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Take generic Adderall by mouth, with or without food, as directed by your doctor,

typically 1 to 3 times per day.The first dose is usually taken when you wake up in the morning.

If more doses are prescribed, take them as directed by your doctor, usually 4-6 hours apart. Taking generic Adderall late during the day may result in difficulty sleeping (insomnia).

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Warning

Adderall has the potential to become addictive, and it is a controlled substance.Inform your doctor if you have a history of drug or alcohol abuse.

In people with high blood pressure, heart disease, or a heart defect, stimulants have caused strokes, heart attacks, and sudden deaths.

If you’ve taken an MAO inhibitor in the last 14 days, such as isocarboxazid, linezolid, phenelzine, rasagiline, selegiline, or tranylcypromine, or if you’ve had a methylene blue injection, don’t take this medication.

If you have a history of depression, mental illness, or bipolar disorder, Adderall may cause new or worsening psychosis (abnormal thoughts or behavior).

Blood circulation issues can cause numbness, pain, or discoloration in your fingers or toes.

If you have any of the following symptoms, contact your doctor right away:Signs of heart disease include chest pain, feeling light-headed, or being short of breath; signs of psychosis include paranoia, aggression, new behavioral problems, and seeing or hearing things that are not real. Unusual wounds on your fingers or toes are symptoms of circulation problems.

If you have glaucoma, an overactive thyroid, severe agitation, moderate to severe high blood pressure, heart disease or coronary artery disease, vascular disease, or a history of drug or alcohol addiction, you may be unable to use Adderall.

Before taking this medicine

If you have taken an MAO inhibitor within the last 14 days, do not take this medication. A dangerous drug interaction is possible. Isocarboxazid, linezolid, methylene blue injection, phenelzine, rasagiline, selegiline, tranylcypromine, and other MAO inhibitors are available.

If you are allergic to any stimulant medication, you may be unable to use Adderall. If you have any of the following conditions, you may be unable to use Adderall:

• glaucoma;
• overactive thyroid;
• severe anxiety or agitation (stimulant medicine can make these symptoms worse);
• high blood pressure;
• heart disease or coronary artery disease;
• vascular disease or hardening of the arteries; or
• a history of drug or alcohol addiction.

Some medications can cause serotonin syndrome when combined with amphetamine and dextroamphetamine. Inform your doctor of any other medications you are taking. Make sure your doctor is aware if you also use opioid medication, herbal products, or medication for depression, mental illness, Parkinson’s disease, migraine headaches, serious infections, or nausea and vomiting prevention.

Before making any changes to how or when you take your medications, consult with your doctor. Agitation, hallucinations (hearing or seeing things that are not real), coma, fast heart rate, dizziness, sweating, feeling hot, muscle rigidity or shakiness, seizures, nausea, vomiting, or diarrhea are all symptoms of serotonin syndrome. If you experience any of these symptoms, stop using Adderall immediately.

Stimulants have been linked to strokes, heart attacks, and sudden deaths in some people. Inform your doctor if you have any of the following:

• heart problems or a congenital heart defect;
• high blood pressure; or
• a family history of heart disease or sudden death.

To make sure Adderall is safe for you, tell your doctor if you or anyone in your family has ever had:

• depression, anxiety, mental illness, bipolar disorder, psychosis, problems with aggression, or suicidal thoughts or actions;
• motor tics (muscle twitches) or Tourette’s syndrome;
• seizures or epilepsy;
• an abnormal brain wave test (EEG); or
• liver or kidney disease; or
• blood circulation problems in the hands or feet.

Premature birth, low birth weight, and withdrawal symptoms in the newborn are all risks of taking Adderall during pregnancy. If you are pregnant or intend to become pregnant, inform your doctor.

Adderall’s medications (amphetamine and dextroamphetamine) can pass into breast milk and harm a nursing baby. You should not breastfeed while taking this medication.

Adderall is not recommended for children under the age of three.

How should I take Adderall?

Take Adderall exactly as prescribed by your doctor.Please follow all of the instructions on your prescription label. Your dose may be adjusted on occasion by your doctor. Take this medication in larger or smaller amounts or for a longer period of time than recommended.

Adderall has the potential to become addictive.Never give this medication to anyone else, especially someone who has a history of drug abuse or addiction.Keep the medication in a location where others cannot access it. It is illegal to sell or distribute this medication.

Read all of the patient information, medication guides, and instruction sheets that have been given to you. If you have any questions, consult your doctor or pharmacist.

Adderall can be taken with or without food first thing in the morning.

An extended-release capsule should not be crushed, chewed, broken, or opened. Consume it whole.

You can open the capsule and sprinkle the medicine into a spoonful of applesauce to make swallowing easier. Without chewing, swallow immediately. The mixture should not be saved for later use.

Your doctor will need to check on your progress at regular intervals while taking this medication. Inform any doctors who treat you that you are taking this medication.

Certain medical tests can produce unexpected results when taken with Adderall. Inform any doctors who treat you that you are taking this medication.

Store away from moisture, heat, and light at room temperature.

Keep a record of your medications. Adderall is a drug of abuse, and you should be aware if your medication is being used improperly or without a prescription.

Dosing information

Usual Adult Dose of Adderall for Attention Deficit Disorder:

IR:

-Initial Dose: 5 mg orally 1 or 2 times a day

-Maintenance Dose: Daily dose may be raised in 5 mg increments at weekly intervals until optimal response is obtained.

-Maximum Dose: Only in rare cases will it be necessary to exceed 40 mg per day.

XR:

Patients starting treatment for the first time or switching from another medication:

-Initial Dose: 20 mg orally once a day

Comments:

-IR: The first dose should be given upon awakening; 1 to 2 additional doses should be given at intervals of 4 to 6 hours.

-Where possible, drug administration should be interrupted occasionally to determine if continued therapy is required.

Use: As part of a total treatment program for Attention Deficit Hyperactivity Disorder (ADHD).

Usual Adult Dose of Adderall for Narcolepsy:

IR:

-Initial Dose: 10 mg orally per day in divided doses

-Maintenance Dose: Daily dose may be raised in 10 mg increments at weekly intervals until optimal response is obtained.

Comments:

-The first dose should be given on awakening; 1 to 2 additional doses should be given at intervals of 4 to 6 hours.

-The usual dose is 5 to 60 mg per day in divided doses, depending on the individual patient response.

-Dosage should be reduced if bothersome adverse reactions (e.g., insomnia, anorexia) appear.

Use: Narcolepsy treatment

Usual Pediatric Dose of Adderall for Attention Deficit Disorder:

IR:

Age 3 to 5 Years:

-Initial Dose: 2.5 mg orally per day

-Maintenance Dose: Daily dose may be raised in 2.5 mg increments at weekly intervals until optimal response is obtained.

Age 6 to 17 Years:

-Initial Dose: 5 mg orally 1 or 2 times a day

-Maintenance Dose: Daily dose may be raised in 5 mg increments at weekly intervals until optimal response is obtained.

-Maximum Dose: Only in rare cases will it be necessary to exceed 40 mg per day.

XR:

Age 6 to 12 Years (starting treatment for the first time or switching from another medication):

-Initial Dose: 5 or 10 mg orally once a day in the morning

-Maintenance Dose: Daily dose may be raised in 5 to 10 mg increments at weekly intervals.

-Maximum Dose: 30 mg/day

Age 13 to 17 Years (starting treatment for the first time or switching from another medication):

-Initial Dose: 10 mg orally once a day

-Maintenance Dose: Daily dose may be increased to 20 mg/day after one week if symptoms are not adequately controlled.

-Maximum Dose: 30 mg/day

Comments:

-IR: The first dose should be given on awakening; 1 to 2 additional doses should be given at intervals of 4 to 6 hours.

-Where possible, drug administration should be interrupted occasionally to determine if continued therapy is required.

Use: As part of a total treatment program for Attention Deficit Hyperactivity Disorder (ADHD).

Usual Pediatric Dose of Adderall for Narcolepsy:

IR:

Age 6 to 11 Years:

-Initial Dose: 5 mg orally per day in divided doses

-Maintenance Dose: Daily dose may be raised in 5 mg increments at weekly intervals until optimal response is obtained.

Age 12 Years and Older:

-Initial Dose: 10 mg orally per day in divided doses

-Maintenance Dose: Daily dose may be raised in 10 mg increments at weekly intervals until optimal response is obtained.

Comments:

-The first dose should be given on awakening; 1 to 2 additional doses should be given at intervals of 4 to 6 hours.

-The usual dose is 5 to 60 mg per day in divided doses, depending on the individual patient response.

-Dosage should be reduced if bothersome adverse reactions (e.g., insomnia, anorexia) appear.

-Narcolepsy rarely occurs in children under 12 years of age.

Use: Narcolepsy treatment

What happens if I miss a dose?

Take the missed dose as soon as you remember, but not late in the day. Skip the missed dose if it is almost evening. Do not take extra medicine to make up the missed dose.

What happens if I overdose?

Seek emergency medical attention or dial 1-800-222-1222 for Poison Help.An Adderall overdose can be fatal.

Restlessness, tremor, muscle twitches, rapid breathing, confusion, hallucinations, panic, aggressiveness, muscle pain or weakness, and dark-colored urine are all symptoms of an overdose.

These symptoms may be accompanied by depression and exhaustion. Other overdose symptoms include nausea, vomiting, diarrhea, stomach pain, irregular heartbeats, dizziness, fainting, seizures (convulsions), or coma.

What to avoid

This medication has the potential to impair your thinking or reactions. Be cautious if you are driving or doing anything else that requires you to be alert.

When taking Adderall, avoid drinking fruit juices or taking vitamin C. These can cause your body to absorb less medicine.

Adderall side effects

Get emergency medical help if you have signs of an allergic reaction to Adderall: hives; difficult breathing; swelling of your face, lips, tongue, or throat.

Adderall may cause serious side effects. Call your doctor at once if you have:

• signs of heart problems – chest pain, trouble breathing, feeling like you might pass out;
• signs of psychosis – hallucinations (seeing or hearing things that are not real), new behavior problems, aggression, hostility, paranoia;
• signs of circulation problems – numbness, pain, cold feeling, unexplained wounds, or skin color changes (pale, red, or blue appearance) in your fingers or toes;
• a seizure (convulsions);
• muscle twitches (tics); or
• changes in your vision.

If you experience agitation, hallucinations, fever, sweating, shivering, a fast heart rate, muscle stiffness, twitching, loss of coordination, nausea, vomiting, or diarrhea, seek medical attention right away.

Adderall can affect growth in children. Tell your doctor if your child is not growing at a normal rate while using this medicine.

Common side effects of Adderall may include:

• stomach pain;
• loss of appetite;
• weight loss;
• mood changes;
• feeling nervous;
• fast heart rate;
• headache;
• dizziness;
• sleep problems (insomnia); or
• dry mouth.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

What other drugs will affect Adderall?

Ask your doctor before using a stomach acid medicine (including Alka-Seltzer or sodium bicarbonate). Some of these medicines can change the way your body absorbs Adderall, and may increase side effects.

Tell your doctor about all your current medicines and any you start or stop using, especially:

• buspirone, lithium, selective serotonin reuptake inhibitor (SSRI) drugs (including citalopram, fluoxetine, paroxetine, sertraline, others), tricyclic antidepressants (amitriptyline, others) or other medicine to treat depression or mental illness;
• blood pressure medicine;
• heartburn medicine;
• a blood thinner such as warfarin, Coumadin, Jantoven;
• cold or allergy medicine that contains a decongestant;
• opioid (narcotic) medicine; or
• seizure medicine.

This is not an exhaustive list, and many other drugs can interact with Adderall. This includes prescription and OTC medications, vitamins, and herbal supplements. Give any healthcare provider who treats you a list of all your medications.