Adderall is commonly prescribed to patients who have difficulty controlling their actions, maintaining focus, or staying awake. It contains the active ingredients dextroamphetamine and levoamphetamine, both of which are psychostimulant amphetamine molecules. Adderall was first introduced into the public in 1996 as an instant-release drug by Shire Pharmaceuticals. In 2006, a new version, Adderall extended release , was made available as well. While the instant-release drug requires 3 hours to reach its maximum plasma concentration after consumption, the extended release version takes 7 hours to do so. Known side effects of Adderall include insomnia, loss of appetite, nausea, and hallucination. Adderall has been found to be addictive and dangerous to the health of some patients. Several withdrawal symptoms include panic attacks, seizure, fatigue, and depression
Adderall abuse can also cause dangerous physiologic effects such as hypertension, seizures, and mydriasis (dilation of the pupil). Increase in blood pressure is thought to be caused by the continued release of norepinephrine. The constant stimulation of nerve receptors is the mechanism behind Adderall addiction. With continued use over time, a tolerance is developed to Adderall, as seen with other addictive drugs as well – the more frequently these drugs, including Adderall, are used, the greater the amount that is needed to supply a response. The reinforcement behavior produced by Adderall can eventually cause long-term dependence.
In a study conducted by Surles et al., it was found that under some circumstances, Adderall can induce psychosis in adolescents comparable to schizophrenia. Though the precise mechanism is not clear, it is possible that this effect is due to an increased amphetamine-induced dopamine release. The symptoms cleared in patients who withdrew from using Adderall.

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