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25.02.2015

Signs and symptoms of adderall overdose, ringing in head causes - PDF Review

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Adderall, a drug that comprises amphetamine, acts as a psycho stimulant and is taken by those with narcolepsy and attention deficit hyperactivity disorder (ADHD).
Adderall comprises 4 amphetamines—racemic amphetamine sulphate, racemic amphetamine aspartate monohydrate, dextroamphetamine sulphate, and dextroamphetamine saccharide.
While the IR variant is used in the treatment of narcolepsy and ADHD, the XR variant is used only in case of ADHD. Adderall laws in several countries, including the US, are very strict, and consumers cannot purchase it either offline or online without a prescription. Patients who are on Adderall need to go for medical checkup regular and the doctor has to keep track of their progress. Patients who are taking Adderall must store their medication in a cool, dry place, far way from pets and children. Signs of allergy to Adderall are difficulty in breathing, hives, and swollen throat, lips, face, and tongue.
Before taking Adderall, patients must make sure that they have not taken drugs such as Furoxone, Marplan, Azilect, Nardil, Parnate, Eldepryl and others during the last fortnight. Patients should avoid taking Adderall if they have a known allergy to dextroamphetamine or amphetamine or if they suffering from medical disorders such as cardiac diseases, hypertension, arteriosclerosis, glaucoma, hyperactive thyroid, anxiety, and addiction to drugs and alcohol. Before taking Adderall, patients must reveal their entire medical history to their doctors.
The effects of Adderall on the fetus have not yet been studied; however, the babies of women who take Adderall when they are pregnant could be born prematurely with withdrawal symptoms and low birth weight. Adderall overdose can lead to a number of dangerous side effects such as those listed in the side effects section. Adderall is an addictive drug, so prolonged use of it can lead to unpleasant conditions such as irritability, insomnia, fatigue, depression, and weight gain. Prolonged Adderall use in case of children can stunt their growth, and caregivers must inform the doctor if they feel that their children are not gaining weight or growing properly. Adderall comprises dextroamphetamine and amphetamine, both of which stimulate the central nervous system (CNS). People who are on Adderall must avoid activities that require a sharp mind such as driving as the drug can have an effect on thought and reaction processes. Drugs such as blood pressure pills, heart pills, diuretics, cold medication, antihistamines, ascorbic acid, K-Phos, ammonium chloride, antacids, sodium citrate, sodium bicarbonate, and others interact with Adderall and lead to undesired effects, owing to which these drugs must never be taken with Adderall.
Patients should use Adderall at their own risk because some of its side effects are terrible. Adderall is a combination of amphetamine and dextroamphetamine that is used to treat the symptoms of attention-deficit hyperactivity disorder, also known as ADHD. Adderall can cause side effects, and abusing Adderall can cause side effects to be more likely to occur.
For more info and articles about the symptoms of overdose, contact our 24-hour hotline at 1-800-943-0566.
Knowing the facts about Adderall can help prevent needing treatment by preventing addiction.
According to SAMHSA's National Survey on Drug Use and Health, also called NSDUH, approximately 6.4 percent of fulltime college students between the ages of 18 and 22 used Adderall in a recreational way in the past year. In 2006 and 2007, the NSDUH reported that students going to school fulltime between the ages of 18 and 22 were two times as likely to have used Adderall recreationally, opposed to those in the same age who do not go to school full time.
Students who were in college fulltime using Adderall for recreational purposes were also recognized as being three times as likely to have used marijuana, and they were eight times more likely to have used prescription tranquilizers recreationally as well.
Resources, Articles and More InformationFor more information about Adderall and the potential damage it can cause for patients when it is abused, contact us at 1-800-943-0566. Calls are connected with treatment organizations throughout the US depending on your zip code, IP address, the search terms you used to reach this site, and other criteria. Free and confidential information in English and Spanish for individuals and family members facing substance abuse and mental health issues.
The American Association of Poison Control Centers supports the nation’s 55 poison centers in their efforts to prevent and treat poison exposures.
Adderall XR® is indicated for the treatment of attention deficit hyperactivity disorder (ADHD). The efficacy of Adderall XR in the treatment of ADHD was established on the basis of two controlled trials in children aged 6 to 12, one controlled trial in adolescents aged 13 to 17, and one controlled trial in adults who met DSM-IV® criteria for ADHD [see CLINICAL STUDIES (14)]. A diagnosis of ADHD (DSM-IV®) implies the presence of hyperactive-impulsive or inattentive symptoms that caused impairment and were present before age 7 years.
Adderall XR is indicated as an integral part of a total treatment program for ADHD that may include other measures (psychological, educational, social) for patients with this syndrome. Based on bioequivalence data, patients taking divided doses of immediate-release ADDERALL, (for example, twice daily), may be switched to Adderall XR at the same total daily dose taken once daily.
Adderall XR capsules may be taken whole, or the capsule may be opened and the entire contents sprinkled on applesauce. Where possible, Adderall XR therapy should be interrupted occasionally to determine if there is a recurrence of behavioral symptoms sufficient to require continued therapy.
In children with ADHD who are 6-12 years of age and are either starting treatment for the first time or switching from another medication, start with 10 mg once daily in the morning; daily dosage may be adjusted in increments of 5 mg or 10 mg at weekly intervals. Sudden death has been reported in association with CNS stimulant treatment at usual doses in children and adolescents with structural cardiac abnormalities or other serious heart problems. Sudden deaths, stroke, and myocardial infarction have been reported in adults taking stimulant drugs at usual doses for ADHD. Stimulant medications cause a modest increase in average blood pressure (about 2-4 mmHg) and average heart rate (about 3-6 bpm), and individuals may have larger increases. Children, adolescents, or adults who are being considered for treatment with stimulant medications should have a careful history (including assessment for a family history of sudden death or ventricular arrhythmia) and physical exam to assess for the presence of cardiac disease, and should receive further cardiac evaluation if findings suggest such disease (e.g. Administration of stimulants may exacerbate symptoms of behavior disturbance and thought disorder in patients with pre-existing psychotic disorder.
Aggressive behavior or hostility is often observed in children and adolescents with ADHD, and has been reported in clinical trials and the postmarketing experience of some medications indicated for the treatment of ADHD. In a controlled trial of Adderall XR in adolescents, mean weight change from baseline within the initial 4 weeks of therapy was -1.1 lbs.
There is some clinical evidence that stimulants may lower the convulsive threshold in patients with prior history of seizures, in patients with prior EEG abnormalities in the absence of seizures, and very rarely, in patients without a history of seizures and no prior EEG evidence of seizures. Difficulties with accommodation and blurring of vision have been reported with stimulant treatment.
Amphetamines have been reported to exacerbate motor and phonic tics and Tourette's syndrome. The least amount of amphetamine feasible should be prescribed or dispensed at one time in order to minimize the possibility of overdosage. Because clinical trials are conducted under widely varying conditions, adverse reaction rates observed in the clinical trials of a drug cannot be directly compared to rates in the clinical trials of another drug and may not reflect the rates observed in clinical practice. The premarketing development program for Adderall XR included exposures in a total of 1315 participants in clinical trials (635 pediatric patients, 350 adolescent patients, 248 adult patients, and 82 healthy adult subjects).
Adverse reactions during exposure were obtained primarily by general inquiry and recorded by clinical investigators using terminology of their own choosing.
In a separate placebo-controlled 4-week study in adolescents with ADHD, five patients (2.1%) discontinued treatment due to adverse events among Adderall XR-treated patients (N=233) compared to none who received placebo (N=54).
Adverse reactions reported in a 3-week clinical trial of children and a 4-week clinical trial in adolescents and adults, respectively, treated with Adderall XR or placebo are presented in the tables below. Psychotic episodes at recommended doses, overstimulation, restlessness, irritability, euphoria, dyskinesia, dysphoria, depression, tremor, tics, aggression, anger, logorrhea, dermatillomania, paresthesia (including formication), and bruxism. Chlorpromazine blocks dopamine and norepinephrine receptors, thus inhibiting the central stimulant effects of amphetamines.
The anorectic and stimulatory effects of amphetamines may be inhibited by lithium carbonate.
In cases of propoxyphene overdosage, amphetamine CNS stimulation is potentiated and fatal convulsions can occur. A number of studies in rodents indicate that prenatal or early postnatal exposure to amphetamine (d- or d, l-), at doses similar to those used clinically, can result in long-term neurochemical and behavioral alterations. Infants born to mothers dependent on amphetamines have an increased risk of premature delivery and low birth weight. The safety and efficacy of Adderall XR in children under 6 years of age have not been studied. Manifestations of acute overdosage with amphetamines include restlessness, tremor, hyperreflexia, rapid respiration, confusion, assaultiveness, hallucinations, panic states, hyperpyrexia and rhabdomyolysis. The prolonged release of mixed amphetamine salts from Adderall XR should be considered when treating patients with overdose.
Inactive Ingredients and ColorsThe inactive ingredients in Adderall XR capsules include: gelatin capsules, hydroxypropyl methylcellulose, methacrylic acid copolymer, opadry beige, sugar spheres, talc, and triethyl citrate.


Pharmacokinetic studies of Adderall XR have been conducted in healthy adult and pediatric (children aged 6-12 yrs) subjects, and adolescent (13-17 yrs) and children with ADHD. The time to reach maximum plasma concentration (Tmax) for Adderall XR is about 7 hours, which is about 4 hours longer compared to ADDERALL (immediate-release). Figure 1 Mean d-amphetamine and l-amphetamine Plasma Concentrations Following Administration of Adderall XR 20 mg (8 am) and ADDERALL (immediate-release) 10 mg Twice Daily (8 am and 12 noon) in the Fed State. A single dose of Adderall XR 20 mg capsules provided comparable plasma concentration profiles of both d-amphetamine and l-amphetamine to ADDERALL (immediate-release) 10 mg twice daily administered 4 hours apart. Amphetamine is known to inhibit monoamine oxidase, whereas the ability of amphetamine and its metabolites to inhibit various P450 isozymes and other enzymes has not been adequately elucidated. With normal urine pHs, approximately half of an administered dose of amphetamine is recoverable in urine as derivatives of alpha-hydroxy-amphetamine and approximately another 30-40% of the dose is recoverable in urine as amphetamine itself. Comparison of the pharmacokinetics of d- and l-amphetamine after oral administration of Adderall XR in children (6-12 years) and adolescent (13-17 years) ADHD patients and healthy adult volunteers indicates that body weight is the primary determinant of apparent differences in the pharmacokinetics of d- and l-amphetamine across the age range. Amphetamine, in the enantiomer ratio present in Adderall XR (d- to l- ratio of 3:1), was not clastogenic in the mouse bone marrow micronucleus test in vivo and was negative when tested in the E.
In a classroom analogue study, patients (N=51) receiving fixed doses of 10 mg, 20 mg or 30 mg Adderall XR demonstrated statistically significant improvements in teacher-rated behavior and performance measures, compared to patients treated with placebo. Inform patients, their families, and their caregivers about the benefits and risks associated with treatment with Adderall XR and should counsel them in its appropriate use. Advise patients that Adderall XR is a federally controlled substance because it can be abused or lead to dependence. Advise patients of serious cardiovascular risk (including sudden death, myocardial infarction, stroke, and hypertension) with Adderall XR.
Prior to initiating treatment with Adderall XR, adequately screen patients with comorbid depressive symptoms to determine if they are at risk for bipolar disorder. Monitor growth in children during treatment with Adderall XR, and patients who are not growing or gaining weight as expected may need to have their treatment interrupted [see WARNINGS AND PRECAUTIONS (5.3)]. Advise patients not to breast feed if they are taking Adderall XR [see USE IN SPECIFIC POPULATIONS (8.3)]. Adderall XR may impair the ability of the patient to engage in potentially hazardous activities such as operating machinery or vehicles; the patient should therefore be cautioned accordingly. ADDERALL® is a registered trademark of Shire LLC, under license to Duramed Pharmaceuticals, Inc. Read the Medication Guide that comes with Adderall XR before you or your child starts taking it and each time you get a refill. Your doctor should check you or your child carefully for heart problems before starting Adderall XR. Your doctor should check you or your child's blood pressure and heart rate regularly during treatment with Adderall XR.
Call your doctor right away if you or your child has any signs of heart problems such as chest pain, shortness of breath, or fainting while taking Adderall XR. Although Adderall is available at online pharmacies without prescriptions, consumers should exercise caution before purchasing it because a number of unscrupulous, unlicensed online pharmacies attempt to sell Adderall that contains harmful substances at cheap rates.
If consumers try to take it on their own, they could be asking for trouble as taking Adderall is not without its dangers and side effects. If the doctor has prescribed XR Adderall medication for patients, they should swallow the tablet whole and avoid crushing or breaking it. They should also keep track of the amount of Adderall they take because Adderall is an addictive drug.
If you observe any of these signs in you, stop taking Adderall and get emergency medical care right away.
Inform your doctor if you have hypertension, heart defects, or epilepsy, if you have recently recovered from a heart attack, if you have a family or personal history of bipolar illness, mental illness, or depression, and if you have Tourette’s syndrome or motor tics.
Moreover, lactating mothers should avoid breast feeding their babies because dextroamphetmine and amphetamine can get into breast milk.
Patients who have taken an overdose by mistake must immediately take medical assistance or call the nearest Poison Control Center. If you have missed a dose and it is almost time for the next dose, you can forget about the missed dose and take the next one.
Intake of Adderall leads to behavioral changes, helping people concentrate better and sleep well. Patients should give their doctors a complete list of medication they are taking at present before beginning to take Adderall. If a patient is already suffering from mental illness, Adderall can make it worse than ever.
Adderall is prescribed by a physician who will normally start a patient on a low dose, gradually increasing it if necessary. For information on your local emergency services, intervention specialists or to talk with someone who can help you understand the side effects of Adderall, contact our hotline at 1-800-943-0566. Our staff can help you understand the ways Adderall can affect your body, whether it is taken as recommended or recreationally. Adderall problems like tolerances, dependency and addiction can occur when the drug is not taken as directed. However, if you or someone you know needs treatment for Adderall addiction, rehab centers can help. On top of this, 89.5 percent of students who reported Adderall abuse also participated in binge drinking in the past month, and over half of those students were heavy abusers of alcohol. To find out, the logical place to conduct research is where they go to find out what it is, where they can get it, how they shoul take it and what the likely side effects will be. You’ll notice that the line doesn’t curve up smoothly as time goes on--it has jagged peaks and valleys.
Interest in “Adderall studying” reaches its peak in May and December (during midterms and fall finals), then totally flat-lines in the summer when college students aren’t cramming for their exams. If you help your child learn about the dangers of Adderall abuse and better ways to manage time, activities, homework and other school-related items, he or she will be less likely to need the drug to stave off sleep.
Both our treatment directory and our hotline are offered at no cost to you, and are paid instead by participating treatment center advertisers, so we urge you to call now if you are ready for help. Adequate diagnosis requires the use not only of medical but of special psychological, educational, and social resources. Therefore, the physician who elects to use Adderall XR for extended periods should periodically re-evaluate the long-term usefulness of the drug for the individual patient.
While the mean changes alone would not be expected to have short-term consequences, all patients should be monitored for larger changes in heart rate and blood pressure.
Prior to initiating treatment with a stimulant, patients with comorbid depressive symptoms should be adequately screened to determine if they are at risk for bipolar disorder; such screening should include a detailed psychiatric history, including a family history of suicide, bipolar disorder, and depression. If such symptoms occur, consideration should be given to a possible causal role of the stimulant, and discontinuation of treatment may be appropriate. Therefore, clinical evaluation for tics and Tourette's syndrome in patients and their families should precede use of stimulant medications.
Of these, 635 patients (ages 6 to 12) were evaluated in two controlled clinical studies, one open-label clinical study, and two single-dose clinical pharmacology studies (N= 40). The most frequent adverse event leading to discontinuation and considered to be drug-related (i.e.
The most frequent adverse events leading to discontinuation and considered to be drug-related (i.e. Serious skin rashes, including Stevens-Johnson Syndrome and toxic epidermal necrolysis have been reported. This slowing potentiates amphetamines, increasing their effect on the release of norepinephrine and other monoamines from adrenergic nerve endings; this can cause headaches and other signs of hypertensive crisis. Co-administration of Adderall XR and gastrointestinal alkalinizing agents, such as antacids, should be avoided. Reported behavioral effects include learning and memory deficits, altered locomotor activity, and changes in sexual function. There has been one report of severe congenital bony deformity, tracheo-esophageal fistula, and anal atresia (vater association) in a baby born to a woman who took dextroamphetamine sulfate with lovastatin during the first trimester of pregnancy.
Also, these infants may experience symptoms of withdrawal as demonstrated by dysphoria, including agitation, and significant lassitude. Adderall XR combines the neutral sulfate salts of dextroamphetamine and amphetamine, with the dextro isomer of amphetamine saccharate and d,l-amphetamine aspartate monohydrate. Both ADDERALL (immediate-release) tablets and Adderall XR capsules contain d-amphetamine and l-amphetamine salts in the ratio of 3:1.
Opening the capsule and sprinkling the contents on applesauce results in comparable absorption to the intact capsule taken in the fasted state.
Norephedrine and 4-hydroxy-amphetamine are both active and each is subsequently oxidized to form 4-hydroxy-norephedrine.


Since amphetamine has a pKa of 9.9, urinary recovery of amphetamine is highly dependent on pH and urine flow rates.
However, amphetamine pharmacokinetics appeared to be comparable among Caucasians (N=33), Blacks (N=8) and Hispanics (N=10).
Patients were randomized to fixed-dose treatment groups receiving final doses of 10, 20, or 30 mg of Adderall XR or placebo once daily in the morning for three weeks. Patients were randomized to fixed-dose treatment groups receiving final doses of 20, 40, or 60 mg of Adderall XR or placebo once daily in the morning for four weeks. Patients who develop symptoms such as exertional chest pain, unexplained syncope, or other symptoms suggestive of cardiac disease during treatment should undergo a prompt cardiac evaluation [see WARNINGS AND PRECAUTIONS (5.1)]. Consumers should think twice before purchasing cheap Adderall without prescriptions at online stores. Qualified healthcare professionals thoroughly study patients’ medical histories and individual health conditions before prescribing Adderall as dosage can vary as per individual health conditions. Adderall must not be taken with Vitamin C tablets or fruit juices as both these substances can reduce its efficacy. Certain Vitamin pills, herbal products, and over-the-counter products can also interact with Adderall. Adderall use in children can lead to stunted growth, owing to which children who are on Adderall must have their growth pattern checked on a regular basis. For more Adderall facts and to learn about the signs of drug abuse, contact our hotline at 1-800-943-0566 to help an Adderall addict.
Patients are more likely to overdose and to cause harm to their bodies when the drug is misused. Rehabilitation centers will help by providing detoxification services and will aid in treating patients for psychological addictions as well as physical.
This finding has been corroborated by chemists from the University of Puget Sound in their testing of college campus waste water for traces of amphetamines and Ritalin metabolites at different points throughout the academic calendar. Pay particular attention to the possibility of subjects obtaining amphetamines for non-therapeutic use or distribution to others and the drugs should be prescribed or dispensed sparingly [see DRUG ABUSE AND DEPENDENCE (9)]. Patients who develop symptoms such as exertional chest pain, unexplained syncope, or other symptoms suggestive of cardiac disease during stimulant treatment should undergo a prompt cardiac evaluation.
In a pooled analysis of multiple short-term, placebo-controlled studies, such symptoms occurred in about 0.1% (4 patients with events out of 3482 exposed to methylphenidate or amphetamine for several weeks at usual doses) of stimulant-treated patients compared to 0 in placebo-treated patients.
In the tables and listings that follow, COSTART terminology has been used to classify reported adverse reactions. All increases were transient, appeared maximal at 2 to 4 hours post dose and not associated with symptoms.
A variety of toxic neurological effects and malignant hyperpyrexia can occur, sometimes with fatal results. Cardiovascular effects include arrhythmias, hypertension or hypotension and circulatory collapse. The Adderall XR capsule contains two types of drug-containing beads designed to give a double-pulsed delivery of amphetamines, which prolongs the release of amphetamine from Adderall XR compared to the conventional ADDERALL (immediate-release) tablet formulation. Amphetamines are thought to block the reuptake of norepinephrine and dopamine into the presynaptic neuron and increase the release of these monoamines into the extraneuronal space.
Following administration of ADDERALL (immediate-release), the peak plasma concentrations occurred in about 3 hours for both d-amphetamine and l-amphetamine.
Alpha-hydroxy-amphetamine undergoes deamination to form phenylacetone, which ultimately forms benzoic acid and its glucuronide and the glycine conjugate hippuric acid. However, due to the probability of auto-inhibition and the lack of information on the concentration of these metabolites relative to in vivo concentrations, no predications regarding the potential for amphetamine or its metabolites to inhibit the metabolism of other drugs by CYP isozymes in vivo can be made.
Alkaline urine pHs result in less ionization and reduced renal elimination, and acidic pHs and high flow rates result in increased renal elimination with clearances greater than glomerular filtration rates, indicating the involvement of active secretion. Patients were randomized to receive final doses of 10 mg, 20 mg, 30 mg, and 40 mg Adderall XR or placebo once daily in the morning.
Significant improvements, measured with the Attention Deficit Hyperactivity Disorder-Rating Scale (ADHD-RS), an 18- item scale that measures the core symptoms of ADHD, were observed at endpoint for all Adderall XR doses compared to patients who received placebo for all four weeks. Instruct patients, their families, and their caregivers to read the Medication Guide and assist them in understanding its contents. Evaluate patient history (including family history) of abuse or dependence on alcohol, prescription medicines, or illicit drugs [see DRUG ABUSE AND DEPENDENCE (9)]. Additionally, Adderall XR therapy at usual doses may cause treatment-emergent psychotic or manic symptoms in patients without prior history of psychotic symptoms or mania [see WARNINGS AND PRECAUTIONS (5.2)]. This Medication Guide does not take the place of talking to your doctor about you or your child's treatment with Adderall XR. Before purchasing Adderall, consumers should get their doctor’s opinion and make sure that the pharmacy is operating with a valid license.
They found that during times of relatively low stress, only a few percent of students were taking an amphetamine (more likely those with legitimate prescriptions and usage). The diagnosis must be based upon a complete history and evaluation of the patient and not solely on the presence of the required number of DSM-IV® characteristics. Appropriate educational placement is essential and psychosocial intervention is often helpful. Adverse reactions were assessed by collecting adverse reactions, results of physical examinations, vital signs, weights, laboratory analyses, and ECGs. Do not administer Adderall XR during or within 14 days following the administration of monoamine oxidase inhibitors [see CONTRAINDICATIONS (4)]. Both groups of agents increase blood levels and therefore potentiate the actions of amphetamines.
Therefore, co-administration of Adderall XR and proton pump inhibitors should be monitored for changes in clinical effect. Abrupt cessation following prolonged high dosage administration results in extreme fatigue and mental depression; changes are also noted on the sleep EEG.
Patients who received Adderall XR showed behavioral improvements in both morning and afternoon assessments compared to patients on placebo. Give patients the opportunity to discuss the contents of the Medication Guide and to obtain answers to any questions they may have. However, during exam periods, amphetamine use rose by a factor of eight, with an estimated 25% of students using Vyvanse or Adderall.
When remedial measures alone are insufficient, the decision to prescribe stimulant medication will depend upon the physician's assessment of the chronicity and severity of the child's symptoms.
The contents of the entire capsule should be taken, and patients should not take anything less than one capsule per day. Manifestations of chronic intoxication with amphetamines may include severe dermatoses, marked insomnia, irritability, hyperactivity, and personality changes.
Consequently, both hepatic and renal dysfunction have the potential to inhibit the elimination of amphetamine and result in prolonged exposures. If so, then continue reading to understand what snorting Adderall will do to your body and the what potential adverse side effects can occur (including addiction and the need to treat addiction to Adderall). In addition, drugs that effect urinary pH are known to alter the elimination of amphetamine, and any decrease in amphetamine's metabolism that might occur due to drug interactions or genetic polymorphisms is more likely to be clinically significant when renal elimination is decreased [see DRUG INTERACTIONS (7)].
This happens really quickly because Adderall is not being absorbed into the blood stream through the GI tract.
Improvements in the primary cohort were statistically significantly greater in all four primary cohort active treatment groups (Adderall XR 10 mg, 20 mg, 30 mg, and 40 mg) compared with the placebo group. Instead, Adderall is absorbed within in minutes through the mucus membrane of the sinus passes and hits the blood-brain barrier faster than if you were to take it orally. Possible side effects of snorting Adderall include:aggressionchest painconfusiondizziness or faintnessdifficulty in breathinghallucinationsfearsmaniamotor or verbal ticsmuscle painrapid heart ratesuicidal thoughtsseizuresNot only will you have to contend with negative side effects, you also run the risks of contracting infectious disease from sharing a snorting implement. Because Adderall is a stimulant it not only has a quicker onset but negative consequences can also occur faster. If this is you, you may want to treat the abuse of Adderall and explore the reasons you feel the need to snort Adderall rather than take it as prescribed. We ended up doing about eleven or so 20mg adderall each, and two more focalin each with actually not as bad of adverse side effects as you would expect.
We started hallucinating a little at around two, and didn’t sleep that night but other than that we ended up alright. Each organism and each body response is different, so I cannot know why you managed to be just fine.
I have a 140IQ but it is hard to harness and control it without enabling my attention to keep up with my thoughts.



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