Adderall is a controlled stimulant used to treat attention-deficit/hyperactivity disorder (ADHD). Research on the effects of stimulants on menstruation, fertility issues, and breastfeeding is limited, but providers will inform females interested in Adderall about the possible adverse effects and risks.
*The use of females or males in this article refers to the sex assigned at birth of the individual.
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Adderall Side Effects in Females
Everyone reacts differently to medications, but evidence suggests some commonalities in symptoms of Adderall for women. One study found females more often report decreased appetite, headaches, nausea, dizziness, and anxiety when taking Adderall.3
Similarly, other studies suggest women generally react more negatively to Adderall than men. These findings may be due to differences in metabolism, weight, or body fat percentage. However, more research is needed to determine if Adderall causes different side effects in females
Common side effects of Adderall in women include:
- Nausea
- Headaches
- Dizziness
- Decreased appetite
- Anxiety
- Weight loss
- Sexual dysfunction
Severe & Long-Term Side Effects of Adderall in Females
Stimulant medications come with many potential adverse effects, including the risk of misuse and addiction. In rare cases, stimulants can induce heart attacks, arrhythmias, and palpitations, especially for those who misuse Adderall.2 Patients should seek immediate medical attention if they experience severe reactions when taking Adderall.
Severe side effects of Adderall that require immediate attention include:
- Palpitations or chest pain
- High blood pressure
- Serotonin syndrome
- Seizures
- Tremors
- Heart attack
- Symptoms of psychosis
Sexual Side Effects of Adderall in Females
Although little research exists on female libido and Adderall, some studies show stimulants can decrease sex drive in both males and females. The exact reason for these effects is unknown.4,5
Decreased libido can impact a relationship, so consider speaking with your partner if you experience adverse sexual side effects of Adderall. You should also raise these concerns with your prescribing doctor. You may want to explore different ADHD medications if Adderall affects your quality of life. Sex counseling can also help during this time.
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Why Does Adderall Affect Females Differently?
Some studies show stimulants like Adderall may affect women differently than men. For example, the follicular phase of the menstrual cycle can impact how women react to Adderall.6
Females report euphoria and increased energy when menstruating, suggesting higher estrogen levels may enhance the effects of stimulants.6 Additionally, women may experience intense cravings for Adderall during this time. Still, more research is needed to support these findings.
Adderall & Pregnancy
The effects of Adderall on pregnancy and fertility are poorly understood. Some studies show a small increased risk of preeclampsia and preterm delivery for women taking Adderall.7 One study noted a minor percentage of placental abruption for females taking stimulants in the second trimester, but the clinical significance is unknown.7 Every female with ADHD will respond to Adderall differently, so consult your doctor about specific concerns.
Adderall & Breastfeeding
Prescribers generally consider Adderall use safe while breastfeeding. However, individuals should not misuse or abuse Adderall when breastfeeding (or at any time). Adderall may pass into breast milk, but studies do not show adverse neonatal effects.7
Can Adderall Affect Your Period?
Adderall may affect the menstrual cycle, including the follicular (estrogen) and luteal (estrogen and progesterone) phases. Studies have suggested that the effects of stimulants may be more pronounced during the follicular phase than the luteal phase. However, more research is needed to understand if Adderall impacts menstruation. Consult your doctor about different treatment options if you experience adverse effects.
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Abusing Adderall for Weight Loss
One study found females were more likely to use stimulants for weight loss.8 These patients also commonly reported histories of dieting, poor self-esteem, stress-related eating tendencies, and unhealthy eating habits.8However, misusing Adderall for weight loss can lead to consequences, such as addiction. Women should consult their prescriber about their Adderall use to ensure their safety and well-being.
Questions to Ask Your Doctor About the Side Effects of Adderall in Females
Women should feel comfortable when taking any prescription medications, including Adderall. Similarly, they should understand the reason for treatment, how their medication works, and the possibility of adverse effects. Bringing a list of questions to a doctor can help women obtain the most current and accurate information about their treatment.
Questions a female should ask their care team about the side effects of Adderall include:
- How can Adderall improve my symptoms of ADHD?
- What are the common side effects?
- Will this medication impact my menstrual cycle?
- Will this medication affect my fertility?
- Is this medication safe to use while pregnant?
- Should I stop taking Adderall while breastfeeding?
- What should I do if Adderall affects my sex drive?
In My Experience
Additional Resources
To help our readers take the next step in their mental health journey, Choosing Therapy has partnered with leaders in mental health and wellness. Choosing Therapy is compensated for marketing by the companies included below.
Online Psychiatry
Circle Medical – ADHD Diagnosis and Treatment. Affordable and accessible ADHD evaluations and treatment, including possible controlled substances medication if clinically appropriate. Diagnosis and prescription over video. Insurance accepted. Same & next day appointments available. Visit Circle Medical
Plushcare There are many effective medications for ADHD, including Strattera, which a Plushcare doctor can prescribe. In as little as 15 minutes, you can speak with a board-certified doctor from PlushCare to receive ADHD treatment. Plushcare DOES NOT prescribe controlled substances. Visit Plushcare
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For Further Reading
- The Centers for Disease Control (CDC): Use of ADHD Medicine is Increasing Among Pregnant Women
- CDC: Attention-Deficit/Hyperactivity Disorder (ADHD)
- National Institute of Mental Health (NAMI): Attention-Deficit/Hyperactivity Disorder
- Adderall Side Effects in Men: Erectile Dysfunction & Other Sexual Side Effects
- Adderall Weight Loss: Risks & What You Need to Know
- Strattera Side Effects: Common, Severe, & Long Term
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