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Are you misusing your ADHD meds?

By Michael Roizen, M.D. on

Around 16 to 20 million U.S. adults are taking prescription stimulants for ADHD -- and about 4 million of them are either misusing their Rx or have what's called prescription stimulant use disorder (PSUD), according to a new study in JAMA Psychiatry.

About three-quarters of the folks who are struggling with serious abuse of ADHD medication are focused on one medication and 90% of those with PSUD take prescribed amphetamines (Adderall) as opposed to methylphenidate (Ritalin), which is an alternative that is used for both ADHD and narcolepsy.

While stimulant overuse -- and overdose -- can cause tremors, seizures, restless or aggressive behavior, overactive reflexes, fast breathing, fast or irregular pulse rate, confusion, stomach cramps, or more serious symptoms such as heart attack or stroke, any deviation from the prescribed dosage and timing of the medication can lead to behavior problems, trouble sleeping and elevated blood pressure. But despite the unpleasant side effects, because the drugs cause a surge of dopamine, the brain becomes programmed to want the drug again. And for some folks -- around 12% -- misuse of prescribed meds is combined with regular use of cannabis -- making it more difficult to treat ADHD.

If you are diagnosed with adult ADHD, the medications can help you focus, concentrate and interact with others more effectively. But at any time, if you're inclined to take "an extra" dose, reach out to your doctor to discuss switching medications and finding support to manage misuse and addiction. For more tips on brain health, check out the free newsletter at LongevityPlaybook.com.

 

Health pioneer Michael Roizen, M.D., is chief wellness officer emeritus at the Cleveland Clinic and author of four No. 1 New York Times bestsellers. Check out his latest, "The Great Age Reboot: Cracking the Longevity Code for a Younger Tomorrow," and find out more at www.longevityplaybook.com. Email your health and wellness questions to Dr. Mike at questions@longevityplaybook.com.

(c)2025 Michael Roizen, M.D.

Distributed by King Features Syndicate, Inc.


(c) 2025 Michael Roizen, M.D. Distributed by King Features Syndicate, Inc.

 

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