Abstract
Adderall, as a drug combination, is medically-approved for treating attention-deficit/hyperactivity disorder (ADHD) and narcolepsy. The active ingredients of Adderall are central nervous system stimulants, affecting neurotransmitters and promoting the synthesis of specific neuropeptides. Pharmacological effects include increased physical energy, improved mental aptitude, hyperexcitability, and mood elevation. In ADHD, Adderall increases arousal, wakefulness, and motivation to execute a task, promoting goaldirected behavior. Regarding physical performance, amphetamine (Adderall) improves endurance and reaction time. Thus, Adderall is banned for use among professional and Olympic athletes. As well as benefits, Adderall has numerous mild to severe adverse effects (including death) and can result in physical and psychological dependence. The sudden cessation of the drug may cause paranoid delusion, psychosis, hallucinations, mood swings, suicidal ideation, panic attack, and tremor. Also, long-term use can result in tolerance to the drug. Adderall has high abuse potential as a recreational agent. It is misused as an academic-enhancer—known as “smart pills”—by students. Although medically-approved for managing symptoms of ADHD and in treating narcolepsy, Adderall has a high abuse and addiction potential and should be taken only if medically prescribed. Realistically, however, Adderall’s off-label and unprescribed use will likely continue; if so, it should be taken with extreme caution and vigilance..
Keywords: Amphetamine; Attention; Cocaine; Dopamine; Ecstasy; Hyperactive; Neurotransmitter; Smart Pills
References
- Heal DJ., et al. “Amphetamine, past and present - A pharmacological and clinical perspective”. Journal of Psychopharmacology6 (2013): 479-496.
- Joyce BM., et al. “Adderall® produces increased striatal dopamine release and a prolonged time course compared to amphetamine isomers”. Psychopharmacology 3 (2007): 669-677. https://pubmed.ncbi.nlm.nih.gov/17031708/
- Administration USF Drugs. “Adderall XR Prescribing Information”. Interactions (1998).
- Mayer FP., et al. “An unsuspected role for organic cation transporter 3 in the actions of amphetamine”. Neuropsychopharmacology (2018). https://www.nature.com/articles/s41386-018-0053-5
- Miller GM. “The emerging role of trace amine-associated receptor 1 in the functional regulation of monoamine transporters and dopaminergic activity”. Journal of Neurochemistry2 (2011): 164-176. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3005101/
- National Drug Code Directory. National Drug Code Amphetamine Search Results.
- Spencer RC., et al. “The cognition-enhancing effects of psychostimulants involve direct action in the prefrontal cortex”. Biological Psychiatry (2015): 940-950. https://pubmed.ncbi.nlm.nih.gov/25499957/
- Wood S., et al. “Psychostimulants and cognition: A continuum of behavioral and cognitive activation”. Pharmacological Reviews1 (2014): 193-221. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3880463/
- Malenka RC and Nestler EJ HSE. “Neural and Neuroendocrine Control of the Internal Milieu”. In: Sydor A BRY, ed. Molecular Neuropharmacology: A Foundation for Clinical Neuroscience”. 2nd edition. McGraw-Hill Medical (2009): 266. https://neurology.mhmedical.com/content.aspx?bookid=1204§ionid=72649862
- Teter CJ., et al. “Illicit use of specific prescription stimulants among college students: Prevalence, motives, and routes of administration”. Pharmacotherapy10 (2006): 1501-1510. https://pubmed.ncbi.nlm.nih.gov/16999660/
- Weyandt LL., et al. “Pharmacological interventions for adolescents and adults with ADHD: Stimulant and nonstimulant medications and misuse of prescription stimulants”. Psychology Research and Behavior Management (2014): 223-249. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4164338/
- Malenka RC and Nestler EJ HSE. “Higher Cognitive Function and Behavioral Control”. In: Sydor A B, ed. Molecular Neuropharmacology: A Foundation for Clinical Neuroscience”. 2nd edition. McGraw-Hill Medical (2009): 318. https://neurology.mhmedical.com/content.aspx?bookid=1204§ionid=72650248
- Bagot KS and Kaminer Y. “Efficacy of stimulants for cognitive enhancement in non-attention deficit hyperactivity disorder youth: A systematic review”. Addiction 4 (2014): 547-557. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4471173/
- Parr JW. “Attention-deficit hyperactivity disorder and the athlete: New advances and understanding”. Clinics in Sports Medicine3 (2011): 591-610. https://pubmed.ncbi.nlm.nih.gov/21658550/
- Roelands B., et al. “Neurophysiological determinants of theoretical concepts and mechanisms involved in pacing”. Sports Medicine5 (2013): 301-311. https://pubmed.ncbi.nlm.nih.gov/23456493/
- Meeusen R and Roelands B. “Central fatigue and neurotransmitters, can thermoregulation be manipulate”. Scandinavian Journal of Medical Science in Sports3 (2010): 19-28. https://pubmed.ncbi.nlm.nih.gov/21029187/
- Docherty JR. “Pharmacology of stimulants prohibited by the World Anti-Doping Agency (WADA)”. British Journal of Pharmacology3 (2008): 606-622. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2439527/
- Avois L., et al. “Central nervous system stimulants and sport practice”. British Journal of Sports Medicine 1.1 (2006): i16-20. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2657493/
- Weston Maureen A. “The Regulation of Doping in U.S. And International Sports (2017). Michael McCann, ed., Handbook on Sports Law, Oxford University Press (2017), Pepperdine University Legal Studies Research (2017). https://papers.ssrn.com/sol3/papers.cfm?abstract_id=2951899
- Berman SM., et al. “Potential adverse effects of amphetamine treatment on brain and behavior: a review”. Molecular Psychiatry 2 (2009): 123-142. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2670101/
- Mladěnka P., et al. “TOX-OER and CARDIOTOX Hradec Králové Researchers and Collaborators. Comprehensive review of cardiovascular toxicity of drugs and related agents”. Medicinal Research Reviews 4 (2018): 1332-1403. https://onlinelibrary.wiley.com/doi/full/10.1002/med.21476
- Sinha A., et al. “Amphetamine Abuse Related Acute Myocardial Infarction”. Case Reports in Cardiology (2016): 7967851. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4779519/
- Berman SM., et al. “Potential adverse effects of amphetamine treatment on brain and behavior: a review”. Molecular Psychiatry 2 (2009): 123-142. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2670101/
- Ackerman M., et al. “Sudden Cardiac Death in the Young”. Circulation10 (2016): 1006-1026. https://www.ahajournals.org/doi/10.1161/CIRCULATIONAHA.115.020254
- Farzam K., et al. “Sudden Death in Athletes”. In: Stat Pearls Treasure Island (FL): Stat Pearls Publishing (2020).
- Long Term Effects of Adderall on Brain, Personality, and Body. American Addiction Centers”. American Addiction Centers (2020). https://americanaddictioncenters.org/adderall/long-term-effects
- Yanofski J. “The Dopamine Dilemma-Part II: Could Stimulants Cause Tolerance, Dependence, and Paradoxical Decompensation?” Innovations in Clinical Neuroscience 1 (2011): 47-53. https://pubmed.ncbi.nlm.nih.gov/21311708/
- Lakhan SE and Kirchgessner A. “Prescription stimulants in individuals with and without attention deficit hyperactivity disorder: misuse, cognitive impact, and adverse effects”. Brain and Behavior 5 (2012): 661-677. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3489818/
- Smith ME and Farah MJ. “Are prescription stimulants "smart pills"? The epidemiology and cognitive neuroscience of prescription stimulant use by normal healthy individuals”. Psychological Bulletin 5 (2011): 717-741. https://pubmed.ncbi.nlm.nih.gov/21859174/
- Puerta E and Aguirre N. “Methylenedioxymethamphetamine (MDMA, 'Ecstasy'): Neurodegeneration versus Neuromodulation”. Pharmaceuticals 4 (2011): 992-1018. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4058674/
- Moon KH., et al. “Mechanism of 3,4-methylenedioxymethamphetamine (MDMA, ecstasy)-mediated mitochondrial dysfunction in rat liver”. Proteomics18 (2008): 3906-3918. https://pubmed.ncbi.nlm.nih.gov/18780394/
- Docherty JR. “Pharmacology of stimulants prohibited by the World Anti-Doping Agency (WADA)”. British Journal of Pharmacology 3 (2008): 606-622. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2439527/
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