Medically Reviewed By
On April 15, 2024
Written By
On November 16, 2023
Stimulants are designed to give people energy and keep them alert. Prescription stimulants like Adderall® treat various conditions, such as narcolepsy and ADHD. Others, like meth, are often sold illegally on the street. Both Adderall and meth are controlled substances that carry a high potential for misuse and addiction.
Stimulants influence the nervous system by speeding up its functions. Some stimulants, like the caffeine in your morning cup of coffee, are widely consumed and generally considered to have lower risks when used responsibly. Others, like crystal meth and crack cocaine, are as dangerous and potentially lethal.
Besides speeding up the nervous system, stimulants also activate the reward system in the brain. This influences the positive effects of stimulants but also contributes to misuse and dependence.
Adderall® is a commonly prescribed treatment for ADHD and narcolepsy but is a Schedule II drug and has a high potential for abuse. The side effects of Adderall® include anxiety, difficulty sleeping, dry mouth, decreased sex drive, and headaches. Common names for it include Addy, blue pills, blues, speed, and truck drivers.
Methamphetamine is also a Schedule II stimulant, meaning it has a high potential for abuse. Raw or manufactured Meth is found illegally on the streets, often mixed with other harmful substances. This stimulant is particularly infamous for its intense energetic effects.
Those who take it often experience an increased heart rate, high blood pressure, and fast breathing. They may also speak and think very fast. People taking meth off the streets may also experience mood swings, aggression, weight loss, and confusion. Common street names include ice, speed, crystal, crank, and glass.
Methamphetamine, under the brand name Desoxyn, is used in very small doses to treat ADHD and obesity, demonstrating its controlled medical use. The brand name drug Desoxyn® is used to treat ADHD and contains 5 mg of methamphetamine hydrochloride.[1]
Cocaine is a Schedule II stimulant. While it is not often used in the medical field today, it may occasionally be used to anesthetize the respiratory tract. Crack cocaine is often found on the street and goes by names such as crack, soda, flake, snow, and blow. Effects include increased heart rate and breathing, racing thoughts, euphoria, and intense energy.
Adderall® is taken as an oral tablet that should be swallowed whole. When misusing stimulant medications, people often crush and snort the drugs through their noses to create an intense euphoria.
Meth is usually dissolved and injected, resulting in “track marks” or needle wounds at frequent injection sites. Crack cocaine is usually crushed into a fine powder and then snorted, injected, or smoked.
Drug | Commercial & Street Names | DEA Schedule | Administration |
Adderall® | Addy, blue pills, blues | Schedule II | Oral |
Meth | Desoxyn®, crank, crystal, glass | Schedule II | Oral, injection, snorting, smoking |
Crack cocaine | Coca, coke, blow, snow | Schedule II | Injection, snorting, smoking |
3.7 million people in the United States misused their prescription stimulants in the past 12 months in 2021.[2] Misuse is classified as taking Adderall® when you don’t have ADHD, a prescription, or crushing and snorting pills. It can also mean taking more pills than you’re supposed to or taking them more frequently.
Adderall® is commonly misused to increase feelings of alertness or focus. Developing a dependence on stimulants is more likely when misusing them.
Stimulant intoxication symptoms are varied. Most people will experience euphoria when they take stimulants by injecting, snorting, or smoking them. This will result in a rush of energy and alertness, followed by a crash. The crash can make one feel sick and sluggish, igniting a craving for another dose. This experience perpetuates the cycle of addiction.
In unregulated doses, stimulants can also be dangerous and even deadly. In 2016, 2 out of 5 overdose deaths were linked to cocaine.[3] Stimulants can also cause brain damage and internal organ failure, particularly with long-term use.
Yes. Street stimulants or misused prescriptions are powerful, and it’s easy to overdose. As the body is overwhelmed by the effects of the substance, it can lead to brain or organ damage and even death.
The most common stimulant overdose symptoms include the following:
Because a stimulant overdose can be deadly, it’s important to seek medical attention right away. Leaving a person who has overdosed alone and untreated could lead to fatal consequences. Make sure you call 911 and don’t leave the person’s side until the paramedics get there.
While stimulants are meant to give you energy, they can lose their potency after one builds up a tolerance. This can lead to chronic fatigue, depression, and anxiety. It can also lead to muscle deterioration, stomach pain, and weight loss. Long-term stimulant use can also damage the neurons in your brain and lead to cognitive decline.
Stimulants should never be mixed with other dangerous drugs, especially other stimulants. This can lead to a heart attack, stroke, or death. You should also not mix stimulants with alcohol, as this could also lead to a heart attack.
A stimulant addiction can affect anyone. However, those who already have substance use disorders are more likely to become dependent on or misuse these substances.
Taking stimulants as prescribed may not lead to severe addiction. Taking them in an unapproved fashion creates an intense euphoria and energy, making you feel invincible. This sensation, followed by the resulting crash, compels someone to take more stimulants to achieve positive effects. As a result, stimulants are more addictive when snorted, injected, or misused.
Cravings are common symptoms of addiction. You may also experience withdrawals when not taking stimulants. You may feel nauseous, weak, and in pain. Other signs of stimulant dependence include anxiety, paranoia, and mood swings.
When you first start taking prescription stimulants, you may only experience the positive effects. But the longer they are part of your routine, you may notice increased feelings of fatigue, depression, anxiety, and panic or have a difficult time controlling emotions and behaviors. These problems may worsen with prolonged stimulant use due to potential changes in brain function and structure.
Street drugs like meth and cocaine are often cut with cheap and dangerous substances to make them more affordable. These include:
Addiction treatment takes anywhere from a few weeks to a few months when participating in a full continuum of care. From Detox and Partial Hospitalization to Intensive Outpatient Programs and Relapse Prevention, practical support is only a phone call away. During treatment, participants will engage in therapy, coping skill development, and peer support to create healthier habits and a sustainable lifestyle.
True holistic healing requires a comprehensive treatment approach via evidence-based therapy modalities. These interventions help you understand the nature of your substance use disorder and implement solutions to overcome it.
In many cases, those taking prescription stimulants like Adderall® have ADHD. This condition can make treatment more complex. Treating both mental health and substance use disorders makes patients more likely to find lasting recovery.
The first step in withdrawal management is to detox from harmful substances safely. Medication-assisted treatment combined with therapy is one of the most effective treatment options. This process will alleviate withdrawal symptoms and reduce cravings making early recovery as comfortable as possible.
Many people with ADHD use stimulants like Adderall®. Those with substance use disorders or who have other risk factors like mental health conditions or a family history of substance abuse may consume illicit or illegal stimulants.
Prescription stimulants are legal when taken by the prescription holder. Street drugs like crack cocaine and crystal meth are illegal.
Prescription stimulants are manufactured in regulated facilities that comply with FDA standards. Illegal drug manufacturers produce illegal stimulants that often contain dangerous fillers.
Here at Ascendant New York, we understand the importance of having access to accurate medical information you can trust, especially when you or a loved one is suffering from addiction. Find out more on our policy.
[1] U.S. Department of Health and Human Services. (2022c, June 9). What is methamphetamine?. National Institutes of Health. Retrieved from https://nida.nih.gov/publications/research-reports/methamphetamine/what-methamphetamine on May 19, 2023.
[2] National Institute on Drug Abuse. (2023). What is the scope of prescription drug misuse in the United States? | National Institute on Drug Abuse (NIDA). https://nida.nih.gov/publications/research-reports/misuse-prescription-drugs/what-scope-prescription-drug-misuse
[3] Centers for Disease Control and Prevention. (2023, May 12). Other drugs. Centers for Disease Control and Prevention. Retrieved from https://www.cdc.gov/overdose-prevention/about/polysubstance-overdose.html on May 19, 2023.