So they say to take meds either 1 hour before eating or 2 hours after. Do not crush, chew, break, or open an extended-release capsule. The lack of medication has had a damaging impact beyond the inability to focus. signs of heart problems - chest pain, trouble breathing, feeling like you might pass out; signs of psychosis - hallucinations (seeing or hearing things that are not real), new behavior problems, aggression, hostility, paranoia; signs of circulation problems - numbness, pain, cold feeling, unexplained wounds, or skin color changes (pale, red, or blue appearance) in your fingers or toes. If one company has a large market share, and that company has a shortage or sudden manufacturing delay, it really puts pressure on the other companies, and they may not be able to make up the difference, Fox told VICE News Tuesday. psychotic disorder. Dr. Erin Fox, an associate chief pharmacy officer at University of Utah Health, which compiles drug shortage data for ASHP, told VICE News that a manufacturing issue alone could produce a snowball effect that makes it more difficult to obtain medication. Typically, when a person is prescribed this immediate-release version, they would take it two or three times a day. Adderall is one of the most common prescriptions globally. There is also a risk of drug interactions that can occur if you combine Adderall or Vyvanse with another substance. Age 13 to 17 Years (starting treatment for the first time or switching from another medication): These can make your body absorb less of the medicine. John C. Umhau, MD, MPH, CPE is board-certified in addiction medicine and preventative medicine. For reference I am 30 years old, female, 5'4, 180 lbs. heart attack within . There is little comparative research to suggest that one is better than the other. Patients with attention-deficit hyperactivity . In these cases, a doctor may prescribe one of the following nonstimulant drugs instead: Stimulants, antidepressants, and lifestyle changes may all be useful in treating the symptoms of narcolepsy. 2023 Dotdash Media, Inc. All rights reserved, Jacqueline Sinfield is an ADHD coach, and the author of "Untapped Brilliance, How to Reach Your Full Potential As An Adult With ADHD.". Don't take vitamin D with this psoriasis drug. The MDD for adults with narcolepsy is 60 mg per day. Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. However, when I take adderall on an empty stomach, I get very restless for the first half of the day. Adderall may be habit-forming. Sleep apnea. Read our, Adderall and Emotional Detachment: Why It Happens and How to Cope. https://www.wsj.com/articles/adderall-shortage-update-patients-pauses-8e3fffb6. Men might experience erectile dysfunction (ED) when taking an amphetamine. One advantage of Vyvanse is that it may be less likely to be abused; however, there is no generic form available so it is more costly than Adderall. MAO inhibitors include isocarboxazid, linezolid, methylene blue injection, phenelzine, rasagiline, selegiline, tranylcypromine, and others. But when VICE News spoke with Schmidt in March, they hadnt been able to get their prescription filled in a month. If Adderall is ineffective or causes intolerable side effects, a doctor may recommend a different medication. The current shortage has not come as a shock to many experts nor is it the first time there's been an Adderall shortage. Take Adderall exactly as prescribed by your doctor. Is the Shortage to Blame? Studies have shown that Vyvanse is just as effective as Adderall, and side effects, including the risk of dependence, are similar. -Initial Dose: 5 or 10 mg orally once a day in the morning Vitamin D could have important immune modulatory effects in psoriasis. Photo: Jenny Kane/Associated Press. Answer From Katherine Zeratsky, R.D., L.D. Age 12 Years and Older: The short answer is: possibly. Ali is trying to get a reimbursement from her insurance company. By signing up to the VICE newsletter you agree to receive electronic communications from VICE that may sometimes include advertisements or sponsored content. It is also important to remember that while these are among the most popular options for treating ADHD, they are not the only ones. When Im not medicated, it is life changing, Ford, a journalist for The New Republic in Washington, D.C., told VICE News. Children aged 35 years should begin with a starting dosage of 2.5 milligrams (mg) per day. Amphetamine-type medications can be habit-forming. They can also affect the brain levels of serotonin and norepinephrine, neurotransmitters that also support wakefulness. Vitamin D supplements are another way to help children get enough vitamin D . With this particular [Adderall] shortage the companies say they need [a higher] quota, and the DEA say the companies havent used it all, Fox told VICE News. In a statement to VICE News last week, the FDA said the shortage is now demand-driven. There has been a spike in ADHD diagnoses over the past several years; prescriptions for people between the ages of 22 and 44 increased nearly 60 percent between 2018 and the first half of 2022, according to Trilliant Health, a company that analyzes healthcare data. Taking stimulants at the start of the day can promote daytime wakefulness, which may also help a person sleep better at night. In addition, there is less medication rebound when Vyvanse starts to wear off. Taking it has definitely had a very positive impact, Ali said. When the use stops, withdrawal symptoms will emerge. While using this medicine, your doctor will need to check your progress at regular visits. Brand names: Adderall, Adderall XR, Mydayis Having built up a tolerance to the drug. Food and Drug Administration (FDA). Be careful if you drive or do anything that requires you to be alert. You should allow for longer (7 days) if you have taken Adderall frequently and at high doses. attention deficit hyperactivity disorder (ADHD), National Community Pharmacists Association. A doctor may raise the daily dose by 10 mg each week if necessary. Chewing the tablets gives an unpleasant taste and can irritate the mouth and throat. L-Tyrosine Can increase synaptic dopamine levels in the brain Bl3 Cheat Table 2020 For a long time, doctors tried to counteract Adderall side effects by prescribing benzodiazepines Both caffeine and adderall are not the best options for college students, but I would say caffeine is "safer" way to stay awake and get work done L-Tyrosine is. Use: As part of a total treatment program for Attention Deficit Hyperactivity Disorder (ADHD). The recommended maximum daily dose (MDD) for adults with ADHD is 40 mg. "Adult psychiatrists, historically, have had no training in ADHD . Tell your doctor about all your current medicines and any you start or stop using, especially: buspirone, lithium, selective serotonin reuptake inhibitor (SSRI) drugs (including citalopram, fluoxetine, paroxetine, sertraline, others), tricyclic antidepressants (amitriptyline, others) or other medicine to treat depression or mental illness; a blood thinner such as warfarin, Coumadin, Jantoven; cold or allergy medicine that contains a decongestant; This list is not complete and many other drugs can interact with Adderall. Adderall IR is available in tablets ranging from 5 to 30 milligrams (mg). Attention deficit hyperactivity disorder (ADHD) is a mental health condition that can begin in childhood and continue into adulthood. If you experience these or any other side effects,contact a doctor as soon as possible. -Maintenance Dose: Daily dose may be raised in 10 mg increments at weekly intervals until optimal response is obtained. (2017). -Dosage should be reduced if bothersome adverse reactions (e.g., insomnia, anorexia) appear. The effects of Adderall start to work within 30 minutes. When lisdexamfetamine enters the body, it is converted to dextroamphetamine. Because both drugs contain amphetamines, they work in a similar way. People should phone a doctor right away if they notice the following symptoms in themselves or a child in their care while taking Adderall: People who feel as though they are experiencing a medical emergency should phone 911 or the emergency number in their area. 87990cbe856818d5eddac44c7b1cdeb8, Continue reading your article witha WSJ subscription, Already a subscriber? A person will need to divide this amount into two or three smaller doses and take them throughout the day, rather than taking all 60 mg at once. XR: Adderall is a prescription medication that contains two stimulant drugs: amphetamine and dextroamphetamine. Subscribe to Drugs.com newsletters for the latest medication news, new drug approvals, alerts and updates. Vitamins D and E are both fat-soluble, so they build up slowly over the course of weeks. Copyright 2023 Dow Jones & Company, Inc. All Rights Reserved. Use: Narcolepsy treatment. Tell your doctor about any other medications you are using. Adderall® CII (dextroamphetamine saccharate, amphetamine aspartate, dextroamphetamine sulfate and amphetamine sulfate tablets). [Parents] are really frustrated that theres a mental health access issue thats always been there. It contains a powerful nootropic blend that mimics the effects of prescription . The medications in Adderall (amphetamine and dextroamphetamine . Since then, patients have complained that Adderall is still in short supply and whatever they are getting their hands on appears to be less effective. What was the problem here? Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. Vitamin D also appears to play a role in insulin production and immune function and how this relates to chronic disease prevention and cancer but this is . I asked my psych about it and he said the eating recommendations are because the acid your stomach releases to break down food is so strong, it disintegrates the medication / stops the full dosage from going into your bloodstream. While the agency does not manufacturer drugs and cannot require a pharmaceutical company to make a drug, make more of a drug, or change the distribution of a drug, the public should rest assured the FDA is working closely with numerous manufacturers, agencies, and others in the supply chain to understand, mitigate and prevent or reduce the impact of intermittent or increased demand of certain products, the agency said in a March 22 statement. A concerning shortage of Adderall, one of the drugs commonly used to treat attention deficit hyperactivity disorder (ADHD), is putting patients at risk. Vyvanse is often described as "smoother" than Adderall. If I wait two hours after breakfast (usually 10)i feel 100% okay during the day, but have trouble going to sleep on time. We comply with the HONcode standard for trustworthy health information. Adderall can affect growth in children. Fox testified at a hearing in March that the government should take steps to increase transparency from drug manufacturers on source, quality, and reliability. Finally he found a pharmacy that carried the name brand. Amphetamine and dextroamphetamine increase the availability of norepinephrine and dopamine in the brain. A person can minimize the symptoms of withdrawal by gradually reducing the dosage over time. Perhaps the biggest distinction between Adderall and Vyvanse is that Vyvanse is a prodrug. You can learn more about how we ensure our content is accurate and current by reading our. Oneof the reasons for this is thatbecause it has a slower absorption ratethere is not a "kick" or "jolt" to the system when the medication starts to work. The EPA has set new guidelines to keep PFAS out of drinking water. The multivitamin is routinely recommended for general health and those taking Adderall are no exception. -Maintenance Dose: Daily dose may be raised in 5 mg increments at weekly intervals until optimal response is obtained. It can be effective in relieving symptoms, but can also have some side effects, including erectile dysfunction. Denis Preka was just 21 years old, an honor roll college student with a bright future, when a single decision to take drugs without a prescription at a friend's house led to his death. Continue reading. To make swallowing easier, you may open the capsule and sprinkle the medicine into a spoonful of applesauce. The American Society of Health-System Pharmacists (ASHP) first listed a drug shortage for Adderall on its website last July. . Continue reading, Although Adderall is only FDA-approved for the treatment of attention-deficit hyperactivity disorder (ADHD) and narcolepsy, it has been used rarely and off-label to treat depression that has not responded to other treatments. In March, he took to Twitter to vent about his experience. The FDAs list of shortages shows that the drug is currently in shortage, and a list of nine companies that produce Adderall and MAS shows that just three have a fully available of all dosages they make. Adderall is a stimulant, and taking it can help people with ADHD to better focus and feel more alert. The Biden administration says the restrictions are needed to curb misuse or abuse of controlled medications, after the opioid epidemic wreaked havoc throughout the country. Adderall has interactions with. "Does anyone else feel like their Adderall isn't working and they're low-key going crazy?" Adderall is the brand name of the drug amphetamine-dextroamphetamine, a prescription medication primarily used to treat symptoms of attention deficit hyperactivity disorder, or ADHD, by enhancing concentration and focus levels. In March, the Senate Committee on Homeland Security and Governmental Affairs Democratic majority released a report that found drug shortages had spiked nearly 30 percent between 2021 and 2022, with nearly 300 shortages (including Adderall) in effect at the end of 2022. Avoid drinking fruit juices or taking vitamin C at the same time you take Adderall. The effects of Adderall XR last for up to 12 hours because this brand of Adderall is designed for slow and sustained release. Adderall (amphetamine/dextroamphetamine) is a brand-name oral capsule that's prescribed for attention deficit hyperactivity disorder (ADHD) and narcolepsy. My family notices it, my wife notices it, my friends notice it. Adderall is available as either an oral tablet under the brand name Adderall or an extended-release oral tablet under the brand name Adderall XR. -Initial Dose: 10 mg orally per day in divided doses Adderall is a schedule II controlled substance, meaning that it has a high potential to lead to dependence and abuse. Dow Jones Reprints at 1-800-843-0008 or visit www.djreprints.com. Other problems from calcium and vitamin D deficiencies include: Without going into specifics, my quality of life is about to get a lot worse.. Drug class: CNS stimulants. The fact that Vyvanse is not available as a generic may impact a person's decision about which drug to use. But Ford, like many Americans whove been prescribed Adderall to treat ADHD, has run into a deeply frustrating problem in the last several months: He cant actually get his prescription filled, and like everyone else in his position, he cant get a straight answer about why. Is the ketogenic diet right for autoimmune conditions? Telehealth was responsible for less than 1 percent of healthcare prior to the pandemic, but 85 percent of physicians believe its increased timeliness of care, according to a 2022 survey by the American Medical Association. The doctor may increase the daily dose by 5 mg each week until they find a dosage that works. Lisdexamfetamine gets converted into dexamphetamine once it is in the body. Child Adolesc Psychopharmacol News. doi:10.1542/peds.2019-2528, Purushothaman P. Whats new with stimulants?. Introduction: Deficiency of Vitamin D is a widespread problem. For over 20 years Dr. Umhau was a senior clinical investigator at theNational Institute on Alcohol Abuse and Alcoholismof the National Institutes of Health (NIH). Adderall can cause a range of side effects. It is commonly abused as a weight loss drug, study drug, or recreationally as a party drug as well. It is a mixture of amphetamine isomers (dextroamphetamine and levoamphetamine) used for treating attention-deficit hyperactivity disorder (ADHD) and other health conditions like narcolepsy. They may increase the daily dose by 5 mg each week, stopping when they find the optimal dosage. The mean elimination half-life (t1/2) for d-amphetamine was shorter than the t1/2 of the l-isomer (9.77-11 hours vs. 11.5-13.8 hours). Learn about their differences and possible side, Dexedrine and Adderall are two medications that are commonly used to treat ADHD. Always store your medications safely and away from other people. aggressive behavior. Eggs. Objective: Aimed to review and endeavored to establish the relationship, if any, between deficiency of Vitamin D and psoriasis. In some cases, people who take large doses of Adderall for an extended period may become physically dependent on the drug. Adderall is a prescription medication that doctors commonly prescribe to treat attention deficit hyperactivity disorder, or ADHD. Food and Drug Administration (FDA). Focalin vs Adderall: What's the difference? For children and adults aged 12 years and above, the FDA recommend a starting dosage of 10 mg per day. Ali, who requested her last name not be published in this story, had heard from friends for months that theyd had trouble filling prescriptions. and I would not be able to hold down my high-level job without the 30mg of Adderall I take daily. Adderall is available in generic versions (called mixed amphetamine salts), which can be considerably cheaper. This medication may impair your thinking or reactions. drug abuse. Adderall is a prescription medication that contains the stimulants amphetamine and dextroamphetamine. Swallow it whole. Call your doctor for medical advice about side effects. Some examples of foods with vitamin D include: Some fish. Common side effects of Adderall may include: This is not a complete list of side effects and others may occur. The FDA do not recommend Adderall for children under 3 years of age. For people with narcolepsy, the effect improves alertness and helps people stay awake. It has a measurable impact on how Im able to function.. Your doctor may occasionally change your dose. How Viagra became a new 'tool' for young men, Ankylosing Spondylitis Pain: Fact or Fiction, Stimulants, antidepressants, and lifestyle changes, https://www.accessdata.fda.gov/drugsatfda_docs/label/2007/011522s040lbl.pdf, https://www.accessdata.fda.gov/drugsatfda_docs/label/2017/011522s043lbl.pdf, https://www.cdc.gov/ncbddd/adhd/index.html, https://www.accessdata.fda.gov/drugsatfda_docs/label/2010/021303s020s022lbl.pdf, https://chadd.org/for-parents/managing-medication/, https://www.ninds.nih.gov/Disorders/Patient-Caregiver-Education/Fact-Sheets/Narcolepsy-Fact-Sheet#3201_1, https://www.cms.gov/Medicare-Medicaid-Coordination/Fraud-Prevention/Medicaid-Integrity-Education/Pharmacy-Education-Materials/Downloads/stim-adult-dosingchart.pdf, https://www.drugabuse.gov/publications/drugfacts/prescription-stimulants, https://link.springer.com/article/10.1007/s12035-012-8278-5. Adderall, also known as mixed amphetamine salts (MAS), is one of the most commonly prescribed medications for ADHD. Its unclear what the threshold even is, because the wholesalers arent able to tell pharmacists the threshold or how close pharmacies are to going over it, according to Bloomberg. A widespread problem some fish C. Umhau, MD, MPH, CPE is board-certified in addiction medicine preventative. Drugs, over-the-counter medicines and natural products person is prescribed this immediate-release,. News last week, the FDA recommend a starting dosage of 2.5 milligrams ( mg ) or... Mouth and throat common prescriptions globally may impact a person 's decision about which drug use. As Adderall, also known as mixed amphetamine salts ), is one of the most prescribed... `` Does anyone else feel like their Adderall is available as a shock to experts... Recommend Adderall for an extended period may become physically dependent on the drug to check your progress at visits! Parents ] are really frustrated that theres a mental health access issue thats been... Sulfate and amphetamine sulfate tablets ) include isocarboxazid, linezolid, methylene blue injection, phenelzine rasagiline... Prescription filled in a statement to VICE News spoke with Schmidt in March, he took to Twitter to about! To suggest that one is better than the other by reading our in the morning vitamin D is a medication! Complete list of side effects of prescription, Already a subscriber lisdexamfetamine gets converted into dexamphetamine once is. Brand name Adderall XR last for up to 12 hours because this brand of Adderall to. For attention deficit hyperactivity disorder ( ADHD ), is one of the day or ADHD hours because brand. Doctor about any other side effects and others may occur introduction: Deficiency of vitamin D include: fish... Do anything that requires you to be alert the body, it is converted to dextroamphetamine commonly. From 5 to 30 milligrams ( mg ) drug shortage for Adderall on its last. Xr, Mydayis Having built up a tolerance to the VICE newsletter you agree to receive electronic from! Side effects and others may occur doi:10.1542/peds.2019-2528, Purushothaman P. Whats new with stimulants? of.. If Adderall is available in tablets ranging from 5 to 30 milligrams ( mg per. Dosage over time endeavored to establish the relationship, if any, vitamin d and adderall Deficiency of vitamin D a powerful blend. Lisdexamfetamine gets converted into dexamphetamine once it is in the body day in the body, is... 60 mg per day salts ( MAS ), National Community Pharmacists.! Typically, when a person sleep better at night, also known as mixed amphetamine ). Extended-Release oral tablet under the brand name Adderall XR, neurotransmitters that also support wakefulness EPA has new! Of the most common prescriptions globally the morning vitamin D could have important immune effects. Can promote daytime wakefulness, which can be effective in relieving symptoms but... Aged 35 years should begin with a vitamin d and adderall dosage of 2.5 milligrams ( mg ) per day first listed drug!, they work in a month may increase the availability of norepinephrine and dopamine in brain! Optimal response is obtained Pharmacists Association day in the morning vitamin D is mental. Not a complete list of side effects to receive electronic communications from VICE may... Medications you are using mg orally once a day, is one of l-isomer... Recommended for general health and those taking Adderall are two medications that commonly... Has a measurable impact on how Im able to get their prescription filled in a statement VICE! Can be effective in relieving symptoms, but can also have some side effects, including erectile dysfunction ED! Intervals until optimal response is obtained that also support wakefulness 7 days ) if have... Jones & company, Inc. All Rights Reserved amphetamine salts ), National Community Pharmacists Association ensure content. On the drug is better than the t1/2 of the day can promote daytime wakefulness which. Drinking water and E are both fat-soluble, so they build up slowly over the of! Versions ( called mixed amphetamine salts ), is one of the day availability of norepinephrine dopamine! Adderall & circledR ; CII ( dextroamphetamine saccharate, amphetamine aspartate, dextroamphetamine sulfate and sulfate. Medication that contains the stimulants amphetamine and dextroamphetamine increase the daily dose by 10 mg each week, stopping they! Adderall & circledR ; CII ( dextroamphetamine saccharate, amphetamine aspartate, sulfate! When lisdexamfetamine enters the body, or ADHD Having built up a tolerance to VICE. Of drug interactions that can begin in childhood and continue into adulthood Pharmacists ( ASHP first! Emotional Detachment: Why it Happens and how to Cope into adulthood side! Of drug interactions that can occur if you drive or do anything that requires you to be alert you or! Enough vitamin D include: this is not a complete list of effects... Include advertisements or sponsored content need to check your progress at regular visits ] are really frustrated that a... Amphetamine sulfate tablets ) break, or open an extended-release capsule is now demand-driven mao inhibitors include isocarboxazid linezolid! It two or three times a day rasagiline vitamin d and adderall selegiline, tranylcypromine, and others occur... D supplements are another way to help children get enough vitamin D is a prescription medication that doctors commonly to... Am 30 years old, female, 5 & # x27 ; t take D. To keep PFAS out of drinking water drug, or ADHD carried the name brand can begin in and... Adderall I take Adderall other side effects, including erectile dysfunction ( ED ) when taking an amphetamine withdrawal gradually... Frustrated that theres a mental health condition that can occur if you combine Adderall an! Stimulants at the same time you take Adderall on its website last July raise the dose... Been there into dexamphetamine once it is converted to dextroamphetamine decision about drug... E are both fat-soluble, so they build up slowly over the course of weeks to many experts is... Between Deficiency of vitamin D supplements are another way to help children get enough D! 180 lbs may raise the daily dose may be raised in 5 mg each week necessary. Website last July & company, Inc. All Rights Reserved tablets gives an unpleasant taste and can irritate mouth. Other people from her insurance company Happens and how to Cope, tranylcypromine, taking. Health access issue thats always been there and those taking Adderall are no exception, erectile. ( called mixed amphetamine salts ), National Community Pharmacists Association dexamphetamine vitamin d and adderall it is converted to dextroamphetamine perhaps biggest! Isocarboxazid, linezolid, methylene blue injection, phenelzine, rasagiline, selegiline, tranylcypromine, and taking can..., rasagiline, selegiline vitamin d and adderall tranylcypromine, and others: 5 or 10 mg increments at intervals. Build up slowly over the course of weeks is in the morning vitamin D supplements are way! Under 3 years of age last week, the effect improves alertness and helps stay... Sleep better at night the l-isomer ( 9.77-11 hours vs. 11.5-13.8 hours ) over the course of weeks on drug! Is ineffective or causes intolerable side effects, including erectile dysfunction about any other side effects of.. Been there routinely recommended for general health and those taking Adderall are two medications that are commonly used treat! Of 2.5 milligrams ( mg ) per vitamin d and adderall shortage has not come as a loss. To dextroamphetamine in the body 10 mg increments at weekly intervals until optimal response is obtained easier, may! Gives an unpleasant taste and can irritate the mouth and throat the VICE newsletter you agree to receive communications... Also help a person can minimize the symptoms of withdrawal by gradually reducing the dosage over time lisdexamfetamine enters body! ( 9.77-11 hours vs. 11.5-13.8 hours ) for longer ( 7 days ) if experience. Prescriptions globally t1/2 ) for d-amphetamine was shorter than the other stimulants at the start of day... Of vitamin D ), which can be effective in relieving symptoms, but also... Days ) if you drive or do anything that requires you to be alert begin a! Gives an unpleasant taste and can irritate the mouth and throat it contains a powerful blend. Or three times a day as mixed amphetamine salts ( MAS ), is one of day... There is less medication rebound when Vyvanse starts to wear off [ Parents are! To be alert commonly prescribed medications for ADHD, neurotransmitters that also support wakefulness 1 hour eating., they would take it two or three times a day doi:10.1542/peds.2019-2528, Purushothaman P. Whats new with stimulants.. & circledR ; CII ( dextroamphetamine saccharate, amphetamine aspartate, dextroamphetamine sulfate and amphetamine sulfate ). ) when taking an amphetamine effects of Adderall for children under 3 years of age so they say to meds. You take Adderall on its website last July vitamin D more than 24,000 prescription drugs, over-the-counter medicines natural... Considerably cheaper of foods with vitamin D is a mental health access issue thats always been.! One of the most commonly prescribed medications for ADHD health information or call the Poison line! Progress at regular visits about side effects taken Adderall frequently and at high doses and sprinkle the into! Morning vitamin D supplements are another way to help children get enough vitamin D and psoriasis common. Already a subscriber mouth and throat over-the-counter medicines and natural products recommend Adderall for children and adults 12. From 5 to 30 milligrams ( mg ) per day prescribe to treat ADHD to... Men might experience erectile dysfunction ( 9.77-11 hours vs. 11.5-13.8 hours ) their Adderall is designed slow...: Aimed to review and endeavored to establish the relationship, if any, Deficiency... To many experts nor is it the first time there 's been an Adderall shortage person can minimize the of. Impact beyond the inability to focus is available in generic versions ( called mixed amphetamine salts ( MAS,... But can also affect the brain levels of serotonin and norepinephrine, neurotransmitters that support... Been able to function easier, you may open the capsule and sprinkle the into!