Does Adderall Raise Blood Pressure?: What You Need to Know to Stay Safe

Adderall works by increasing the activity of neurotransmitters, specifically dopamine and norepinephrine, in the brain to improve focus in ADHD and reduce excessive sleepiness in narcolepsy.[1]  While effective for these conditions, it is not without potential risks, particularly for cardiovascular health.

One of the side effects of adderall is that it can also raise blood pressure. [2] This can be extremely dangerous for people who are already being treated for high blood pressure.

If you have high blood pressure, Adderall may still be prescribed. However, it requires careful monitoring and close consultation with your doctor to evaluate the risks and benefits in your specific case. Monitoring your blood pressure regularly is important, as Adderall can exacerbate hypertension and increase the risk of cardiovascular complications. Certain side effects of Adderall, such as increased heart rate, dizziness, and headaches, can be exacerbated in individuals with high blood pressure, leading to greater cardiovascular risks. Your doctor may prescribe other medications or therapies to avoid potential problems.Does Adderall Raise BP?

Yes, Adderall can raise blood pressure in people who have high blood pressure and even in those who don’t. But when someone with high blood pressure takes Adderall, the dangers can be elevated.[3] Adderall can raise blood pressure, but it may not always lead to dangerous levels of hypertension. However, for those with pre-existing cardiovascular conditions, it may increase strain on the heart, leading to a higher risk of complications. 

To put in perspective how many people these dangers can potentially impact, the Centers for Disease Control and Prevention estimates that approximately 15 million adults were dealing with ADHD in 2023[4]. Nearly half of all adults in the U.S. have high blood pressure.[5] The number of people living with both ADHD and high blood pressure is not widely documented. However, studies suggest that individuals with ADHD may be at higher risk for cardiovascular issues, including hypertension.  

Knowing when to seek medical attention, if you have high blood pressure and take Adderall, is key to preventing serious complications.

How Much is Normal?

Adderall and other stimulant medications can raise your blood pressure by about 2-4 mmHg. Even in individuals without a history of high blood pressure, Adderall can still lead to temporary increases in blood pressure that require monitoring.[6] But if you have been diagnosed with high blood pressure or other health conditions, this can result in a serious health condition and raise cardiovascular risks.

Your doctor may advise you to monitor your blood pressure at home if you take Adderall, so you can see if and when your blood pressure reaches a dangerous level. 

What is a dangerous level? 

According to the American Heart Association, a systolic number (upper number) of between 130-139 or a diastolic number of 80-89 is classified as stage 1 hypertension. [7]

An upper number of 140 or higher or a lower number above 90 is considered stage 2 hypertension. For most people, a “normal blood pressure” is considered to be 120/80 mmHg or lower.

If your blood pressure reaches or exceeds 130/80 mmHg, it is important to consult your healthcare provider, particularly if you are taking medications like Adderall that can elevate blood pressure. 

Why Does Adderall Raise Blood Pressure?

Adderall increases the levels of norepinephrine and dopamine by inhibiting their reuptake, which stimulates the sympathetic nervous system, leading to increased heart rate and vasoconstriction. This can lead to high blood pressure. While this is dangerous for everyone, it can put excess strain on the heart for someone who already has high blood pressure. This can increase your heart rate and put you at risk of heart problems. In short, if you have high blood pressure and take Adderall, you could be putting yourself at risk for serious health problems. 

What about Other Stimulants?

While there is a focus on the impact of Adderall on high blood pressure, don’t forget about other stimulants. This includes over-the-counter products that also contain stimulants. They can be found in popular dietary supplements that promote weight loss, endurance, and increased muscle strength. 

Symptoms of High Blood Pressure Adderall Can Cause

If you have ever had a bad headache or felt dizzy when taking Adderall, you may be experiencing high blood pressure symptoms. Adderall can trigger high blood pressure symptoms such as: [8]

• Headaches
• Nosebleeds
• Shortness of breath
• Dizziness
• Heart palpitations

If you experience symptoms like headaches, dizziness, or palpitations while taking Adderall, it is important to monitor your blood pressure and contact your healthcare provider immediately, especially if the symptoms persist or worsen.

Can Adderall Cause Heart Attacks & Strokes?

 Studies show a small but notable increased risk of cardiovascular events, including heart attacks and strokes, in individuals using Adderall, particularly in those with pre-existing heart conditions. [9] While studies suggest a small but notable increased risk of cardiovascular events like heart attacks and strokes with Adderall, the evidence supporting these risks is growing, especially for individuals with pre-existing heart conditions. To be safe, the Food and Drug Administration advises that people who have serious heart problems should avoid Adderall.

If you have heart problems, especially arrhythmias, coronary artery disease, or a history of heart attacks, you should generally avoid Adderall or use it only under strict medical supervision. They will take a snapshot of your entire medical history and decide if Adderall is safe for you.

When Should You be Concerned?

You should be concerned about your high blood pressure if you take Adderall when your blood pressure goes above your normal range.[10] If your doctor prescribes Adderall, you should first receive a baseline assessment of your heart health. This will let you know what’s normal for you. 

Screening for pre-existing high blood pressure or heart disease is also important. Once your doctor gets the whole picture, proper measures can be taken to keep you safe.

What Can People with High Blood Pressure Do?

If you have high blood pressure and are taking Adderall, regular monitoring of your blood pressure is essential. You should consult your doctor if you notice significant increases or experience symptoms like dizziness, headaches, or palpitations. 

Leading a healthy lifestyle is also a good idea. You can do this by exercising, eating a healthy diet, and managing stress. These can all help to keep your blood pressure in check and prevent health problems.

Do You Have More Questions About Adderall Use?

If you were prescribed Adderall, have concerns, or are now battling an addiction to it, help is available. Learning about the resources around you is key to overcoming your addiction.

Frequently Asked Questions About Adderall & High Blood Pressure