Adderall and cardiovascular risk: A therapeutic dilemma PMC

It is likely that in coming years increasing number of unhealthy adult ADHD population is going to be exposed to CNS stimulant treatment. Definite conclusions regarding the overall cardiovascular safety of these agents cannot currently be made for patients at varying risk for cardiovascular disease or in relation to chronic treatment exposure. At present, there is less data available to guide and inform clinical practice in many patients with adult ADHD and concomitant cardiovascular disease and/or risk factors.

  1. Your doctor can help determine whether Adderall is safe for you.
  2. Adderall is a stimulant, so when it wears off, it can leave you feeling sluggish and disconnected.
  3. Learning new ways to handle stress will lower your blood pressure, alleviate chest pain, and make dealing with anxiety easier.
  4. Oversight from a medical professional makes these drugs safe and effective to treat ADHD.

Specifically, it may cause growth delays in children who take the drug long term. You can read more about it in the “Side effects in stephanie thurrott children” section above. If you notice new or worsening personality changes while taking Adderall, talk with your doctor right away.

But many of these side effects may be reversible once you stop taking Adderall. 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. Weight loss in adults can be a temporary side effect of Adderall, and appetite should increase as your body adjusts to the medication. Side effects like loss of appetite and weight loss can also occur while taking Adderall. Taking Adderall alongside alcohol may increase your chances of having heart problems like cardiomyopathy, according to a 2021 review.

Important points in the past medical history

This drug works by boosting the effects of the neurotransmitters dopamine and norepinephrine in your brain. By enhancing these effects, this drug increases alertness and concentration. To get better sleep, limit caffeine and screen time (phone, TV, or video games) close to bedtime.

Adderall And Your Heart

However, if the patient has suspected cardiac disease including suspected arrhythmia and/or syncope, an ECG should be obtained. The ECG should be read by a paediatric cardiologist, a cardiologist with experience in paediatric ECGs or any physician with experience in reading paediatric ECGs. If the initial assessment described above reveals any features raising concerns of cardiovascular disease in the child or family members, a referral for assessment with the cardiologist should be made before prescribing a stimulant. Although the cardiovascular impact of stimulant use is minimal in healthy populations, with minor elevations in HR and BP, concern remains regarding use in patients with preexisting cardiovascular conditions. The adrenergic activation caused by stimulants and stimulant-like drugs may have a larger impact on autonomic regulation in patients with compromised cardiovascular function. Even modest elevations in HR and BP may exacerbate preexisting cardiovascular conditions, particularly arrhythmias.

Treating ADHD

Our experts continually monitor the health and wellness space, and we update our articles when new information becomes available. Other options include a stress test, chest X-ray, and ambulatory cardiac monitor test. In some cases, your doctor may also want to run more invasive tests, like an electrophysiology study or cardiac catheterization. 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. An older two-year-long cohort study separated 952 study participants with heart failure into several groups. One would receive hawthorn extract as an add-on therapy, one group would use only hawthorn extract, and the last group would receive therapy without hawthorn.

The overall incidence of adverse effects is low and comparable with other stimulants (4). The most commonly reported adverse cardiovascular effects are elevated blood pressure and heart rate, seen in both short-and long-term treatment trials. This rise is generally thought to be statistically but not clinically significant (7). It has been suggested that there is the potential risk that chronically and consistently elevated blood pressure and heart rate could contribute to later cardiovascular morbidity. Thus, it may be prudent to undertake ongoing blood pressure and heart rate monitoring for children who are on stimulants (8,9). If you are using Adderall recreationally, it’s vital to seek a detox center and stop using it.

Some students take the drug in the hope it will improve their performance in school. But according to the National Institute on Drug Abuse for Teens, studies show that this drug doesn’t work for students who do not have ADHD. The chance https://soberhome.net/ of having an Adderall crash is greater for these people who do not use the drug under doctor’s supervision. In the past few years, there have been 25 confirmed cases of sudden death in children who were taking stimulant drugs for ADHD.

He admitted occasional use of alcohol and marijuana (once a month) but denied the use of energy drinks or other illicit drugs. He had no known drug allergies and took no other medications other than mixed amphetamine salts. On physical examination, his heart rate was 92 beats per minute, respirations were 20, and blood pressure was 90/53 mm of Hg. His cardiac exam was significant for irregularly irregular heart sounds of varying intensity.

Alcohol may also increase your risk of side effects with Adderall. Taking Adderall with certain other drugs can cause serotonin syndrome, which can be life threatening. Be sure to tell your doctor about all your medications before taking Adderall. For details about Adderall’s interactions, see this article.

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