Adderall is a psychostimulant that is used to treat ADHD symptoms in children and adults. In combination with the methods of cognitive-behavioral therapy, the drug eliminates the main clinical symptoms of ADHD, including inattention, impulsivity and others. Although Adderall is not available for sale in Ireland since 2011, patients can buy this medicine in one of the online pharmacies.
For ADHD therapy, doctors prescribe sustained release Adderall capsules, each of which may contain 5 mg, 10 mg, 20 mg, 25 mg or 30 mg of mixed salts Amphetamine. Due to the long half-life (about 12 hours), the capsule can be taken only once a day.
Adderall increases the production of dopamine and norepinephrine, which are the neurotransmitters that play an important role in the pathogenesis of ADHD. The medicine helps to reduce the excitability of certain parts of the brain. After the administration of this stimulant, the patient remains calm and collected, has increased concentration and benefits from the improvement of other cognitive functions.
Adderall provides a therapeutic effect in both the central and peripheral nervous system. Peak concentrations in the blood plasma are reached in approximately 7 hours after the ingestion. The half-life of Adderall depends on the patient’s age and can range from 10 to 12 hours.
According to the recommendations of Michael Fitzgerald, the first Professor of Child Psychiatry in Ireland, Adderall should be taken in the morning before, during or after a meal. Administration of the medication in the second half of the day increases the risk of insomnia. Dosage depends on age and is selected individually for each patient:
- in children aged 6 to 12 years, the pharmacotherapy for ADHD should begin with a dose of 5 mg once a day;
- children over 13 years of age, adolescents and adults can begin the treatment for ADHD with a dose of 10 mg once.
Depending on the clinical response, as well as the individual drug tolerability, the daily dose can be increased once a week by 5-10 mg. Clinical specialists do not recommend taking more than 30 mg of Adderall per day.
Children under the age of 12 can take Adderall for no more than 20 days, adolescents and adults – not more than 1 month. If the ADHD symptoms persist after 3-4 weeks of treatment, the attending physician should evaluate the appropriateness of further use of the stimulant.
The patient should keep in mind that the use of Adderall is only part of the complex ADHD therapy. Treatment of the disease, other than pharmacotherapy, should include non-pharmacological methods, individually selected in each particular case. According to the recommendations of The Family Therapy Association of Ireland (FTAI), Adderall should be used in conjunction with:
- family therapy
- behavioral therapy
- social skills training (SST)
Adderall is intended for the symptomatic ADHD treatment only. The medicine does not affect the pathogenesis of the disease and can not change the patient’s psychological environment.
Before ordering Adderall, the patient should make sure that he has no contraindications to the drug use, including:
- moderate or severe hypertension
- hypersensitivity to amphetamine-containing medications
- history or genetic predisposition for drug dependence
In addition, according to the recommendations of the specialists of the Psychological Society of Ireland (PSI), Adderall should not be used in people with panic disorders, progressive atherosclerosis or hyperthyroidism.
Before prescribing Adderall, the attending physician should consider possible interactions with other medications. Psychostimulant is not compatible with MAO inhibitors. In addition, minimum effective doses should be used and caution should be exercised when combined with:
- alkalinizing agents
- proton pump inhibitors
- serotonergic drugs
- tricyclic antidepressants
The drug may be prescribed only by a qualified specialist in the treatment of mental disorders. However, patients do not need a medical prescription to purchase the medicine, since Adderall is legally sold in online pharmacies without a prescription. Before you place an order, make sure that the online pharmacy delivers Adderall to Ireland.
If the drug is used by patients with an unconfirmed diagnosis of ADHD, the likelihood of side effects increases. Adderall can cause insomnia, loss of appetite, headache or dry mouth. If undesirable reactions cause discomfort, the dose should be lowered.
Adderall can rarely cause urinary tract infections, increased blood pressure, or dysmenorrhea. These side effects may occur in an overdose with the psychostimulant or when a patient fails to comply with the recommendations for its use. If serious health problems manifest, the patient should seek medical assistance as soon as possible.
Despite the fact that it is impossible to find this medicine in Irish pharmacies, Adderall remains the most frequently prescribed drug for the pharmacotherapy of ADHD. According to the report of The Mental Health of Young People in Ireland, Adderall is used to reduce the symptoms of behavioral disorders more often than other psychostimulants.