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Generic name: amphetamine (am FET a meen)
All FDA black box warnings are at the end of this fact sheet. Please review before taking this medication.
Mixed amphetamine salts, dextroamphetamine, and lisdexamfetamine are prescription medications that are used to treat individuals with attention-deficit hyperactivity disorder (ADHD). Lisdexamfetamine is also used to treat moderate to severe binge eating disorder. These medications are also known as stimulants.
Symptoms of ADHD interfere with an individual’s ability to function at school or work or in social settings and include:
Hyperactivity is less common in adults. A person may have severe inattention without hyperactivity or impulsivity.
Stimulants are used in addition to non-medication treatments to manage ADHD symptoms.
Although some symptoms may improve within days of starting stimulants, it may take several weeks before you notice the full benefits of the medication.
If you are planning on becoming pregnant, notify your healthcare provider to best manage your medications. People living with ADHD who wish to become pregnant face important decisions. There is very little information available regarding the risks of stimulants in pregnancy when taken as prescribed for ADHD. Abuse of stimulants (i.e., taking without a prescription or taking more than prescribed) has been associated with premature delivery, low birth weight, and neonatal withdrawal symptoms. Untreated ADHD may be associated with increased risk of substance use. It is important to discuss the risks and benefits of treatment with your doctor and caregivers.
Stimulants are not recommended with breastfeeding according to the American Academy of Pediatrics. Stimulants may concentrate in breast milk and have negative effects on the infant.
Stimulants are usually taken 1 to 2 times per day with or without food.
The dose of stimulant medication is variable. Only your healthcare provider can determine the correct dose for you.
Use a calendar, pillbox, alarm clock, or cell phone alert to help you remember to take your medication. You may also ask a family member or a friend to remind you or check in with you to be sure you are taking your medication.
If you miss a dose of stimulant, take it as soon as you remember if it is still early in the day. Do not take a missed dose after 5:00 PM, as this may interfere with sleep. Do not take a missed dose of extended-release capsules after 2:00 PM, as this may interfere with sleep. Discuss missed doses with your healthcare provider. Do not double your next dose or take more than what is prescribed.
Avoid drinking alcohol or using illegal drugs while you are taking this medication. They may decrease the benefits (e.g., worsen your condition) and increase adverse effects (e.g., sedation) of the medication.
If an overdose occurs call your doctor or 911. You may need urgent medical care. You may also contact the poison control center at 1-800-222-1222.
A specific treatment to reverse the effects of stimulants does not exist.
Common side effects
Rare side Effects
Contact your healthcare provider if any of the following occur while taking stimulants:
Serious side effects
Misuse of amphetamine medications may cause sudden death and serious cardiovascular adverse events. Amphetamine medications should be avoided in individuals who have a heart defect (structural abnormality), uncontrolled high blood pressure, or other disorder of heart.
Stimulants are Schedule II controlled substances. There is a risk of physical and/or emotional dependence (addiction) when they are taken for long periods of time.
Although treatment with stimulant medications can slow growth, many studies have shown that these changes are small. Children may catch up with growth over time; therefore, it should not be a concern for most children. Height, weight, and eating habits should be discussed before treatment starts and regularly during treatment. If you are concerned about your child’s growth, discuss other possible treatments with your child’s doctor.
Medications used to treat depression can interact with amphetamine medications resulting in serious reactions including high body temperature, high blood pressure, and seizures (convulsions). Tell your healthcare provider if you are beginning or have recently discontinued any of these medications.
Stimulants should not be taken with or within 2 weeks of monoamine oxidase inhibitor antidepressants (MAOIs), including phenelzine (Nardil®), Tranylcypromine (Parnate®), selegiline (Emsam®), and isocarboxazid (Marplan®) or the antibiotic linezolid (Zyvox®). Taking stimulants with or within 2 weeks of MAOIs can result in seizures, fever or dangerously high blood pressure that can lead to death.
The following medications may increase the levels and/or effects of stimulant medications:
The following foods/medications may decrease the levels and effects of stimulant medications: ascorbic acid (vitamin C), acidic beverages (e.g., orange juice, grapefruit juice)
Stimulant medications may decrease the effects of blood pressure medications.
Although you may experience beneficial effects from stimulants within a few days of starting the medication, it often takes several weeks to get the full effect of the medication. Your healthcare provider may also need to gradually adjust the dose to find the dose that works best for you.
Sudden Cardiac Death
Misuse of amphetamines may cause sudden death or serious cardiovascular adverse events.
Amphetamines have a high potential for abuse. Prolonged use of amphetamines may lead to drug dependence. Particular attention should be paid to the possibility of subjects obtaining amphetamines for non-therapeutic use or distribution to others. They should be prescribed or dispensed sparingly.
©2019 The College of Psychiatric and Neurologic Pharmacists (CPNP) and the National Alliance on Mental Illness (NAMI). CPNP and NAMI make this document available under the Creative Commons Attribution-No Derivatives 4.0 International License. Last Updated: January 2016.
This information is being provided as a community outreach effort of the College of Psychiatric and Neurologic Pharmacists. This information is for educational and informational purposes only and is not medical advice. This information contains a summary of important points and is not an exhaustive review of information about the medication. Always seek the advice of a physician or other qualified medical professional with any questions you may have regarding medications or medical conditions. Never delay seeking professional medical advice or disregard medical professional advice as a result of any information provided herein. The College of Psychiatric and Neurologic Pharmacists disclaims any and all liability alleged as a result of the information provided herein.
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