What is Adderall rebound?
Adderall rebound is the brain’s reaction when Adderall (a stimulant medicine) is wearing off. When this medication leaves the system too quickly, it returns ADHD symptoms, sometimes with high intensity and vengeance. For children, the intense reaction usually lasts for an hour or two only. At the same time, it strikes the adults slightly differently. In medical terms, this time of intense reaction in children is known as “the arsenic hour.”
If these flare-ups occur, they usually appear at the end of the day, mainly around dinner or while you return from work. Luckily, the reaction usually lasts for an hour only. In some cases, adjustments to Adderall doses with prior medical consultation can help cut down rebound symptoms.
Adderall rebound symptoms
It is Adderall rebound if the medication works efficiently throughout the day, and the following symptoms occur at the end of the day when the drug should still be effective for a bit longer:
- irritability, grumpiness;
- extreme hyperactivity;
- withdrawn mood, sadness;
- more intense ADHD symptoms
When Adderall starts wearing off, you may notice frustration because the person with ADHD does not feel as though they can handle things or situations as easily anymore. Rebound could be a sign of an underlying anxiety disorder or mood condition. If any diseases exist in the patient, the rebound symptoms could worsen when the Adderall level drops.
Adderall rebound causes
In children, the side effects of any medication occur mainly because of their metabolism. In the same manner, the rate at which Adderall wears off the body is different for each kid. Your child might go through a rebound while getting back home after school as the child feels not to hide any symptoms at home. Usually, the kids are worn out from monitoring their behavior all day and feel like letting loose themselves when home.
Like any other stimulant drug, Adderall acts rapidly on ADHD symptoms. This medication can start working from 30 to 90 minutes after entering the bloodstream. Next, it goes through the liver or kidneys and then leaves the individual’s body taking it. Adderall wears off evenly, but the medicine filters through the body a lot quicker in some cases. And this phenomenon causes a more sudden drop of the medication level, resulting in a severe rebound. In this case, instead of a gradual comeback, the ADHD symptoms come back at a more intense peak and then level out.
Adderall rebound effect in adults
Various people with ADHD show degrees of signs throughout their lives and continue to take Adderall. Adderall rebound effects in adults may include the following:
- difficulty sleeping
- loss of appetite
- weight loss
- dryness in the mouth
- excessive sweating
- upset stomach
In adults, stimulant medications such as Adderall can increase both blood pressure and heart rate. Due to this condition, doctors advise people with pre-existing heart conditions not to take medication or any other CNS stimulant. Also, some adults might notice the remains of the pill in their stool. However, it would help if you did not worry because the body has already absorbed the medication and what is left in the stool is only an empty shell of the drug casing.
Adderall XR wears off in the afternoon.
The effects of Adderall XR (extended-release) usually last for four to six hours, which means the chances of this drug wearing off are more likely in the afternoon. It highly depends upon a person’s characteristics, such as age, weight, overall health, and genetics. Adderall XR is a CNS (central nervous system) stimulant, so it can make you feel sluggish and disconnected when it wears off. One of the most prominent temporary symptoms of Adderall XR rebound is an intense craving for more of this medication.
Reasons for Adderall not working.
There may be various reasons for an effective CNS stimulant drug like Adderall not working well. Some of the most prominent reasons may include the following:
- the dosage may be inaccurate for you
- adherence may be an issue
- co-existing medical disorders may impede the effectiveness of this medication; or
- the patient may have any other medical condition producing symptoms similar to ADHD
Foods that contain a large amount of ascorbic acid (Vitamin C) and citric acid will prevent the absorption of Adderall (both IR and XR) in the body. So, you should avoid taking any such products an hour before and after taking Adderall.
How to determine Adderall dose?
If you notice rebounds for several days, it indicates that the Adderall doses you or your child is taking are not quite right. The medical healthcare provider may assign a better and effective dosing schedule or add “booster” medication for the patient. It is a small dosage of an immediate-release stimulant that one needs to take right before the regular Adderall medicine is about to wear off. An extra efficient Adderall or any other stimulant medication dose will make the drop-off in the current medicine more gradual and might help avoid a rebound reaction.