What should I tell my care team before I take this medication?
They need to know if you have any of these conditions:
-Anxiety or panic attacks
-Circulation problems in fingers or toes (Raynaud syndrome)
-Glaucoma
-Heart attack
-Heart disease
-High blood pressure
-Kidney disease
-Liver disease
-Mental health conditions
-Seizures
-Stroke
-Substance use disorder
-Suicidal thoughts, plans, or attempt by you or a family member
-Thyroid disease
-Tourette syndrome
-An unusual or allergic reaction to dextroamphetamine, other medications, foods, dyes, or preservatives
-Pregnant or trying to get pregnant
-Breastfeeding
What may interact with this medication?
Do not take this medication with any of the following:
-Linezolid
-MAOIs, such as Marplan, Nardil, and Parnate
-Methylene blue
This medication may also interact with the following:
-Acetazolamide
-Alcohol
-Ascorbic acid
-Certain medications for depression, anxiety, or other mental health conditions
-Certain medications for migraines, such as sumatriptan
-Guanethidine
-Opioids
-Reserpine
-Sodium bicarbonate
-St. John's wort
-Thiazide diuretics, such as chlorothiazide
-Tryptophan
This list may not describe all possible interactions. Give your health care provider a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.
What should I watch for while using this medication?
Visit your care team for regular checks on your progress. Tell your care team if your symptoms do not start to get better or if they get worse.
This medication requires a new prescription from your care team every time it is filled at the pharmacy.
This medication can be abused and cause your brain and body to depend on it after high doses or long term use. Your care team will assess your risk and monitor you closely during treatment.
Long term use of this medication may cause your brain and body to depend on it. You may be able to take breaks from this medication during weekends, holidays, or summer vacations. Talk to your care team about what works for you. If your care team wants you to stop this medication permanently, the dose may be slowly lowered over time to reduce the risk of side effects.
Tell your care team if this medication loses its effects, or if you feel you need to take more than the prescribed amount. Do not change your dose without talking to your care team.
Do not take this medication close to bedtime. It may prevent you from sleeping.
Loss of appetite is common when starting this medication. Eating small, frequent meals or snacks can help. Talk to your care team if appetite loss persists. Children should have height and weight checked often while taking this medication.
Tell your care team right away if you notice unexplained wounds on your fingers and toes while taking this medication. You should also tell your care team if you experience numbness or pain, changes in the skin color, or sensitivity to temperature in your fingers or toes.
Contact your care team right away if you have an erection that lasts longer than 4 hours or if it becomes painful. This may be a sign of a serious problem and must be treated right away to prevent permanent damage.
What are the most serious risks of this medication?
Taking this medicine for a long time might cause your body to depend on it to function normally. Take it exactly as prescribed. Never give it to anyone else. Misuse or abuse can cause sudden death, stroke, heart attack, or other serious heart problems. Store this medicine away from children, and in a safe place to prevent stealing or abuse. It is illegal to sell it or give it away.