Tuesday, August 6, 2013

Adderall

What is Adderall?

Adderall contains a combination of amphetamine and dextroamphetamine. Both these medicines are central nervous system stimulants that affect chemicals in the brain and nerves that contribute to hyperactivity and impulse control.
Adderall is used to treat narcolepsy and attention deficit hyperactivity disorder (ADHD).
Adderall may also be used for purposes not listed in this medication guide.

Important information about Adderall

You should not use this medication if you have hardened arteries (arteriosclerosis), heart disease, moderate to severe high blood pressure, overactive thyroid, glaucoma, severe anxiety or agitation, or a history of drug or alcohol addiction.
Do not use Adderall if you have taken an MAO inhibitor in the past 14 days. A dangerous drug interaction could occur. MAO inhibitors include isocarboxazid, linezolid, phenelzine, rasagiline, selegiline, and tranylcypromine.
Adderall may be habit forming. Never share this medicine with another person, especially someone with a history of drug abuse or addiction. Keep the medication in a place where others cannot get to it. Using this medication improperly can cause death or serious side effects on the heart.

Before taking Adderall

Do not use Adderall if you have used an MAO inhibitor such as furazolidone (Furoxone), isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl, Emsam, Zelapar), or tranylcypromine (Parnate) in the last 14 days. A dangerous drug interaction could occur, leading to serious side effects.
You should not use Adderall if you are allergic to amphetamine and dextroamphetamine or if you have:
  • heart disease or moderate to severe high blood pressure (hypertension);
  • arteriosclerosis (hardening of the arteries);
  • overactive thyroid;
  • glaucoma;
  • severe anxiety, tension, or agitation; or
  • if you have a history of drug or alcohol addiction.
To make sure Adderall is safe for you, tell your doctor if you have:
Tell your doctor if you have any heart problems. Some stimulants have caused sudden death in children and adolescents with serious heart problems or congenital heart defects.
  • high blood pressure;
  • heart failure, heart rhythm disorder, or recent heart attack;
  • a personal or family history of mental illness, psychotic disorder, bipolar illness, depression, or suicide attempt;
  • any drug allergies;
  • epilepsy or other seizure disorder; or
  • tics (muscle twitches) or Tourette's syndrome.
Adderall may be habit forming. Never share this medicine with another person, especially someone with a history of drug abuse or addiction. Keep the medication in a place where others cannot get to it. Using this medication improperly can cause death or serious side effects on the heart.
FDA pregnancy category C. It is not known whether this medication will harm an unborn baby. It could cause premature birth, low birth weight, or withdrawal symptoms in a newborn if the mother takes Adderall during pregnancy. Tell your doctor if you are pregnant or plan to become pregnant while using this medication.

Amphetamine and dextroamphetamine can pass into breast milk and may harm a nursing baby. You should not breast-feed while you are using this medication.
Long-term use of Adderall can slow a child's growth. Tell your doctor if the child using this medication is not growing or gaining weight properly.

How should I take Adderall?

Take Adderall exactly as prescribed by your doctor. Follow all directions on your prescription label. Your doctor may occasionally change your dose to make sure you get the best results. Do not take this medicine in larger or smaller amounts or for longer than recommended.
Do not take Adderall in the evening because it may cause sleep problems (insomnia).
Do not crush, chew, break, or open an extended-release capsule. Swallow it whole.
Your doctor will need to check your progress while you are using Adderall.
This medication can cause unusual results with certain medical tests. Tell any doctor who treats you that you are using this medicine.
Store at room temperature away from moisture, heat, and light.
Keep track of the amount of medicine used from each new bottle. Adderall is a drug of abuse and you should be aware if anyone is using your medicine improperly or without a prescription.

What happens if I miss a dose?

Take the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not take extra medicine to make up the missed dose.

What happens if I overdose?

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. An overdose of Adderall can be fatal.

What should I avoid while taking Adderall?

This medication may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be alert.
Do not take Adderall late in the day. A dose taken too late in the day can cause sleep problems (insomnia).
Avoid drinking fruit juices or taking vitamin C at the same time you take Adderall. These can make your body absorb less of the medicine.

Adderall side effects

Get emergency medical help if you have any of these signs of an allergic reaction to Adderall: hives; difficult breathing; swelling of your face, lips, tongue, or throat.
Call your doctor at once if you have:
  • fast, pounding, or uneven heartbeats;
  • pain or burning when you urinate;
  • talking more than usual, feelings of extreme happiness or sadness;
  • numbness, tingling, or strange sensations under your skin;
  • tremors, hallucinations, unusual behavior, or motor tics (muscle twitches); or
  • dangerously high blood pressure (severe headache, buzzing in your ears, anxiety, confusion, chest pain, shortness of breath, uneven heartbeats, seizure).
Common Adderall side effects may include:
  • nausea, loss of appetite, stomach pain;
  • dry mouth;
  • anxiety, agitation, mood changes, feeling nervous;
  • sleep problems (insomnia); or
  • headache, weakness, dizziness.
This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

What other drugs will affect Adderall?

Tell your doctor about all medicines you use, and those you start or stop using during your treatment with Adderall, especially:
  • acetazolamide;
  • chlorpromazine;
  • ethosuximide;
  • haloperidol;
  • lithium;
  • meperidine;
  • methenamine;
  • phenytoin or phenobarbital;
  • reserpine;
  • ammonium chloride, ascorbic acid (vitamin C), potassium phosphate;
  • antacids, sodium bicarbonate (Alka-Seltzer), potassium citrate, sodium citrate and citric acid, sodium citrate and potassium;
  • heart or blood pressure medications;
  • a diuretic or "water pill";
  • cold or allergy medicines (antihistamines);
  • stomach acid reducers--cimetidine, esomeprazole, famotidine, lansoprazole, nizatidine, omeprazole, ranitidine; or
  • an antidepressant--amitriptyline, doxepin, nortriptyline, and others.
This list is not complete. Other drugs may interact with Adderall, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible interactions are listed in this medication guide.