Adderall and cardiovascular risk: A therapeutic dilemma PMC

The later you take this drug, the more likely it is to keep you awake at night. If you use an extended-release (XR) version, try not to take it after 2 p.m. If you have any of these side effects, ask your doctor how long they are likely to last, as well as what to do if they don’t get better.

An eight-year-old boy with attention-deficit hyperactivity disorder (ADHD) is seen in clinic. When discussing therapeutic options, his mother raises a concern. Her father died of ‘an abnormal heart rhythm’, and she has heard that sustained-release ADHD medications are not safe for children with a family history of heart disease. If you have attention deficit hyperactivity disorder (ADHD), your doctor may have prescribed Adderall (the brand name for the drug amphetamine-dextroamphetamine) to help you focus and concentrate. It boosts levels of a brain chemical called dopamine, a key player when it comes to focus and attention. They suggest that further studies could help to identify subgroups of patients at greater risk who may benefit from future screening approaches.

Heart palpitations may be caused by dehydration or by drinking alcohol and fluids that contain stimulants such as caffeine. Drinking a glass of water and ensuring a person consumes six to eight 8-ounce glasses of water per day may help reduce heart palpitations. That said, it is best for a person to speak with a doctor if they have certain medical conditions that require limited potassium intake, such as kidney disease. High levels of potassium may cause arrhythmias and heart palpitations.

  1. We talked with Dr. Singh about ways you can stop palpitations from home — and when to see a healthcare provider STAT.
  2. Because of it’s stimulant properties, it is classified as a Schedule II drug — meaning it has a known risk of misuse, dependence, and addiction.
  3. So drinking alcohol while taking Adderall may increase your risk of alcohol poisoning.
  4. This drug works by boosting the effects of the neurotransmitters dopamine and norepinephrine in your brain.
  5. Weight loss was common in clinical trials of Adderall treatment.

If necessary, the doctor may order blood tests to examine electrolyte, hormone, or thyroid levels. A doctor will take a detailed medical history and perform a physical examination as part of the diagnostic process. A person should consider drinking a full glass of water if they notice any of these symptoms. However, not all stimulants will cause palpitations in everyone. A person should never take Adderall without a prescription or without being in the care of a doctor. To avoid an Adderall withdrawal phase, someone should ensure they do not stop taking Adderall too quickly.

Medication to treat Adderall withdrawal

Also, a person who has had a heart attack may be more likely to develop palpitations. However, exercise may trigger palpitations in some people, and it is important to identify and avoid potentially problematic types of exercise. Cardiovascular exercise helps strengthen the heart, which can prevent or reduce palpitations. According to the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), people should drink six to eight 8-ounce glasses of water per day.

In rare cases, the drug can cause seizures in people who have never had one. If you have ever had a seizure, talk with your doctor before taking Adderall. And if you have a seizure while taking Adderall, seek immediate medical attention.

Adderall withdrawal

They can recommend other treatments that may be safer for you. This drug has a boxed warning for the risk of drug misuse and dependence. For details, see the “Adderall misuse and dependence” section below. If you continue to lose weight or have trouble managing your weight, talk with your doctor. Learn more about some of the side effects that Adderall may cause. To find out how often side effects occurred in clinical trials, see the prescribing information for Adderall.

Clinical Topics

If there is no underlying medical condition, a doctor may seek to reassure an individual that the palpitations are not harmful. Some people may wish to attain these nutrients by taking supplements. However, an individual should consult a doctor before trying any supplements, particularly if they are also taking prescription medication.

However, people who abuse Adderall without a prescription, for fun or as a performance enhancer, are at much greater risk. Treatment options for heart disease may include medications, surgery, or implantation of a device like a pacemaker. The study found that those who used hawthorn berry extract on its own had reduced heart palpitations compared with the participants who did not receive hawthorn at all.

All of this means that doctors and patients should be aware of the risk, but no change in prescribing practices is needed, the researchers said. Testing for heart issues xanax side effects before prescribing ADHD medications is also probably not warranted, they said. “I don’t think this is a reason to stop prescribing these medications,” she said.

How do the side effects with Adderall compare with those seen with Adderall XR?

Because of it’s stimulant properties, it is classified as a Schedule II drug — meaning it has a known risk of misuse, dependence, and addiction. In fact, brisk walks have a host of health benefits, including weight loss, lower blood pressure, and improved cardiovascular health. Hawthorn berry extract is a key component of traditional Chinese medicine and has been used to help with digestive issues and high blood pressure. Hawthorn berry extract may also be able to help reduce heart palpitations. There are a lot of reasons for heart palpitations, and many of them aren’t anything to worry about too much.

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. There are simple things you can do to make taking these medications less of a problem. Anyone who plans to begin a new exercise regimen should discuss their plans with a doctor first.

How quickly this happens depends upon how fast your body processes the medication. For some, the drug’s effects might last 10 hours; for others, only 6. Rather than a gradual return, ADHD symptoms can appear suddenly.

Adderall has been linked to serious side effects, including heart attack and stroke, in people with heart defects. Seek immediate medical care for serious side effects like an allergic reaction. If you’re sensitive or allergic to other stimulant medicines, you should not take Adderall. According to the National Alliance on Mental Illness (NAMI), drinking benzodiazepine withdrawal alcohol while taking Adderall can decrease the benefits of the medication while increasing adverse effects like sedation. 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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