View Full Version : Help - Abusing Adderall Frequently


AC360CNN
01-25-12, 05:00 AM
I'm prescribed 40mg Adderall IR pills to be taken throughout the day, with the last around 5:30pm. If I take it after 6pm then I won't be able to sleep by midnight. I found a solution for this...

If its after 6pm and I realize I forgot to take my 5:30pm Adderall, then I'll take it, but I'll chew it so that it will get digested faster and I'll still be able to sleep that night.

The directions say never to chew the pills, yet I still abuse them by chewing. How bad is this abuse? What do you think of this drug abuse? Please help me with advise.

sarahsweets
01-25-12, 07:25 AM
Well taking a medication in away that it was not prescribed is misuse and /or abuse. Chewing the pills might make it absorb faster but overall I don't think its that significant. Do you take more specific did
medication than prescribed?

AceBlackstone
01-25-12, 07:29 AM
I'm assuming IR is extended. If its a capsule full of beads, bad idea! Those beads each digest at different time intervals, chewing it all up is only going to give you about 3 to 4 hours worth

Lunacie
01-25-12, 09:28 AM
Because I've never heard of anyone chewing their Adderall before, I did
a quick Google and found this:


According to Drugs.com, an Adderall capsule should never be crushed, chewed, broken or opened. To ensure safety and effectiveness, swallow the capsule whole. Adderall is manufactured specifically to release medicine slowly into the body. Chewing or crushing the pill will cause too much of the medicine to be released into the body at one time. Chewing Adderall will not cause the medicine to work faster. In fact, an accidental overdose of the medication can be fatal.


Seems like the risks would outweigh the benefits, since chewing the
Adderall doesn't actually make it work any faster. Taken from:
http://www.answerbag.com/q_view/1958023

Ronsit
01-25-12, 02:20 PM
If you chew XR pills, which are usually beads, you break the time-release mechanism and you get the entire dosage all at once instead of spread out, and you'll get a stronger effect. If you chew IR pills, which are usually plain pills, on the other hand, it's still going to be the same amount you're ingesting so there shouldn't be any increased (side-)effects.

I think it's kind of strange that you notice such a difference when you chew your pills, your stomach should be able to dissolve a pill quite easily within 20 minutes. I doubt there's any harm in this since though, it's the same difference as a regular tablet of aspirin and one that you dissolve in a glass of water before you drink it.

If you do notice any side-effects however I'd suggest you just don't take the second pill, it's not that big of a problem to go without for an afternoon/evening. If you really need to take it because of classes or something I'd suggest you take only half a pill, it'll wear off quicker than an entire pill, allowing you to go to sleep on time.

What I would do though, is set an alarm or a reminder in your cellphone @ 5:30 to remind you to take the pill so you won't have to deal with this problem in the first place.

Lunacie
01-25-12, 02:25 PM
A reminder on cell phone or ipad is a good idea. But I don't think it's true
that a smaller dose of Adderall lasts for a shorter time. I know I've read
that taking a larger dose doesn't increase the duration of effect.

Ronsit
01-25-12, 02:54 PM
No you're right, a smaller dose doesn't necessarily last for a shorter time. Should've been more clear, let me explain what I ment.

A 20mg dose and a 10mg will start to wear of at about the same time. So 20mg will last as long as the 10mg dose, but it'll take longer to leave your body. So if you take 10mg, you'll reach the 'sleeping-treshold' (where the remaining amount of adderall in your body is keeping you awake) faster and thus able to fall asleep faster.

AC360CNN
01-25-12, 06:12 PM
Chewing the pills might make it absorb faster but overall I don't think its that significant. Do you take more specific did
medication than prescribed?

Am I taking more than prescribed? No, I never take more than prescribed. The only abuse I do is that I sometimes chew my 6pm pill instead of just swallowing it.

I'm assuming IR is extended. If its a capsule full of beads, bad idea! Those beads each digest at different time intervals, chewing it all up is only going to give you about 3 to 4 hours worth


http://img252.imageshack.us/img252/6757/83311761.jpg


Like I said in the original post, I'm talking about the IR which don't have little capsules.

AC360CNN
01-25-12, 06:15 PM
Because I've never heard of anyone chewing their Adderall before, I did
a quick Google and found this:

According to Drugs.com, an Adderall capsule should never be crushed, chewed, broken or opened. To ensure safety and effectiveness, swallow the capsule whole. Adderall is manufactured specifically to release medicine slowly into the body. Chewing or crushing the pill will cause too much of the medicine to be released into the body at one time. Chewing Adderall will not cause the medicine to work faster. In fact, an accidental overdose of the medication can be fatal.

Seems like the risks would outweigh the benefits, since chewing the
Adderall doesn't actually make it work any faster.


I'm not defending my drug abuse/chewing problem, but that drugs.com quote is false. Here is the false part: "Chewing Adderall will not cause the medicine to work faster." Chewing is part of the digestive process. Sometimes I don't even finish chewing it and it dissolves in my mouth and within 5-10 minutes I can feel the effects. By chewing the drug, I'm speeding up the entire digestive process.

That quote is misleading and contradicts itself. If the quote is true, and chewing Adderall will not cause it to work faster, then there should be no problem with me chewing my pills regularly then, right?

By chewing my last 10mg IR pill of the day, am I really at risk of a fatal overdose, as that quote implies?

quirkyscrawler
01-25-12, 10:27 PM
Perhaps try drinking some OJ when you're trying to wind down to go to sleep?

AC360CNN
01-25-12, 10:33 PM
Perhaps try drinking some OJ when you're trying to wind down to go to sleep?


The idea behind OJ would be to put acid into the stomach which would negate the Adderall effects from being absorbed correctly? 3-4 hours after I take the last pill, wouldn't my stomach be empty by then?

spunkysmum
01-25-12, 10:49 PM
I'm prescribed 40mg Adderall IR pills to be taken throughout the day, with the last around 5:30pm. If I take it after 6pm then I won't be able to sleep by midnight. I found a solution for this...

If its after 6pm and I realize I forgot to take my 5:30pm Adderall, then I'll take it, but I'll chew it so that it will get digested faster and I'll still be able to sleep that night.

The directions say never to chew the pills, yet I still abuse them by chewing. How bad is this abuse? What do you think of this drug abuse? Please help me with advise.

If it's the instant release form then I don't see how chewing the pills could POSSIBLY be considered abuse. Chewing them into powder in order to snort them up your nose, sure. Chewing and swallowing them, no.

If chewing them can be considered abuse, then so can putting a pill in your mouth, suddenly realizing the bottle of water you thought you had handy was not where you thought it was, and having the pill dissolve in your mouth before you find something to wash it down with.

These pills dissolve very easily anyway and I often notice an almost literally instant effect after I take one. I doubt there's any significant difference between how fast a chewed up Adderall goes to work and how fast a swallowed one does, so if you are only doing it for that reason, then it's probably not necessary. If you're one of those folks that finds swallowing pills of any size difficult for some reason and needs to chew them for that reason, I don't see the problem.

Heck, I've bitten my pills in half in order to use less in case I run out of pills before I run into enough money for my next refill.

That might be just a standard admonition on your pharmacy's info printouts, who knows.

spunkysmum
01-25-12, 10:57 PM
I'm not defending my drug abuse/chewing problem, but that drugs.com quote is false. Here is the false part: "Chewing Adderall will not cause the medicine to work faster." Chewing is part of the digestive process. Sometimes I don't even finish chewing it and it dissolves in my mouth and within 5-10 minutes I can feel the effects. By chewing the drug, I'm speeding up the entire digestive process.

That quote is misleading and contradicts itself. If the quote is true, and chewing Adderall will not cause it to work faster, then there should be no problem with me chewing my pills regularly then, right?

By chewing my last 10mg IR pill of the day, am I really at risk of a fatal overdose, as that quote implies?

The main problem I see with that quote is that it says "Adderall capsule." That would indicate the quote refers to Adderall XR, since to the best of my knowledge Adderall IR doesn't come in capsules. Adderall XR is not the same thing as Adderall XR. XR is specifically formulated to dissolve slowly, so yes, it would not make any sense to try to open them to make them work faster.

Do they now consider Adderall XR to be the implied default when the term "Adderall" is used? That's messed up. If they are talking about Adderall XR they should say they are talking about XR, and not give as general Adderall information facts that only apply to XR and not IR.

AC360CNN
01-26-12, 02:14 AM
...Do they now consider Adderall XR to be the implied default when the term "Adderall" is used? That's messed up. If they are talking about Adderall XR they should say they are talking about XR, and not give as general Adderall information facts that only apply to XR and not IR.

I'm skeptical of information I find on the web. A lot of it is anti-drug propaganda circulated to convince kids not to do drugs. The problem is that by circulating false and sensationalized information, the anti-drug movement loses credibility.

For example, that quote from drugs.com says never to chew Adderall (implying that this includes IR and XR). It then goes on to say that "chewing Adderall will not cause the medicine to work faster" which might be good advice, but its a lie. Then the quote goes on to imply that chewing Adderall may cause death.

spunkysmum
01-26-12, 02:19 AM
I'm skeptical of information I find on the web. A lot of it is anti-drug propaganda circulated to convince kids not to do drugs. The problem is that by circulating false and sensationalized information, the anti-drug movement loses credibility.

For example, that quote from drugs.com says never to chew Adderall (implying that this includes IR and XR). It then goes on to say that "chewing Adderall will not cause the medicine to work faster" which might be good advice, but its a lie. Then the quote goes on to imply that chewing Adderall may cause death.


BINGO!

I've said this for a while now - even if your cause is a good one, there's no justification for - and nothing to be gained by - using lies to make your case. One demonstrable falsehood taints your whole credibility.

BonnZaiiTree
01-26-12, 01:22 PM
I'm gonna go out on a limb here and suggest you contact the Dr. that prescribed the medicine with your dilemma. If you feel comfortable tell him about the chewing, if not, then just ask his advice about missing the dose. Maybe he can prescribe you a lower dose to take in the event you forget or something to help you sleep if you need to take it past 6pm.

Also have you tried melatonin for sleep or meditation podcasts:
http://www.themeditationpodcast.com/ the rejuvenating sleep one is awesome!

They knock me out and I'm a horrible sleeper.

Lunacie
01-26-12, 04:00 PM
I'm not defending my drug abuse/chewing problem, but that drugs.com quote is false. Here is the false part: "Chewing Adderall will not cause the medicine to work faster." Chewing is part of the digestive process. Sometimes I don't even finish chewing it and it dissolves in my mouth and within 5-10 minutes I can feel the effects. By chewing the drug, I'm speeding up the entire digestive process.

That quote is misleading and contradicts itself. If the quote is true, and chewing Adderall will not cause it to work faster, then there should be no problem with me chewing my pills regularly then, right?

By chewing my last 10mg IR pill of the day, am I really at risk of a fatal overdose, as that quote implies?


The quote I found was talking about chewing the capsules, the ones with
tiny time release beads. You're talking about the solid tablet, aren't you?

siglerja
01-27-12, 05:00 PM
Dear lord. /facepalm

Listen. Chewing IR Adderall is going to do two things: Allow for some level of absorbtion in the soft tissue of your mouth and tongue, and allow for less of it in your actual digestive track. It will also mess up your tongue and gums, the stuff isn't good to any part of your body, especially not something you need to taste and eat food with. This absorbtion / effects will likely be faster and more acute as it doesn't all have to go through digestion, but digestion is where you get duration and avoid the fast uptake, brutal downturn that leads to addiction. Adderall is absorbed through soft tissue such as your mouth, tongue, nasal membranes, etc - The reason it's packaged in glucose and given to you in a pill and not a powder is so it actually gets digested and you get the intended effects. You will experience less overall absorbtion of the medication by chewing it - A decent amount will get burnt up by stomach acid without the medication being compacted and contained in pill form and less will make the full trip. You're not abusing it so much as cheating yourself out of a longer and more noticable duration of effects.

10mg of Adderall is so incredibly benign in terms of what it can and can't do in even the most stimulant-sensitive person, the only way you could suffer any real lasting negative effects if if you choked on it. You could inject it into your heart with an adrenaline syringe and you'd probably just get a headache. (Don't actually do that.)

Yes, any method other than the explicitly directed way a doctor tells you to take a drug is considered misuse or abuse. Is this a chronic, horrible problem that's going to require some sort of huge adjustment or detox to overcome? Do you need to go to rehab immediately? Of course not. Just stop chewing your meds, it makes no sense and any sort of benefit you think you're getting from it is probably imagined or telling that you need a dose / XR change.

YOUCANCALLMEAL
01-27-12, 06:14 PM
I dunno, seems like the OP is overreacting a tad. Don't think it's the end of the world if you chew an IR tablet.

In fact, I used to chew certain meds because I have always liked bitter tastes...so i chewed it and it tasted like aspirin. Didn't really think anything of it to be honest.

I would suggest the OP not be so hard on himself. As long as he isn't taking more than prescribed, I wouldn't call it abusing it

AC360CNN
01-27-12, 06:19 PM
Chewing IR Adderall... absorbtion / effects will likely be faster and more acute as it doesn't all have to go through digestion, but digestion is where you get duration and avoid the fast uptake, brutal downturn that leads to addiction.

Precisely. You said, in more technical terms, exactly what I've been doing. "Fast uptake" means I get to be productive sooner. "Brutal comedown" means I get to sleep well at 11pm :)

You're not abusing it so much as cheating yourself out of a longer and more noticable duration of effects.

Actually that would be the benefit of chewing it. The goal of my abusive chewing is a shorter, less noticeable duration, which I successfully obtain by chewing the med.

Just stop chewing your meds, it makes no sense and any sort of benefit you think you're getting from it is probably imagined or telling that you need a dose / XR change.

Now I'm confused again. I thought you just said that by chewing it, I get the effects faster and then come down is faster. Technically that is a benefit, considering it helps me obtain a healthy 8 hours of sleep. So is that an actual benefit or are those effects imagined?

I'm starting to think that occasional chewing is OK. It helps me be productive in the evening, but I can still get to bed and get some healthy sleep.

Psychomaze
01-27-12, 06:35 PM
I read that doing something called "Medication Vacation" can be useful, but I've also heard that it can screw you over too. The theory goes that if you lower your dose/go off it, the withdraws would be in a 'controlled' environment and timing (like at home during a holiday break) and it will lower your tolerance so that when you resume doses it will be effective again.

It's a hot-button topic so you may want to ask what your doctor thinks about this. Also, if you see more than one doctor like a family doctor and specialist, keep them updated on all of the medications that you are taking and contact info so that they can touch base with each other.

From personal experience, taking a B-12 shot / supplements helps the medication be more effective in concentration and stuff.

Joker_Girl
01-27-12, 07:08 PM
I have chewed up instant release Ritalin before. Its not like i am taking more of it than i am supposed to, i just have thought it seemed like it worked a little quicker. It could be all in my imagination though. I don't know if it really did, and even if it did, the taste was so horrific that i couldnt imagine doing it on any kind of regular basis.

I have done this with tylenol or aleve when i have had a headache as well. They are both awful tasting too, but not as bad as ritalin. I did it with a Vicodin when i tore out my ACL. I don't know if it really made it work faster but i had it in my head that it would. Ive done it with Zithromax. I wouldnt recommend it with any antibiotic. I almost puked. Its awful.

I love the taste of baby aspirin and sometimes will chew three or so of them if i have a headache instead of taking a Tylenol.

When i was little i loved baby aspirin and chewable vitamins so much my parents had to put them up. They have a thing called "Goodys" that is like a powdered up aspirin, and you can just pour it in your mouth, its kinda good in a weird way.

You know i would just skip the 5:30 one if you dont have anything going on where you need it. Im suppose to take my med at 8, 12, and 4, and a lot of times if i am not going to be busy in the evening, i just skip the 4 o clock one. Or like if i forget my noon or afternoon one, a lot of times i skip it. I took one at 8 am today, skipped the noon one, and just now took my 4 o clock one an hour late cause its Friday anyways and i need to make supper and clean the basement and i dont wanna be a ding dong.

siglerja
01-28-12, 05:44 PM
It isn't that you're not getting a benefit from it, it's the negatives that coinside with the benefit that make it much worse than other alternatives. Also, be careful with your thought processes with this stuff, it sounds a little self-masochistic. I dabble a bit myself and it doesn't mix well with ADD and ADD medications. Don't resign / allow yourself to "This is abuse and it's okay, now I'm going to defend it and rationalize it" now with something that's borderline not-really-actually abuse, if you encounter any addictive pulls later on you'll fold to them much easier.

IR Adderall is speedy / crashy enough as it is and that's the biggest part of the "addiction mechanism" it comes with, best not to mess around with it if you can help it. The medication is designed to be metabolised, not absorbed in your mouth and throat. The effects are different, the impact is has on your tolerance is different, and it's just a bad practice. When a medication specifically tells you not to take it a certain way, there's usually a reason, and that reason stemmed from one or more negative reactions to doing it that ended in a lawsuit (or they're trying to avoid one).

Chewing it is horrible for your mouth, gums, tongue, esophagus, throat, etc. This is not a natural product, it's incredibly harsh. Consider this: The human stomach is built to withstand a pretty significant amount of abuse. Adderall can offset your PH and torch your esophagus over roughly three months of use if your diet isn't balanced. Chewing it is essentially pouring acid all over your esophagus and then letting it sit there and absorb into it - I have LPR / GERD + Acid Reflux from yeeeeears of doing stupid things like this and the amount of dietary drama and Prilosec I have to swallow just to digest food is absurd. You do not want any of this mess.

When Adderall gets absorbed through soft tissue membranes, it kills them over time. If you never want to taste anything ever again, keep chewing Adderall. Call a Ear / Nose / Throat doc and ask him how easy it is to spot someone who's railed stimulants (or chewed, I suppose, damage in the mouth and throat rather than the nose) in the last month by looking at their nose and throat, it really does some damage. Chewing your dose and taking half of the dose you intended to chew will probably offer up similar effects and use less Adderall. Take your doses earlier in the day or put a cutoff at a certain time in the afternoon. Crush the IR tablet, toss it in empty pill container and swallow it if you must - You should get a somewhat similar experience, but again, this is kitchen chemistry and not a great way to manage your medication.

Will chewing it instantly cause your mouth to turn black and fall off your face? Obviously not, but there's a lot of healthier ways to manage your dose so you can get to sleep at a decent hour.

Have you tried XR before? I had insomnia before meds and Adderall did not help it one bit. You might be able to do a small XR dose in the mid-afternoon and get coverage on through the evening. The comedown is slow and tapered so once you have it timed out right, you just wind down comfortably and get ready for bed.

snowcat
01-29-12, 11:44 AM
I have the same problem sometimes. ADD tends to make you forget things. Just don't take the last dose if you forget or take it and take melatonin at night to help you get to sleep. Since it is a controlled substance you probably don't want to crush it or tell your physician.

My psychiatrist gave me a lot of flexibility and specifically said if you can't sleep just take a half or pour some of the XR beads out of the capsule. Unless, they say something along those lines don't do anything that they didn't direct you to do. They may take it as you are not respecting their judgement/decision as a medical professional or you may be abusing your medication. I would ask the next time if you can just take half if you forget. I highly doubt they will have a problem. Each day is different and they understand that.

As for crushing the medication and risks. IR is the instant release for everyone that posted incorrectly. There is a very rare possibility that it could cause sudden death (heart attack or stroke) if it is crushed. I wouldn't crush it. You are correct there is a lot of misinformation on controlled drugs - so always look at your source and credible medical sites.

snowcat
01-29-12, 11:53 AM
The psychological effects/benefits may be changed noticeably if it is released faster by crushing (and this includes euphoria). This scares physicians because of the potential that amphetamines have to be abused. But the duration of side effects (insomnia) would not be. A half-life is a half-life and it will still be circulating in your blood and brain for the same amount of time before your liver breaks it down and you urinate it out.

AC360CNN
01-29-12, 07:17 PM
My takeaways from this thread:

1. Chewing Adderall (or putting it in apple sauce) to increase absorption and decrease duration is drug abuse.
2. Chewing Adderall is bad for your teeth/gums/etc (digestive system).
3. Putting Adderall in apple sauce partially negates some of the detrimental effects of chewing.
4. Chewing or putting it in apple sauce puts the user at higher risk of addiction due to the shorter duration and more intense effects.

My critical thinking skills tell me that I can responsibly balance the pros and cons of apple saucing Adderall -
Pros: Shorter duration, quicker absorption allows me to be productive in the evenings at the spur of the moment while still being able to sleep well at night.
Cons: Higher risk of addiction, detrimental effects on digestive system.

In conclusion, I believe that I need to stop abusing Adderall because when drugs are involved it is never okay to play doctor. It is innate in human nature that we are at risk of rationalizing and making excuses for self-destructive behavior. Although my critical thinking tells me it is OK to eat crushed Adderall with apple sauce occasionally, doing so crosses a dangerous barrier into the land of drug abuse.

Agreed?

AC360CNN
01-29-12, 08:59 PM
Have you tried XR before? I had insomnia before meds and Adderall did not help it one bit. You might be able to do a small XR dose in the mid-afternoon and get coverage on through the evening. The comedown is slow and tapered so once you have it timed out right, you just wind down comfortably and get ready for bed.

I think I might try the XR, I haven't yet. Maybe I'll do a combination of XR/IR. XR in the morning and IR in afternoon perhaps, since that seems like its what people do.

siglerja
02-10-12, 05:32 PM
Those are good take-aways and a very good plan moving forward. Self-awareness and restraint tends to get a little hard when you're on Adderall, so being "the boss" early pays dividends later on in your treatment. I personally think XR is a much better med myself, try it and see what you think. In any case, if you have issues with insomnia, even taking an additional sleep medication on top of your Adderall dosages would be less detrimental than chewing the stuff. Good luck.

siglerja
02-10-12, 05:38 PM
I have the same problem sometimes. ADD tends to make you forget things. Just don't take the last dose if you forget or take it and take melatonin at night to help you get to sleep. Since it is a controlled substance you probably don't want to crush it or tell your physician.

My psychiatrist gave me a lot of flexibility and specifically said if you can't sleep just take a half or pour some of the XR beads out of the capsule. Unless, they say something along those lines don't do anything that they didn't direct you to do. They may take it as you are not respecting their judgement/decision as a medical professional or you may be abusing your medication. I would ask the next time if you can just take half if you forget. I highly doubt they will have a problem. Each day is different and they understand that.

As for crushing the medication and risks. IR is the instant release for everyone that posted incorrectly. There is a very rare possibility that it could cause sudden death (heart attack or stroke) if it is crushed. I wouldn't crush it. You are correct there is a lot of misinformation on controlled drugs - so always look at your source and credible medical sites.

Tell your doctor that pouring the beads out and taking partial doses is bad advice, they even tell you not to do it on Shire's pamphlet. The reason behind it is that each bead represents one of the four different salts, and you have no way of knowing what balance you're getting in a partial dose. While these imbalances may not seem like a huge deal, brain chemicals are fickle and even the smallest variance can cause issues. A better approach would be to get a smaller dosage of XR (I think 10mg is the lowest) and use that rather than breaking larger XR dosages up.

migamiga
02-11-12, 12:27 AM
i'm pretty sure this isn't good for your teeth for one thing. i've read that one of the side effects (drymouth) can lead to teeth decay really quickly because your teeth aren't moist and protected a lot. especially at night when you may sleep with your mouth open..

anyway, i'm pretty sure the pill/powder/beads aren't good for your teeth. if anything, just crush into a powder and dissolve in like water.

i don't think this is really considered "abuse".. but do what you need to do to be able to sleep by 12. i have this problem as well and it's caused me to pull many an all-nighter..

cillianred
02-13-12, 04:00 PM
This might have already been said, but the "instant release" adjective is a bit of a misnomer.

These pills contain several fillers designed to ensure steady blood amphetamine levels and effectiveness durations. For example, Barr's Dextroamphetamine tabs utilize several fillers, hence the reason some ADHD patients don't experience effective symptom control until two hours post-dose.

Chewing said medications negates this filler effect, exposing your body to an unpredictable rise and fall in blood amphetamine levels.

If you're looking for a longer duration of effectiveness, XR version is the way to go, IMHO. This is particularly true of Shire's brand version in my case, but some have experienced equal effectiveness with the generic forms.