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Adderall Vs. Xanax: What Happens If You Mix Adderall And Xanax?

As any person on Adderall for ADHD knows, it is a stimulant that helps with concentration, alertness, and regulating impulsive actions. Contrarily, Xanax is a benzodiazepine that is prescribed to treat anxiety and panic disorders; it has a sedative effect and can make you feel sleepy at times. So, both drugs serve distinct purposes and have distinct effects on the human body. That’s why, it’s necessary for you to understand the comparison of Adderall vs. Xanax before using them. 

Taking xanax with adderall might produce serious adverse effects, so it’s smart to research the potential dangers before taking them together.

What Is Xanax? 

Xanax, also known by its generic name alprazolam, is a medication classified as a benzodiazepine. Benzodiazepines are medications that act on the central nervous system to produce calming effects.  The sedative and anxiety-relieving effects of Xanax make it a popular choice for the treatment of anxieties and panic attacks. 

While Xanax is certainly one of the most widely prescribed benzodiazepines, it is also one of the most abused and diverted medications in circulation. Talk to your doctor or pharmacist if you’re confused about its dosage, recommended use, or any other possible side effects.

How Does Xanax Work? 

A neurotransmitter in the brain known as gamma-aminobutyric acid (GABA) is what Xanax helps to increase in its effectiveness. GABA is a naturally occurring substance in the body that has a calming impact on the central nervous system by reducing the speed at which neurons fire.

Xanax enhances GABA’s inhibitory effects on neuronal activity by binding to particular brain locations on the GABA-A receptor. Several effects are produced by this:

  • Less Anxiety: By reducing brain activity, Xanax helps alleviate symptoms of anxiety and panic disorders.
  • Sedation: The increase in GABA activity has a calming impact, which might help you relax and maybe even have a better night’s sleep.
  • Relaxation of Muscles: Elevated GABA activity has the added benefit of reducing anxiety-related muscular tension.
  • Anticonvulsant Effects: Xanax’s ability to relax the nervous system makes it a potential seizure preventative.

Xanax essentially amplifies GABA’s inherent calming properties in the brain, which is one of the ways it helps illnesses associated with anxiety.

How Do People Abuse Xanax? 

Overdosing, non-prescription use, or other non-medical uses of Xanax are the main ways in which patients misuse xanax. Serious health hazards, including dependence and addiction, can result from this overuse. Xanax abuse manifests itself in the following ways:

  • Dosing up to get a more powerful effect or to relax faster.
  • Acquiring and utilizing Xanax without a physician’s prescription.
  • Increasing the sedative effects of xanax mixed with adderall and keep taking an adderall xanax combo for a long time. 
  • Snorting or crushing Xanax tablets to increase their absorption rate.
  • Inducing euphoria or relaxation using Xanax.
  • Excessive use can lead to tolerance, dependence, or addiction.
  • Visiting different doctors to get more prescriptions in greater amounts.
  • Using Xanax long-term beyond medical recommendations.

To avoid the hazards associated with misuse and abuse, it is vital for individuals using Xanax to closely follow their healthcare provider’s recommendations and to communicate openly about any concerns or changes in symptoms.

What Are The Symptoms of Xanax Misuse? 

Symptoms of Xanax misuse can vary depending on the severity and duration of misuse. Here are common signs to watch for:

Physical Signs: Drowsiness, blurred vision, gastrointestinal disturbances, or headaches. 

Psychological Signs: Confusion, Memory problems, emotional instability, or agitation

Behavioral Signs: Covering up Xanax misuse, retreat, or Doctor shopping.

Physical Health Issues: Respiratory problems, hypotension, or liver damage.

Withdrawal Symptoms: Shaking, muscle pain, insomnia, increased heart rate or Seizures. 

What Is Adderall? 

Adderall, containing amphetamine and dextroamphetamine, is a stimulant often prescribed to manage attention-deficit hyperactivity disorder (ADHD) and narcolepsy. Unlike depressants like Xanax, stimulants increase activity in the central nervous system (CNS), making people feel more energetic, focused, and productive.

It’s a medication with legitimate medical purposes, primarily for treating ADHD and narcolepsy. When taken as prescribed by individuals with ADHD, it helps them enhance focus, concentration, and reduces hyperactivity and restlessness.

How Does Adderall Work? 

Adderall works differently than xanax. A rise in brain levels of neurotransmitters, especially norepinephrine and dopamine, is what makes Adderall efficient in its work. These neurotransmitters play a role in controlling cognitive functions such as attention, focus and impulse regulation. Such an effect in the brain not only makes the action more memorable for ADHD patients, but it also makes them want to do it again quickly. This mechanism of action is one reason why it helps with ADHD symptoms.

How Do People Misuse Adderall? 

Misuse of Adderall typically involves exceeding authorized dosages, using the medication without a doctor’s prescription, or in ways that healthcare practitioners did not intend. The following are examples of how Adderall is often abused:

  • Taking more than suggested to increase effects or stay awake.
  • Using unprescribed Adderall from friends, relatives, or illegal sources.
  • Crushing Adderall tablets and snorting them for faster and stronger effects.
  • Adderall mixed with xanax or other medications to boost effects.
  • Abusing Adderall for exhilaration, energy, or attention.
  • Long-term Adderall use causes tolerance and dependence.
  • Chronically using Adderall without medical advice risks major health issues

What Are The Symptoms Of Adderall Misuse? 

The symptoms of Adderall misuse is as follow:

  • High blood pressure and heart rate.
  • Poor sleep.
  • Appetite loss and weight loss.
  • Excessive agitation or mood swings.
  • Anxiety, panic, or paranoia.
  • High-dose hallucinations/delirium.
  • Twitching muscles.
  • Diarrhea or nausea.
  • Dizziness/headaches.
  • Lethargy upon discontinuation.

Adderall And Xanax Together Can Be Extremely Dangerous

If you are asking, “Can I Take Xanax and Adderall Together?”. The straightforward answer is no. The following are the two major reasons that prohibit taking both Adderall and Xanax together:

An Greater Potential For Addiction

Using both Adderall (amphetamine-dextroamphetamine) and Xanax (alprazolam) raises the risk of addiction because they are controlled substances closely monitored by the government and healthcare providers. So, if you take Adderall and xanax together, it is more likely that you may abuse or become dependent on both medications .Combining the effects of two restricted substances increases the likelihood of tolerance and addictions.

Lower Efficiency Of Both Medications

The synergistic effects of Adderall and Xanax make them less effective when taken together. Stimulants like Adderall make you more awake and focused, but they can also reduce the effectiveness of Xanax. As an example, taking Adderall while taking Xanax for anxiety or panic disorder could make you feel much more anxious or cause you to have more panic episodes. Lack of sleep is another side effect of taking Adderall.

On the other hand, the calming effects of Xanax can mitigate Adderall’s stimulating effects by making the user feel sleepy and less anxious. If you use both medications at the same time, your anxiety and ADHD would become more troublesome. 

So, if you are asking: “can I take xanax with Adderall at the same time?”. The above description proves that you cannot take both at the same time. 

Can I Take Adderall During Day And Xanax At Night? 

It is not recommended to use Adderall during the day and Xanax at night without the specific prescription and supervision of your healthcare practitioner. It has already been discussed earlier why the combination is risky. Patients with both ADHD and anxiety may be able to safely take both medications, however this is an area where research is lacking. The majority of individuals who fill out various online forms report using Adderall in the morning and Xanax at night. They may be abusing the drugs, or their doctors may have prescribed them for a specific medical problem. 

In The End, It Will Be The Doctors’ Decision.

Xanax and Adderall are sometimes prescribed together for a variety of specific rare reasons. You may have a diagnosis of panic disorder or generalized anxiety disorder, or you may be having trouble sleeping or experiencing worry.

You should consult your physician about this matter regardless of your circumstances. It is crucial to obtain your doctor’s consent before combining Adderall with any other meds, whether they’re over-the-counter remedies or prescription medications, because it interacts with various drugs.

Medically Reviewed By

Dr. Melissa J. Roybal
Dr. Melissa J. Roybal

Melissa has over 15 years of experience since graduating from Georgetown University, specializing in pediatrics, adult, and geriatric care. She is passionate about helping patients via telemedicine for various conditions.

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