Adderall, a combination of amphetamine salts, is one of the most effective and widely prescribed medications for attention-deficit/hyperactivity disorder (ADHD) in both children and adults. When used as prescribed, it significantly improves focus, reduces impulsivity and hyperactivity, and enhances executive functioning, often leading to better academic, professional, and social outcomes. Many patients describe it as life-changing, allowing them to sit still, complete tasks, and feel in control for the first time. However, Adderall is a powerful central nervous system stimulant with notable risks: it can raise heart rate and blood pressure, suppress appetite and growth in children, cause insomnia, anxiety, or irritability, and carries a high potential for misuse, tolerance, and addiction—especially among teenagers and college students who take it without a prescription for studying or recreation. Rare but serious risks include cardiovascular events and psychotic symptoms. Because of these concerns, guidelines emphasize starting with the lowest effective dose, regular monitoring, and considering non-stimulant alternatives or behavioral therapy when appropriate. For the right patient under close medical supervision, the benefits of Adderall often outweigh the risks, but it is not a harmless or casual medication.