A drug kids take in search of better grades

When Adderall is passed on from family or friends who have prescriptions to those who don't, it has an aura of legality that street drugs don't have. It's pure, which makes it seem safer than unregulated drugs, where users don't know what else it may have been cut with.

But in many states it's a felony to be in possession of drug that has not been prescribed for the person using it. Prosecution, says Robert Goldstein, chief medical officer of Somnia, could be "equally as damning to a student" as addiction. When people see a prescription bottle, they think it's OK - even when it's taken inappropriately, says Dr. Kishore.

Students are more likely to take a single Adderall pill than drink 10 cups of coffee because, at least in the short term, it's "longer acting and has fewer side effects than caffeine," says Dr. Goldstein. "When used appropriately, it lasts an entire day."

For 22-year-old Ben, it helped him concentrate for hours on end at the University of Michigan, his alma mater. Ben (not his real name) restricted his Adderall use to study periods.

After about 20 minutes, the drug would kick in. He says that the ability to concentrate intensely "helped time pass by better. I could read for four hours straight without looking up at the clock."

When Ben describes the widespread use of Adderall at his alma matter, he said many students retained prescriptions from when they were young even though they no longer used the drug themselves. Some had stopped taking Adderall because of headaches or other side effects, yet were willing to going on supplying it to others, either to "help a friend in a crunch," as Ben puts it, or to make some quick cash.

At Ann Arbor, blue pills (10 milligrams) normally sold for $3, and orange pills (20 milligrams) for $5, says Ben. Prices rose as demand exceeded supply during midterms and finals.

Ben, an English major, would frequently take the drug with his peers during study groups in the library. They also met afterward to share a joint to alleviate the inevitable side effects, which include restlessness, dizziness, and insomnia.

Kishore has counseled a number of such clusters - small groups of friends who have taken Adderall together, and become dependent on it together.

Overcoming the dependency is tough, Kishore says, especially for students who were using Adderall specifically to help them stay up to study and who need to learn to approach their studies in a new way. Treatment is normally done on an outpatient basis and involves teaching new coping behaviors and techniques.

Some also hope a new version of the drug could help reduce its misuse among younger students.

In 2001, Shire Pharmaceuticals, the maker of Adderall, introduced Adderall XR, a time-release version. The new version was developed primarily as a convenience, the company says. But because it is taken as a single daily dose, children don't need to bring it to school, thus minimizing "any potential misuse or inappropriate transferring of medicine to individuals without a prescription."

But some experts say that Adderall abuse is still not being taken seriously enough by many parents and adults.

Widespread toleration of Adderall misuse is similar to the blind eye too many adults cast on teenage drinking in the 1980s, says Goldstein.

"People didn't pay attention or take it seriously, before groups like MADD," he says. "[Minors drinking] isn't just bad because they're underage, it's dangerous. If somebody gets in a car, they can injure others and themselves. It's similar to being a parent throwing a party with kids drinking, only to find out you're responsible for the car crash that happens later on."

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