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Adderall is the brand name for the combination of dextroamphetamine and amphetamine. It’s a prescription stimulant used primarily to treat ADHD or narcolepsy (daytime sleepiness). The medication alters certain naturally occurring chemicals in your brain by enhancing the effects of neurotransmitters like dopamine, norepinephrine, and, to a lesser degree, serotonin. Adderall comes in either an immediate-release tablet or a time-release capsule (Adderall XR). It can interfere with sleep, so it should be taken in the morning. If you’re prescribed Adderall, a doctor will most likely start you off with a low dose to make sure you can tolerate it. Then, the dose can be slowly increased. Before taking Adderall, talk with a doctor about any preexisting physical or mental health problems you have and list all other prescription and over-the-counter medications you take. Certain other medications may interact with Adderall and cause serious side effects.

For people with ADHD, Adderall may improve focus and attention while reducing hyperactivity and impulsive behavior. It works by increasing the amount of dopamine and norepinephrine in the brain. Dopamine helps the brain reinforce rewarding behaviors. Norepinephrine affects your heart rate, blood vessels, blood pressure, and breathing. It can also affect your blood sugar. It may have similar effects on people who do not have ADHD. Medications for ADHD like Adderall may be more effective when used along with behavioral therapy or a comprehensive treatment plan that may include psychological, educational, or social therapies.

Stimulants can make your blood vessels constrict, raise your blood pressure, and make your heart beat faster. It can increase also increase your breathing. In some cases, Adderall can cause further interference with your blood circulation. Your toes and fingers may become numb or start to hurt. They may even turn blue or red. Serious side effects of Adderall can include heart attack and stroke. Adderall can lead to sudden death in people with preexisting heart conditions. If a person has a pre-existing heart condition, the psychiatrist may require that they have a cardiology consultation. This can help determine whether starting the stimulant is safe and whether other precautions are necessary.

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