"Adderall is an amphetamine and a powerful stimulant drug used to treat ADHD, and to someone who has a history of cocaine abuse, those of us who specialize in addiction treatment would be very cautious about giving someone with stimulant addiction another stimulant drug. For someone who has ADHD and is abusing cocaine, opiates and alcohol, you can't do an accurate diagnosis until they're off all substances for a while. It's too complicated a picture to add medications into the mix so soon because there may be conditions there that you can't see until the brain has had a chance to recover."
-Dr. Arnold M. Washton, a New York psychologist who has spent 30 years treating addiction, commenting on the combination of drugs that Lindsay Lohan has been cleared to take despite being involved in rehabilitation and submitting to random drug tests. Though Lohan has tested positive for amphetamines and opiates in the past few months, she is still considered clean because of several court-approved prescriptions, including Adderall (a stimulant that treats ADHD), Zoloft (a powerful anti-depressant) and Dilaudid (an intense opiate used for treating chronic pain).
When MTV News reached out to doctors and experts to weigh in on Lohan's medical situation, they were all concerned with not only the effects of the individual drugs but also the danger of giving those pills to a person like Lohan who has a history of substance abuse issues. "[Dilaudid] is a very potent painkilling opiate that is generally used in hospitals and not prescribed on an outpatient basis," Washton said. "Especially in someone with a history of opiate addiction. There are many other drugs that are much safer in terms of relapse potential. It just doesn't hang together from a clinical perspective. It doesn't make any sense. Is she on a course of recovery or on a course of having her substance abuse legitimized by prescription drugs?"