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What Is Adderall
Adderall is a prescription medication that contains a combination of amphetamine and dextroamphetamine—two central nervous system (CNS) stimulants that work by altering the chemicals, such as dopamine and norepinephrine, in the brain. It’s commonly prescribed to reduce the symptoms of attention-deficit/hyperactivity disorder (ADHD), which is characterized by symptoms including inattention, hyperactivity and impulsivity. It’s also indicated for narcolepsy, a chronic neurological condition that can affect the brain’s ability to regulate sleep-wake cycles.
Dopamine plays an important role in feelings of reward, while norepinephrine increases heart rate, blood pressure and breathing—ultimately affecting your attention and alertness. As a result, Adderall can help you feel more awake and motivated when taken as prescribed.
Zishan Khan, M.D., a board-certified psychiatrist and regional medical director at Mindpath Health in Frisco, Texas, explains that some health care providers may also prescribe Adderall to treat other medical conditions, known as off-label prescribing. A common off-label use of Adderall includes using it to treat depression.
However, not everyone needs, or may benefit, from taking Adderall.
Josephine Elia, M.D., a board-certified psychiatrist and division chief at Nemours Children’s Health in Delaware, warns that drug misuse is a potential risk with Adderall, especially among college students. While the boost of dopamine may increase feelings of euphoria, energy levels and working memory in the short term, taking Adderall without a prescription or in ways other than prescribed can cause emotional and physical side effects. Instead, she urges students to develop study skills that focus on learning and retaining the information.
Age Requirements for Adderall
Adderall is not recommended for children under 3 years of age, while Adderall XR (an extended release form of the medication) is not recommended for children under 6 years of age.
The American Academy of Pediatrics recommends parent training in behavior management as the first line of treatment for ADHD (before medication is prescribed) for children younger than 6, and recommends medication and behavior therapy for older children.
“Every child and situation is different, and there are absolutely cases that warrant prescribing Adderall as young as 3 or 4 years old,” notes Dr. Khan. However, he urges that caution must be taken, and that just because Adderall is FDA approved for children 3 years of age and older, not all 3 year olds can tolerate the side effects. Young children are more likely to experience appetite suppression and growth restriction as a result of taking Adderall than a teenager or an adult would be, he says.
A Warning About Stimulant Misuse
It’s worth noting that Adderall is an amphetamine medication, which is categorized as a stimulant. The Food and Drug Administration (FDA) warns that stimulants carry a high potential of abuse.
Misuse of amphetamines may cause serious health effects, including cardiovascular events and even sudden death. It’s important to only use this medication under the close supervision of your doctor, and to make sure you follow prescribing directions closely if you are giving it to your child.
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