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I have a 9 year old daughter with ADHD and tried Adderall (adderrall) first in first grade. Horrible side-effects - biting her fingernails and toenails to the point of OCD. She would bite and pick her cuticles to the point of bleeding. Very weird and paranoia acting behaviors and anxiety. Her teacher was even concerned about the side-effects. Tried many diff. meds. before having success on focalin and now the Daytrana patch. We now have a normal educationally functional 9 year old girl with very little side-effects.