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Adderall-induced Trichotillomania: A Case Report.

Chiranjir Narine¹, Sajjad R Sarwar, Theodor B Rais

¹Dr. Narine is a resident of psychiatry, Dr. Sarwar is fellow of child and adolescent psychiatry, and Dr. Rais is the associate professor and program director of the Department of Child and Adolescent Psychiatry-All from the University of Toledo, Toledo, Ohio.

Innovations in Clinical Neuroscience

|September 25, 2013

Summary

This summary is machine-generated.

This case study highlights an unusual side effect of Adderall (dextroamphetamine/amphetamine). A 12-year-old girl developed trichotillomania after starting the medication for attention deficit hyperactivity disorder.

Keywords:

ADHD Adderall attention deficit hyperactivity disorder trichotillomania

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Area of Science:

Psychiatry
Pharmacology
Pediatrics

Background:

Adderall (dextroamphetamine/amphetamine) is a common psychostimulant for attention deficit hyperactivity disorder (ADHD).
It is generally well-tolerated with few side effects.

Purpose of the Study:

To report a rare case of trichotillomania potentially induced by Adderall in a pediatric patient.
To investigate the relationship between stimulant medication and the development of hair-pulling disorder.

Main Methods:

A case report of a 12-year-old female diagnosed with ADHD.
Observation of new-onset trichotillomania following initiation of Adderall therapy.
Discontinuation of Adderall and initiation of guanfacine.
Clinical follow-up for over one year.

Main Results:

The patient developed trichotillomania shortly after starting Adderall.
Discontinuation of Adderall and switching to guanfacine resulted in the resolution of hair-pulling behavior and anxiety.
No recurrence of trichotillomania was observed during the follow-up period.

Conclusions:

Adderall may be associated with the development of trichotillomania, an uncommon side effect.
Guanfacine may be an effective alternative treatment for ADHD in patients experiencing stimulant-induced side effects.
Further research is needed to explore the neurobiological mechanisms linking stimulants to trichotillomania.