The E 344 Pink Pill: A 20 mg Generic Adderall Tablet

What the E 344 pill is

A pink, round tablet about 10 millimeters across, with “E 344” on one face and a cross-shaped score dividing the other face into quarters, is amphetamine and dextroamphetamine 20 mg. That is the generic form of immediate-release Adderall, a blend of four amphetamine salts. Epic Pharma makes it. Like every amphetamine product it is a Schedule II controlled substance, prescribed for ADHD and narcolepsy.

E 344 or E 345: the last digit matters

Epic makes its 20 mg and 30 mg tablets in nearly the same pink round shape. The final digit of the imprint is the reliable way to tell them apart, and a fifty percent jump in dose is not a small difference. If a pharmacy fill looks different from the last one, ask the pharmacist before taking it. Manufacturers change, and so do tablet colors; the imprint on the label printout is what counts.

How it works and what 20 mg means

Amphetamine increases the release of dopamine and norepinephrine in the brain and slows their reuptake. For someone with ADHD the result is steadier attention and less impulsivity. An immediate-release dose starts working within about half an hour and lasts roughly four to six hours. Twenty milligrams is a common mid-range dose. The Adderall prescribing information notes that for ADHD it is only rarely necessary to exceed 40 mg a day, which puts two E 344 tablets at the ceiling most patients ever reach.

The risks, including the warning FDA strengthened

In 2023 the FDA required stronger boxed warnings on every prescription stimulant, emphasizing misuse, addiction, and overdose, and noting that most people who misuse them get them from friends or family. At prescribed doses the common side effects are loss of appetite, insomnia, dry mouth, a faster heart rate, and anxiety. At higher doses, or when crushed and snorted, the risks become cardiac: dangerous blood pressure, chest pain, heart rhythm problems, and, rarely, stroke or sudden death, especially in people with underlying heart conditions. Stimulant psychosis, with paranoia and hallucinations, can follow days of heavy use and little sleep.

Why counterfeits are a bigger problem than they used to be

Amphetamine salt tablets have been in intermittent shortage since late 2022, and shortages push people who cannot fill a prescription toward other sources. The DEA warns that fake Adderall is pressed to look authentic and often contains methamphetamine, and sometimes fentanyl. A pink round tablet from a friend, a dealer, or a social media account is not an E 344 just because it says so. Only the pharmacy chain of custody makes it one.

Stopping after heavy use

Stimulant withdrawal is not medically dangerous the way alcohol or benzodiazepine withdrawal is, but it is real: exhaustion, heavy sleep, strong hunger, low mood, and for some people depression deep enough to bring suicidal thoughts. Those are the days to have support. There is no FDA-approved medication for stimulant use disorder; the treatment with the strongest evidence is contingency management, which rewards negative drug tests, alongside counseling. Our stimulant detox guide explains when a supervised setting makes sense. If you or someone you love is struggling with Adderall use in New Jersey, Periscope Behavioral Health at (888) 313-3583 is the place to start, and 988 is there if the crash turns dark.

For the blue 10 mg tablets, see our blue Adderall imprint guide.