Adderall for ADHD
Mixed amphetamine salts — the most widely prescribed ADHD medication
Overview
Adderall (mixed amphetamine salts) has been prescribed for ADHD for decades and remains one of the most effective stimulant medications available. It is available in immediate-release (Adderall IR, 4–6 hour duration) and extended-release (Adderall XR, 8–12 hour duration) formulations, providing flexibility in dosing schedules.
How It Works
Adderall works by increasing the release and blocking the reuptake of dopamine and norepinephrine in the prefrontal cortex — the brain region responsible for attention, working memory, and impulse control. The result is improved focus, reduced distractibility, and better behavioral regulation.
Available Formulations
- Adderall IR 5mg, 7.5mg, 10mg, 12.5mg, 15mg, 20mg, 30mg (tablets)
- Adderall XR 5mg, 10mg, 15mg, 20mg, 25mg, 30mg (capsules)
- Generic amphetamine salts — clinically equivalent at significant cost savings
Side Effects & Monitoring
- ⚠ Decreased appetite / weight loss
- ⚠ Insomnia (particularly with late doses)
- ⚠ Elevated heart rate and blood pressure
- ⚠ Headache (usually resolves with dose adjustment)
- ⚠ Dry mouth
- ⚠ Irritability during "rebound" as medication wears off
- ⚠ Mood changes (anxiety, emotional blunting) — indicates dose is too high
Monitoring: Blood pressure and heart rate monitoring at each visit. Weight monitoring is important, particularly early in treatment. Careful attention to sleep quality and appetite, as untreated insomnia and weight loss can affect daily functioning.
Prescription Management With Direct Access
ADHD medication often requires adjustment in the first months of treatment — dose titration, formulation changes, timing adjustments. With Dr. Agresti's concierge model, you can text him directly when something isn't working. No 6-week wait for the next appointment to report that your medication stops working by 2 PM.
Schedule an ADHD Evaluation