Mixing Adderall with alcohol

Adderall can make you feel more alert when you are drinking. But the effects of mixing Adderall and alcohol can include masking alcohol intoxication, which can lead to alcohol poisoning and alcohol related accidents. More here mixing Adderall with alcohol.

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Are you considering mixing Adderall with alcohol?

Mixing Adderall with alcohol comes with both risks and dangers. In this article, we review what happens in your body when you mix Adderall with alcohol. We also outline what can go wrong when you do. Your questions about mixing Adderall and alcohol are welcomed at the end. We respond to all legitimate queries about Adderall with a personal and prompt response.

Adderall and alcohol effects

Adderall is a stimulant medication which can cause a euphoric high when abused.  Is Adderall legal speed? Kinda.  Speed is much stronger than Adderall.  And before you ask –  Yes, Adderall show up on drug test as an amphetamine, so if you take Adderall you need a prescription or medical record which indicates medical need.  Some people take Adderall to counteract the sedative effects of alcohol, allowing them to drink longer and harder. In online anecdotal forums, people have reported the effects of mixing Adderall and alcohol to include:

  • alertness
  • insomnia
  • pounding heart
  • memory loss

Dangers of mixing Adderall and alcohol

The main danger of mixing Adderall with alcohol is in the fact that the amphetamine salt in Adderall acts as a central nervous system stimulant and can counteract the natural sedative effects of alcohol. So when a person takes Adderall and drinks at the same time, they’ll fail to notice the body’s normal cues, such as sleepiness, that would normally let them know that they’ve had enough to drink. Because Adderall counteracts some of the effects of alcohol, you may believe you’re more sober than you actually are, raising your risk of alcohol related accidents significantly. It’s also quite possible for you to accidentally drink too much.

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Additionally, taking Adderall for non medical purposes has a number of negative side effects, especially with habitual use.  Do people die from Adderall?  Yes, cases of sudden death after taking Adderall have been reported within therapeutic doses as well as during Adderall abuse.   Some side effects of taking Adderall without medical reason can be quite dangerous and include:

  • anxiety
  • aggression
  • brain damage
  • confusion
  • hallucinations
  • heart attack
  • paranoia
  • seizures
  • stroke
  • violent behavior

Adderall and alcohol overdose

Alcohol doesn’t directly raise the risk of overdose on Adderall, although it’s possible that impaired judgment could cause someone to take more Adderall than they could handle. What’s more likely is that someone high on Adderall won’t moderate their alcohol intake as before. They may believe they are less impaired than they really are and drink more than is safe. Simply because you feel less drunk when taking Adderall, doesn’t mean that your alcohol tolerance is higher than it would normally be.

Adderall and alcohol deaths

Adderall abuse puts you at the risk of a variety of serious medical conditions, including potential sudden death – even in an otherwise healthy person. But mixing Adderall and alcohol also increases the risk of alcohol-related death. NOT DRINKING ALCOHOL is the only way to stay safe while taking Adderall.

Is it safe to drink on Adderall?

No. Mixing Adderall with alcohol just enhances the dangerous effects of both drugs and masks the true impact these drugs are having on your system. You can ask your prescribing doctor for more information on taking Adderall safely and still being able to drink, but it’s better to err on the side of caution and avoid mixing the two to begin with.

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Mixing Adderall alcohol questions

Do you still have questions about mixing Adderall with alcohol or other substances? Please leave your Adderall questions here. We try our best to answer all questions personally, and promptly. And if we don’t know the answer, we will refer you to someone who can help. Your experiences with mixing Adderall and alcohol are also welcome.

Reference Sources: NIAAA pamphlet: Harmful Interactions, Mixing Alcohol with Medicines
DEA: Methamphetamine
Medline Plus: Dextroamphetamine and Amphetamine
About the author
Lee Weber is a published author, medical writer, and woman in long-term recovery from addiction. Her latest book, The Definitive Guide to Addiction Interventions is set to reach university bookstores in early 2019.


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  1. I’ve drank 4 beers and now I was thinking of taking my Adderall dose to go to work… I was supposed to be off… What are my risk?

  2. I am a middle aged man who recently started taking adderall. My doctor never mentioned alcohol. He knows that I average 2 to 3 drinks a month. I’m supposed to take a second pill no later than noon. Would it be safe to have a single drink in the evening? I usually don’t drink more than 1 alcoholic drink on those rare days that I drink alcohol.

  3. After getting off of a large daily prescription dose of 60mg Adderall IR and 140mg of Vyvanse is there a history of becoming or exhibition of violence not there to begin with

  4. The people who mix amphetamines and alcohol, are most likely doing it so, their system will allow them them to enjoy their D.O.C (alcohol) for a much…much longer time

  5. I’m going to a party and i knows i am going to drink (roughly 4 shots of vodka) and i was told there will be adderall there. my sister is prescribed it and she takes 2. is it bad if I’ve been drinking and i take 2 pills?

  6. I take 20mg xr when I was first taking the pill the stimulant part was over at about 6 pm or so could I drink at like 9?

  7. Is it possible to test positive for a higher alcohol level while taking Adderall. If so are you able to help where I may obtain that information

  8. Hello. I have been diagnosed with ADD approx.. 20 years ago. And I take prescription Adderall that helps me a lot. I only take it early when I wake. At the end of the day I drink about 3 beers. I have never had any problems with this. Is that a problem or against the law?

  9. I’m taking Adderall for a couple of weeks and it has been a big help. Motivation and Concentration big improvements. I drink 4/5 Budweisers a night the problem is It makes it difficult to pee. It’s a side effect that I hope is only temporary. Wouldn’t go on a binge but I don’t do that anyway.

    1. Hi Al. Please consider that it is illegal to consume medications other than prescribed, and you put yourself at risk.

  10. i find the mixture to be mild with never a negative result. adderall is a low effect on my body at 20mg.
    i take it for focus, prescribed.
    i dont drink much but have not had adverse effects of mixing the 2. i don’t use it as a recreational (to get high) drug, BUT i will be lying if I didnt take my second dose later on weekends to feel awake later in the night.

    one side effect i notice just taking adderall (generic amp salts) and didn’t find many other results was i get very horny while motivated. i feel like im my best self and get done mundane things i usually put off like making business phone calls. im writing this. 🙂 but at the same time i get very motivated for sex. a new side effect is the desire to drink alcohol. as i said i dont drink much, i’d say less than even socially. but lately while im feeling this upbeat drive, i get the urge to have a drink and be a ‘bad boy’ and have unprotected sex. this doesn’t fully manifest physically but just an observation of my emotional, mental and sexual states.

    reply to the person who knows someone who started snorting this, snorting is very inefficient way for them to take adderall. just tell them to google it. it’s more of a psychological high at that point. it is safer and they would get more feeling to ingest it. if they are full blown using the drug inappropriately the only thing you can do is provide support, love, and be an opportunity for them to be honest and heal with. don’t push them away, but at the same time do not allow yourself to be abused by the addiction. it wont be easy. and if you are feeling the strain is hurting you then you are allowed to separate yourself from the situation. you are allowed to do this and you are not a bad person.

  11. Hello. I have had a few bad experiences with mixing alcohol and Adderal . I have ADD so I take 20 mg twice a day. The two times things went bad was when I was on the Adderall and drank too much. The combination elevated my emotions which are already higher having ADD. The smallest thing got me angry but explosive angry! Not a good idea

  12. I just found out my friend who has been an alcoholic for almost 30 years (yes, we’re older) is now crushing adderall and snorting it. I’m heartbroken for him and worried especially since he’s not admitting it but a family member knows the source. I don’t understand how a psychiatrist that is their family friend gets away with giving adderall scripts out treating it like candy. What should I warn the family member about? What can I do about the psychiatrist??

  13. If I drank 3 shots, and I took adderall would it speed up the metabolism of those three shots sooner, also how long would that alcohol completely Be gone and leave no trace in my urine. Thanks so much!

  14. adderall does not show up on a drug test Iv been on probation and adderall for 2 years now.. It has never once popped up on the test.. I have tried most of the different types and doseages of adderall and it haver shown up

  15. i took a 20mg blue adderoll yesterday morning around 10a.m. and started drinking shots of rnr and concord grape wine from about 130p.m. until about 10p.m., and now its the next day and my whole entire body is severely dizzy and tingly feeling, at 5 p.m.. i tried eating green beans last night after drinking and woke up feeling this way this morning figuring it would go away like a normal hangover and the dizzyness just will not go away, also tried eating a sandwich bout 20 minutes ago figuring itd soak up the alcohol and even that wont help. what can i do just this one time to cure it and just never drink again????? i have no doctor at all and the nearest hospital even if i felt normal to drive is a good 45 minute trip one way with no gas…. i just want it all to go away. can somebody please help me with some advice????? thank you!!!!!

  16. I have never been a fan of alcohol or stims. I was diagnosed with a.d.d. when I was a child but was improperly treated ( short stint of Ritalin and prozac ). I’m almost 30 and have had a very hard time with life. In the last couple years I’ve been seeking treatment. I haven’t responded well to any SSRI. An over adundance of serotonin is very uncomfortable. Only thing that brought me to a functional level were benzos…which are by far one of the most deceptive RX meds. I also started ramping up my drinking to an everyday thing for the time I have been on benzos ( for the last year ). I was prescribed 10 MG’s IR Adderall a week ago and my life as I knew it changed from night to day. The only time I feel my benzos now are when my body naturally starts to flush them. What has been nice is my ability to focus and my want to delve into reading and studying. Adderall also seems to have suppressed my want for alcohol. I was starting to get physically dependent on alcohol to strengthen my benzos. I don’t know if I nipped it at the right time but I don’t care to drink anymore. Makes me sick now. Have you guys ever heard of Adderall as being an alcohol deterrent? A six pack a day was my normal until a week ago. Now I have other things on my mind like how to get off benzos.. what I call a walk through hell withdrawl. Even when weening to lower doses of benzos they are a nightmare and brutal. Anyways as far as the alcohol and Adderall go I’ve always heard its not a good idea to mix uppers and downers. Is this true? And have you guys heard of Adderall as being an alcohol deterrent for people with true a.d.d. / a.d.h.d? I know its just switching one drug for another but alcohol doesn’t help with my a.d.d. , Adderall does. I feel like I finally found a med that works and has addressed my issues.

    Note I take 10 MG’s once a day of Adderall as prescribed.
    Thanks guys if you reply!! Jacob

  17. I’ve now taken Adderall a few times and I now have the worst itch ever! I also take Cymbalta and I see you should not mix the two. Question is how long does this itching last? I am not taking it any more! I just need it go go away!

    1. Hello Amy. You need to talk to your doctor or your pharmacist. In the meantime, please avoid taking too many showers a day or applying body lotions, it can only make matters worse.

  18. Hi, I started taking Dexanphetamine back in May 2014. The doctor got me up to 60 mg per day and I’ve gone from 53kg to 40kg. And cannot put the weight back on. Please help.

  19. can taking adderall 45mg per day and having a few drinks (2 or 3) reduce the bodys ability to metabolize the alcohol vs. someone who doesnt take adderall?

  20. Mike, thank you for sharing this! It’s painful thing to find out someone put himself in such trouble and it all had fatal consequences. My thoughts and prayers go out to the boy’s family and all who knew him!

  21. I just learned that my 21 year old son’s childhood friend died Saturday morning after partying late Friday night. Yes, he mixed Adderall and alcohol. He ended up drinking an whole bottle of Vodka and though he was invincible. His roommates found him dead in his bed at 9:30 the next day. All this just 2 weeks after graduating from University of Miami. These dangers are REAL.

  22. I take adderall as prescribed as I do have ADD. I did decide to drink tonight as a result of a fight with my spouse and the anniversary of my mothers death. I drank two tall boys that were 8.1% alc. After the 2nd I felt significantly impaired. (I don’t tolerate alcohol well) Because of my impairment and knowing that was not the condition I should be in as a mother and the only adult home, I took adderall. No big deal because I barely take it as prescribed and a one month rx generally lasts me 45 days or more. It occurred to me to do this though because mentally I know adderall is a stimulant even though when I take it it effects me personally more as a downer effect. At any rate, within 30 min I no longer felt intoxicated and actually felt pretty good. I am not a ding dong and know if I put the alcohol in my body then it is there and my blood alcohol level is not safe to be driving. I also know that because I feel fine that is not an indicator to keep drinking. Bottom line, I am not a dumb ass. What I am saying is I am not abusing my meds, nor am I am alcoholic yet I happened to come across this “happenstance” this evening and was a little puzzled. Everything I read relates nothing to do with my personal circumstances yet I am curious if this is common?

  23. Hello Lydia. I think it might be worthwhile to check in with your prescribing doctor or pharmacist about the delay times and half life of amphetamines, to make sure that you’re on the safe side. Be honest about how much and often you’re drinking and the time periods between your last Adderall dose and the first drink. But I think that you’ll need an expert opinion to make some decisions about using the two together.

  24. I would also like to add, for some of the younger readers who are experimenting with adderall recreationally, whether they are prescribed or not, DON’T DO IT! And don’t give it to your friends. I’ve been there. And now I’m paying the price. The abuse I put my body through as a teenager had effects that you can’t even begin to imagine. It changed my metabolism (which is virtually nonexistant now and I’ve gained seventy pounds), my brain chemistry, my hormones, my mental function and my ability to maintain social and romantic relationships. I am thirty years old and I feel and look like I’m in my forties. Seriously, people aren’t lying when they say this stuff, and it happens to almost everyone. You may never get arrested, you may not ever overdose or drown in your own vomit, you might not ever even get caught by your parents; I never had any of those things happen to me. But the decisions you make right now will shape the rest of your life, for better or worse. Make sure they are the right ones.

  25. I am an adult taking Adderall IR as prescribed (give or take five mg here and there). I am prescribed to 30mg per day, and I usually take a larger dose in the morning and try to take my last dose by no later than 3PM. My evenings are often spent drinking socially, which can mean anything from 2-6 drinks (but generally over the course of 8 hours or so when on the higher end, like if the evening starts with a ballgame and ends with a round of Trivial Pursuit) so that I am usually drinking less than one drink per hour. Sometimes I get intoxicated, sometimes I don’t. So my question is, what exactly constitutes “mixing” Adderall and alcohol, and at which end is it more dangerous? How long past the half-life of each should I be waiting to take the other? I’ve just turned 30 and have noticed recently how differently my body reacts to things these days than it did in my teens and twenties.

  26. Hi Adam. It’s difficult to predict what can happen in ANY person’s body when mixing chemicals. And we’re not medical professionals here; just researchers.

    Have you spoken with your prescribing doctor about the time to wait before drinking? And what asking for more information about possible drug interactions with the nitrogylcerin? Another good source of information would be a local pharmacist.

  27. Hi. I took a 25mg capsule about 9 hours ago, and i wanna have a beer with my chicken wings. I have heard of what can happen with the mixture. A couple hours after taking it, i went skateboarding and did some strength exercise, noticing that my heart rate was higher than normal with no associated pain. What if i had the beer? Also, what would happen if i took a .4mg nitroglycerin sublingual tab with and without the beer combo?

  28. Hi Nicole. No, chest pain can be an indication of adverse cardiovascular events connected with amphetamine use. I’d suggest that you see a doctor immediately.

  29. Its been 24 hrs since I’ve done the adderall and I still feel itchy and tingly. Also a lil chest pain now. Kinda weak too is this normal?

  30. so I decided to go to a party with my boyfriend Lastnite. Drinking and some other drugs where there. So after doing some shots and drinking some beer. We got. Offered. Adderall. So. They. Made. Some. Lines and we did about 9. Pills. Snorting. This was our first time we stayed up all nite . I mean it was fun our last line was at 9am. It is now 2am and I’ve only had a hr asleep. Since Saturday. Morning. Well. Now. I’m.itching and tingling all. Over. Hot and. Cold. Sweats. Dizzy spells. My boyfriend is fine. I was wondering if thetes anything I should worry about? THANKS

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