Some ADHD medications are so similar that deciding which one to try begins to feel like a guessing game. Since acclimating to a new medication takes several weeks, it could take time before you realize you’ve chosen incorrectly—and then you have to spend even more time tapering off the old medication and integrating a new one. This process can exacerbate coinciding conditions like anxiety and insomnia, which can make your other ADHD symptoms worse.

Comparison guides like the one below are designed to make this decision easier by providing clear and concise information about each medication. Though Adderall and Quillivant are both stimulant-based ADHD medications, there are a handful of differences between them regarding available forms, side effects, contraindications, and cost. These factors, along with the advice of a licensed medical professional, can help you determine which medication may be more effective for you.

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If you need a straightforward and reliable healthcare provider who can diagnose and treat your ADHD, get connected with one on Klarity today. Klarity makes it simple to access online ADHD treatment, including prescription medications like Adderall or Quillivant.

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QuillivantAdderall Drug ClassSchedule II stimulantSchedule II stimulant Brand / Generic StatusBrand name for methylphenidate Brand name for amphetamine salts Form(s) of the DrugLiquid suspensionImmediate release tablets Standard Dosage10mg per liquid dose5mg to 30mg tablets Conditions TreatedFDA-approved uses: • ADHD • NarcolepsyFDA-approved uses: • ADHD • Narcolepsy (sleep disorder) Off-label uses: • Depression • Anxiety • Bipolar disorder CostBrand-name Quillivant: • $400 to $450 for a one-month supply No generic version for Rx. Cost may vary depending on insurance coverage. Brand-name Adderall: • $8 per 5mg tablet • $237 for a 30-day supply Generic form (amphetamine salts): • $13 for 30 days of 5mg tablets • $85 for 30 extended-release pills Side-EffectsCommon side effects: • Decreased appetite • Weight loss • Nausea • Stomach pain • Dry mouth • Insomnia • Increased blood pressure • Elevated heart rate • Dizziness • Irritability • Anxiety • Mood swings • Restlessness Serious side effects: • Seizures • Priapism • Eyesight changes • Blurred vision Common side-effects: • Decreased appetite • Weight loss • Dry mouth • Nausea • Headache • Fever • Trouble sleeping Serious side-effects: • Signs of blood flow problems • Behavior changes • Uncontrolled movements • Shortness of breath • Irregular heartbeat • Seizures • Trouble speaking Warnings For UseContraindications: • Cardiac abnormalities • Blood pressure conditions • History of drug abuse Drug interactions: • SSRIs and SNRIs • Blood pressure medication • Acid reflux medication • Blood thinners • Cold or allergy medication • Opioid-based medications • Seizure medication

What is Adderall?

Adderall is an ADHD medication composed of amphetamine and dextroamphetamine, two central nervous system stimulants. These stimulants alter the behavior of neurotransmitters- e.g., dopamine and serotonin-in the brain. This results in less hyperactivity, impulsiveness, and lack of focus in ADHD patients who take the medication.

Forms and Dosages

The standard Adderall formula, called the immediate-release formula (IR), comes in tablet form. Normal for Adderall start at 5 mg and can increase to 7.5 mg, 10 mg, 12.5 mg, 15 mg, 20 mg, and 30 mg. This form of Adderall should be taken no more than twice per day, with the last dose coming no later than noon.

Adderall’s extended-release form, Adderall XR, has nearly replaced the immediate-release form in recent years. While Adderall IR treats symptoms of ADHD for 5 to 8 hours, Adderall XR lasts anywhere from 10 to 12 hours. You will be prescribed a higher dosage of Adderall XR, as a 20mg tablet is equivalent to two 10mg IR tablets.

Conditions Treated

Adderall is FDA-approved for patients with ADHD and some sleeping disorders like narcolepsy.

Costs

Adderall comes in branded and generic forms, with the generic form being less expensive.

Without insurance, you may be paying upwards of $8 per day for a one-month supply of Adderall. Under an insurance plan, you’ll likely pay no more than $30 per month for a supply of Adderall.

Side Effects

Because Adderall is a stimulant, it does come with a few potential side effects that you should be aware of, especially if you are sensitive to stimulants. Side effects of Adderall include:

• Irregular heartbeat
• Elevated heart rate
• Increased blood pressure
• Restlessness
• Dry mouth
• Diarrhea, constipation, nausea
• Headache
• Weight loss
• Mood changes
• Anxiety
• Dizziness

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The less common side effects of Adderall include but are not limited to:

• Seizures
• Eyesight instability
• Urinary tract infection
• Nausea
• Fever
• Stroke
• Heart attack

Warnings and Drug Interactions

Dependency warning: As a Schedule II controlled substance, Adderall carries a high risk for addiction, especially if it’s misused. Do not take Adderall more often or in higher doses than prescribed, as this increases the risk of developing dependency. Side effects of long-term Adderall misuse include insomnia, severe weight loss, high blood pressure, paranoia, and more.

The best way to avoid an Adderall dependency is to take your medication exactly as prescribed, and under the supervision of a healthcare provider. Your provider can help you monitor how you’re responding to the Adderall, adjust your dosage, or help you taper off of it should you show signs of dependency.

There are several drug interactions you should be aware of before taking Adderall. For more detailed information, read the accompanying literature packaged with your medication or speak with a licensed physician who can explain further.

Speak to your ADHD healthcare provider if you are taking or have taken the following medications in the past:

• SSRI & SNRI drugs
• Blood pressure medication
• Acid reflux medication
• Blood thinners
• Cold or allergy medication
• Opioids
• Seizure medication

If you experience any signs of an allergic reaction (hives, itching, trouble breathing) seek emergency medical attention. Call a doctor immediately if you experience any of the following:

• Heart problems like chest pain, shortness of breath
• Signs of psychosis-like hallucinations or paranoia
• Circulatory problems (numbness, pain, cold fingers & toes)
• Seizures
• Muscle twitches
• Vision changes

Do not stop taking Adderall without speaking to your physician first. Abruptly discontinuing Adderall can induce withdrawal symptoms, which can negatively impact your health.

What is Quillivant?

Quillivant XR (active ingredient: methylphenidate hydrochloride) is a liquid stimulant ADHD medication used to treat ADHD in adults and children ages six and over. Quillivant XR helps improve focus and decreases impulsivity and hyperactivity by affecting neurotransmitters in the brain that control those behaviors. Quillivant XR contains the same medication as Ritalin.

Forms and Dosages

Quillivant XR comes as a liquid suspension. It’s normally taken first thing in the morning, with or without food. Shake the bottle well for 10 seconds and use the included syringe to measure your dose. This medication is time-released and will maintain a steady level of medication in your system for 12 hours following ingestion.

Starting doses of Quillivant XR begin at 20 mg once daily in the morning and can be adjusted in 10 mg to 20 mg increments. Daily doses over 60 mg have not been studied and are not recommended.

Conditions Treated

Quillivant XR is FDA-approved to treat attention-deficit hyperactivity disorder (ADHD) and narcolepsy.

Costs

There are currently no generic forms of Quillivant on the market. Prices for individuals without health insurance are typically between $400 and $450 for a one-month supply. Contact your health insurance pharmacy department for more information on your specific pricing under your current plan.

Side Effects

Common side effects of Quillivant XR include but are not limited to:

• Decreased appetite
• Weight loss
• Nausea
• Stomach pain
• Dry mouth
• Insomnia
• Increased blood pressure
• Elevated heart rate
• Dizziness
• Irritability
• Anxiety
• Mood swings
• Restlessness

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Less common but more severe side effects include:

• Seizures
• Priapism
• Eyesight changes
• Blurred vision

Warnings and Drug Interactions

Dependency warning: Quillivant XR is a Schedule II stimulant, which means it’s a controlled substance with high potential for abuse and addiction. Quillivant’s high risk for dependence stems from its ability to stimulate the central nervous system and increase dopamine and norepinephrine levels. This can lead to individuals developing a psychological dependence on this medication.

Side effects of long-term Quillivant misuse include high blood pressure, agitation, paranoia, and even psychosis. To avoid dependence on Quillivant, follow the prescribed dosage and duration, communicate openly with your healthcare professional about any concerns or side effects, and avoid self-adjusting the medication.

Make sure your ADHD healthcare provider is aware of any cardiac abnormalities you may have. Individuals with cardiac abnormalities or a history of high blood pressure are more susceptible to experiencing heart issues when taking this medication. Stimulants can increase heart rate and blood pressure. Call your doctor immediately if you experience chest pain, shortness of breath, or circulation issues.

Additionally, you should disclose to your healthcare provider any history of mental illness, as Quillivant XR can exacerbate symptoms related to mental illness.

How to Choose Between Adderall and Quillivant

Qullivant and Adderall are two popular stimulant medications used to treat ADHD symptoms. While they are largely similar in the way they treat ADHD and in their possible side effects, there are a few differences that might lead you to prefer one over the other.

Quillivant is available in a liquid suspension form, while Adderall is only available in non-chewable tablets. For this reason, Quillivant may be preferred for children or those who cannot swallow pills.

Quillivant also has fewer known contraindications than Adderall. If you are taking allergy, seizure, or opioid-based medications, you will likely not be prescribed Adderall.

Adderall is the more affordable option of the two drugs, which can be the largest factor for those who don’t have adequate health insurance. Quillivant can cost up to $450 for a 30-day supply, and there is no generic form on the market. Adderall, without insurance, is around $240 for a month’s supply, and the generic version brings that cost to under $100.

When deciding which of these two medications is right for you, it’s important that you speak with an experienced healthcare provider. You should never attempt to self-diagnose or self-medicate your symptoms, as there may be more rare side effects or contraindications not mentioned online.

Get ADHD Treatment Today With Help From Klarity

If you believe that Adderall or Quillivant could help you manage your ADHD symptoms, Klarity can help. We’ll connect you with a trusted medical professional for convenient and affordable online ADHD treatment.

If your provider on Klarity believes that medication is right for you, they will develop a personalized treatment plan, including the right prescription based on your unique symptoms, medical history, and more.

Get started with Klarity today by scheduling an appointment. No insurance is required, and our affordable pricing makes it easy to get the help you need for your ADHD. In just 48 hours, you could receive a diagnosis and treatment, which could include a prescription for a stimulant medication like Quillivant or Adderall.

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