Conclusion: Overall, despite a class effect of improving clinical response relative to placebo, there were few differences among the individual ADHD pharmacotherapies, and most studies were at risk of at least one important source of bias. Furthermore, the certainty of the evidence was very low to low for all outcomes, and there was limited reporting of long-term adverse events. As such, the choice between ADHD pharmacotherapies may depend on individual patient considerations, and future studies should assess the long-term effects of individual pharmacotherapies on patient-important outcomes, including qu
Amphetamine side effects
Across 878 first-hand reports, people mentioned a side effect 183 times (about 21 per 100 reports). The most common: tolerance, anxiety, insomnia. User reports show what people notice — they can't tell you whether Amphetamine is safe for you.
Reported side effects
tolerance43
anxiety42
insomnia39
jitteriness28
depression13
dependence10
irritability5
addiction3
What got worse for some people
In their own words
“I haven't increased my dose, and the only negative side effect that I noticed was my resting heart rate increased from 60 bpm to 70 bpm.”
“I've only been on adderall for a few weeks and it makes me sleep like a baby at night.”
“I've been on Atterall for a few years. I think it made my depression much worse.”
“The difference is Adderall works. We all have an intuitive sense that anything as strong as Adderall must have negative side effects.”
“it got me focused, too focused.. I lost my feelings, I lost my friends and I'm losing myself.”
“Depersonalization, derealization, anhedonia to the highest degree. I felt disconnected from the world and from myself.”
Is Amphetamine safe? What the research covers
AResearch: Strong258 meta-analyses · 521 randomized trials on PubMed
PLoS One · 2020
Pharmacologic treatment of attention deficit hyperactivity disorder in adults: A systematic review and network meta-analysisSchizophr Bull · 2020
Transition of Substance-Induced, Brief, and Atypical Psychoses to Schizophrenia: A Systematic Review and Meta-analysisConclusion: Transition rates were slightly lower in older cohorts but were not affected by sex, country of the study, hospital or community location, urban or rural setting, diagnostic methods, or duration of follow-up. Substance-induced psychoses associated with cannabis, hallucinogens, and amphetamines have a substantial risk of transition to schizophrenia and should be a focus for assertive psychiatric intervention.
BMC Med · 2023
Risk factors for preterm birth: an umbrella review of meta-analyses of observational studies