Adderall (amphetamine/dextroamphetamine [Shire U.S. Inc]) is a central nervous system stimulant medication commonly used to treat attention deficit hyperactivity disorder (ADHD). Although effective in its treatment of ADHD, Adderall carries a high potential for abuse and dependenceāits nonmedical use among college students for neurocognitive enhancement has been well documented, with a prevalence estimated from 9% to 23%.1, 2, 3 The overall nonmedical use of prescription stimulants has been estimated at approximately 8% in adults.4 Inherent to the abuse of amphetamines are risks including weight loss, cardiovascular events, psychological dependence, and morphologic brain changes.5, 6, 7, 8, 9, 10 Owing to its high potential for abuse, which could lead to severe psychological or physical dependence, Adderall is classified by the U.S. Drug Enforcement Administration (DEA) as a schedule II medication.11
Online pharmacies have emerged as a popular destination for the purchase of prescription drugs. Although the overall volume varies on a daily basis, 30,000-35,000 online pharmacy websites were found to be accessible in 2016.12 Online pharmacies can be defined by whether they operate as legitimate and registered pharmacies or whether they are illegitimate and in violation of U.S. pharmacy laws and practice standards. According to LegitScript, a verification and monitoring service, 96% of the accessible online pharmacies are illegitimate, of which 92% are rogue, meaning that they sell drugs without a valid prescription.12 Given the high prevalence of rogue online pharmacies, the ease of access to medications with abuse potential is of particular concern.
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Adderall (amphetamine-dextroamphetamine) is a controlled substance with harmful adverse effects if abused or misused.
Adderall (amphetamine/dextroamphetamine [Shire U.S. Inc]) is a central nervous system stimulant medication commonly used to treat attention deficit hyperactivity disorder (ADHD). Although effective in its treatment of ADHD,