Conclusion: Our findings represent the most comprehensive available evidence base to inform patients, families, clinicians, guideline developers, and policymakers on the choice of ADHD medications across age groups. Taking into account both efficacy and safety, evidence from this meta-analysis supports methylphenidate in children and adolescents, and amphetamines in adults, as preferred first-choice medications for the short-term treatment of ADHD. New research should be funded urgently to assess long-term effects of these drugs.
Amphetamines side effects
Across 50 first-hand reports, people mentioned a side effect 11 times (about 22 per 100 reports). The most common: anxiety, addiction, skin aging. User reports show what people notice — they can't tell you whether Amphetamines is safe for you.
Reported side effects
anxiety3
addiction2
skin aging1
neurotoxicity1
anhedonia1
unclean feeling1
jitteriness1
burnout1
What got worse for some people
In their own words
“Even taking pause from amphetamines for over a year or more doesn't seem to reset it for me. It works great for maybe a month or two when I'm back on them, then it's all negative side effects.”
“I've used amphetamines too, but I don't like how unclean it makes me feel.”
“I feel good for about 40~ min and then I crash SO bad. I'm talking crippling anxiety”
“You could try to get a prescription for amphetamines but using them frequently is bad news and they (at least for me) destroy the quality of my sleep”
“I have found marionette lines beginning to form. Started dexA almost 6 months ago.”
“I used to be addicted to amphetamines until about one year ago. I couldn’t work properly without them.”
Is Amphetamines safe? What the research covers
AResearch: Strong139 meta-analyses · 67 randomized trials on PubMed
Lancet Psychiatry · 2018
Comparative efficacy and tolerability of medications for attention-deficit hyperactivity disorder in children, adolescents, and 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.