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ADHD Meds: How to Get Rid of Adderall Tongue?

Dorianne Green
Author:
Dorianne Green
Medical Writer
Christina Bookwalter
Medical Reviewer:
Christina Bookwalter
PharmD
The medications listed on this website are provided for informational purposes only.
Their inclusion does not guarantee they will be prescribed to any individual, as treatment decisions are ultimately at the discretion of healthcare providers. Healthcare providers may prescribe other medications, including non-stimulant options, or recommend non-pharmacological treatment based on the patient’s unique health circumstances and needs. Read more

Adderall has a boxed warning[1] , the most serious type of warning from the Food and Drug Administration (FDA). Adderall’s active ingredient (amphetamines) has a risk of misuse (abuse) which can lead to dependence, serious heart conditions, and even sudden death. Adderall is also a controlled substance, indicating its high potential for misuse or dependence. Specific federal and state laws limit the amount of this medication that can be prescribed or dispensed within a certain period of time.

Whether you’ve been taking Adderall for a while and noticed unusual sensations in your mouth, or you’ve just started treatment and overheard someone talking about this side effect — leaving you worried — read on to understand why it occurs and how to manage it.

Highlights

  • Adderall tongue refers to a group of symptoms reported by people taking this medication; it is not a medical term.
  • Some Adderall tongue symptoms include dry mouth and lips, a sore or burning tongue, bad breath, and tongue thrusting.
  • Management strategies include self-health techniques, reducing the Adderall dosage, stopping Adderall completely, and considering other ADHD medications.

What Is Adderall Tongue?

Adderall[2] is a medication prescribed to treat attention-deficit hyperactivity disorder (ADHD) and narcolepsy. Like all medications, it has both beneficial effects (such as increased focus and attention) and possible side effects — Adderall tongue is one of these.

Adderall tongue is not a medical term, but rather a name that people taking Adderall use to describe a group of unpleasant symptoms that some experience. These include a sore or burning tongue, dry lips and mouth, and others. Dry mouth is one of the most common side effects of Adderall XR in adults, with almost 4 out of every 10 people[3] experiencing it.

See a licensed provider to learn how to ease Adderall-related discomfort and adjust your plan if needed.

Symptoms of Adderall Tongue

Let’s take a look at some of the more commonly reported tongue-related complaints:

  • Dry mouth and tongue
  • Soreness, rawness, or burning sensation
  • Ulcers or mouth sores
  • Bad breath
  • Altered taste perception
  • Tongue thrusting
  • Swelling or puffiness

Sometimes other parts of the mouth can also be affected, including:

  • Dry or cracked lips
  • Tooth decay
  • Gum disease
  • A sore throat
  • Difficulty swallowing
  • Jaw clenching
  • Teeth grinding

What Causes Adderall Tongue?

One possible cause is that Adderall can trigger the sympathetic nervous system, mimicking a fight-or-flight or stress response[4] . Remember, when you feel threatened or very anxious, what are some of the things that happen? You might get a dry mouth[5] and perspire more.

Reduced saliva production and sweating can also contribute to dehydration, worsening the dry mouth. Saliva plays many roles in keeping your mouth and tongue healthy by:

  • Keeping them moist 
  • Dissolving sugars
  • Fighting bacteria with antibodies and enzymes
  • Decreasing acidity in the mouth
  • Repairing tissue 

So it makes sense that if you don’t have enough saliva, the rest of the Adderall tongue symptoms follow:

  • A burning, sore, or painful tongue
  • A loss or decrease in taste
  • Increased infections, such as dental decay, gum disease, and mouth ulcers, which can cause bad breath[6]
  • Mouth and tongue sores that can’t heal

Other potential Adderall effects are abnormal, involuntary tongue and jaw muscle movements; these are thought to be caused by the stimulant’s effect on dopamine[7] .

Lastly, although uncommon, Adderall might cause tongue swelling due to allergies; this is called angioedema.

How Long Does Adderall Tongue Last?

Some people taking Adderall experience these side effects during the whole course of treatment, while for others, these may resolve on their own. Also, Adderall tongue does go away if the medication dose is lowered or stopped (immediately or over a couple of weeks, depending on the dosage, duration of treatment, and individual response).

The good news is that it’s manageable. Let’s look at how to get rid of the dry mouth and other tongue-related side effects of Adderall.

How to Get Rid of Adderall Tongue

 Here are a few practical tips[8] and remedies that help with medication-induced dry mouth[9] :

  • Sipping water often, as staying hydrated might improve saliva production.
  • Chewing sugar-free gum or sucking lozenges to stimulate saliva production.
  • Using artificial saliva products[10] often helps, although they are short-acting, often expensive, and can taste bad.
  • Avoiding caffeine, alcohol, and tobacco[11] , as they also affect saliva production and quality.
  • Avoiding acidic, hot, and spicy foods that might irritate the tongue.
  • Practicing good oral hygiene helps clean the mouth from sugar and bacteria.
  • Using a soft-bristle toothbrush to avoid aggravating discomfort.
  • Choosing a gentle toothpaste[12] that doesn’t contain flavorings or harsh detergents, bleaching, or foaming agents.
  • Using a tongue scraper to remove dead cells and bacteria, improving bad breath.
  • Using lip balms.
  • Keeping the air moist with a room humidifier.
  • Avoiding mouth breathing by keeping your nose open, using saline intranasal sprays.

However, if these strategies are not helping with Adderall tongue side effects, the bottom line is that you need to see a healthcare professional.

"Try to stay ahead of the dry mouth by drinking water regularly throughout the day and use sugar-free gum or lozenges to keep saliva flowing before dryness becomes severe. Also, dry mouth can lead to dental problems, so practicing good oral hygiene is key. Make sure you brush your teeth and mouth with a gentle toothpaste and a soft bristle brush. Also be sure to floss and brush your tongue daily. "
Christina Bookwalter, PharmD
Medical writer and reviewer at MEDvidi
Get a personalized ADHD treatment plan tailored to your needs.

Is Adderall Tongue Dangerous?

Although most of these symptoms are just uncomfortable, they can still impact your quality of life if you: 

  • Are constantly aware of your sore tongue and dry mouth
  • Avoid people because of bad breath
  • Can’t taste or eat your favorite foods

Rarely, however, Adderall tongue symptoms might point to something more serious. Possible warning signs of allergy or infections are swelling of the tongue or lips, difficulty breathing, persistent or bleeding sores, or severe pain. If you experience these at any stage, urgently seek professional advice.

So, for ongoing or severe symptoms, your healthcare provider may need to:

  • Stop the Adderall immediately and consider allergy testing if an allergic reaction is suspected
  • Lower the Adderall dosage, as side effects are worse at higher doses
  • Explore alternative ADHD medications with fewer side effects
  • Prescribe antibiotics or refer you to a dentist in the case of infection

In Conclusion

Adderall tongue is a common side effect. Usually, it only causes discomfort, although there may also be serious cases. If you are experiencing Adderall tongue or other unwanted effects on your ADHD medication, make an appointment with a healthcare provider at MEDvidi to optimize your ADHD treatment plan.

Frequently Asked Questions (FAQs)

Yes, Adderall can cause dry mouth because it increases sympathetic nervous system activity, which reduces saliva production.
Adderall makes your mouth dry because it decreases saliva production by triggering the sympathetic nervous system.
Yes, Adderall can cause tongue sores and mouth ulcers because it decreases saliva production. Saliva hydrates and protects the tongue from infection, repairs cell damage, and acts as a lubricant against the teeth.
No, Adderall-induced dry mouth is not permanent; it usually settles with a lower dose or when you stop the medication.
Adderall tongue thrusting is an abnormal, involuntary tongue movement. It is thought to be caused by the stimulant’s effect on dopamine.
Yes, Adderall can cause dry lips because of decreased saliva production.
The mouth of a person taking Adderall might look dry, the tongue may be inflamed or white-coated, there may be sores or ulcers, infected or bleeding gums, and tooth decay.
Adderall might cause a weird taste in the mouth because Adderall decreases saliva production. Saliva keeps the tongue healthy, so a lack of it can affect taste bud function, leading to altered and unusual flavors.
Yes, Vyvanse may cause dry mouth, a sore tongue, and tongue thrusting due to its effects on dopamine and the sympathetic nervous system.
Yes, Adderall can cause a sore throat because it decreases saliva production. Saliva hydrates and protects the throat cells from infection, repairs cell damage, and acts as a lubricant for swallowing.

Sources

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12 sources
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  9. Ito K, Izumi N, Funayama S, Nohno K, Katsura K, Kaneko N, Inoue M. Characteristics of medication-induced xerostomia and effect of treatment. PLoS One. 2023 Jan 12;18(1):e0280224. doi: 10.1371/journal.pone.0280224. PMID: 36634078; PMCID: PMC9836311.
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  10. Alhejoury HA, Mogharbel LF, Al-Qadhi MA, Shamlan SS, Alturki AF, Babatin WM, Mohammed Alaishan RA, Pullishery F. Artificial Saliva for Therapeutic Management of Xerostomia: A Narrative Review. J Pharm Bioallied Sci. 2021 Nov;13(Suppl 2):S903-S907. doi: 10.4103/jpbs.jpbs_236_21. Epub 2021 Nov 10. PMID: 35017895; PMCID: PMC8686887.
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  11. Waszkiewicz N, Zalewska A, Szulc A, Kepka A, Konarzewska B, Zalewska-Szajda B, Chojnowska S, Waszkiel D, Zwierz K. Wpływ alkoholu na jame ustna, ślinianki oraz śline [The influence of alcohol on the oral cavity, salivary glands and saliva]. Pol Merkur Lekarski. 2011 Jan;30(175):69-74. Polish. PMID: 21542250.
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Dorianne Green
Author:
Dorianne Green
Medical Writer
Christina Bookwalter
Medical Reviewer:
Christina Bookwalter
PharmD
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