Can Adderall cause itching? (+3 risk factors)

 In this article, we will explore whether Adderall usage causes itching. We will also discuss the risk factors that may cause itching while taking this medication. Additionally, we will discuss the management tips for severe itching if it is reported with Adderall.

Can Adderall cause itching?

Adderall may cause itching. However, it is an uncommon side effect of this medication which may be related to its other skin-related side effects, such as flushing, redness, rash, or acne.

Adderall is a brand name for a formulation that contains two active ingredients, namely amphetamine and dextroamphetamine. It is commonly utilized in the management of attention-deficit hyperactivity syndrome (ADHD) and can also be beneficial in the management of narcolepsy (1).

The side effects that may occur in cases of Adderall toxicity include an increase in temperature, palpitations, increased breathing, involuntary muscle movements, and less commonly, seizures.

It’s important for individuals using Adderall to be aware of potential side effects and to consult with their healthcare provider if they experience any unusual symptoms, including those related to the skin.

What does research suggest?

While research on itching caused by Adderall is limited, some studies suggest a potential link between the use of Adderall and itching.

One research study proposed that the use of opioids, including amphetamines like Adderall, may induce pruritis (itching) in certain individuals (5). Adderall may cause itching indirectly by releasing neurotransmitters in the body, including histamine, which is responsible for promoting inflammatory reactions, including skin rash, itching, and inflammation (6).

According to the Food and Drug Administration (FDA), Adderall may cause other skin-related side effects such as skin rash, skin discoloration, changes in skin temperature, numbness, and sensitivity to temperature in extremities (2).

It is important to note that, the FDA has not specifically mentioned the occurrence of itching with this medication. However, individual responses to medication can vary, and it’s essential for individuals considering Adderall as a treatment option to discuss any concerns or potential side effects with their healthcare providers. 

What factors may influence itching while taking Adderall?

There are several factors that may increase the risk of itching and other skin-related side effects while taking Adderall. These factors may include:

Factors

 Response
Individual factors Individual sensitivity to medications, genetic tendencies, or unique responses to medications, including Adderall, may increase the risk of rare side effects, including itching.
Concurrent medications Some individuals may develop itching on the skin with higher doses or chronic use of Adderall, although this is uncommon. Additionally, interactions between Adderall and other medications being taken by the individual may increase the risk of experiencing these side effects.
Underlying health conditions Individuals with underlying skin conditions such as psoriasis, dermatitis, or dry skin may be more susceptible to experiencing skin itching while taking Adderall. It’s important to note that this itching may not be directly related to the medication but rather to these existing medical conditions (3).

What to do if itching occurs while taking Adderall?

While skin-related side effects with Adderall are less common, they may occur in susceptible patients. If you experience any unusual symptoms or persistent itching in the skin, you should consult your healthcare provider.

They may assess your condition and determine the cause of your symptoms. In the presence of underlying factors such as pre-existing medical conditions or concurrent medications, your healthcare provider may address these factors first.

In cases where Adderall is causing or exacerbating itching that is affecting your quality of life, especially in the presence of these risk factors, your healthcare provider may recommend a change in your treatment plan. This may include dosage adjustment or the complete discontinuation of the medication.

They may also suggest alternative medications that are less likely to cause skin-related adverse effects such as atomoxetine, guanfacine, or fluvoxamine.

What are the management tips for severe itching?

If you are experiencing severe itching while taking Adderall, it’s important to consult with your healthcare provider for personalized advice and guidance.

  • Wear loose clothing to minimize irritation on the skin. In dry environments, using a humidifier can add moisture to the air, preventing dry skin and itching.

 

  • Identify and avoid potential triggers for itching, such as certain foods, environmental factors, or skincare products.

 

  • Stay well-hydrated by drinking plenty of water, as hydration plays a role in maintaining skin health.

 

  • In some cases, your healthcare provider may recommend antihistamine medications to help alleviate itching. However, the use of any medication should be discussed with your healthcare provider to ensure they are appropriate for your condition.

 

  • Depending on the severity of the itching, your healthcare provider may recommend topical treatments, such as corticosteroid creams, to relieve skin irritation and itching.

In my opinion, itching with the use of Adderall is uncommon; however, individuals should always be mindful of their symptoms after starting this medication, as it may cause unrelated side effects based on individual sensitivity to the medication.

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References

1.-

Fitzgerald KT, Bronstein AC. Adderall® (amphetamine-dextroamphetamine) toxicity. Top Companion Anim Med. 2013 Feb;28(1):2-7. doi: 10.1053/j.tcam.2013.03.002. PMID: 23796480. https://pubmed.ncbi.nlm.nih.gov/23796480/

3.-

Yosipovitch G, Papoiu AD. What causes itch in atopic dermatitis? Curr Allergy Asthma Rep. 2008 Jul;8(4):306-11. doi: 10.1007/s11882-008-0049-z. PMID: 18606082. https://pubmed.ncbi.nlm.nih.gov/18606082/

4.-

Nakao Y, Asada M, Uesawa Y. Comprehensive Study of Drug-Induced Pruritus Based on Adverse Drug Reaction Report Database. Pharmaceuticals (Basel). 2023 Oct 21;16(10):1500. doi: 10.3390/ph16101500. PMID: 37895971; PMCID: PMC10610247. https://pubmed.ncbi.nlm.nih.gov/37895971/

5.-

Lipman ZM, Yosipovitch G. Substance use disorders and chronic itch. J Am Acad Dermatol. 2021 Jan;84(1):148-155. doi: 10.1016/j.jaad.2020.08.117. Epub 2020 Sep 3. PMID: 32891774. https://pubmed.ncbi.nlm.nih.gov/32891774/

6.-

Rothman RB, Baumann MH, Dersch CM, Romero DV, Rice KC, Carroll FI, Partilla JS. Amphetamine-type central nervous system stimulants release norepinephrine more potently than they release dopamine and serotonin. Synapse. 2001 Jan;39(1):32-41. doi: 10.1002/1098-2396(20010101)39:1<32::AID-SYN5>3.0.CO;2-3. PMID: 11071707.