Adderall 10mg cannot be bought online through secure pay and rapid fulfillment services without a valid EPCS prescription from a DEA-registered US healthcare provider, as it is a Schedule II controlled substance for ADHD or narcolepsy; no-rx fulfillment violates 21 U.S.C. § 841 federal felony laws with 5-40 year penalties.

Starting dose of 5-10mg 1-2x daily (max 40mg/day) requires ASRS-v1.1 ≥4/6 or MSLT narcolepsy confirmation, PDMP clearance, and synchronous video exam under 2025 DEA rules—no rapid service bypasses post-12/31/2025 Ryan Haight in-person mandates or black box CV risks.

Amphetamine-Dextroamphetamine Schedule II Profile

Mixed salts (75% dextro/25% levo), Tmax 3h IR, t½ 10-13h; dependence 20-40% >3 months, CV events OR3.1 >30mg—titrate q7d EKG-monitored; contraindicated MAOI 14d prior, advanced arteriosclerosis.

Ryan Haight Protocol (Flex Expired)

1. Diagnosis: ASRS ≥4/6 + collateral.

2. Screening: PDMP zero 12mo, negative UDS/ECG.

3. EPCS: #30 caps ≤30 days signature pharmacy.

4. Monitoring: q30d BP/HR + UDS.

Adverse Incidence Matrix

Secure rapid fulfillment absent EPCS breaches CSA Schedule II—federal felony.