It's a delicate balance, the life of a college student. Too many classes. Too many exams. Too many pages to read. Too few hours in a day.

Trapped.

If an escape comes in a little pill, it may be hard to say no.

To a Miami University sophomore, Adderall use is nothing out of the ordinary.

"It's almost expected when you walk into King Library during finals that everyone is on Adderall," she said. "Everyone looks like zombies."

Sophomore John Siami said Adderall usage is fairly common.

"It's really, really common-like everyone does it," Siami said. "I have my own prescription, but I have a ton of people asking for it. During exam week, almost ten people a day will ask."

Siami, a pre-med zoology major, is diagnosed with Attention Deficit Hyperactivity Disorder (ADHD). According to the National Institute on Drug Abuse (NIDA) 2005 Research Report Series on prescription drugs, Adderall is often prescribed to people like Siami to increase alertness, attention and energy.

Adderall is a dextroamphetamine that works to enhance the effect of neurotransmitters called monoamines. Stimulants such as Adderall increase blood pressure and heart rate, constrict blood vessels, increase blood glucose, open up the pathways of the respiratory system and increase dopamine levels, which may create a sense of euphoria.

When used under a physician's supervision, NIDA's research report states that stimulants are appropriate and helpful.

When used without a prescription to study for longer periods of time or to achieve a greater level of focus, serious dangers are possible.

Dangers aside, said a Miami sophomore, Adderall has an addictive effect.

"Once one person takes it, soon others will follow to be able to keep up and compete," she said. "It's all about having an advantage."

Working against the clock

As a zoology and psychology double major, sophomore Jon Turpin said he doesn't have a lot of extra time on his hands. He said Adderall has helped him meet time demands.

"I've used Adderall when I have a lot of studying to do in a condensed amount of time," Turpin said.

He described his experience with mixed results.

"As far as use, for me, it's not like a caffeine rush," Turpin said. "It's not really that I'm so awake, it's like I'm really focused. I can read uninterrupted without being distracted for a lot more time."

Turpin said in one instance, he studied for four hours then proceeded to clean his room for three more. For Turpin, the high following Adderall usage lasts about eight hours, however the withdrawal can be even worse.

"It sounds stupid saying you have to be smart about taking a drug," Turpin said. "After the eight hours, as much help as it gave you, it hurts you that much more."

This withdrawal, Turpin said, includes exhaustion.

"For me, I'm really tired," Turpin said. "It's probably just the fact that I've been studying for eight hours. I don't want to do anything anymore. I want to go to bed. You are definitely exhausted after it, but with any kind of high, there is some amount of withdrawal after the fact. That's why coke users cry and alcoholics get hungover."

Turpin is not diagnosed with a learning disorder like Attention Deficit Disorder (ADD) or ADHD. A Miami sophomore said she has used Adderall in the past to help her study.

"The first time I tried it, I tweaked out in a calculus exam," she said. "My mind just went blank."

However, she said Adderall is helpful in completing long reading assignments.

"Teachers assign unreal amounts of reading," she said. "It always seems like everything falls on the same day. Especially when the reading is for a Miami Plan class that you have no interest in, Adderall is a stimulant so you are guaranteed not to fall asleep."

Anna Perkins, a sophomore diagnosed with ADD, said she feels that people underestimate the aftereffects of Adderall.

"A lot of people get it because they want it," Perkins said. "People take it to get A's, but they neglect the effect on the body. They don't think how it will hurt them."

While Perkins' diagnosis is not severe, she is hesitant to tell people about her prescription, because she said she does not wish to be hounded for pills nor does she feel a diagnosis of ADD is something people need to know about.

"It's not something I like to broadcast, just like if I took antidepressants," Perkins said. "You wouldn't ever hear a person be like, 'Hey, I just took Tylenol.'"

For people like Perkins and Siami who have prescriptions, being asked for pills is a constant nuisance.

One sophomore said she knows of several people who are willing to sell pills from their prescriptions.

"I have at least five people close to me who I have no problem asking," she said.

Turpin also said there was a high level of availability to students.

"As far as accessibility, it's extremely accessible," Turpin said. "It's when you really need it, you can't get it."

On a scale from one to ten, with ten being the easiest, Turpin said obtaining Adderall is usually a 10, but plunges to a three during busy times like exam week.

"I could get truckloads of it if I wanted it right now," Turpin said. "(During) exam week, people will pay six to nine bucks a pill, depending on what type or dosage of pill you are getting. Usually it's people buying it from their friends anyways."

Partying, not studying

According to Amelia M. Arria, deputy director of research at the Center for Substance Abuse Research, Adderall abuse by nonprescription users is nothing new.

"Attention to stimulant abuse has become common, but drugs such as Adderall have always been something students turn to to succeed," Arria said.

Arria, along with five other physicians and researchers, released a study in February 2008 titled, "Nonmedical Use of Prescription Stimulants Among College Students."