Is it the adderall?

Patient : I take adderall for adhd, 20mg bid, and have been at this dose for the better part of a few years. I go off and back on every few weeks for a few weeks to give my body a break. After a 1 week haitus, I started back on it. Last night I started having right flank pain and clammy hands and feet. I woke at 230 am with dull side and rib pain on the right raising to the front...doable, but the overwhelming anxiety wasn't. Tonight I have been feeling out of sorts with anxiety all evening and the flank pain is much worse (seems like laying down aggrivates symptoms) and feels like its making my whole abdomen tense. This is accompanied with a racing heart and clammy chills, especially my hands and feet. Is this related to the adderall? Should I go to the er?
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