BRIEF REPORT Myocardial Infarction Associated with Adderall XR and Alcohol Use in a Young Man

Adderall, consisting of a mixture of amphetamine salts and dextroamphetamine salts, is a prescription drug for attention deficit/hyperactivity disorder (ADHD) and narcolepsy. Labeled or unlabeled use of Adderall is gaining popularity among young children and college students. Although it is rare, Adderall use is associated with myocardial infarction and even sudden death. We report a case of a young man with acute myocardial infarction after taking 2 15-mg tablets of Adderall XR with alcohol and discuss the clinical features, diagnosis, and management of the cardiovascular effect of amphetamine-containing drugs. (J Am Board Fam Med 2009;22:197–201.) Adderall is a prescription drug for attention deficit/ hyperactivity disorder (ADHD) and narcolepsy. Adderall XR is an extended-release form of Adder-all. It consists of a mixture of amphetamine salts and dextroamphetamine salts, and both are central nervous system stimulants. Although it is rare, Adderall use is associated with myocardial infarc-tion (MI) and even sudden death. We report a case of a young man with acute myocardial infarction after taking 2 15-mg tablets of Adderall XR. Case Report