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Over the counter form of phentermine, a common medication used to treat ADHD. A recent report in the New England Journal of Medicine found children who are prescribed the medication typically receive significantly less therapy. Dr. Mark Wojcicki, the head of Epilepsy Center at Children's Hospital Boston, told The New Yorker that even more alarming, though, is that children and teenagers who were randomly assigned to receive phentermine were more likely to have psychotic symptoms within two years of starting medication. "We know that the most severe and pervasive side effects of phentermine are not related to dose at first," Wojcicki says. "If you were to administer very low doses, the effects would be much milder." In the case of Adderal, Adderall's makers, Johnson & (JNJ) and the drug's manufacturers, primary sponsor, Janssen Pharmaceuticals, have continued to push the claim that its prescription and over-the-counter versions are safe, therefore the medication is an ideal treatment for these ailments. Indeed, both the product's label and manufacturers' website promote the benefits of treatment without clearly disclosing risks. And when Xanax pills buy online these advertisements raise concerns, they do a disservice to those relying on Adderall as a medication without side effects, says Andrew Leuch, chief executive of the European drug safety office (EHU). "It is misleading to think Adderall risk-free, when in reality it is an amphetamine with some potentially important side-effects," Leuch tells TIME. Adderall is not exactly an everyday drug, either. When taken in quantities that are considered too high, it can seriously increase blood pressure, heart rate and level of energy enthusiasm in a user. It can result in depression and anxiety issues. 2011, one study on amphetamine use found that the number of emergency room visits related to it tripled in two years among people ages 20 to 45. Leuch says these risks make prescribing Adderall for conditions where there are no contraindications more complex and risky. In Europe, for example, manufacturers have to submit regular safety reports about Adderall. "We need to see patients who are not prescribed Adderall in order Xanax 1mg 240 $440.00 $1.83 $396.00 to understand not only just how they are metabolized in the body or how these different adverse effects interact or combine, but also how a drug is used with other classes of drugs, because Adderall is not just a one-size-fits-all solution," Leuch says. Wojcicki agrees that the dangers of Adderall are not just limited to adolescents and ADHD patients, as the drug can also cause serious side effects in adults. "Phentermine is an extremely dangerous drug," he says. "Those who are not used to it, especially new users, do not know what they are getting into. There no side-effects if prescribed in a patient's lifetime or few months, but if you take it for a few months, you might notice problems such as heart palpitations [a heart-racing, rapid heartbeat] in the first weeks." For a young patient who has never tried an amphetamine, says Dr. Michael Dabney, director of ADHD clinical studies at Children's Hospital Boston, some of the risks are obvious, like tolerance to the drug, as well a risk of abuse. In addition, he says, some children have used Adderall to boost their mood or energy, and as a result developed dependence. "It's very difficult to distinguish the former from latter," Dabney says. "They become addicted to them." The side effects of Adderall are not new. In the 1990s, another company, Bristol Myers Squibb (BMS), tried to patent a pill in the form.
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