent of it was among 18- to 25-year-olds.

Research shows that stimulant drugs are more frequently abused than marijuana. Moreover, they are easier for students to obtain. The majority of young people who abuse Adderall get it from family and friends who obtained the drug through a prescription.

The Myth of Adderall as a Study Aid

Stimulants enhance alertness and attention. Therefore, high school and college students who do not have an ADHD diagnosis often use the drug in order to increase their ability to focus, learn, and think clearly. Consequently, teens and young adults use Adderall to help them study for exams or write papers. Hence, students sometimes call this drug “smart pills.”

A study at the University of Kentucky found that 30 percent of its students had illegally used an ADHD stimulant drug at some point as a “study enhancer.”

Furthermore, half of all juniors and seniors had used the drugs, the study found. In addition, 80 percent of upperclassmen in fraternities and sororities had taken them.

“Many college students think stimulants like this one are harmless study aids. We need to educate this group that there could be serious adverse effects from taking these drugs and we don’t know much at all about their long-term health effects.”

—Ramin Mojtabai, MD, MPH, PhD, researcher and professor of mental health at the Bloomberg School

The Truth About Stimulant Use and Academic Performance

However, researchers have found that ADHD drugs like Adderall and Ritalin do not enhance learning or thinking ability in people who do not have ADHD. Furthermore, there is no evidence that ADHD drugs improve academic performance even for those who have been diagnosed with ADHD.

In fact, the average student who abuses prescription stimulants is more likely to

  • Skip class more frequently
  • Spend less time studying
  • Have lower grades than those who don’t abuse these drugs
  • Can cause heart problems in teens and young adults
  • Drink alcohol heavily
  • Use other illicit drugs
  • Smoke marijuana
  • Mix stimulants with other substances to get high.

Therefore, it’s clear that Adderall does not improve grades or boost achievement. Moreover, it appears to be linked with the abuse of other substances.

Newport Academy Substance Abuse Resources: Adderall High Side Effects

Adderall Addiction and the Brain

It increases the levels of serotonin, dopamine, and norepinephrine in the brain. These neurotransmitters are responsible for the regulation of emotions and feelings of pleasure.

When the brain senses that it has produced enough neurotransmitters, it stops releasing them. Hence, this drug disrupts the brain’s natural production of these chemicals. Subsequently, a user’s brain chemistry is altered and physical dependence grows. As a result, they develop a tolerance for the drug, and require a higher dosage in order to feel the same effects.

While it stimulates the release of dopamine, it also prevents dopamine from naturally replenishing itself. Hence, as it leaves the bloodstream, the user experiences withdrawal symptoms and cravings. As a result, once the drug wears off, users crave more of the drug in order to experience the dopamine rush. Therefore, abusers become physically and emotionally dependent on the drug.

The manner in which a user ingests Adderall affects how quickly they develop a tolerance. For example, crushing the pills and then injecting or snorting them sends the drug into the brain more rapidly than swallowing it. As a result, injecting or snorting it increases the chances of an overdose. Moreover, it increases the potential for addiction.

It is worth noting that there is also a possibility of developing allergic reactions to drugs like Adderall.

Adderall’s Impact on Teen Mental Health

As the natural production of dopamine goes down, a user experiences depressive moods and difficulty feeling pleasure when not using the drug. These changes become more pronounced over time.

In addition, long-term Adderall use can cause psychosis and schizophrenia-like symptoms, such as paranoid delusions, hallucinations, and other behavioral or mood disturbances, according to a study published in the journal Molecular Psychiatry. And other prescription stimulants have similar psychological effects.

Long-term use of or withdrawal from an amphetamine stimulant can trigger anxiety and panic attacks. The FDA even prints warnings on labels about potential negative psychiatric side effects.

Furthermore, symptoms may be worse in people who have a history of mental illness or an underlying mental health disorder, such as bipolar disorder or schizophrenia.

Adderall Side Effects

 The Psychological Symptoms of Abuse

Therefore, people who abuse Adderall may experience disturbing psychological symptoms. These mental and emotional side effects include

  • Inability to concentrate
  • Lack of motivation
  • Depression
  • Irritability and nervousness
  • Aggression
  • Thoughts of suicide
  • Mood swings
  • Paranoia
  • Anxiety
  • Panic attacks
  • Believing things that are not true
  • Feeling jittery or “on edge”
  • Hyperactivity
  • Psychotic episodes
  • Mania—frenzied or abnormally excited mood.

The Physiological Symptoms of Abuse

Along with psychological side effects, abuse of these produces physical side effects. Sweating and dilated pupils are among the immediate signs of abuse.

Furthermore, the physiological effects of abusing it also include

  • Insomnia and other sleep difficulties
  • Lethargy and fatigue
  • Hallucinations
  • Weight loss
  • Headaches
  • Tremors
  • Abdominal pain, nausea, vomiting, and diarrhea
  • Shortness of breath
  • Chest pain
  • Dizziness or faintness
  • Seizures
  • Weakness or numbness in limbs

In addition, prolonged use or abuse of Adderall negatively impacts the heart and the brain. Furthermore, all of the body’s organs and internal systems are affected by abuse. Thus, long-term misuse can be fatal. Some major issues can start as early as 14 days of use.

Newport Academy Substance Abuse Resources: Adderall High Side Effects

Adderall Abuse and Heart Disease

Damage to the heart and cardiovascular system is one of the most dangerous long-term consequences of Adderall abuse. Research shows that this ADHD medication can cause hypertension (high blood pressure) and tachycardia (irregular heart rate). In fact, in 2006, the FDA put a black box warning on the dextroamphetamine-amphetamine combination as a result of its cardiovascular risks.

Stimulants such as Adderall raise body temperature, heart rate, and blood pressure. Therefore, the heart muscle is weakened. Consequently, strokes, seizures, and heart attacks are all potential long-term Adderall side effects. Sudden cardiac death may also be a consequence of use. Moreover, the risks to heart health are particularly dangerous when the drug is taken in high doses, or when the user has a history of heart disease.

Furthermore, because this drug increases blood pressure, high levels of blood flowing through and around the kidneys can cause narrowing and hardening of the arteries in that area. Hence, damage to the kidneys can occur over time as a result of use.

Adderall Withdrawal Symptoms

When a teen or young adult who has been abusing this drug stops using the drug, they will experience withdrawal. Adderall withdrawal symptoms include

  • Cravings for the drug
  • Suicidal thoughts
  • Difficulty sleeping
  • Irritability
  • Extreme hunger
  • Depression
  • Panic attacks and anxiety
  • Fatigue
  • Phobic reactions.

Consequently, the withdrawal process for long-term or heavy users can be extremely difficult and even dangerous. Therefore, they have a better chance of success and safety with the assistance of recovery professionals and medical advisors.

Treatment for Adderall Abuse and Its Root Causes

Research suggests that teen prescription drug abuse is linked to mental health disorders. In one study, researchers looked at data on teenagers who used prescription drugs for non-medical reasons. Consequently, they found that these teens were almost three times as likely to report a suicide attempt a year later.

Thus, the goal of teen treatment is to address the mental health issues, such as trauma and depression, which underlie substance abuse. Therefore, teen mental health treatment can foster lasting change. It is advisable to call your doctor or seek help from a treatment center.

Teen treatment programs address the specific needs of each unique teen, addressing mind, body, and spirit. As a result of this comprehensive, holistic treatment, young people develop healthy coping skills, build self-esteem, and move forward into productive, fulfilling lives. There are other ways to treat attention deficit hyperactivity.

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J Clin Psychiatry. 2016 Mar;77(3):e297–304.
J Addict Dis. 2010 Oct; 29(4): 417–426.
J Am College Health. 2008;57(3):315–323.
Psych, Health, Med. 2002;7(3):283–287.
Pharmacotherapy. 2006;26(10):1501–1510.
Mol Psychiatry. 2009 Feb;14(2):123–142.
Brain Behav. 2012 Sep;2(5):661–677.
Society for the Study of Addiction. 2005;99:96–106. 
JAMA Pediatr. 2016;170(10):971-978.  
Monitoring the Future Survey