### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Hello. I have been prescribed to 10 mg of adderall twice a day for about a year and a half now, about 6 months after beginning the adderall, I began experiencing muscle tightness all over but mostly in between my shoulder blades. I have tender points in my thighs, and buttock area, and calves. I never thought until now after some research on side effects that my pain could be coming from the adderall. During my research that is when I learned about Rhabdomyolysis.. however I always have take my medication as prescribed. Recently I have felt as if my medication is not working for me anymore. My body feels as if I have the flu but I am not ill. The tender points feel like big bruises but are not visible to the skin. I have been to physical therapy after clear xrays from a local Orthopedic, that suggested poor posture.. this is not the case for me. My pain is to severe. I do no know where else to turn because I do not feel comfortable seeking help from any more doctors after several attempts, only leaving me with the blank stare and being treated as if I m only trying to score narcotics. My question is; 1. Are my symptoms something someone would experience with Rhabdomyolysis? 2. What steps should I take if so?

### output:

Hi I did review your concern. Adderall on long term use can cause rhabdomyolysis. However, we need to do some tests that indicate presence of myoglobin in blood and urine. You should consult a physician who can get this test done and also examine your kidneys if they are under any damage. Meanwhile I must advise you to take adequate water for proper urination to remove if there is excess of myoglobin body.I hope this helps. Good luck.