Adderall Addiction: Signs, Causes, Statistics and Treatment
By The Orlando Recovery Center
Editor Theresa Valenzky | Medical Reviewer Dr. Jessica Pyhtila, PharmD
Last Updated: September 15, 2024
If you are in an immediate emergency, call 911. If you are looking for more information on substance abuse treatment and it is not a medical emergency, call our 24/7 Adderall Helpline at 844-720-0432.
Adderall is a prescription medication that acts as a stimulant. This brand-name drug combines levoamphetamine and dextroamphetamine, the drug’s active ingredient. Adderall is available in immediate-release and time-release versions. It is primarily prescribed to children and adults to treat attention-deficit/hyperactivity disorder (ADHD). In rarer cases, Adderall may be prescribed to treat the sleep disorder narcolepsy.
What Is Adderall?
Adderall stimulates the central nervous system and increases the level of certain neurotransmitters in the brain. If someone has ADHD and uses Adderall as prescribed, it calms them and helps them focus.
Certain health risks are associated with using Adderall, particularly in ways other than prescribed. For example, Adderall can lead to stroke, high blood pressure and heart problems.
If someone has a pre-existing heart condition, taking Adderall can be especially risky. If someone has certain mental health problems, such as depression or bipolar disorder, Adderall can exacerbate their symptoms.
Is Adderall Addictive?
Adderall is an addictive drug, and people who develop an Adderall addiction have often used it without a prescription or in a way other than how it’s prescribed. When some people use Adderall, it can cause a euphoric high — especially if they don’t have ADHD.
A person may have different reasons for abusing Adderall. One of the most common reasons is to increase performance, particularly in school or work. Others will take it because it gives them energy and pleasurable feelings.
The Drug Enforcement Agency (DEA) classifies Adderall as a Schedule II controlled substance. This means the drug requires a doctor’s prescription and carries a high potential for abuse. Adderall abuse can lead to psychological and physical dependence.
Controlled substances like Adderall have extra steps that healthcare providers must follow when prescribing. Schedule II controlled substances have the highest potential for abuse while still being legal, so Adderall has more steps than many other drugs.
How Long Does It Take To Get Addicted to Adderall?
When taken correctly, there is a relatively low risk of addiction to Adderall. In this case, someone can take Adderall safely for many years without becoming addicted. However, the risk of addiction greatly increases when someone abuses Adderall.
The amount of time it takes to become addicted differs for everyone, and the timeline can vary from weeks to months. It should be noted that addiction does not happen overnight and requires consistent drug abuse to develop. One of the reasons Adderall is so addictive is because it directly affects dopamine receptors, the main chemical messenger responsible for addiction.
After a few weeks or months of continuous usage, dependence develops. If a person is dependent on Adderall, they will experience withdrawal symptoms when they stop taking it. Adderall withdrawal symptoms are a major contributor to addictive behavior.
Signs and Symptoms of Adderall Addiction
An Adderall addiction is a neurological disorder that causes people to use the drug compulsively. People addicted to Adderall seek and use the substance despite the negative consequences, which may include health, social and legal problems.
Addiction usually includes physical, mental and behavioral signs of addiction. The physical and mental signs are generally a result of side effects or withdrawal from Adderall. Behavioral changes are symptoms of addiction, also known as substance use disorder (SUD).
Physical Symptoms of Adderall Addiction
Mental and physical signs and symptoms of addiction to Adderall include:
- Appetite changes
- Fast heart rate
- Heart attack
- High blood pressure
- High body temperature
- Irregular heartbeat
- Restlessness
- Skin sores
- Sleep problems
- Stroke
- Suicide
- Tooth decay (meth mouth)
- Tremors
- Weight loss
- Death
Psychological Symptoms of Adderall Addiction
- Agitation
- Confusion
- Depression
- Hallucinations
- Memory loss
- Mood problems
- Violent behavior
Behavioral Symptoms Adderall Addiction
- Increased tolerance of the drug
- Intense urges for Adderall
- Failed attempts to stop using the drug
- Feeling withdrawal symptoms when you stop taking Adderall
- Neglecting work and school responsibilities
- Spending too much money and time getting or using the drug
- Using the drug regularly, sometimes several times per day
What Causes Adderall Addiction?
When someone uses Adderall, dopamine is released at abnormally high levels. Other neurotransmitters that can increase include serotonin and norepinephrine.
Dopamine is in the central nervous system and creates a sense of euphoria. It is mostly released into different parts of the brain and can activate the brain’s reward and pleasure centers. Norepinephrine and epinephrine are what increase focus and alertness.
Any drug that affects feel-good neurotransmitters like dopamine has the potential to become addictive because it activates reward centers in the brain. The activation of those reward centers can trigger the brain to compulsively seek out the stimulus that led to that activation, which is Adderall in this case.
People at the highest risk of Adderall addiction abuse it, meaning they use it without a prescription or in ways other than prescribed. Large amounts of Adderall create a sense of well-being that greatly increases the risk of addiction.
Adderall Addiction Risk Factors
Examples of people who may be at a higher risk of addiction include:
- People with mental health disorders
- Teenagers (school pressures and high access through friends)
- Those with high-stress jobs
Adderall is also commonly abused among young professionals, particularly those who work in high-stress or competitive environments. Some of the signs of Adderall abuse can include seeming very talkative, excitability or unusual energy levels. In some people, signs can also include aggression and irritability.
If someone takes Adderall without a prescription or uses it outside of how it’s intended, they risk becoming addicted. For example, people sometimes crush it or empty the capsules to snort the drug. This gives a more rapid and powerful high but quickly leads to addiction. Individuals might also dissolve the drug to inject it, and the results are similar.
With extended-release versions of Adderall, abuse through snorting or injecting the drug is particularly risky. When snorting or injecting Adderall, the effects of the drug occur in a short period rather than over 12 hours as intended.
People with a history of mood (depression, bipolar) or thought disorders (schizophrenia, schizoaffective) are at a high risk of addiction. Many people with mental health disorders will initially feel “better” when abusing substances, but ultimately, the substance will worsen their symptoms.
Adderall Abuse Statistics
Notable Adderall addiction statistics regarding the prescribing, use and abuse of this drug include:
- In 2021, 773,000 people 12 or older initiated prescription stimulant misuse; 309,000 were adults 26 or older.
- In 2020, more than 3.6 million people were prescribed for Adderall.
- Emergency room visits and abuse related to Adderall have increased among young adults, although the number of prescriptions hasn’t
- Around 60% of people who use Adderall for nonmedical purposes are 18–25
- Adderall misuse is highest among adults ages 18–25. Most people who reported abusing Adderall obtained it from friends or family and did not have a prescription.
- From 2006–2011, the illegal use of Adderall among young adults increased by 67%, while emergency room visits increased by 156%.
Teen Adderall Abuse Statistics
When someone abuses Adderall, it can create euphoria and improve concentration, motivation and feelings of confidence. Adderall can help people stay awake for long periods, contributing to its reputation as a “study drug.”
Adderall abuse varies widely depending on the school, with some schools reporting close to 0% prescription stimulant misuse and others reporting more than 25%. Risk factors for prescription stimulant abuse include:
- Schools with parents who have higher levels of education
- Schools outside the Northeast
- Schools in the suburbs
- Schools with more white students
College Student Adderall Abuse Statistics
Studies vary widely in the number of college students estimated to abuse prescription stimulants like Adderall, ranging from under 10% to more than 45%. Risk factors include knowing peers who misused prescription stimulants, stress levels and being male.
Young Professional Adderall Abuse Statistics
Little data exists about Adderall abuse in young professionals specifically. However, like younger people, young professionals may start abusing Adderall to cope with work pressure. In 2021, 309,000 people 26 or older started misusing prescription stimulants like Adderall.
Adderall Abuse Statistics in Florida
In 2009, Florida established a prescription drug monitoring program to track the prescribing and use of different controlled substances, including Adderall. In 2016, the University of Florida used this data in a study to determine use patterns. They found that 88% of teenagers who abused Adderall in the last 30 days had obtained it from a friend. The study also found that among Florida teenagers, about 7% had misused a prescription stimulant like Adderall in the last 30 days.
Adderall Side Effects
Like all prescription medications, Adderall has possible side effects. The risk of side effects is lower when Adderall is taken as prescribed, but they can still happen. Side effects can occur because Adderall affects other parts of the body besides the desired targets that treat attention issues. Abusing Adderall will typically worsen the associated side effects.
Common physical side effects of this drug include:
- Abdominal pain
- Diarrhea
- Dry mouth
- Headache
- High blood pressure
- Insomnia
- Irregular heartbeat
- Low appetite
- Nausea
- Photosensitivity
- Sweating
- Teeth clenching
Psychological side effects can include:
- Agitation
- Anxiety
- Decreased libido
- Depression
- Emotional changes
- Irritability
- Nervousness
- Trouble sleeping
Adderall Side Effects in Women
The effects of Adderall may vary during different phases of the menstrual cycle. Since estrogen plays a major role in mood and well-being, Adderall may impact that. Adderall can also affect the libido of women. It may increase or decrease sex drive, depending on the dose taken and whether the drug is being abused. Adderall may also impact the development of a fetus during pregnancy. It is important to seek guidance from your doctor if you take Adderall and are currently pregnant or planning to be.
Adderall Side Effects in Men
Adderall can impact libido in men. At smaller doses, it may increase sex drive. However, there are no noticeable effects at normal dosages in some men. When a man abuses Adderall, it can cause erectile dysfunction (ED), which is the inability to get or maintain an erection. ED is usually temporary and goes away after stopping Adderall.
Long-Term Effects of Adderall
Adderall can also have many serious health effects, particularly with long-term use. For example, Adderall can trigger or worsen psychological symptoms, leading to cardiac problems, especially in individuals with pre-existing heart conditions. Using Adderall in ways other than prescribed can also increase a person’s likelihood of becoming addicted to the prescription stimulant. Long-term health effects include:
- Addiction
- Diabetes
- Heart problems
- Mood disorders
- Sexual problems
- Psychiatric problems
Can You Overdose on Adderall?
It’s possible to overdose on stimulants like Adderall. Taking too much of the drug can cause serious side effects and even death. Common overdose symptoms include:
- Hallucinations
- High fever
- Muscle pain
- Overactive reflexes
- Panic
- Restlessness
- Tremor
If you suspect that you or someone else is overdosing on a stimulant, call 911 immediately for emergency services.
Adderall Withdrawal
Unfortunately, because Adderall is a prescription medication, people often don’t understand the consequences of misusing it. However, Adderall dependence and addiction can occur. It’s also possible for people addicted to Adderall to experience withdrawal symptoms when they quit the drug.
Withdrawal is a set of symptoms that occur when someone tries to stop taking a drug they have become dependent on. Dependence is when long-term abuse has changed the body’s chemistry so much that withdrawal symptoms occur when someone tries to quit. For example, Adderall increases dopamine, so the body responds by decreasing the amount of dopamine receptors. Withdrawal symptoms arise when there is not enough dopamine signaling in the body.
Adderall Withdrawal Symptoms
Adderall withdrawal symptoms are similar to those of quitting other stimulants, such as methamphetamine or cocaine. Common stimulant withdrawal symptoms include:
- Agitation
- Depression
- High appetite
- Irritability
- Muscle aches
- Somnolence (excessive sleepiness)
Adderall Withdrawal Timeline
Withdrawal symptoms happen fairly quickly after stopping Adderall — as soon as 24 hours after the last dosage. Withdrawal symptoms often last three to five days in most people.
Adderall Addiction Treatment
Adderall addiction can be a debilitating and life-changing condition. In some cases, people with Adderall addiction seek illicit drugs like methamphetamine because they no longer have access to their Adderall prescription. When stimulant drugs are involved, treatment is extremely important.
When entering treatment, a trained addiction professional will evaluate the severity of the addiction and recommend different levels of treatment, including outpatient, intensive outpatient (IOP) or inpatient care. Inpatient is the highest level of care and involves hospitalization in a residential facility.
Those with the most severe addictions may undergo medical detox. Detox is when the drug is leaving the body, and the body is working to heal itself. Withdrawal symptoms usually happen during this stage. Detox can be dangerous, so doing it in a treatment facility will lead to the best outcomes.
Adderall Addiction Help in Orlando, Florida
There are many professional treatment facilities throughout Florida, including Orlando Recovery Center. Our full-service drug and alcohol rehab center is staffed by trained addiction specialists who can help you begin the path to lifelong recovery. The 90-bed facility also provides a relaxing, supportive environment and a wide range of amenities, including a pool and fitness center.
If you or someone you know is struggling with Adderall addiction, help is available at Orlando Recovery Center. Contact us today to learn more about Adderall addiction treatment programs that can work well for you.
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