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
Dextroamphetamine side effects
Across 121 first-hand reports, people mentioned a side effect 18 times (about 15 per 100 reports). The most common: anxiety, tolerance, insomnia. User reports show what people notice — they can't tell you whether Dextroamphetamine is safe for you.
Reported side effects
anxiety3
tolerance3
insomnia3
withdrawal2
addiction2
personality change2
anhedonia2
mania1
What got worse for some people
In their own words
“I felt anxious, had headaches, lost sleep and appetite, and overall felt like it made my ADHD worse.”
“I do take dextroamphetamine 10mg twice a day which helps me to be somewhat productive.”
“at 20mg or 5mg life does feel much better. anything over 5mg Dex I feel uncomfortably numb, irritated and just mad.”
“the 30mg a day has been giving me more negative side effects then good...I can't go 2-3 days without it, because I enter a state which includes severe depression, complete lack of motivation, no drive for life, withdrawal from social contact, and extreme anxiety.”
“I'm 1 month in on dextroampetamine 20mg IR and this really brings the anxiety out of me. It will actually make me focus on it and causes my to raise my heart rate whenever I have a anxiety 'burst'.”
“For me 5mg of dextro is like a strong cup of coffee. 10mg is a bit too stimulating to be able to work and fucks up my sleep.”
Is Dextroamphetamine safe? What the research covers
AResearch: Strong48 meta-analyses · 119 randomized trials on PubMed
PLoS One · 2020
Pharmacologic treatment of attention deficit hyperactivity disorder in adults: A systematic review and network meta-analysisCNS Drugs · 2014
A systematic review of the safety of lisdexamfetamine dimesylate