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Adderall generic availability, cost, and dosage

Amphetamine-Dextroamphetamine, the generic version of Adderall, is used to treat attention-deficit hyperactivity disorder (ADHD) in adults and children 3 years and older

Adderall is a brand-name prescription medication that contains a combination of amphetamine and dextroamphetamine. It is approved for the treatment of attention deficit hyperactivity disorder (ADHD) and narcolepsy

As a central nervous system (CNS) stimulant, Adderall works to increase focus, attention, and energy levels in people with ADHD. In addition, Adderall can help manage symptoms of narcolepsy, a sleep disorder that causes excessive daytime sleepiness and sudden sleep attacks. Initially approved by the FDA in 1996 for ADHD, Adderall has since become a widely prescribed medication in the United States. 

Although many people may know Adderall as a brand-name medication, an Adderall generic is available. The generic version of Adderall can be found at pharmacies across the nation, and it’s often cheaper than the brand-name version. Continue reading to learn more about Adderall and its generic. 

Is there a generic for Adderall?

Yes, generic Adderall is available on the market. Like brand-name Adderall, generic Adderall contains a combination of dextroamphetamine and amphetamine salts. The generic version is produced by various manufacturers, including Sandoz, Aurolife, and Zydus Pharmaceuticals. 

As there is currently a drug shortages of Adderall in the United States, which has been ongoing since October of 2022, more healthcare providers may prescribe the generic alternative. The Adderall shortage may be due to increased demand for the drug. 

What are the differences between brand name and generic Adderall?

Generic Adderall is a stimulant medication that is FDA-approved for the same conditions as its brand-name counterpart for children and adults. In general, generic drugs tend to be more available and accessible to patients compared to brand-name versions. The increased availability is mainly due to their lower cost, as generic medications are often less expensive than their brand-name versions. 

Appearance

Different manufacturers produce generic versions of Adderall, which may result in slight differences in their appearance, such as the shape and color of the capsules. Despite these differences, the medications should have the same therapeutic effects. 

Dosage forms

Both brand-name and generic Adderall are available as immediate-release (IR) and extended-release (XR) tablets. They are also prescribed at the same dosages. Brand-name and generic Adderall IR are usually taken two to three times daily, while the XR versions are typically taken once daily. Adderall IR comes as a tablet, while Adderall XR comes as a capsule. 

Clinical studies

Although generic and brand-name drugs have the same active ingredients and approved uses, some studies have found that there may be differences. In one study comparing brand-name and generic antidepressants, researchers found that people taking brand-name antidepressants had a lower risk of a psychiatric hospital visit than those taking the generic versions. 

Adderall (amphetamine-dextroamphetamine)
Uses
  • ADHD 
  • Narcolepsy
Standard dosage Immediate-release (IR):
  • Initial dose: 5 mg once or twice daily.
  • Dosage may be increased in increments of 5 mg at weekly intervals until optimal response is achieved.
  • Maximum dose in children: 30 mg/day.
  • Maximum dose in adults: 40 mg/day.

Extended-release (XR):

  • Initial dose: 20 mg once daily in the morning.
  • Dosage may be adjusted in increments of 5-10 mg at weekly intervals.
  • Maximum dose in children: 30 mg/day.
  • Maximum dose in adults: 40 mg/day.
Common side effects
  • Loss of appetite
  • Weight loss
  • Dry mouth
  • Stomach pain
  • Dizziness
  • Headache
  • Fast heart rate
  • Insomnia
Contraindications
  • Avoid use with monoamine oxidase inhibitors (MAOIs)
  • Heart disease or serious heart problems
  • Moderate to severe high blood pressure
  • Hyperthyroidism
  • Allergy to amphetamine salts
  • Severe agitation
  • Glaucoma
  • History of drug abuse or substance use disorder
Other considerations
  • Adderall has the potential for misuse as a Schedule II controlled substance, according to the DEA
  • Adderall may increase heart rate and blood pressure
  • Adderall may cause mood changes, worsen symptoms of psychiatric disorders, and cause new or worsening mental health problems
  • Adderall may suppress appetite and contribute to weight loss
  • Always consult with a healthcare professional for proper dosage and potential drug interactions

Both the brand Adderall and the less expensive generic versions have the same active ingredients. However, their appearance and costs can vary. Therefore, you may want to talk to your doctor or healthcare provider to determine the best option for you.

How much is generic Adderall?

The cost of generic Adderall depends on various factors, such as dosage, quantity, and insurance coverage. For example, you may be prescribed Adderall IR or Adderall XR in a 30-day or 90-day supply.

Generic Adderall is usually less expensive than its branded counterpart. However, the price can vary based on the pharmacy where you purchase it and whether your insurance covers the cost. Unlike brand-name Adderall, the generic version is usually covered by Medicare and private insurance plans. 

If you’re uninsured or underinsured, you may have to pay the full retail price of the medication. However, various savings options, such as using a SingleCare discount card at local pharmacies, could help you save on the retail cost of brand-name and generic medications. 

Brand vs. generic Adderall prices

Brand-name Adderall Generic Adderall (amphetamine-dextroamphetamine)
Free coupons Adderall coupons Amphetamine-dextroamphetamine coupons

These prices are subject to change, and you may find different prices based on your location and pharmacy. You may want to shop around at a different pharmacy and compare prices to find the best deal, especially if insurance coverage is limited or unavailable for your prescription drugs.

What are the off-label uses for Adderall?

Off-label use means using medication for something other than what it was originally approved for by the Food and Drug Administration (FDA). A healthcare provider may apply their knowledge and experience to prescribe a drug for off-label uses. Adderall has several off-label uses. Although research on the off-label uses of Adderall is ongoing, a healthcare provider may recommend it if the potential benefits outweigh the risks. 

Depression

In some cases, Adderall has been used off-label for the treatment of depression. While not the first-line treatment for depression, Adderall may be considered for patients who haven’t responded well to traditional antidepressants or have severe tiredness and sleepiness as symptoms of depression. A study has shown that Adderall may be effective in improving depressive symptoms in people with treatment-resistant depression, which typically affects more adult women than men. However, for this off-label use, Adderall is usually prescribed in combination with an antidepressant. 

Bipolar Disorder

Although not officially approved for this purpose, some research suggests that Adderall may have potential benefits for certain people with bipolar disorder. One study found that Adderall may be effective in improving symptoms of ADHD in people with bipolar disorder. However, this off-label use should be approached with caution. The use of Adderall in people with bipolar disorder may increase the risk of more intense depressive episodes or promote manic episodes.

Anxiety

Adderall may sometimes be used off-label to treat anxiety disorders. While not approved for this purpose, some studies have shown potential benefits for certain patients living with anxiety. One study found that Adderall may be effective in reducing symptoms of anxiety in children with ADHD and comorbid anxiety disorders. However, it was also found that Adderall could potentially worsen anxiety symptoms in some individuals.

Weight Loss

Adderall may decrease appetite and increase weight loss as a side effect due to its stimulant properties. Therefore, some individuals may turn to Adderall for its off-label use in weight loss. However, using Adderall for weight loss is not approved by the FDA, and doing so may carry certain health risks. Adderall, especially in high doses, may lead to an increased risk of side effects, including increased heart rate, irregular heartbeat, and high blood pressure. Long-term use may lead to tolerance, requiring higher and higher doses to achieve the same effect.

Cognitive Enhancement

Adderall may have cognitive-enhancing effects, particularly for those who have impaired cognitive function. However, the benefits for healthy individuals without ADHD are less clear and could vary. Some research indicates that Adderall may only provide marginal improvements, while others argue that any perceived benefits may be due to a placebo effect. Using Adderall as a cognitive enhancer may lead to dependence or abuse if not used as prescribed.

How to switch from Adderall to amphetamine-dextroamphetamine

In many cases, a healthcare provider will initially prescribe generic Adderall. However, if you’re currently taking the brand-name version and are interested in switching to the generic, you may want to consult your healthcare provider for medical advice. Because the generic and brand-name versions have the same active ingredients and dosage, the process of switching is not complex. 

Transitioning Process

  • Consult with your healthcare provider before making any changes to your medication. They can ensure you’re taking the appropriate dose based on your age, symptoms, and overall needs.
  • Tapering off of Adderall is usually not necessary when switching to amphetamine-dextroamphetamine, as both medications have identical effects on the central nervous system. 
  • The first dose of amphetamine-dextroamphetamine should ideally be taken in the morning, as stimulant drugs can cause sleep problems if taken later in the day. Depending on your prescription, this medication may be taken with or without food.
  • It’s not uncommon to experience withdrawal symptoms if you stop taking Adderall, especially if there’s a shortage of access. Talk to your doctor about possible side effects and how to manage them if you’re switching to a generic after not taking brand-name Adderall for some time.

Practical Tips for Switching

  • Pharmacists can dispense the generic version of Adderall even if your prescription is for the brand-name drug. Replacing the brand name with the generic is allowed as long as the drugs are deemed interchangeable by your state’s regulatory guidelines.
  • Sometimes, your doctor might want you to take brand-name Adderall instead of the generic version. For example, you might not react well to the generic drug, or there could be other health reasons. Always follow your healthcare provider’s instructions and consult them before making any changes to your medication.
  • Keep track of your ADHD symptoms and any serious side effects when you switch medications. This will help your doctor understand how well the new medication works and make adjustments as necessary.

Switching from brand-name Adderall to generic amphetamine-dextroamphetamine can be a seamless process with guidance from your healthcare provider. However, you may want to monitor your medical condition and talk to your healthcare provider if you have any concerns.