[34F] Experiencing skin redness, numbness, and dizziness

Patient Description

A 34-year-old female reports experiencing neon red skin on her feet, legs, arms, and hands, accompanied by numbness and dizziness when standing. These symptoms have been occurring on and off for two days, with episodes lasting approximately 20 minutes. The patient associates these symptoms with excessive use of Adderall, which is not prescribed to her, to manage an 80-hour work week. She also experiences jaw tightness and occasional palpitations, along with chest discomfort, but no severe headaches or significant changes in vision. The patient reports feeling short of breath, which she attributes to frequent vaping. There are no known recent changes in her menstrual cycle, appetite, or weight. Her medical history includes bipolar disorder, and she has allergies to sulfa and Zofran. The patient has considered seeking help to manage her Adderall use and work schedule.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, here are some possible explanations:

  • Adderall Overuse Effects: The symptoms of neon red skin, numbness, dizziness, and jaw tightness can be associated with excessive use of stimulants like Adderall. These medications can cause increased blood flow to the skin, leading to redness and warmth, as well as other symptoms like dizziness and muscle tension. It's important to address the use of Adderall, especially since it's not prescribed. Stimulant overuse can have serious health implications.

  • Peripheral Neuropathy: The numbness in your feet, legs, arms, and hands could be related to nerve issues, possibly exacerbated by stimulant use. This condition involves damage to the nerves outside the brain and spinal cord, which can cause numbness, tingling, and weakness.

What you can do

  1. Seek Medical Advice: It's crucial to consult a healthcare professional about your symptoms and Adderall use. They can provide guidance on safely managing your medication use and addressing your symptoms.

  2. Consider Reducing Stimulant Use: If possible, try to reduce your intake of Adderall and other stimulants. This may help alleviate some of your symptoms. However, it's important to do this under medical supervision.

  3. Stay Hydrated and Rested: Ensure you're drinking enough water and getting adequate rest. Dehydration and lack of sleep can exacerbate symptoms like dizziness and numbness.

  4. Use MDandMe: Consider using the MDandMe app to journal your symptoms, track your progress, and share your medical notes with your healthcare provider. This can help you and your doctor better understand your condition and make informed decisions.

What you should look out for

  • Seek Immediate Help: If you experience severe symptoms such as chest pain, difficulty breathing, or a rapid heartbeat, seek medical attention immediately.

  • Monitor Your Symptoms: Keep an eye on your symptoms and note any changes or patterns. This information can be valuable for your healthcare provider.

  • Consider Support for Substance Use: If you're struggling with Adderall use, consider seeking support from a counselor or support group to help manage your use and work schedule.

Remember, it's important to consult with a healthcare professional for a formal diagnosis and treatment plan. Your health and well-being are a priority, and seeking professional guidance is a crucial step in addressing your symptoms.

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26 d ago

People Also Ask


What are the potential side effects of using Adderall without a prescription?

Using Adderall without a prescription can lead to a range of side effects including increased heart rate, high blood pressure, anxiety, insomnia, and in severe cases, heart problems or addiction. It's important to use this medication only under medical supervision.


Can excessive use of stimulants like Adderall cause skin changes such as redness?

Yes, excessive use of stimulants like Adderall can cause increased blood flow to the skin, resulting in redness and warmth. This is due to the drug's effect on the cardiovascular system, which can also lead to other symptoms like dizziness and muscle tension.


What are the symptoms of peripheral neuropathy and how is it related to stimulant use?

Peripheral neuropathy involves damage to the peripheral nerves, causing symptoms like numbness, tingling, and weakness in the extremities. Stimulant use can exacerbate these symptoms by affecting nerve function and blood flow.


How can vaping contribute to shortness of breath and what are the potential risks?

Vaping can contribute to shortness of breath due to the inhalation of chemicals that can irritate the lungs and airways. Long-term use can lead to respiratory issues and increase the risk of lung disease. It's important to be aware of these risks and consider reducing or quitting vaping.


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