Adderall help with depression

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  • SAMHSA’s National Helpline is a free, confidential, 24/7, 365-day-a-year treatment referral and information service (in English and Spanish) for individuals and families facing mental and/or substance use disorders.

    Also visit the online treatment locator.

SAMHSA’s National Helpline, 1-800-662-HELP (4357) (also known as the Treatment Referral Routing Service), or TTY: 1-800-487-4889 is a confidential, free, 24-hour-a-day, 365-day-a-year, information service, in English and Spanish, for individuals and family members facing mental and/or substance use disorders. This service provides referrals to local treatment facilities, support groups, and community-based organizations.

Also visit the online treatment locator, or send your zip code via text message: 435748 (HELP4U) to find help near you. Read more about the HELP4U text messaging service.

The service is open 24/7, 365 days a year.

English and Spanish are available if you select the option to speak with a national representative. Currently, the 435748 (HELP4U) text messaging service is only available in English.

In 2020, the Helpline received 833,598 calls. This is a 27 percent increase from 2019, when the Helpline received a total of 656,953 calls for the year.

The referral service is free of charge. If you have no insurance or are underinsured, we will refer you to your state office, which is responsible for state-funded treatment programs. In addition, we can often refer you to facilities that charge on a sliding fee scale or accept Medicare or Medicaid. If you have health insurance, you are encouraged to contact your insurer for a list of participating health care providers and facilities.

The service is confidential. We will not ask you for any personal information. We may ask for your zip code or other pertinent geographic information in order to track calls being routed to other offices or to accurately identify the local resources appropriate to your needs.

No, we do not provide counseling. Trained information specialists answer calls, transfer callers to state services or other appropriate intake centers in their states, and connect them with local assistance and support.

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Last Updated: 08/30/2022

Can Adderall Be Used for Depression? I Psych Central

Adderall is a common treatment for ADHD and narcolepsy, but it has not been approved to treat depression or other mood disorders.

Depression affects millions of people globally. While many may seek treatment in the form of therapy or antidepressant medications, others continue to look for new ways to relieve and manage symptoms.

One treatment option that some people might consider is the stimulant drug Adderall.

Adderall is generally used to treat conditions such as attention deficit hyperactivity disorder (ADHD) or narcolepsy, but it has also been linked to depression — both as a potential treatment and a possible cause.

Adderall can create a euphoric or energetic feeling, which can mask the symptoms of depression. These effects are often short-lived, though, and likely won’t produce any long-term benefits.

In fact, experts caution against its use for depression, as Adderall may actually contribute to or worsen depressive symptoms over time.

Despite not being approved by the Food and Drug Administration (FDA) to treat mood disorders, Adderall is sometimes used as an “off-label” treatment for depression, specifically for those who also live with ADHD.

However, research is mixed on whether stimulants, like Adderall, are actually effective at treating depression and other mood disorders.

A 2015 research review suggests that stimulants might improve symptoms of depression in the short term by boosting energy, mood, and concentration.

A study from 2016, however, states there’s not enough evidence to support using stimulants instead of antidepressants or therapy to treat depression.

Stimulants can create a euphoric “rush,” which is usually short-lived and only provides temporary relief without actually treating symptoms.

Evidence is also lacking on what types of depression might benefit from stimulant use.

While a 2017 review found that stimulants may be useful in treating major depressive disorder (MDD), a 2016 study found that they had no effect on generalized depression.

Adderall is a prescription medication that contains both amphetamine and dextroamphetamine. It’s most often prescribed to treat ADHD and narcolepsy.

Research shows that stimulants, like Adderall, can help improve focus and attention as well as help reduce impulsive or erratic behaviors in some people. It also promotes increased wakefulness during the day.

Adderall works by increasing activity in your body’s central nervous system and boosting production of dopamine and norepinephrine. These naturally occurring brain chemicals help improve focus, expand attention span, and ease restlessness.

Adderall is taken orally and is available in two forms: a tablet and an extended-release capsule.

Adderall is most commonly prescribed to treat ADHD and narcolepsy, a sleep disorder.

According to a 2016 review, 75 to 80% of children with ADHD benefit from using stimulants, such as Adderall. It may be equally effective for adults with ADHD, especially when used as part of an overall treatment plan that may include one or more forms of therapy.

In treating narcolepsy, research suggests that Adderall is most effective in its extended-release form. This is because it lasts longer in your system, prolonging alertness and wakefulness.

A word from the FDA

Adderall has been FDA approved to treat both ADHD and narcolepsy. It has not been approved as a treatment for depression or anxiety.

In fact, the FDA warns that Adderall may cause adverse effects for people with both ADHD and certain mental health conditions, such as bipolar disorder, depression, psychosis, or mania.

It’s a good idea to discuss your full physical and mental health history with a healthcare professional before considering Adderall as a treatment option.

Adderall can cause a variety of unwanted side effects. While the medication itself doesn’t cause depression, the side effects can make your depression symptoms worse.

Some common short-term side effects of Adderall include:

  • nausea or stomach pain
  • diarrhea
  • constipation
  • dry mouth
  • shortness of breath
  • trouble sleeping
  • decreased appetite or weight loss
  • skin rash
  • swelling or itching skin
  • rapid heart rate
  • dizziness

These side effects can look different from person to person. Short-term side effects tend to go away on their own after a week or two.

In rare cases, Adderall can cause serious side effects, such as:

  • hallucinations
  • delusions
  • symptoms of psychosis

Other serious side effects can include heart problems and changes in mood. After some time, these symptoms can go away, but if they persist, talk with a healthcare professional.

Using Adderall for long periods of time or misusing it can lead to dependence or addiction. Over time, your body may build up a tolerance and need higher or more frequent doses to get the same effects. The more time you’re on the medication, the more your body can become dependent on it.

If dependence develops, it’s likely that you’ll experience withdrawal symptoms once you stop taking the drug. Withdrawal symptoms can include:

  • fatigue
  • anxiety
  • paranoia
  • irritability
  • trouble sleeping
  • increased appetite

You can also temporarily experience symptoms of withdrawal when you suddenly stop taking Adderall. If you want to stop taking it, consider talking with a healthcare or mental health professional first.

Adderall is a safe and effective treatment for conditions such as ADHD and narcolepsy. It’s also sometimes used as an off-label treatment for depression and anxiety.

However, Adderall has not been approved by the FDA to treat depression. Little evidence exists to suggest it can help reduce or eliminate depression symptoms.

If you are living with depression, consider speaking with a healthcare or mental health professional about treatment options. They can provide you with a diagnosis and work with you on a treatment plan, if needed.

A treatment plan can include participating in different types of therapy or taking antidepressant medications — which, unlike Adderall, are FDA approved (and often effective!) for use in depression treatment.

Active Stimulation Drug makers got Americans hooked on amphetamines. And they made billions on this: Markets: Economics:

The United States is facing an epidemic of attention deficit hyperactivity disorder (ADHD) - the number of patients is growing by leaps and bounds. However, not all experts and doctors are confident in the naturalness of this growth - many believe that these are the machinations of pharmaceutical giants who are lobbying for their drugs against ADHD. Parents are convinced of the illness of their children and the urgent need to take stimulants, without which their life is doomed. Some doctors are ready to make a difficult diagnosis based on poor grades at school. At the same time, there is also a significant increase in ADHD patients among adults. An epidemic of attention deficit or an attempt to patch up deficits in the budgets of pharmaceutical giants - in the material "". nine0003

Attention deficit hyperactivity disorder (ADHD) is a neurological-behavioral developmental disorder. Distinctive signs of ADHD: inattention (a person is not able to pay attention to details, cannot follow instructions for a long time, has difficulty completing a task on his own, often loses things), hyperactivity (an excited state, inability to sit still for a long time, uncontrolled movements are often observed, talkativeness) , aggressive behavior and impulsivity. The disorder causes difficulties in learning and social interaction. nine0003

Millions of people are being diagnosed with Attention Deficit Hyperactivity Disorder (ADHD). Without treatment, living with this disorder means many problems, including financial ones. In 2017, a study was published in the scientific journal PLOS One showing a strong link between ADHD and high-interest loans, in particular from pawnshops, late payments, being late, and constantly changing jobs. This is because people with ADHD, due to their cognitive impairment, respond quickly to short-term stimuli. They are characterized by impulsive behavior that makes them make hasty decisions, this is not a personal choice, but problems caused by the peculiarities of the brain. nine0003

Photo: Shutterstock

According to the University of Iowa, released in 2018, the number of people with ADHD is growing rapidly. In 2016, 10.2 percent of children aged 4 to 17 received this diagnosis in the United States, compared to 6.1 percent in 1997-1998. In the 1970s, ADHD was considered a childhood disease that would go away with time. Later it turned out that the symptoms persist into adulthood, moreover, ADHD can manifest itself quite late. According to a study by King's College London, about 70 percent of those who were diagnosed after the age of 18 did not have the corresponding symptoms in childhood. “ADHD occurs in about 4 percent of adults, but only a few of them receive medical attention,” says study author Jessica Agnew-Blais. Many people diagnosed with ADHD in adulthood admit to living in crisis for decades, changing one job after another until they were diagnosed, someone managed to get the necessary treatment only after a suicide attempt. nine0003

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The spread of ADHD has reached such proportions that it is already a serious burden on the economy. The ADHD Research Center of Canada (CADDAC) estimates that the country loses between $6 billion and $11 billion annually due to lost productivity in the workplace associated with attention deficit disorder. Among people with ADHD there are also quite successful businessmen, but most of them cannot get a job, often change jobs, occupy the lowest paid positions. All this means additional costs for the state, such people are more dependent on the social security system and pay less taxes. nine0003

New market

Therapy can correct the disorder. Most of those who are diagnosed in adulthood admit that after they were able to determine the cause of the problems and prescribe treatment, things improved and they began to lead a full life. The recognition of ADHD has created a huge market for pharmaceutical companies. Once proven that ADHD can manifest into adulthood, “new adults,” who had never been diagnosed before, were the fastest growing segment of the market, as Angus Russell, then CEO of the pharmaceutical company Shire, acknowledged in 2011. According to medical analytics company IMS Health in 2012 for people aged 20 to 3916 million prescriptions for ADHD medications have been filled in the past year.

Photo: Benjamin Vincent Kasapoglu / Wikimedia

Central nervous system stimulants are mainly used for treatment, primarily Ritalin, Adderall, Concerta, Focalin and Vyvanse. Under these trademarks, compounds of amphetamine and methylphenidate are sold, in Russia the circulation of these psychotropic substances is prohibited. According to IMS Health, sales of stimulants were $4 billion in 2007 and by 2012 had risen to $10.5 billion. Between 2012 and 2015, the market reached $11.2 billion. It is predicted that by 2020 it will be about 17. 5 billion dollars. Shire has been the market leader in ADHD medications for over 20 years. The company managed to become number one after 19In 1997, it acquired Richwood Pharmaceutical for $186 million, which developed the most popular ADHD treatment, Adderall (an amphetamine-based stimulant). Shire also owns Vyvanse and a number of other brands. The company's ADHD drug divisions are worth about $8.5 billion.

Prescription nuclear bombs

Scientists don't have a conclusive answer yet as to why the number of people with ADHD is on the rise. Some suggest that the problem is in modern gadgets and digital media: the constant change of bright pictures makes you switch your attention all the time, which can eventually turn into a serious disorder. This version is supported by a two-year study by scientists from the University of Southern California. Dr. Wei Bao from the University of Iowa, whose work has led to talk about the "new epidemic of ADHD", he himself believes that it is too early to draw any conclusions, perhaps people have not become sick more often, just doctors have learned to better identify symptoms. nine0003

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Another point of view is that under the pressure of the pharmaceutical industry, doctors began to make this diagnosis too often. Dr. Keith Conners pioneered the current practice of treating childhood disorders with stimulants. It was he who in the early 1960s at Johns Hopkins University conducted the first official tests on the effects of stimulants (specifically methylphenidate) on children. The studies were paid for by Ritalin manufacturer CIBA. The results were overwhelming: children's academic performance skyrocketed, and Conners became one of the leading advocates for the use of stimulants to treat ADHD. He worked with all the major manufacturers, but then abruptly changed his position and began to talk about a wave of misdiagnosis of ADHD, which reached the level of a "national disaster." nine0003

Keith Conners

Frame: MHS Assessments - Clinical and Education / YouTube

Conners has repeatedly stated that under pressure from the pharmaceutical giants, the signs of classic ADHD have been unnecessarily expanded. Longtime owner of Richwood Pharmaceutical and the Adderall brand, Roger Griggs, now says he is vehemently opposed to stimulants being used so widely. He calls them "nuclear bombs," which should only be given under extreme circumstances and under close medical supervision. No one who talks about an “epidemic of overdiagnosis” denies that ADHD is a serious disorder that requires medication as well, but according to skeptics, the real numbers of people with ADHD have not changed and are about 5 percent, the rest they prescribe medicines undeservedly. nine0003

Take for life

Pharmacists are accused of aggressive marketing, which has led to the fact that poor academic performance or absent-mindedness already allows a child to be diagnosed and prescribed pills. Both parents and children themselves are convinced that stimulants will help to achieve success. Shire paid for 50,000 copies of a comic a few years ago in which superheroes encourage kids to take medicine to help them learn. Maroon 5 musician Adam Levine took part in Shire's advertising campaign aimed at teenagers. Pamphlets were printed for parents explaining that the pills would solve all the behavioral problems of their children. To remove stigma and encourage people to seek medical attention, lists of "Famous People with ADHD" have been prepared. Thus parents saw that their children were in good company with Thomas Edison, Abraham Lincoln, Galileo and Socrates. nine0003

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Since 2000, the Food and Drug Administration (FDA) has repeatedly urged pharmaceutical companies to withdraw advertisements that exaggerate the effects of drugs. Although studies confirm that serious problems can occur in adulthood without ADHD treatment, stimulants as a therapy have not been proven to have all the benefits reported in advertisements, comics and booklets. In February 2017, Shire was ordered to pay $57.5 million in fines from the FDA for improperly advertising a range of drugs, including Vyvanse, Adderall XR, and Daytrana. nine0003

ABC host Ty Pennington was also reprimanded for advertising stimulants. In his show, he talked about the amazing success that adults can achieve with stimulants, and admitted that Adderall changed his own life. A psychiatrist who was invited on the air developed the theme, adding that the majority of prisoners are people with undiagnosed ADHD who should be prescribed stimulants. At the same time, Pennington kept silent that he was a representative of Shire from 2006 to 2008 and received money in the company for this. Because he clearly exaggerated the positive effects of Adderall and kept silent about the negative side effects, the FDA issued him a warning. “I am not a medical expert. I'm a TV presenter," Pennington commented on his blunder. nine0003


Doctors, on whom diagnoses and prescriptions depend, were processed no less actively. For example, a new modification of Adderall - Adderall XR - was presented by Shire in April 2002 at the Ritz-Carlton Hotel and Spa in Pasadena, California. 70 doctors were invited to the event, who were told that ADHD without treatment threatens with lack of work or underemployment, fatal car accidents, criminal activities, unwanted pregnancies and sexually transmitted diseases. It did not mention that the studies did not evaluate whether stimulants were able to reduce these risks. Psychiatrist William Dodson, who hosted this presentation, told colleagues that he diagnoses about 300 patients a year and always recommends taking stimulants for the rest of his life. It was reported that for this performance, he received $2,000 from the Shire, and in 2010-2011, pharmaceutical companies transferred him $45,500. However, he himself believes that he is working as an educator, and statements that pharmacists force doctors to make incorrect diagnoses in order to increase sales are nothing more than conspiracy theories. “If people need help, my job is to make sure they get it,” Dr. Dodson said. nine0003

Legal doping

Stimulants have long crossed the threshold of medical offices. Many people do not have ADHD but are willing to take Adderall and other medications for performance or relaxation purposes (they also have a euphoric effect). Thanks to the advertising campaign, such drugs have developed a much more respectable image than dirty street stimulants. Unsurprisingly, up to 35.6 percent of American students are estimated to take Adderall to boost their cognitive abilities and prepare for last-minute exams. Twitter mentions of the drug have been noted to spike in December and April, when university exams are days away. nine0003

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Athletes also love stimulants. For example, amphetamines have been taken, almost openly, by professional baseball players for decades. In 2005, Major League Baseball announced the start of a decisive fight against stimulants and the introduction of additional testing. Since then, a number of professional baseball players have reported that they suffer from ADHD. Immediately after the introduction of additional doping tests, the number of people receiving prescription stimulants increased from 28 players to 103, which amounted to 8 percent of all players in the league. In 2013 there were already 119. Dr. Gary Wadler of the World Anti-Doping Agency ironically remarked that there was an epidemic of ADHD in the Major Leagues. Such doping is no less popular in eSports. In 2015, the Electronic Sports League (ESL Gaming) added Adderall to its list of substances banned from tournament play and began testing players for drugs. The ban came after a well-known professional player admitted in an interview that his entire team used Adderall during an ESL tournament.

According to experts, it is completely impossible to tell which proportion of adults who have been prescribed Adderall or other similar drugs actually have ADHD, and which are receiving the drug illegally. But there are obviously many such cases. As lovers of pharmacy stimulants admit, if you want to get a prescription, it is not difficult, which in the end can turn into a fairly strong addiction. In 2013, the Partnership for Drug-Free Children released the results of a survey in which nine percent of adolescents (about 1. 9million) reported abuse of stimulants prescribed for ADHD. The Citizens Commission on Human Rights (CCHR) has stated that the criteria for diagnosing ADHD are so subjective and arbitrary that children and teens can easily feign to get a prescription, which they no doubt use.

Richard Fee

Photo: The Richard Scott Fee Foundation

While the abuse of prescription stimulants is on the rise, even staunch opponents can't deny that in some cases they can actually improve cognitive performance and concentration significantly. Side effects include sleep disturbance, high blood pressure, heart problems, in rare cases, hallucinations and suicidal thoughts. nine0003

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If in the case of the "opioid epidemic" provoked by OxyContin, the number of deaths is tens of thousands per year, tragic cases associated with the abuse of stimulants are rare, although quite impressive. A seven-year-old child is known to have become depressed after taking medication, and a case has been reported in which the child began to experience severe hallucinations due to stimulants. 24-year-old Richard Fe experienced serious mental problems while trying to overcome his addiction to pharmaceutical stimulants, and ended up committing suicide. nine0003

Tragic events like this are perceived as collateral damage and are unlikely to cause the industry to change its mind. Pharmaceutical companies are investing millions in research and promotion of their products, so in the near future the market will only grow, and the number of people who cannot imagine their lives without stimulants will continue to increase.

Dextroamphetamine and Amphetamine | Memorial Sloan Kettering Cancer Center

Adult Medicine


This document, provided by Lexicomp ® , contains all the information you need to know about this medicine, including indications, directions for use, side effects, and when your healthcare provider should be contacted.

Trade names: US

Adderall; Adderall XR; Mydayis

Trade names: Canada

Adderall XR; APO-Amphetamine XR; PMS-Amphetamines XR; SANDOZ Amphetamine XR; Teva-Amphetamine XR


  • This drug carries a risk of abuse and misuse. This drug can also be habit-forming with prolonged use. Do not use longer than prescribed by your doctor. Use only as directed. Tell your doctor if you have ever abused or been dependent on any drugs or alcohol. Misuse of this drug can cause heart side effects or even sudden death. nine0080

What is this drug used for?

  • It is used to treat Attention Deficit Hyperactivity Disorder.
  • Used to treat narcolepsy.
  • This drug may also be used for other indications. Consult your doctor.

What should I tell my doctor BEFORE taking this drug?

  • If you have an allergy to this drug, any of its ingredients, other drugs, foods or substances. Tell your doctor about your allergies and how they have manifested. nine0080
  • If you or a family member has any of the following health problems: Blood vessel disease, high blood pressure, structural heart disease or other heart problems, or Tourette's syndrome or tics.
  • If you have any of the following health conditions: glaucoma, jitters, anxiety, or an overactive thyroid.
  • If you have ever had any of the following health problems: drug/drug addiction or stroke. nine0080
  • If you have kidney disease.
  • If you are taking any of the following drugs: acetazolamide or sodium bicarbonate.
  • If you have taken medications for depression or Parkinson's disease in the past 14 days. These include isocarboxazid, phenelzine, tranylcypromine, selegiline, or rasagiline. An episode of very high blood pressure may occur.
  • If you are taking any of the following drugs: linezolid or methylene blue. nine0080
  • If you are breastfeeding. Do not breastfeed while taking this drug.

This list of drugs and conditions that may interact unfavorably with this drug is not exhaustive.

Tell your doctor and pharmacist about all medicines you take (prescription and over-the-counter, natural products and vitamins) and any health problems you have. You need to make sure that this drug is safe for your conditions and in combination with other drugs you are already taking. Do not start or stop taking any drug or change the dosage without your doctor's advice. nine0003

What do I need to know or do while taking this drug?

  • Tell all your health care workers that you are taking this drug. These are doctors, nurses, pharmacists and dentists.
  • Avoid driving or doing other tasks or jobs that require alertness or keen eyesight until you know how this drug affects you.
  • If this drug is taken for a long time or at high doses, its effectiveness may be reduced and a higher dose may be needed to achieve the same effect. The so-called tolerance to the drug develops. Talk to your doctor if this drug stops working as you want. Do not take the drug in higher doses than prescribed by your doctor. nine0080
  • Long-term or regular use of this drug may lead to dependence. Sudden discontinuation of this drug may lead to so-called "withdrawal" symptoms. Talk to your doctor before reducing your dose or stopping this drug. You must follow the doctor's instructions. If you experience any side effects, check with your doctor.
  • You may need to have a heart test before you start using this drug. If you have any questions, please consult your doctor. nine0080
  • This drug may cause high blood pressure.
  • Measure your blood pressure and heart rate as instructed by your doctor.
  • Perform blood tests as directed by your doctor. Consult with your doctor.
  • This drug may affect the results of some lab tests. Tell all your health care workers and laboratory staff that you are taking this drug. nine0080
  • Do not take antacids with this drug.
  • You may need to refrain from drinking alcoholic beverages with certain medications. Ask your doctor or pharmacist if you should not drink alcoholic beverages containing this medicine.
  • This drug has been associated with new or worsening of existing mood and behavioral changes, such as changes in thinking, anger and hallucinations. If you or someone in your blood family has been diagnosed with a mental or emotional disorder, such as depression or bipolar disorder, or if someone in your family has committed suicide, tell your doctor. If you experience hallucinations, movement disorders, or signs of emotional distress such as depression, suicidal thoughts, nervousness, emotional ups and downs, distorted thinking, anxiety, or decreased interest in life, see your doctor immediately. nine0080
  • This drug may increase the risk of seizures in some people, including people who have had seizures in the past. Talk to your doctor to find out if your risk of seizures is increased with this drug.
  • When this drug is taken with certain other drugs, a bad and sometimes deadly condition called serotonin syndrome can develop. Call your doctor right away if you experience agitation, balance problems, confusion, hallucinations, high fever, tachycardia or abnormal heart rhythms, flushing, muscle twitching or stiffness, seizures, tremors or tremors, excessive sweating, severe diarrhea, nausea or vomiting , severe headache. nine0080
  • In some cases, the drug may affect the growth rate in children and adolescents. They may need regular growth rate checks. Consult your doctor.
  • Different brands of this drug may be for use in children of different ages. Talk to your doctor before giving this drug to a child.
  • Tell your doctor if you are pregnant or plan to become pregnant. The benefits and risks of taking this drug during pregnancy will need to be discussed. nine0080

What side effects should I report to my doctor immediately?

WARNING. In rare cases, this drug can cause serious and sometimes deadly side effects in some patients. Call your doctor right away or get medical help if you have any of the following signs or symptoms that could be associated with serious side effects:

  • Signs of an allergic reaction, such as rash, hives, itching, red and swollen skin with blisters or peeling, possibly accompanied by fever, wheezing or wheezing, tightness in the chest or throat, difficulty breathing, swallowing or speaking, unusual hoarseness, swelling in the mouth, face, lips, tongue or throat. nine0080
  • Signs of high blood pressure, such as a very severe headache, or dizziness, or loss of consciousness, or blurred vision.
  • Signs of a urinary tract infection, including blood in the urine, burning or painful urination, frequent or immediate urge to urinate, fever, pain in the lower abdomen or pelvis.
  • Inability to achieve or maintain an erection.
  • Change in sex drive. nine0080
  • Seizures.
  • With problems in controlling body movements.
  • Anxiety.
  • Vision change.
  • Frequent or prolonged erections (hardening of the penis).
  • Change the color of brushes, feet or other areas. The skin may become pale, bluish, grey, purplish, or red.
  • Numbness, pain, tingling, or cold feeling in the hands or feet.
  • Any sores or sores on the fingers or toes. nine0080
  • Pain or weakness in the muscles, dark urine, difficulty urinating.
  • Myocardial infarction, stroke, and sudden death have happened in adults who have taken this drug. Sudden deaths have also been reported in children with some cardiac disorders or heart defects. Call your doctor right away if you have a fast, slow, or irregular heartbeat; weakness on 1 side of the body; difficulty speaking or thinking; imbalance; omission of 1 side of the face; changes in vision; chest pain or angina; dyspnea; severe dizziness or fainting. nine0080

What are some other side effects of this drug?

Any medicine can have side effects. However, for many people, side effects are either minor or non-existent. Contact your doctor or seek medical attention if these or any other side effects bother you or do not go away:

  • Nervous tension and agitation.
  • Headache.
  • Sleep disorders. nine0080
  • Constipation, diarrhea, abdominal pain, nausea, vomiting, or decreased appetite.
  • Feeling dizzy, tired or weak.
  • Dry mouth.
  • Violation of taste perception. It,
  • Weight loss.

This list of possible side effects is not exhaustive. If you have any questions about side effects, please contact your doctor. Talk to your doctor about side effects.

You can report the development of side effects to the national health authority.

You can report side effects to the FDA at 1-800-332-1088. You can also report side effects at

What is the best way to take this drug?

Use this drug as directed by your doctor. Read all the information provided to you. Strictly follow all instructions.


  • Take this drug with or without food.
  • Take your last daily dose at least 4 hours before bedtime.

Sustained release capsules:

  • Take this drug with or without food. Some medications need to be taken the same way each time, either with or without food. You must know for sure if this drug is taken with food. If you have any doubts about whether the drug is dependent on food, consult your doctor or pharmacist. nine0080
  • Take in the morning.
  • Swallow whole. Do not chew, break or crush.
  • You can sprinkle the contents of the capsule on applesauce. Don't chew.
  • Take the dose immediately after mixing. Do not store for future use.

All editions:

  • Talk to your doctor before taking an over-the-counter drug that can raise blood pressure. These drugs include cough and cold medicines, diet pills, stimulants, non-steroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen or naproxen, and some natural products. nine0080

What if I miss a dose of a drug?


  • Take the missed dose as soon as you can.
  • If it's time for your next dose, don't take the missed dose and then go back to your regular dosing schedule.
  • Do not take 2 doses or an additional dose at the same time.

Sustained release capsules:

  • Skip the forgotten dose and return to your regular schedule.
  • Do not take the drug later in the day.

How do I store and/or discard this drug?

  • Store at room temperature, protected from light. Store in a dry place. Do not store in the bathroom.
  • Keep this medicine in a protected place out of sight and reach of children and out of the reach of other people. A box or room that is locked with a key can act as a secure storage place for the drug. Keep all medicines out of the reach of pets. nine0080
  • Dispose of unused or expired drugs. Do not empty into a toilet or sewer unless instructed to do so. If you have any questions about disposing of medicines, ask your pharmacist. Drug disposal programs may be in place in your area.

General information about medicines

  • If your health does not improve or even worsens, see your doctor. nine0080
  • Do not give your medicine to anyone and do not take other people's medicines.
  • Some medicines may come with other patient information leaflets. If you have questions about this drug, talk with your doctor, nurse, pharmacist, or other health care professional.
  • A separate instruction for patients is attached to the drug. Please read this information carefully. Reread it each time you refill your supply. If you have any questions about this drug, ask your doctor, pharmacist, or other health care professional. nine0080
  • If you think you have overdosed, call a poison control center or get medical help right away. Be prepared to tell or show what drug you took, how much, and when it happened.

Consumer Use of Information and Limitation of Liability

This summary information includes a summary of the diagnosis, treatment, and/or drug product. It is not intended to be a comprehensive source of data and should be used as a tool to help the user understand and/or evaluate potential diagnostic and treatment options. It does NOT include all information about conditions, treatments, medications, side effects, or risks that may apply to a particular patient.

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