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Medically Approved

Can you drink alcohol with Adderall?

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Risk of overdoseWhat if I have taken Adderall with alcohol?Side effectsAlcohol and ADHDAddictionSummary
If you are taking Adderall, it is best to avoid drinking alcohol. This is because Adderall can conceal the effects of alcohol, making it easier for you to consume too much.
Medically reviewed by Philip Ngo, PharmD
Written by D. M. Pollock
Updated on

Adderall is a medication prescribed to people with attention deficit hyperactivity disorder (ADHD) and narcoleptic sleeping disorder. It is a stimulant medication that can effectively treat these conditions by increasing the amount of dopamine and norepinephrine in your brain.

As Adderall is relatively strong, it carries several risks, such as a high chance of addiction. Mixing it with alcohol can also put you at risk of alcohol poisoning and impact your heart health.

Read on to learn why you should avoid mixing alcohol and Adderall and what negative impacts it can have on your health.

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Is it safe to drink while taking Adderall?

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There are several reasons why mixing Adderall with alcohol can be bad for your health. This includes:

Risk of overdose

Alcohol is a nervous system depressant that slows your brain’s activity. It is a common misconception that mixing a stimulant substance with a depressive one will balance or cancel their effects. However, according to the Centers for Disease Control and Prevention (CDC), mixing stimulants and depressants can be dangerous.

A 2011 study looking at the effects of amphetamines on light and moderate drinkers suggests that those who drink more may have an increased vulnerability to the effect of amphetamine-containing medications such as Adderall.

The effects of mixing the two are unpredictable and can often result in the masking of symptoms. It causes Adderall to hide the effects of alcohol, tricking you into thinking it is not affecting you and putting you at risk of alcohol poisoning.

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Heart problems

Both alcohol and Adderall increase your heart rate and blood pressure. This can lead to dangerous cardiac events like a heart attack, even if you do not have any underlying heart conditions. The risk of heart problems increases with the dose of Adderall you take.

It can cause:

These effects can put stress on your heart, making it beat faster and more intensely, which increases blood pressure. If you are regularly taking high doses of Adderall and drinking excessively, this can cause long-term damage to your heart.

This can result in:

Behavioral changes

Drinking alcohol and taking Adderall at the same time can lead to various behavioral changes, particularly in people who are not aware of how much they are drinking.

This can result in:

  • unsafe sexual behavior
  • impulsive behavior and increased risk taking
  • high risk of injury

What should I do if I have taken Adderall with alcohol?

If you are taking Adderall and are worried that you are experiencing adverse effects from drinking alcohol at the same time, you should seek medical help immediately.

Alcohol poisoning can be a harmful effect of combining Adderall and alcohol.

Someone with alcohol poisoning may experience the following:

  • confusion
  • vomiting
  • low body temperature or shivering
  • irregular breathing
  • pale or blue-tinged skin, which may appear inside the lips, on the gums, and under the fingernails for darker skin tones

People take Adderall recreationally, even if they do not have a prescription, and because alcohol and Adderall can mask each other’s effects it is possible to overdose on Adderall.

Signs of an Adderall overdose can include:

  • loss of appetite
  • dizziness
  • nervousness
  • diarrhea
  • dry mouth

If you or someone you know is showing signs of overdosing on Adderall or alcohol, seek medical help immediately.

What are the side effects of taking Adderall with alcohol?

The individual effects of Adderall and alcohol can be different. After drinking, you may immediately feel an uptick in your mood, which is similar to the effects of Adderall.

However, as you continue to drink, the effects can change and you may begin to experience:

Some symptoms of combining alcohol and Adderall can include:

  • a prolonged uptick in your mood while drinking
  • lack of awareness of how much you are drinking
  • lack of sedating symptoms of alcohol consumption

Can alcohol make ADHD worse?

While having ADHD does not mean that you cannot drink alcohol, there are some interactions that you should be aware of when drinking.

You should also consider the following:

  • Excessive drinking: Research has shown that if you have ADHD, you are more likely to drink more often at a younger age than people without the condition.
  • Severity of symptoms: If you have ADHD, alcohol can worsen your existing symptoms, such as trouble with memory and impulsive thinking. This can occur both long-term and immediately after drinking.
  • Alcohol use disorder: Having ADHD as a child may increase your risk of developing an addiction to alcohol in adulthood.
  • Dopamine deficiency: Some research suggests that ADHD may be caused by an imbalance in neurotransmitters and a dopamine deficiency that can lead to a habit of turning to alcohol to raise levels.

How long after taking Adderall can I drink alcohol?

Given the risks of drinking while taking Adderall, you should try to avoid it altogether while taking the medication.

If a healthcare professional wishes to prescribe you Adderall, it is important to tell them if you have a history of alcohol misuse and dependence.

When taking prescription medications, you should always follow the instructions of a healthcare professional.

Potential of addiction

Adderall is classified as a Schedule II drug and can carry a high risk of addiction. This means it is easy to misuse Adderall, especially if you do not have a prescription for it or are not using it to treat a health condition. According to the Substance Abuse and Mental Health Services Administration (SAMHSA), in 2021, over 3.7 million people misused prescription stimulants like Adderall.

Summary

Adderall can help improve your quality of life if you are diagnosed with ADHD or narcolepsy. However, it is important to practice caution with alcohol while taking the medication and follow the instruction of a healthcare professional closely.

Mixing alcohol with Adderall can be dangerous and put you at risk of alcohol poisoning, heart problems, and behavioral changes.

If you are taking Adderall and are worried that you are experiencing adverse effects from drinking alcohol at the same time, you should seek medical help immediately.

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Download the free Optum Perks Discount Card to save up to 80% on many prescription medications. Plus, you can now get them delivered to your home in as little as 3 days. Search for your medication here.

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