Long-term effects of prolonged use of Adderall

Patient : Hi there. I have been taking Adderall XR 30mg daily for the past year and a half. I have some concerns about the long-term effects of Adderall on the cardiovascular system. I notice when the drug takes effect my blood pressure enters the prehypertesive range. I will continue to monitor this and report significant changes. Are you aware of any other effects of chronic Adderall use such as dysrhythmias or palpitations? The medication keeps me focused and motivated on so many levels, but I am concerned about my overall health to consider discussing with my doctor to decrease or discontinue the medication. Thank you for your regard in this issue, and I think you provide a wonderful service here.
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