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|Genericname : Amphetamine and Dextroamphetamine
|Proununcation : am feh ta meen & deck stroe am feh ta meen
|Brandname : Adderall, Adderall XR
|Warnning Note :
The combination of dextroamphetamine and amphetamine can be habit forming. Do not take a larger dose, take it more often, or take it for a longer time than prescribed by your doctor. If you take too much dextroamphetamine and amphetamine you may find that the medication no longer controls your symptoms, you may feel a need to take large amounts of the medication, and you may experience symptoms such as rash, difficulty falling asleep or staying asleep, irritability, hyperactivity, and unusual changes in your personality or behavior. Tell your doctor if you drink or have ever drunk large amounts of alcohol, use or have ever used street drugs, or have overused prescription medications.Do not stop taking dextroamphetamine and amphetamine without talking to your doctor, especially if you have overused the medication. Your doctor will probably decrease your dose gradually and monitor you carefully during this time. You may develop severe depression and extreme tiredness if you suddenly stop taking dextroamphetamine and amphetamine after overusing it.Do not let anyone else take your medication. Store dextroamphetamine and amphetamine in a safe place so that no one else can take it accidentally or on purpose. Keep track of how many tablets or capsules are left so you will know if any are missing.The combination of dextroamphetamine and amphetamine may cause sudden death or serious heart problems especially if the medication is misused. Be sure to tell your doctor if you have or ever had a heart defect or other heart problems such as high blood pressure and heart or blood vessel disease.
Why is this medication prescribed?
The combination of dextroamphetamine and amphetamine is used as part of a treatment program for attention deficit hyperactivity disorder (ADHD; more difficulty focusing, controlling actions, and remaining still or quiet than other people who are the same age). Dextroamphetamine and amphetamine tablets are also used to treat narcolepsy (a sleep disorder that causes excessive daytime sleepiness and sudden attacks of sleep). The combination of dextroamphetamine and amphetamine is in a class of medications called central nervous system stimulants. It works by changing the amounts of certain natural substances in the brain.
How should this medicine be used?
The combination of dextroamphetamine and amphetamine comes as a tablet or extended-release (long acting) capsule to take by mouth. The tablet is usually taken 2–3 times daily with or without food. The extended-release capsule is usually taken once daily in the morning with or without food. Dextroamphetamine and amphetamine combination should not be taken in the late afternoon or evening because it may cause difficulty falling asleep or staying asleep. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Take dextroamphetamine and amphetamine exactly as directed.
You may swallow the extended-release capsule whole, or you may open the capsule and sprinkle the entire contents on a teaspoonful of applesauce. Swallow this mixture right away without chewing. Do not store unused applesauce containing medication for future use, and do not divide the contents of one capsule into more than one dose.
Your doctor will probably start you on a low dose of dextroamphetamine and amphetamine and increase your dose gradually, not more often than once every week.
Your doctor may tell you to stop taking dextroamphetamine and amphetamine from time to time to see if the medication is still needed. Follow these directions carefully.
Other uses for this medicine
The combination of dextroamphetamine and amphetamine should not be used to treat excessive tiredness that is not caused by narcolepsy.
This medication is sometimes prescribed for other uses; ask your doctor or pharmacist for more information.
What special precautions should I follow?
Before taking dextroamphetamine and amphetamine,
tell your doctor and pharmacist if you are allergic to amphetamine, dextroamphetamine, any other medications,or corn.
do not take dextroamphetamine and amphetamine if you are taking monoamine oxidase (MAO) inhibitors, including isocarboxazid (Marplan), phenelzine (Nardil), selegiline (Eldepryl), and tranylcypromine (Parnate), or have stopped taking them within the past 2 weeks. If you stop taking dextroamphetamine and amphetamine, you should wait at least 2 weeks before you start to take an MAO inhibitor.
tell your doctor and pharmacist what other prescription and nonprescription medications, vitamins, and herbal products you are taking. Be sure to mention any of the following: alpha blockers such as alfuzosin (Uroxatral), doxazosin (Cardura), prazosin (Minipress), tamsulosin (Flomax), and terazosin (Hytrin); antacids; antidepressants ('mood elevators'), antihistamines; ascorbic acid (Vitamin C); beta blockers such as atenolol (Tenormin), labetalol (Normodyne), metoprolol (Lopressor, Toprol XL), nadolol (Corgard), and propranolol (Inderal); chlorpromazine (Thorazine); diuretics ('water pills') such as acetazolamide (Diamox); guanethidine (Ismelin); haloperidol (Haldol); lithium (Lithobid, Eskalith); medications for high blood pressure; medications for seizures such as ethosuximide (Zarontin), phenobarbital (Luminal, Solfoton), and phenytoin (Dilantin); meperidine (Demerol); methenamine (Hiprex, Urex); propoxyphene (Darvon, Darvon-N,); reserpine (Serpalan); sodium bicarbonate (Arm and Hammer Baking Soda, Soda Mint); and sodium phosphate. Your doctor may need to change the doses of your medications or monitor you carefully for side effects.
tell your doctor what nutritional supplements you are taking, especially glutamic acid (L-glutamine).
tell your doctor if you or anyone in your family has or has ever had motor (repeated twitching of any parts of your body) or verbal tics (repeating of words or sounds) or Tourette's syndrome (difficult to control need to perform repeated motions or to repeat sounds or words). Also tell your doctor if you have or have ever had an glaucoma (an eye disease); depression; anxiety, tension or agitation; mental illness; or thyroid disease.
tell your doctor if you are pregnant, plan to become pregnant, or are breast-feeding. If you become pregnant while taking dextroamphetamine and amphetamine, call your doctor. You should not breastfeed while you are taking this medication.
you should know that this drug may make it difficult for you to perform activities that require alertness or physical coordination . Do not drive a car or operate machinery until you know how this drug affects you.
you should know that dextroamphetamine and amphetamine should be used as part of a total treatment program for ADHD, which may include counseling and special education. Make sure to follow all of your doctor's and/or therapist's instructions.
What special dietary instructions should I follow?
Talk to your doctor about drinking fruit juice while taking this medicine.
What should I do if I forget a dose?
Take the missed dose as soon as you remember it. However, if it is almost time for the next dose, skip the missed dose and continue your regular dosing schedule. Do not take a double dose to make up for your missed one.
What side effects can this medication cause?
Dextroamphetamine and amphetamine may cause side effects. Tell your doctor if any of these symptoms are severe or do not go away:
difficulty falling or staying asleep
shaking hands that you cannot control
changes in sex drive or ability
loss of appetite
bad taste in mouth
Some side effects can be serious. The following symptoms are uncommon, but if you experience any of them, call your doctor immediately:
fast or pounding heartbeat
motor tics or verbal tics
sore throat, fever, chills, or other signs of infection
psychosis (loss of contact with reality)
The combination of dextroamphetamine and amphetamine may cause slower growth (height and weight) in children, especially if they take it for a long time. Your child's doctor will watch his or her growth carefully. Tell your child's doctor if you have concerns about your child's growth or weight gain.
What storage conditions are needed for this medicine?
Keep this medication in the container it came in, tightly closed, and out of reach of children. Store it at room temperature, away from light and excess heat and moisture (not in the bathroom). Throw away any medication that is outdated or no longer needed. Talk to your pharmacist about the proper disposal of your medication.
In case of emergency/overdose
In case of overdose, call your local poison control center at 1-800-222-1222. If the victim has collapsed or is not breathing, call local emergency services at 911.
Symptoms of overdose may include:
feelings of panic
hallucination (seeing things or hearing voices that do not exist)
shaking hands that you cannot control
dark red or cola colored urine
muscle weakness or aching
fast or irregular heartbeat
What other information should I know?
Keep all your appointments with your doctor and the laboratory. Your doctor may order certain lab tests to determine your response to dextroamphetamine and amphetamine.
Before having any laboratory test, tell your doctor and the laboratory personnel that you are taking dextroamphetamine and amphetamine.
This prescription is not refillable. Be sure to schedule appointments with your doctor on a regular basis so that you do not run out of medication.
Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.
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