Description
Narcolepsy
10 mg/day PO; may titrate every week until side effects appear
Not to exceed 60 mg/day. Buy Dexedrine, aspen dexamfetamine online in Australia
Attention Deficit Hyperactivity Disorder
5 mg PO qDay or BID (4-6 hr apart); may increase 5 mg/day qWeek until optimal response
Rarely necessary to exceed 40 mg/day
Administration
Administer amphetamines at lowest effective dosage and adjust dosage individually
Administer initial dose upon awakening; avoid late evening doses because of resulting insomnia
Do not crush or chew extended-release formulations. Buy Dexedrine, aspen dexamfetamine online in Australia
Adverse Effects
>10%
Appetite loss (21-22%)
Insomnia (16-20%)
Abdominal pain (11-15%)
1-10%
Vomiting
Emotional lability
Nervousness
Fatigue
Fever
Infection
Nausea
Diarrhea
Dyspepsia
Dizziness
Weight loss
Black Box Warnings
Dextroamphetamine has a high potential for abuse; particular attention should be paid to the possibility of patients obtaining dextroamphetamine for nontherapeutic use or distribution to others, and the drugs should be prescribed or dispensed sparingly
Administration of dextroamphetamine for prolonged periods of time may lead to drug dependence and must be avoided
Misuse of dextroamphetamine may cause sudden death and serious cardiovascular adverse events. Buy Dexedrine, aspen dexamfetamine online in Australia
Contraindications
Hypersensitivity to drug or components
Hyperthyroidism
Glaucoma
Hypertension, advanced arteriosclerosis, symptomatic CVD
Agitated states, history of drug abuse
Within 14 days of administering MAOIs
Cautions
Risk of sudden death in children and adolescents with structural cardiac abnormalities; generally avoid
Risk of adverse psychiatric events; eg, hallucinations and mania
Caution in mild hypertension
Associated with peripheral vasculopathy, including Raynaud phenomenon
Difficulties with accommodation and blurring of vision have been reported with stimulant treatment
Sudden deaths, stroke, and myocardial infarction reported in adults taking stimulants at usual doses
Patients who develop symptoms such as exertional chest pain, unexplained syncope, or other symptoms suggestive of cardiac disease during stimulant treatment should undergo a prompt cardiac evaluation
Particular care should be taken in using stimulants to treat ADHD patients with comorbid bipolar disorder because of concern for possible induction of mixed/manic episode in such patients. Buy Dexedrine, aspen dexamfetamine online in Australia
Aggressive behavior or hostility is often observed in children and adolescents with ADHD; monitor for the appearance of or worsening of aggressive behavior or hostility
Monitor growth of children ages 7 to 10 years during treatment with stimulants; may need to interrupt therapy in patients not growing or gaining weight as expected
Stimulants may lower convulsive threshold in patients with prior history of seizure, patients with prior EEG abnormalities in absence of seizures, and very rarely, patients without a history of seizures and no prior EEG evidence of seizures; discontinue therapy in the presence of seizures. Buy Dexedrine, aspen dexamfetamine online in Australia
Use with caution in patients who use other sympathomimetic drugs
Amphetamines may exacerbate motor and phonic tics and Tourette’s syndrome; perform clinical evaluation for tics and Tourette’s syndrome in children and their families prior to treating with stimulant medications
Rare instances of prolonged and sometimes painful erections (priapism), sometimes requiring surgical intervention, reported with methylphenidate products; typically not reported during initiation, but often subsequent to an increase in dose; seek immediate medical attention for abnormally sustained or frequent and painful erections. Buy Dexedrine, aspen dexamfetamine online in Australia
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