Dextroamp Saccharate/amp Aspartate/dextroamp Sulfate/amp Sulfate

— THERAPEUTIC CATEGORIES —
  • ADHD
  • Sleep-wake disorders

Dextroamp Saccharate/amp Aspartate/dextroamp Sulfate/amp Sulfate Generic Name & Formulations

General Description

Mixed salts of a single-entity amphetamine product (each tab contains equal parts dextroamphetamine saccharate, dextroamphetamine sulfate, amphetamine aspartate monohydrate, amphetamine sulfate); 5mg, 7.5mg, 10mg, 12.5mg, 15mg, 20mg, 30mg; double-scored tabs.

Pharmacological Class

CNS stimulant.

See Also

How Supplied

Caps—100; Tabs—contact supplier.

Dextroamp Saccharate/amp Aspartate/dextroamp Sulfate/amp Sulfate Indications

Indications

Attention deficit hyperactivity disorder.

Dextroamp Saccharate/amp Aspartate/dextroamp Sulfate/amp Sulfate Dosage and Administration

Adults and Children

Avoid late evening doses; give upon awakening and 4–6hrs apart. <3yrs: not recommended. 3–5yrs: initially 2.5mg once daily, may increase by 2.5mg/day weekly. ≥6yrs: initially 5mg 1–2 times daily, may increase by 5mg/day weekly; usual max 40mg/day in 2–3 divided doses.

Dextroamp Saccharate/amp Aspartate/dextroamp Sulfate/amp Sulfate Contraindications

Contraindications

Advanced arteriosclerosis. Symptomatic cardiovascular disease. Moderate to severe hypertension. Hyperthyroidism. Glaucoma. History of drug abuse. Agitation. During or within 14 days of MAOIs. Hypersensitivity to sympathomimetics.

Dextroamp Saccharate/amp Aspartate/dextroamp Sulfate/amp Sulfate Boxed Warnings

Boxed Warning

Abuse and dependence.

Dextroamp Saccharate/amp Aspartate/dextroamp Sulfate/amp Sulfate Warnings/Precautions

Warnings/Precautions

High potential for abuse and dependence (monitor). Increased risk of sudden death, stroke, and MI; assess for presence of cardiac disease before initiating (eg, family history, physical exam). Avoid in known structural cardiac abnormalities, cardiomyopathy, serious arrhythmias, coronary artery disease, and other cardiac problems. Pre-existing psychotic disorder. Bipolar disorder; screen for risk before initiation. Consider discontinuing if new psychotic/manic symptoms occur. Monitor for new or worsening aggressive behavior or hostility. Seizure disorder. Monitor for serotonin syndrome; discontinue if occurs. Evaluate for tics or Tourette's syndrome prior to therapy. Peripheral vasculopathy, including Raynaud's phenomenon; monitor for digital changes. Monitor growth (esp. children), BP, HR. Renal impairment. Write ℞ for smallest practical amount. Reevaluate periodically. Pregnancy. Nursing mothers: not recommended.

Dextroamp Saccharate/amp Aspartate/dextroamp Sulfate/amp Sulfate Pharmacokinetics

See Literature

Dextroamp Saccharate/amp Aspartate/dextroamp Sulfate/amp Sulfate Interactions

Interactions

See Contraindications. Hypertensive crisis with MAOIs (including linezolid, IV methylene blue). Increased risk of serotonin syndrome with serotonergic drugs (eg, SSRIs, SNRIs, TCAs, triptans, fentanyl, lithium, tramadol, tryptophan, busprione, St. John's wort), CYP2D6 inhibitors (eg, paroxetine, fluoxetine, quinidine, ritonavir); consider alternatives; if needed, initiate with lower doses and monitor. Potentiated by urinary alkalinizers (eg, sodium bicarbonate, acetazolamide); avoid. Antagonized by acidifiers (eg, ascorbic acid). May potentiate TCAs, sympathomimetics, norepinephrine, meperidine; adjust dose or use alternatives. May antagonize adrenergic blockers, antihistamines, antihypertensives, phenobarbital, phenytoin, veratrum alkaloids, ethosuximide. Monitor effects with concomitant PPIs.

Dextroamp Saccharate/amp Aspartate/dextroamp Sulfate/amp Sulfate Adverse Reactions

Adverse Reactions

Anorexia, insomnia, abdominal pain, emotional lability, vomiting, nervousness, nausea, fever, weight loss; also Adults: dry mouth, headache, anxiety, agitation, dizziness, tachycardia, diarrhea, asthenia, UTIs, prolonged erections; hypertension, visual disturbances.

Dextroamp Saccharate/amp Aspartate/dextroamp Sulfate/amp Sulfate Clinical Trials

See Literature

Dextroamp Saccharate/amp Aspartate/dextroamp Sulfate/amp Sulfate Note

Notes

Formerly known under the brand name Adderall.

Dextroamp Saccharate/amp Aspartate/dextroamp Sulfate/amp Sulfate Patient Counseling

See Literature

Dextroamp Saccharate/amp Aspartate/dextroamp Sulfate/amp Sulfate Generic Name & Formulations

General Description

Mixed salts of a single-entity amphetamine product (each tab contains equal parts dextroamphetamine saccharate, dextroamphetamine sulfate, amphetamine aspartate monohydrate, amphetamine sulfate); 5mg, 7.5mg, 10mg, 12.5mg, 15mg, 20mg, 30mg; double-scored tabs.

Pharmacological Class

CNS stimulant.

See Also

    How Supplied

    Caps—100; Tabs—contact supplier.

    Dextroamp Saccharate/amp Aspartate/dextroamp Sulfate/amp Sulfate Indications

    Indications

    Narcolepsy.

    Dextroamp Saccharate/amp Aspartate/dextroamp Sulfate/amp Sulfate Dosage and Administration

    Adults and Children

    Avoid late evening doses; give upon awakening and 4–6hrs apart. <12yrs: use dextroamphetamine sulfate; ≥12yrs: usual range 5–60mg/day in divided doses.

    Dextroamp Saccharate/amp Aspartate/dextroamp Sulfate/amp Sulfate Contraindications

    Contraindications

    Advanced arteriosclerosis. Symptomatic cardiovascular disease. Moderate to severe hypertension. Hyperthyroidism. Glaucoma. History of drug abuse. Agitation. During or within 14 days of MAOIs. Hypersensitivity to sympathomimetics.

    Dextroamp Saccharate/amp Aspartate/dextroamp Sulfate/amp Sulfate Boxed Warnings

    Boxed Warning

    Abuse and dependence.

    Dextroamp Saccharate/amp Aspartate/dextroamp Sulfate/amp Sulfate Warnings/Precautions

    Warnings/Precautions

    High potential for abuse and dependence (monitor). Increased risk of sudden death, stroke, and MI; assess for presence of cardiac disease before initiating (eg, family history, physical exam). Avoid in known structural cardiac abnormalities, cardiomyopathy, serious arrhythmias, coronary artery disease, and other cardiac problems. Pre-existing psychotic disorder. Bipolar disorder; screen for risk before initiation. Consider discontinuing if new psychotic/manic symptoms occur. Monitor for new or worsening aggressive behavior or hostility. Seizure disorder. Monitor for serotonin syndrome; discontinue if occurs. Evaluate for tics or Tourette's syndrome prior to therapy. Peripheral vasculopathy, including Raynaud's phenomenon; monitor for digital changes. Monitor growth (esp. children), BP, HR. Renal impairment. Write ℞ for smallest practical amount. Reevaluate periodically. Pregnancy. Nursing mothers: not recommended.

    Dextroamp Saccharate/amp Aspartate/dextroamp Sulfate/amp Sulfate Pharmacokinetics

    See Literature

    Dextroamp Saccharate/amp Aspartate/dextroamp Sulfate/amp Sulfate Interactions

    Interactions

    See Contraindications. Hypertensive crisis with MAOIs (including linezolid, IV methylene blue). Increased risk of serotonin syndrome with serotonergic drugs (eg, SSRIs, SNRIs, TCAs, triptans, fentanyl, lithium, tramadol, tryptophan, busprione, St. John's wort), CYP2D6 inhibitors (eg, paroxetine, fluoxetine, quinidine, ritonavir); consider alternatives; if needed, initiate with lower doses and monitor. Potentiated by urinary alkalinizers (eg, sodium bicarbonate, acetazolamide); avoid. Antagonized by acidifiers (eg, ascorbic acid). May potentiate TCAs, sympathomimetics, norepinephrine, meperidine; adjust dose or use alternatives. May antagonize adrenergic blockers, antihistamines, antihypertensives, phenobarbital, phenytoin, veratrum alkaloids, ethosuximide. Monitor effects with concomitant PPIs.

    Dextroamp Saccharate/amp Aspartate/dextroamp Sulfate/amp Sulfate Adverse Reactions

    Adverse Reactions

    Anorexia, insomnia, abdominal pain, emotional lability, vomiting, nervousness, nausea, fever, weight loss; also Adults: dry mouth, headache, anxiety, agitation, dizziness, tachycardia, diarrhea, asthenia, UTIs, prolonged erections; hypertension, visual disturbances.

    Dextroamp Saccharate/amp Aspartate/dextroamp Sulfate/amp Sulfate Clinical Trials

    See Literature

    Dextroamp Saccharate/amp Aspartate/dextroamp Sulfate/amp Sulfate Note

    Notes

    Formerly known under the brand name Adderall.

    Dextroamp Saccharate/amp Aspartate/dextroamp Sulfate/amp Sulfate Patient Counseling

    See Literature