NIDA for Teens: The Science Behind Drug Abuse
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Adderall

Real Teens Ask: What are stimulants?

In a recent Drug Facts Chat Day, freeman-jones of Dr. Henry A. Wise Jr. High School, Maryland asked:

Can taking Ritalin help you if you have not been prescribed Ritalin?

Ritalin is a drug used in the treatment of attention deficit hyperactivity disorder (ADHD) and is classified as a stimulant. The term stimulants can be used to refer to any number of drugs, including prescription drugs like methylphenidate (Ritalin’s scientific name) and dextroamphetamine (Adderall).

People diagnosed (by a doctor) with ADHD can benefit from these drug when they’re used as prescribed. However, teens with an ADHD prescription are sometimes pressured by friends to share some of their pills because they think the pills will help them focus or stay alert or ace an exam.

Trouble is, when you take a pill that’s been prescribed for someone else’s weight, symptoms and body chemistry, or take more than the right dose for your own body, it can bring on more harm than good. Like changing your mood in ways that you can’t control, or raising your blood pressure, heart rate, and body temperature. And when the effects wear off, you might feel extreme fatigue and maybe even depression.

Better than borrowing someone’s prescription pills is GETTING SLEEP. It’s safe and easy and will help you learn and stay mentally and physically alert. Maybe that’s why sleep is such a major part of our lives. Get it for free now (ok, wait ‘til bedtime).

Text - Got Speed?

Prescription Stimulants Affect People With ADHD Differently

There’ve been lots of headlines lately about the dangers of prescription drug abuse—like taking a friend’s.

From this positron emission tomography (PET) scan, you can see how natural dopamine levels are different in people with and without ADHD. The scan on the left shows the brain of someone without ADHD, and the scan on the right shows the brain of someone with ADHD. The greater concentration of yellow, orange, and red in the nucleus accumbens in the scan on the left reflects a higher amount of dopamine.

BUT—for people who do not have ADHD, stimulants flood the brain with dopamine, causing a dopamine overload. So instead of having a calming effect as they would on people with ADHD, stimulants taken without a medical reason can disrupt brain communication and cause euphoria. It might feel good at first, but repeated abuse of stimulants can:

  • Increase blood pressure, heart rate, and body temperature.
  • Decrease appetite and sleep.
  • Cause feelings of hostility and paranoia.
  • Increase a person’s risk for addiction.

Doctors take many factors into account when prescribing a drug for a person who needs it: dose size, the person’s weight and height, how long the drug should be taken, and much more. The bottom line is that drugs affect everyone differently. Want to see how abusing Adderall could affect you physically and academically? Choose Your Path.

Perception of Risk: Fewer Teens Believe Marijuana Is Harmful

Knowing the health risks that come with using or abusing drugs convinces most teens (and adults) to stay away from them. But what if you don’t think certain drugs are unsafe?

In December 2012, NIDA released the results of the 2012 Monitoring the Future (MTF) study (involving 8th, 10th, and 12th graders). The findings show that fewer teens believe abusing marijuana and Adderall is bad for their health. This belief is contributing to higher rates of abuse of these drugs.

Marijuana

Graph of perceived risk of marijuana use among 12th graders. Over the last 5 years, current (past-month) marijuana use has gone up significantly among 10th and 12th graders. In fact, current marijuana use among high school seniors is at its highest point since the late 1990s. Daily marijuana use has climbed significantly across all three grades. The study also found that fewer teens now believe using marijuana is harmful.

However, the science shows otherwise. People who smoke a lot of pot risk injuring their lungs with the chemicals found in the smoke, and may also experience depression and anxiety. New research has found smoking marijuana heavily in your teen years and continuing into adulthood can actually lower your IQ!

Adderall

Also in the 2012 MTF study, 12th graders reported increased nonmedical use of the prescription stimulant Adderall—commonly prescribed to people with ADHD. As with marijuana, fewer teens perceive that abusing Adderall is risky. If that trend continues, Adderall abuse will probably continue to increase as well.

Abusing a stimulant medication like Adderall may increase blood pressure, heart rate, and body temperature; decrease appetite and sleep; and cause feelings of hostility and paranoia.

Perception of Risk

Studies have found that when teens think a drug can be harmful, they are less likely to abuse it. In the case of marijuana and Adderall, it appears that some teens don’t see the risk. Tell us: Do you think these drugs are dangerous? If you agree they are, what can we do to help people you know get the message?

Other notable findings from the 2012 MTF study:

  • Most of the top drugs abused by 12th graders are legal substances, like alcohol, tobacco, over-the-counter drugs, and prescription drugs.
  • Abuse of synthetic marijuana—K2 or Spice—remained stable in 2012.
  • Most teens who abuse prescription drugs get them from family and friends.
  • Alcohol use and cigarette smoking are steadily declining.

Check out this cool infographic to learn more.

These drug abuse estimates come from the Monitoring the Future study’s national surveys of approximately 45,000 students in about 400 secondary schools each year. View all of the 2012 data.

Teen head silhouette with Monitoring the Future title