Adderall XR

Generic Name: Amphetamine Salt Combo

  • What is Adderall XR?

    Adderall XR is a medicine used for the treatment of attention-deficit/hyperactivity disorder (ADHD).

  • What is the most important information I should know about Adderall XR?

    Adderall XR, has a high potential for abuse. Taking Adderall XR for long periods of time may lead to extreme emotional and physical dependence.

    Taking Adderall XR differently than how your doctor prescribes it may cause sudden death and serious heart problems.

    The following have been reported with the use of Adderall XR: sudden death in people who have heart problems or heart defects, stroke and heart attack in adults, and increased blood pressure and heart rate. Call the doctor right away if you experience any signs of heart problems such as chest pain, shortness of breath, or fainting while taking Adderall XR.

    Other serious side effects that have been reported include mental problems such as new or worsening behavior and thought problems, new or worsening bipolar disorder, and new or worsening aggressive behavior or hostility. It is especially important to monitor children and teenagers for any new psychotic or manic symptoms.

  • Who should not take Adderall XR?

    Do not take Adderall XR if you have heart disease or hardening of the arteries, moderate to severe high blood pressure, an overactive thyroid, an eye disease called glaucoma, are very anxious, tense, or agitated, have a history of drug abuse, are taking a type of medication called a monoamine oxidase inhibitor (MAOI) or have taken one within the past 14 days, or if you are sensitive, allergic, or had a reaction to other stimulant medicines.

    Adderall XR is not recommended for use in children <3 years old.

  • What should I tell my doctor before I take the first dose of Adderall XR?

    Tell your doctor about all prescription, over-the-counter, and herbal medications you are taking before beginning treatment with Adderall XR. Also, talk to your doctor about your complete medical history, especially if you have heart problems or defects; high blood pressure, mental problems or a family history of suicide, bipolar disorder, or depression; tics or Tourette's syndrome (tics that affect muscle movement and sound); liver, kidney or thyroid problems; and seizures or an abnormal brain wave test (EEG).

    Tell your doctor if you are pregnant, plan to become pregnant, or are breastfeeding.

  • What is the usual dosage?

    The information below is based on the dosage guidelines your doctor uses. Depending on your condition and medical history, your doctor may prescribe a different regimen. Do not change the dosage or stop taking your medication without your doctor's approval.

    Adults: In adults who are either starting treatment for the first time or switching from another medication, the recommended dose is 20 milligrams (mg) a day. Patients taking divided doses of Adderall may be switched to Adderall XR at the same total daily dose taken once a day.

    Adolescents 13-17 years: The usual starting dose is 10 mg a day. The dose may be increased to 20 mga day after 1 week if symptoms are not adequately controlled.

    Children 6-12 years: Children who are either starting treatment for the first time or switching from another medication should start with 10 mg once daily in the morning; daily dosage may be adjusted in increments of 5 mg or 10 mg at weekly intervals. The maximum recommended dose for children is 30 mg a day.

  • How should I take Adderall XR?

    Take Adderall XR once a day in the morning when you first wake up. Adderall XR is an extended-release capsule that releases medicine into your body throughout the day. Swallow Adderall XR capsules whole with water or other liquids. If you or your child cannot swallow the capsule, open it and sprinkle the medicine over a spoonful of applesauce. Swallow the applesauce and medicine mixture without chewing. Follow with a drink of water or other liquid. Adderall XR may be taken with or without food. Never chew or crush the capsule or the medicine inside the capsule.

  • What should I avoid while taking Adderall XR?

    Taking Adderall XR longer than necessary may lead to physical and emotional dependence. Your doctor will frequently assess your response to this medication to see if it is still useful or to make sure you are receiving the lowest effective dose.

    While taking Adderall XR, avoid potentially hazardous activities such as operating machinery or driving until you know how this medication affects you.

    Avoid taking Adderall XR in the afternoon or later to prevent insomnia (trouble sleeping).

  • What are possible food and drug interactions associated with Adderall XR?

    If Adderall XR is taken with certain other drugs, the effects of either could be increased, decreased, or altered. It is especially important to check with your doctor before combining Adderall XR with the following: antidepressants (including MAOIs), antipsychotic medications, blood pressure medications, blood thinners, cold or allergy medicines that contain decongestants, lithium, narcotic pain medications, seizure medications, and stomach acid medications.

  • What are the possible side effects of Adderall XR?

    Side effects cannot be anticipated. If any develop or change in intensity, tell your doctor as soon as possible. Only your doctor can determine if it is safe for you to continue taking this drug.

    Common side effects may include: headache, stomachache, trouble sleeping, decreased appetite, nervousness, mood swings, dizziness.

  • Can I receive Adderall XR if I am pregnant or breastfeeding?

    The effects of Adderall XR during pregnancy are unknown and therefore should be avoided. Women who take Adderall XR should not breastfeed. Tell your doctor immediately if you are pregnant, plan to become pregnant, or are breastfeeding.

  • What should I do if I miss a dose of Adderall XR?

    Take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and return to your regular schedule. Do not take two doses at once.

  • How should I store Adderall XR?

    Store in a cool, dry place in a tightly closed, light-resistant container.

Meet the Pharmacists

I'm Shereen A. Gharbia, PharmD. Welcome to PDR Health!

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