Adderall and Alcohol

Adderall and Alcohol

Last Updated: February 15, 2023

Adderall is a central nervous system (CNS) stimulant that is FDA-approved to treat attention-deficit hyperactivity disorder (ADHD) and narcolepsy. This prescription drug is classified as a Schedule II medication under the Controlled Substances Act due to its potential for misuse and abuse.

While Adderall can be an effective treatment for ADHD and narcolepsy, it can create serious side effects when misused or taken with substances like alcohol.

Can You Take Adderall With Alcohol?

You should avoid mixing Adderall and alcohol if you can. This combination can be very dangerous and can result in many serious effects. While the manufacturer of Adderall does not specifically mention a warning about taking this medication with alcohol, CNS stimulants like Adderall can mask the effect of depressants like alcohol. This means that if you take Adderall with alcohol, you may not feel the effect of alcohol as you normally would and could be at higher risk for alcohol poisoning

Additionally, there may be a concern for heart-related risks when alcohol and Adderall are taken together. One study found that combining alcohol and stimulants like Adderall increased blood pressure and stress on the heart. Adderall and alcohol can each increase the risk of cardiac events on their own, and this study demonstrated that taking both together could be even riskier. The manufacturer of Adderall also warns about the risk of cardiac events. 

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Adderall and Alcohol Side Effects

Adderall is a stimulant and alcohol is a depressant, but rather than canceling each other out, they work in opposition. Some potential side effects of using alcohol while on Adderall can include: 

  • Higher blood pressure
  • Increased body temperature
  • Increased heart rate
  • Distraction
  • Aggression
  • Restlessness
  • Reduced self-control
  • Other mood and behavior changes

How Long After Taking Adderall Can I Drink Alcohol?

While it is best to avoid alcohol entirely while taking Adderall, that may not always be possible. In general, you should wait at least four to six hours after taking immediate-release Adderall or eight hours after taking extended-release formulations before drinking alcohol. Always discuss any possible drug interaction with your health care provider or pharmacist to get the most specific information for your situation. 

*The information we provide is not intended to be a substitute for professional medical advice, diagnosis or treatment. Consult your doctor if you have any questions or concerns regarding your medications.

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