I've been taking no more than 10mg adderall a day (at most) for about 5 years now and have never had problems with my blood pressure during usage, besides allergy seasons when my allergies would act up. Just recently, my doctor told me my blood pressure is far too high and I have a rapid and irregular heart rate. She immediately took me off the adderall and put me on blood pressure medication. I have been on the BP meds, and off the adderall, for at least 3-4 months now, but my BP is still too high with the rapid heart rate. My doctor suspects adderall could be the culprit for causing my blood pressure to increase, but I'm not quite convinced since I have taken such a low dose for so long without complications, on top of the fact I have been off of it for months taking the BP meds (which aren't helping). I know continuing use of adderall will increase my BP and could potentially still be dangerous with my current BP levels, but given the circumstance, is it possible to find an alternative to adderall, such as ritalin or dexedrine, that won't affect my BP as much as adderall will? I am absolutely miserable all the time. Is it possible, at such a low dose, I have caused some neurotoxicity to my dopamine receptors? I'm afraid I will never feel normal or adequate levels of energy, motivation, feelings of reward, or happiness brought on by the dopamine release. Is it possible going back on adderall or a related stimulant won't put me at risk of stroke or any other heart problems? Could the adderall have caused neurotoxicity? If I did cause some problems with my dopamine receptors, would quitting adderall be a good thing, or is it possible the damage I've done warrants a lifetime use of stimulant medication in order to achieve "normal" or adequate amounts of dopamine in order to maintain an even cue? In short, I'm not convinced the adderall has caused my recent spike in BP, and I'm finding it hard to function without the adderall, and my BP medication is causing even more fatigue. What can I do? I would really like to get back on adderall, but until my BP drops, my doc won't consider it.