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Missed Dose

If you miss a dose, take it as soon as you remember in the morning hours. If it is late in the afternoon or near the time of the next dose, skip the missed dose. Take your next dose at the regular time. Do not double the dose to catch up.

Storage

Store at room temperature away from light and moisture. Do not store in the bathroom. Keep all medications away from children and pets.

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Description

ADHD treatment

Attention deficit hyperactivity disorder (ADHD) is a condition that occurs in childhood and adolescence, although it can last into adulthood, and even be initially diagnosed in adulthood. ADHD and attention deficit disorder (ADD) used to be considered separate conditions. Now, the term ADHD includes ADD. The symptoms of ADHD include:

  • hyperactivity and impulsive behavior
  • difficulty maintaining attention or focus
  • easily distracted by external stimuli
  • a combination of impulsive behavior and inattention

Psychotherapy, behavior training, and education can be effective for many people with ADHD. However, treating ADHD often includes the use of medications. Before turning to these medications, the FDA has issued a boxed warning indicating that “Misuse of amphetamine may cause sudden death and serious cardiovascular adverse reactions.” Providers who prescribe medications from this drug class may screen you for potential heart problems. In some cases, depending on the provider, a baseline EKG may be obtained by your provider before starting you on a stimulant medication.

The manufacturers of the medications also list contraindications which include:

“Advanced arteriosclerosis, symptomatic cardiovascular disease, moderate to severe hypertension, hyperthyroidism, known hypersensitivity or idiosyncrasy to the sympathomimetic amines, glaucoma, and agitated states.”

Similarities and differences

Dextroamphetamine and amphetamine (brand name: Adderall) and dextroamphetamine (brand name: Dexedrine) are both central nervous system stimulants. They’re approved for the treatment of ADHD and also for narcolepsy (a neurological condition marked by severe daytime drowsiness). These drugs are more stimulating than methylphenidate (brand name: Ritalin), which is often the first drug your doctor might give you. However, variations in individual experiences with each medication have been reported.

Why they’re prescribed

When prescribed and used properly, both medications can help people with ADHD focus more effectively. Because they contain amphetamines, both drugs are sometimes abused. Over time, tolerance may develop, as may dependence, and both substances have been reported to have a high potential for abuse.

While the actual mechanism of action for both drugs is unknown, the drug is believed to work in two ways. It is believed that the drug makes neurotransmitters last longer in the parts of the brain that control attention and alertness, and they are also believed to increase the concentration of neurotransmitters. Neurotransmitters are chemicals that send signals from one brain cell to another. By making these areas more active, the drugs can help a person focus their attention. Surprisingly, stimulants can help calm a person with ADHD.

Forms and dosing

Dextroamphetamine and amphetamine (Adderall) and dextroamphetamine (Dexedrine) are usually taken in tablet form once a day. However, they may also be taken twice (or even three times) a day, depending on how a person responds to the medication. Both drugs are FDA approved to treat ADHD in adults and children aged 3 and older.

If your doctor prescribes dextroamphetamine, the starting dose will often be between 2.5 mg and 5 mg per day. The dose may need to be adjusted gradually, as your doctor monitors how well the drug is working. Adult doses range from 5 mg to 60 mg per day. Children may be given doses ranging from 2.5 mg to 40 mg per day. There are several strengths and an extended-release form, so the dose can be individualized.

Dextroamphetamine and amphetamine are also started at a low dose, usually 5 mg, and maybe gradually adjusted by your doctor. The maximum daily dose is 40 mg to 60 mg per day. Children are often started at 2.5 mg a day and gradually increased to a maximum of 40 mg per day. There are several strengths and also an extended-release form, which makes it easier for your doctor to find the right dose for you.

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