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Dexedrine Addiction: Signs and Side Effects of Dexedrine Abuse

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Dexedrine (dextroamphetamine) in orange and black capsule

Published: October 21, 2025

Reviewed by Matthew N. Parker, MD

Dexedrine (dextroamphetamine) is a prescription stimulant that affects the central nervous system (CNS). It is primarily used to treat Attention Deficit Hyperactivity Disorder (ADHD) and narcolepsy. When prescribed and managed correctly, Dexedrine can enhance concentration, alertness, and executive functions while reducing hyperactivity and impulsive behaviors.

Dexedrine is available in several forms, including tablets, extended-release capsules, and oral solutions. The immediate-release form typically lasts between 3 to 6 hours, while the extended-release version, known as Dexedrine Spansules, generally lasts 8 to 12 hours. In 2023, it accounted for 915,463 of the 80.8 million prescriptions for stimulant medications dispensed.

However, Dexedrine is classified as a Schedule II controlled substance, which means its use is strictly regulated and must be monitored by a medical professional. Though it can be a crucial treatment option for individuals with ADHD and narcolepsy, there is a significant potential for abuse, dependence, and addiction.

Many individuals misuse Dexedrine by taking it without a prescription or by consuming it more frequently or at higher doses than directed, often in an attempt to achieve a high or to cope with daily stressors. In some cases, this misuse can lead to addiction.

This overview of Dexedrine addiction is designed to help you understand the causes, side effects, and symptoms of prescription stimulant misuse. It aims to assist patients and their loved ones in recognizing the signs of addiction and seeking help more easily.

If you suspect that you or a loved one may be struggling with Dexedrine addiction, it is important to consult a doctor as soon as possible. You don’t have to face substance use disorder (SUD) alone. RehabNet’s free and confidential helpline can be an invaluable resource for finding trusted treatment centers and providing essential support when you need it.

Why Does Dexedrine Lead to Addiction?

Dexedrine is part of a special category of drugs called Schedule II controlled substances, which are categorized by their beneficial medical properties combined with a high risk for abuse and addiction. But why are drugs like Dexedrine so addictive? It’s all tied to how Dexedrine works in the brain.

It primarily affects two critical neurotransmitters:

  • Dopamine plays a crucial role in motivation, movement, and the brain’s reward system. It’s closely tied to feelings of pleasure and satisfaction, which also makes it a key player in addiction.
  • Norepinephrine is involved in attention, alertness, and the body’s fight-or-flight response.

Dexedrine increases dopamine and norepinephrine by blocking the reuptake process, allowing them to remain active in the brain for a longer period. It also stimulates their release from nerve endings and inhibits monoamine oxidase, an enzyme that breaks down these neurotransmitters.

The buildup of these chemicals creates feelings of pleasure and euphoria. With extended use, the brain becomes reliant on the drug to maintain normal levels of both dopamine and norepinephrine. Long-term use can also lead to neuroadaptation, which causes changes in gene expression and brain structure, particularly in areas involved in reward and motivation.

Dexedrine’s effects, such as euphoria, increased energy, and heightened focus, make it attractive for misuse by people from all walks of life, like students, professionals, and athletes.

However, many users find that as time goes on, they need higher and higher doses to create the same effect, as regular misuse re-trains brain pathways, leading to psychological cravings and physical dependence.

Dexedrine Abuse vs. Dexedrine Addiction

Although often used interchangeably, prescription drug misuse and addiction are clinically distinct, especially with stimulant medications like Dexedrine.

Misuse includes taking the medication in higher doses, altering how it’s consumed, or using it without a prescription, often to stay awake, improve focus, or enhance performance. This type of Dexedrine performance abuse is common among students and professionals facing high-pressure situations.

However, not everyone who misuses Dexedrine becomes addicted. If a person can still stop or control their use, even if they are uncomfortable while doing so, they may not meet the criteria for substance use disorder. Still, repeated misuse increases the risk of developing compulsive stimulant use and dependence.

Addiction is a chronic condition marked by a loss of control and an inability to stop using despite harmful consequences. It may involve cravings, withdrawal, increased tolerance, and continued use despite negative impacts on health, relationships, or responsibilities. Over time, the effects of Dexedrine misuse can become more severe and harder to manage.

Does Dexedrine Cause Dependence?

Yes, dexedrine can cause dependence issues even in users who take it exactly as prescribed. There are a variety of mechanisms linked to Dexedrine’s potential for addiction and dependence, but most of them are related to its effects on the brain’s reward system.

Over time, users need higher doses to achieve the same effects, and stopping the drug leads to withdrawal symptoms, creating a cycle of tolerance and dependence that can be challenging to break.

One key factor in breaking this cycle is understanding the difference between physical stimulant dependence and psychological drug dependence.

  • Physical dependence: This form of dependence refers to the body’s physical adaptation to the presence of a drug. As the body becomes used to and then reliant on the presence of the drug, stopping use can cause physical symptoms and discomfort. Although these symptoms can be severe or even dangerous in some cases, many clinicians believe that physical dependence is relatively more straightforward to treat as the symptoms pass quickly.
  • Psychological dependence: This form of dependence refers to the mental or emotional need for a substance, which users may rely on to cope with stress, anxiety, or other issues. It primarily involves emotional and behavioral symptoms, and those struggling with it may use it compulsively, unable to stop despite serious consequences due to perceived emotional and psychological benefits. Psychological dependence is more likely to cause addiction, and relapses in times of stress are common.

A healthcare professional should carefully monitor long-term use of stimulant medications like Dexedrine. Regular check-ins with your doctor can help manage your dosage and prevent misuse.

This oversight is key to reducing the risk of developing tolerance to Dexedrine while still showing only early Dexedrine dependence signs. With proper medical guidance, it’s possible to use the medication safely and effectively while minimizing potential complications.

Signs of Dexedrine Addiction

Dexedrine addiction typically develops over time rather than all at once. In many cases, the symptoms of Dexedrine addiction can be subtle at first and may go unnoticed, especially if the individual is actively trying to hide their behavior.

Understanding how to spot Dexedrine addiction is crucial for early intervention. Behavioral changes, emotional instability, and physical warning signs can all indicate a growing problem with stimulant misuse.

If you or someone you care about is taking a prescribed stimulant, staying aware of these Dexedrine warning signs can help you take timely action and seek the appropriate support before the situation worsens.

Behavioral, physical, and psychological Dexedrine addiction symptoms include:

  • Preoccupation with getting or using the drug
  • Inability to cut back despite wanting to
  • Mood swings or agitation
  • Neglecting responsibilities
  • Rapid speech or hyperactivity

ADHD drug misuse can impact every aspect of a patient’s life, causing significant difficulties for them physically, socially, emotionally, and financially over time. If you notice signs of stimulant abuse in yourself or others, remember that taking action quickly significantly improves treatment outcomes.

Consult a medical professional as soon as possible to discuss your concerns. Addiction and SUD are medical issues that require medical care and deserve compassion. Don’t let the social stigma surrounding prescription and stimulant abuse stop you from getting the help and care you deserve.

Dexedrine Withdrawal Symptoms

It’s important to note that amphetamine detox causes side effects, which can cause some patients significant discomfort. One of the most prominent withdrawal symptoms is rebound fatigue, which refers to the often extreme tiredness and lack of energy that occurs after stopping Dexedrine and similar drugs.

Other common Dexedrine withdrawal symptoms:

  • Fatigue and exhaustion
  • Depression or mood swings
  • Intense cravings
  • Anxiety
  • Trouble concentrating or sleeping

While withdrawal symptoms for Dexedrine can be uncomfortable, they are not typically life-threatening. However, patients can improve detox outcomes by seeking professional medical supervision and support, and by understanding the general timeline of withdrawal.

Day One: Initial withdrawal symptoms usually appear within 24 hours and often begin with a crash that includes fatigue and low mood.

Week One: The acute phase of withdrawal, when symptoms are most severe. Generally, it lasts five to seven days, but can persist for up to two weeks in some individuals.

Weeks Two to Four: Physical symptoms should have mostly subsided, but psychological symptoms like anxiety, depression, and lack of motivation may continue for up to a month.

Long-Term: Some patients experience post-acute withdrawal syndrome, where symptoms like depression and cravings can persist for several months.

If you are concerned about stopping Dexedrine safely and reducing withdrawal symptoms, it’s essential to talk to your doctor. They can help you create a plan to gradually reduce your usage or recommend an appropriate rehab program.

Side Effects of Dexedrine Abuse

As with many Schedule II controlled substances, the health risks of Dexedrine use, especially in the long term, can be severe. These side effects are often exacerbated by abuse or misuse, such as unapproved use of high doses or through unapproved methods, like snorting or injection.

However, the risks remain even for those who are taking their medications as directed. Patients taking Dexedrine should carefully monitor their health and report any new or unusual symptoms to their doctor. Close medical supervision allows doctors to make needed adjustments to patients’ regimens, which can help reduce risks.

Dexedrine abuse side effects include:

  • Elevated heart rate and blood pressure
  • Insomnia
  • Anxiety and paranoia
  • Psychotic episodes
  • Restlessness
  • Dizziness
  • Headache
  • Diarrhea
  • Constipation
  • Weight loss or appetite suppression
  • Changes in libido
  • Risk of heart attack or stroke with prolonged high-dose use

Patients should also be aware that it is possible to overdose on Dexedrine. Common symptoms of amphetamine overdose include restlessness, tremor, rapid breathing, confusion, hallucinations, panic states, and more. Convulsions and coma usually precede cases of fatal poisoning.

Patients should not combine Dexedrine with other substances such as alcohol, other stimulants, or other prescription drugs unless a medical professional has approved them.

Risk Factors for Dexedrine Addiction

ADHD medications like dexedrine are prescribed to a wide range of people of all different ages, sexes, and lifestyles. It’s important to remember that everyone who takes a controlled substance like Dexedrine faces some risk of developing an addiction.

However, when examining who gets addicted to Dexedrine most often, some clear patterns emerge. According to the Mayo Clinic, one of the key causes of prescription drug addiction is the age at which you are first exposed, with early exposure increasing the likelihood of developing addiction later on.

Additional crucial risk factors are misuse (which can include taking Dexedrine in higher doses, more frequently than prescribed, or by non-prescribed methods such as snorting or injecting) or non-medical use (such as taking it recreationally or without a prescription).

Other stimulant abuse risk factors include:

  • History of substance abuse (personal or family)
  • Co-occurring mental health disorders (e.g., anxiety, depression)
  • Peer pressure
  • Academic or workplace stress
  • Easy access to prescription stimulants

Diagnosing Dexedrine Addiction

How is Dexedrine addiction diagnosed? Mental health and medical professionals follow the DSM-5 addiction diagnosis criteria to determine whether someone meets the standards for stimulant use disorder. A person must exhibit at least two specific behaviors or symptoms related to Dexedrine or other stimulant use within 12 months for a clinical diagnosis.

The diagnostic process involves a comprehensive prescription drug addiction assessment, which may include medical evaluations, psychological screenings, and a detailed review of the patient’s medication history.

DSM-5 Criteria for stimulant addiction:

  • The stimulant is taken in larger amounts or for longer than intended.
  • Persistent desire or unsuccessful efforts to cut down or control use.
  • Significant time investment in activities necessary to obtain, use, or recover from the stimulant’s effects.
  • Cravings or a strong desire to use the stimulant.
  • Failure to fulfill work, school, or home obligations due to use.
  • Continued use despite social or personal problems caused or worsened by the stimulant.
  • Important social, occupational, or recreational activities are abandoned or reduced because of use.
  • Recurrent use in physically hazardous situations.
  • Use continues despite knowledge of physical or psychological problems likely caused or worsened by the stimulant.
  • Tolerance
  • Withdrawal

These criteria are critical for helping healthcare providers distinguish between physical dependence that can occur during regular ADHD treatment and behaviors that indicate a more serious misuse pattern. These criteria concerning stimulant use disorder guide healthcare providers in making that distinction and ensuring you get the proper support.

It’s essential to be open and honest when discussing your Dexedrine use. Your willingness to share the full scope of your experiences, including dosage, frequency, and any misuse, helps your care team make an accurate diagnosis and recommend the most effective treatment plan.

If you’re concerned about your Dexedrine use or believe you might be struggling, speaking up is the first step. Accurate, honest communication can make all the difference in getting the help you need.

Dexedrine Addiction FAQs

Can you get addicted to Dexedrine even with a prescription?

Yes, Dexedrine is a Schedule II controlled substance, meaning it belongs to a category of medications that have recognized medical uses but also carry a high potential for abuse and dependence. This risk affects everyone who takes Dexedrine, whether or not they have a prescription.

Is Dexedrine more addictive than other ADHD meds?

Many people consider Dexedrine to have a similar or slightly higher risk of addiction compared to many other ADHD medications. It is an amphetamine-based stimulant—as is adderall—which gives it a high risk for potential abuse and addiction.

How fast can someone become addicted to Dexedrine?

There are a lot of individual risk factors, such as medical history, dose, frequency, and method of use, which can all influence how quickly addiction develops. When Dexedrine is abused or not taken as prescribed, it can accelerate the process of addiction, which can begin within weeks of repeated or high-dose misuse.

Can teens become addicted to Dexedrine?

Yes, teens can become addicted to Dexedrine. Many teens who become addicted begin misusing Dexedrine to enhance academic performance, increase concentration, or experience euphoria.

What’s the difference between Adderall and Dexedrine in terms of abuse?

When compared to Adderall, Dexedrine may be a little more prone to abuse because it only contains the dextroamphetamine isomer, rather than a blend, which can make it more potent and fast-acting, leading to a more pronounced effect and a higher risk of misuse in some individuals.

Find Help for Yourself or a Loved One with Dexedrine Addiction

Recognizing the signs of Dexedrine misuse early can significantly improve the chances of successful recovery. Whether it’s you or a loved one who is struggling, it’s essential to approach the situation with compassion.

Stimulant addiction, including addiction to Dexedrine, can develop even when medications are taken as directed, and it’s vital to remember that addiction is a medical issue, not a personal failure.

If you’re concerned about Dexedrine misuse, speak with a healthcare provider as soon as possible. Taking that first step can open the door to meaningful recovery. RehabNet offers free, confidential support to help you get help for Dexedrine addiction and find Dexedrine rehab programs tailored to your needs.

You can contact our free addiction helpline or utilize our online tool to find treatment centers near you. Support for Dexedrine misuse is available. You don’t have to navigate it alone. Take action today and move toward a healthier, more stable future.

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