Adderall (mixed amphetamine salts) is the most prescribed ADHD stimulant. Long-term use produces physical dependence with characteristic withdrawal (“crash”) on stopping. How to taper off Adderall can sometimes be done over a few weeks but ADHD symptoms typically return. Always work with your prescriber.
Typical tapering approach
For Adderall XR users:
- Reduce by 5-10 mg/day every 1-2 weeks
- Total duration: 4-8 weeks
- Some patients need slower
Available strengths: 5, 7.5, 10, 12.5, 15, 20, 25, 30 mg (XR); 5, 7.5, 10, 12.5, 15, 20, 30 mg (IR).
Common withdrawal symptoms (“crash”)
- Severe fatigue
- Increased sleep
- Increased appetite
- Depressed mood
- Difficulty concentrating
- Anxiety
- Vivid dreams
- Cravings
Timeline
- Onset: within 24 hours
- Peak: days 2-5
- Acute resolution: 1-2 weeks
- PAWS: weeks (mild persistent symptoms)
Considerations
If stopping Adderall while still having ADHD, plan:
- Behavioral strategies for ADHD management
- Possible non-stimulant alternatives
- Acceptance that focus and productivity may decrease
Frequently Asked Questions
Can I cold turkey Adderall?
Possible but uncomfortable. Tapering reduces severity of crash.
How long does Adderall withdrawal last?
Acute 1-2 weeks; mild symptoms can persist longer.
Is Adderall addictive?
Yes, with significant addiction potential, especially with non-prescribed use.
Will I feel depressed?
Mood lowering during withdrawal is common; usually transient.
What about non-stimulant ADHD treatments?
Atomoxetine, guanfacine, bupropion, clonidine. Discuss with prescriber.
The bottom line on tapering off Adderall
Adderall tapers can typically be completed in 4-8 weeks. Crash symptoms (fatigue, increased sleep/appetite, mood lowering) are uncomfortable but transient. Plan ADHD management strategy.