The Arizona State Web Devil wrote:ASU campus a hot spot for prescription drug abuseAddiction to prescriptionby Natalie Hayes
published on Monday, June 19, 2006
The Arizona State Web Devil <table class=posttable align=right width=230><tr><td class=postcell><img class=postimg src=bin/adderal_1.jpg></td></tr><tr><td class=postcap>There are several different ways in which to take Adderal, many crush the pill and sniff, some take it orally.</td></tr></table>While some students at ASU have no problem cracking down on the books without caffeine or other stimulants to help them focus, many students have discovered a tiny orange pill that users say can work wonders for their grades.
Adderall is the hottest prescription drug sweeping across college campuses nationwide, and ASU is no exception.
Adderall is prescribed to treat attention deficit disorder, but anyone who wants it can usually find it without searching too hard, especially on college campuses.
Also used to treat narcolepsy, Adderall is a stimulant form of amphetamine, said Gary Septon, Health Director at ASU.
"Students often take it as a study aid so they can cram for exams," Septon said.
Adderall users often report euphoric feelings, loss of appetite, weight loss, over stimulation, nervousness, dry mouth, and irritability, he said.
The ASU Health and Wellness Center has only written 44 new prescriptions for Adderall this year, but the number of students who take it without a prescription is much higher, Septon said.
Jodi, who asked to withhold her last name for privacy, a journalism junior, doesn't have a prescription for Adderall, but her roommate does.
"I can get it whenever I want," Jodi said. "When I have to crack down on the books, I take as many as I need to get focused.
"Red Bull and Starbucks just isn't enough," she added. "Adderall is the only option if I have to study."
Veronica, a history and business junior who also asked to withhold her last name for privacy, said people take Adderall because it helps them focus.
"Popping pills is the easiest solution," Veronica said.
Jodi and Veronica aren't the only young adults who take prescription medications without a doctor's approval.
Between 1992 and 2003 the number of adults over age 18 who abused prescription drugs rose 81 percent, according to a report released by the National Center on Addiction and Substance Abuse at Columbia University in July 2005.
"Our nation is in the throes of an epidemic of controlled prescription drug abuse and addiction," said Joseph Califano, president of CASA, in a press release.
The U.S. Food and Drug Administration approved Adderall as a treatment for ADD in 1996. Despite it being a relatively new drug, it gained fast popularity, especially among college students.
Adderall attracts busy, stressed-out students because it helps them focus and get their homework done fast, said Trenton Horne, who took Adderall for three years.
"I could get a week's work done in one night when I took it," he said.
Septon said Adderall use at ASU is higher than at other campuses.
"Ten to 15 percent of ASU students have tried ADD drugs without a prescription," Septon said. "At other campuses between 3 to 10 percent of students have taken them."
ASU may have more students taking medications without prescriptions than the national average because it has more than 61,000 students, making it the campus with the largest student enrollment in the United States, according to statistics provided by the ASU Web site.
"When you have more students, you'll see a higher number of people who have taken these drugs," Septon said.
Although the drug continues to remain highly popular, the ASU health center and most other medical establishments will not hand out Adderall prescriptions to students who simply think it could be beneficial to them.
At ASU's health center, patients go through comprehensive testing for ADD before they can get a prescription.
"They must take tests that are interpreted by a psychologist," Septon said. "We have a lot of students coming in saying they think they have ADD, but very few actually have it."
<span class=postbold>'I didn't feel normal without it'</span>
<table class=posttable align=right width=230><tr><td class=postcell><img class=postimg src=bin/adderal_2.jpg></td></tr><tr><td class=postcap>The prescription drug Adderal is considered a growing risk and danger at college campuses around the country.</td></tr></table>When people who don't have ADD take Adderall, they experience different effects than people who have the disorder.
Septon said Adderall can be very beneficial and non-habit forming for people who have ADD, but can be very addictive for those who don't.
Adderall is a controlled substance, and it can lead to habituated use and taking it in higher doses, Septon said.
Today more people are abusing prescription controlled substances than illegal street drugs.
From 1992 to 2003, abuse of controlled prescription drugs grew twice as fast as marijuana abuse, five times faster than cocaine abuse, and 60 times faster than heroin abuse, the CASA report stated.
Controlled substances are classified through their potential for addiction. There are five categories that are ranked in order of addictiveness.
The most addictive category is C-1, including heroin and other illegal drugs, said Dave Adler, a licensed pharmacist in Chandler. C-2 drugs, including the strong painkiller OxyContin, have the second highest potential for addiction, Adler said.
"Adderall and painkillers such as Vicodin are C-3 drugs, which means they have the third highest potential for addiction."
Horne, a journalism sophomore at ASU, knows first-hand how addictive Adderall can be.
When Horne was a high school senior, his doctor diagnosed him as having ADD and wrote him a prescription for Adderall.
Horne said that once he started taking the medication he immediately became addicted.
"I was moody and depressed when I wasn't taking it," Horne said. "I didn't feel normal without it."
After taking Adderall for six months, Horne said he became tolerant to his prescribed dose and began doubling up on his medication to feel its effect.
"I started to lose a lot of weight because Adderall made me lose my appetite, and my prescription would run out before I could get a refill," Horne said.
His parents became concerned when his prescription ran out in two weeks, and it was supposed to last him a month. They took him off the medication.
Horne said he supported his parents' decision, and said he didn't miss Adderall until his freshman year at ASU.
"I missed Adderall because I knew it would help me get better grades," he said.
Then during his freshman year, Horne began dating a new girlfriend who had a prescription for Adderall.
"She gave me the whole bottle because she said she didn't like how it made her feel," Horne said.
Back on Adderall again, Horne said he quickly became confident about getting his schoolwork finished. He began taking it everyday to keep up with the freshman workload.
However, this time he experienced unfamiliar side effects when he took it.
Horne said he began having urges to do random activities like clean his dorm room obsessively.
"When I was on Adderall I would clean the woodwork and dust my kitchen appliances, which I wouldn't normally do," Horne said. "I just couldn't stop cleaning."
One night, Horne took 90 milligrams of the medication, which is twice as much as the highest prescribed daily dose, in order to get a school project done.
"I stayed up for two days and nights just working," Horne said. "I wore the same clothes to school both days, and when I looked in the mirror, I looked like I was on crack."
Horne hasn't taken Adderall since his girlfriend's prescription ran out, but says he misses it a lot, especially during stressful times.
"If I was offered a pill, I would take it," Horne said. "But I would be smarter about it and only take small doses."
<span class=postbold>Word of mouth</span>
<table class=posttable align=right width=230><tr><td class=postcell><img class=postimg src=bin/adderal_3.jpg></td></tr><tr><td class=postcap>ASU pharmacist Karl Labbe examines a bottle of Adderall at the ASU Student Health Center.</td></tr></table>If he really wanted to get it, Horne wouldn't have a problem finding Adderall on ASU's campus.
Veronica agreed.
"It's easily accessible on campus," she said. "I think people hear about it through word of mouth."
Alex, a business real estate junior who asked to withhold her last name for privacy, said she could find Adderall just by making a few phone calls.
"I have a few guy friends that have ADD and don't like taking Adderall," Alex said. "They usually don't mind getting rid of it."
One male ASU student, who asked to withhold his name to avoid getting into trouble, said he sells his Adderall prescription to students. He gets 90 pills with each refill and said they usually sell out within a week.
If he was caught selling his prescription, he would be arrested.
ASU's Department of Public Safety arrests anyone caught selling drugs, including prescriptions, said Leah Hardesty, an ASU spokeswoman. It's also illegal to buy them, Hardesty added.
"It's not like I walk around campus asking kids if they want to buy some Adderall," he said. "My friends usually ask me for it first, and people I don't know who've heard I have it usually buy the rest."
He said he charges $4 per pill, which would total up to $360 each month, but he usually gives a lot away to his friends, so he makes less.
"On average, I usually end up getting somewhere between $200 and $250 for each prescription," he said.
He said he doesn't worry about the effect Adderall might have on people who don't have ADD.
"It's their decision to take it, but they should know how to be responsible about it," he said.
ASU DPS has had no reports of anyone overdosing on Adderall, Hardesty said.
But that doesn't mean students never take too much of the drug.
"It's hard to keep track of students who overdose because the only way DPS would know is if someone needed medical attention," Hardesty said.
Septon said ASU's health center has not treated any students for an Adderall overdose.
<span class=postbold>Monitoring the market</span>
<table class=posttable align=right width=230><tr><td class=postcell><img class=postimg src=bin/adderal_4.jpg></td></tr><tr><td class=postcap>The prescription drug Adderal is considered a growing risk and danger at college campuses around the country.</td></tr></table>Recent headlines have raised concerns about the drug.
Adderall made the news when Canada decided to ban it in February 2005.
It was taken off the market in Canada because there were several unexplained sudden deaths in pediatric patients, Septon said.
The FDA did not follow in Canada's footsteps because they said they do not feel that Adderall poses any immediate health risks, according to an FDA statement on Adderall.
However, the FDA is closely monitoring the effects of the drug, Septon said.
Like any drug, Adderall has a different effect on every individual.
Adderall speeds up the heart rate, so people with high blood pressure or other heart problems should be careful about taking it, said Robert Milam, a family medical practitioner in Tempe.
Horne has high blood pressure and a history of heart murmurs in his family. He said he was often nervous about the effect Adderall was having on his heart.
When Horne took too much of the medication, he said he sometimes experienced heart palpitations.
"It was too intense," he said. "I continued to use it despite my [heart] condition, but the possibility for heart problems was always at the back of my mind."
Another downfall of the drug is feelings of depression and isolation that patients sometimes report after prolonged use, Septon said.
"Depression often occurs after they become dependent [on Adderall]," he said.
Ryan Sweeney, a political science junior at ASU, said he's been using Adderall on a prescription basis for the past three years.
Sweeney said that although the drug doesn't make him feel like it did when he first started taking it, he still feels like he needs it to feel normal.
"I had a friend who said that while on Adderall, he could do all of the things that superman could do - leap tall buildings in a single bound, fly faster than a speeding bullet," Sweeney said. "This was only three weeks after he was prescribed Adderall."
Sweeney said that after taking the drug for several years, it doesn't give him that confident feeling anymore.
"When I take it I don't feel much, but if I don't take it I don't feel right, as if something's missing," Sweeney said.
He blames his dependence on the medical industry.
"They prey on young people by making them dependent on something they don't need in the first place," Sweeney said.
Sweeney said he plans to stop taking Adderall after college.
"I'm going to go off it for good because I don't want to be paying a $20 co-pay for the rest of my life," Sweeney said.
<span class=postbold>Abuse awareness</span>
Most people who take Adderall are aware of its side effects and potential negative consequences, yet it continues to remain popular, especially on college campuses.
The drug has become more popular than ever, and health practitioners are aware of its potential for abuse, especially on college campuses.
Recent findings reveal that controlled drug abuse is on the rise.
Between 1992 and 2002, prescriptions written for controlled substances increased more than 150 percent, according to CASA's report.
Abuse of ADD drugs can be lowered if medical providers begin requiring patients to be diagnosed by a psychologist before they prescribe controlled substances, Septon said.
"There are doctors who will give out any prescription," Septon said.
"We have to be aware that there is abuse going on with students," Septon said.
Reach the reporter at
Natalie.i.hayes@asu.edu.