Pill with imprint ADDERALL XR 15 mg is Blue & White, Capsule-shape and has been identified as Adderall XR 15 mg. It is supplied by Shire US Inc..
Adderall XR 15 mg is used in the treatment of adhd and belongs to the drug class CNS stimulants. Risk cannot be ruled out during pregnancy. Adderall XR 15 mg is classified as a Schedule 2 controlled substance under the Controlled Substance Act (CSA).
Adderall XR is only FDA-approved to treat ADHD (notably, the immediate-release version of the medication is also approved to treat narcolepsy). It may be prescribed for use in children age 6 to 12, adolescents age 13 to 17, and adults.

Off-Label Uses
While Adderall XR is only approved to treat ADHD, some research indicates it may be useful in treating children who have ADHD and oppositional defiant disorder (ODD).2 Stimulants, in general, may be used as an adjunct for treatment-resistant depression, though the research is not clear on their efficacy.3

Due to some of its side effects, like improved focus and weight loss, Adderall and Adderall XR have gained reputations as recreational drugs. It's important to note that these medications should not be taken without a doctor's supervision, as they can be habit-forming, and they carry their own set of risks and contraindications.4

Before Taking
A prescription for Adderall XR will likely involve being evaluated for ADHD. If your child is 16 years old or younger and is being examined for the condition, their doctor will look for symptoms of inattention like:5

Failing to listen when spoken to
Making careless mistakes or failing to pay attention to their schoolwork or other tasks
Frequently losing things they need
Struggling to keep their attention on tasks they're working on
Being distracted easily
Struggling to follow through on instructions
Failing to finish schoolwork or chores
Frequently forgetting things
Avoiding or feeling reluctant to do tasks that require sustained mental effort

Your child's doctor will check for symptoms of hyperactivity and impulsivity, which can include:

Failing to remain seated
Talking excessively
Fidgeting, squirming, or tapping hands or feet
Struggling to wait
Blurting out answers
Interrupting others
Running or climbing at inappropriate times
Struggling to remain quiet while playing
Acting as if they're always "on the go"
Before making a diagnosis of ADHD, a doctor will also need to determine if your child:

Shows six or more symptoms of inattention and hyperactivity-impulsivity
First experienced those symptoms before age 7
Has had these symptoms for at least six months
Notices their symptoms in two or more settings (like in school and at home)
Is having trouble functioning in social situations or at school
Has another mental condition that could explain their condition
These diagnostic criteria differ for adolescents age 17 and older and in adults. In those cases, five of these symptoms are enough to make a diagnosis, and some symptoms may look very different in an adult compared to a child. Hyperactivity in an adult, for example, may involve reckless driving and fidgeting during meetings, and adults with ADHD may find themselves drawn to active jobs that don't require long periods of sitting or being still.

There isn’t a single diagnostic test for ADHD. A diagnosis requires the use of medical, psychological, educational, and social resources, and it's made based on your doctor's evaluation and on your or your child's history.

Adderall XR isn't intended to act as the sole treatment for someone with ADHD. This medication is often coupled with psychological, social, and/or educational interventions intended to help someone learn how to cope with their ADHD symptoms. In fact, your doctor may recommend trying to implement those interventions first before prescribing Adderall XR.

Patients who are taking divided doses of immediate-release Adderall (such as twice daily) may be switched to Adderall XR 15 mg at the same total daily dose taken once daily. Adderall XR is titrated at weekly intervals to ensure that it’s well-tolerated. Your doctor should regularly reevaluate your prescription to ensure its long-term usefulness for reducing your symptoms.

Talk to your doctor about all medications, supplements, and vitamins that you currently take. While some drugs pose minor interaction risks, others may outright contraindicate use or prompt careful consideration as to whether the pros of treatment outweigh the cons in your case.

Diagnosing ADHD requires a variety of resources and a comprehensive patient history and evaluation, and Adderall XR should be used as part of a total treatment plan. Other treatment measures may include psychological, educational, and social support.

Precautions and Contraindications
Non-drug interventions are often helpful for people with ADHD, and medication should only be used when those interventions fail to resolve symptoms. Your doctor's willingness to consider stimulant medication may depend on how chronic and severe your symptoms are. Amphetamines carry a risk of overdosage, so the smallest amount possible should always be prescribed.

Adderall XR should not be taken by people with:1

Advanced arteriosclerosis
Glaucoma
History of agitated states
History of drug abuse
Hypersensitivity to stimulants (which can show up as serious skin rashes, anaphylaxis, or angioedema, which is rapid swelling under the skin)
Hyperthyroidism
Moderate to severe hypertension
Symptomatic cardiovascular disease
Adderall XR should also be avoided if you’ve taken monoamine oxidase inhibitors (MAOIs) within the last 14 days.

Stimulant medications can increase blood pressure and average heart rate. While some people may experience larger increases, on average, this amounts to a 2 to 4 mmHg increase in blood pressure and an increased heart rate of approximately three to six beats per minute. Alone, these increases aren't likely to lead to serious consequences, but people taking stimulants should be monitored for larger changes in blood pressure and heart rate.

Extra caution may be warranted for people with certain underlying cardiovascular conditions, like:

Heart failure
Pre-existing hypertension
Recent heart attack
Ventricular arrhythmia
Before starting Adderall XR, your doctor should complete an assessment to check for any family history of sudden death or ventricular arrhythmia and conduct a thorough physical exam to check for cardiac disease.

Anyone currently taking a stimulant should undergo an immediate cardiac evaluation if they experience symptoms like:

Chest pain as a result of exertion
Unexplained fainting (known as syncope)
Other symptoms that could suggest cardiac problems
Stimulants may also carry risks for people with pre-existing mental health conditions. These can include:

A history of psychosis or a psychotic disorder, as stimulants may exacerbate symptoms
Bipolar disorder, as these medications could induce a manic or "mixed" episode, which includes depressive and manic symptoms simultaneously
Before beginning any stimulant, it's important that you or your child are screened thoroughly for the presence of any existing psychiatric condition, particularly psychosis and bipolar disorder.

Stimulants also carry a low risk (about 0.1%) of causing psychotic or manic symptoms in children or adolescents without a prior history of those conditions. Symptoms may include:

Hallucinations
Delusions
Manic episodes
If symptoms occur, discontinuation of treatment may be appropriate.

Aggressive behavior is a common symptom seen in children with ADHD. Although there is no evidence that stimulants cause aggressive behavior or hostility, patients who are starting treatment for ADHD should be monitored for increased aggression or hostility.

Understanding Anger in Children With ADHD
Adderall XR carries other risks that you should be aware of. For instance:

Stimulant use may impact growth in children. If your child is taking Adderall XR and isn't growing or gaining weight, you may need to check with their doctor on interrupting their treatment.
These medications can be problematic for people with seizures. Stimulants may increase the likelihood of a seizure for people with a prior history of them, with established electroencephalogram (EEG) abnormalities, or, very rarely, for people without a history of this condition. If seizures are present, Adderall XR 15 mg shouldn't be taken.
Stimulant treatment can disrupt vision. Blurred vision may occur with this type of medication.
Stimulants may cause blood circulation problems. These medications are associated with disrupted circulation to the extremities (called peripheral vasculopathy) and with Raynaud's phenomenon, which involves decreased blood flow to certain areas of the body, like the fingers or toes.
Tics may worsen with stimulant usage. If you or your child has Tourette's syndrome, Adderall XR could worsen motor and vocal tics.
Adderall XR could impair your ability to operate machinery or vehicles. You should use caution while operating vehicles and hazardous machinery, especially if you're just beginning to take this medication.
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