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If you are taking Adderall, it is important to follow your doctor's instructions and to be aware of the potential risks and side effects of the medication. What is Adderall? Adderall is a central nervous system stimulant medication used to treat attention deficit hyperactivity disorder (ADHD) and narcolepsy. The active ingredient in Adderall is amphetamine, which promotes wakefulness and concentration. The exact mechanism of action of Adderall is unknown, but it is thought to work by increasing the release of dopamine and norepinephrine in the brain. Adderall comes in both immediate-release (IR) and extended-release (XR) formulations. IR Adderall is usually taken two to three times per day, while XR Adderall is taken once daily. Adderall XR also has a lower potential for abuse than IR Adderall because it is more difficult to crush and snort. The most common side effects of Adderall include insomnia, loss of appetite, weight loss, dry mouth, headache, and irritability. 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