 The use of stimulants are increasing in students without ADHD, primarily for cognitive and academic improvements.There are numerous misconceptions that entice students to use Adderall as "performance enhancers", however scientific evidence illustrates a negative association between stimulant use and academic performance.There are potentially negative health effects that unprescribed stimulants may cause, such as elevated blood pressure, paranoia, serious cardiovascular adverse effects and sudden death which are warranted with a black box warning on amphetamine medications.