WHAT ARE THE POSSIBLE SIDE EFFECTS OF AMPHETAMINE AND DEXTROAMPHETAMINE (ADDERALL, ADDERALL XR)?

Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.

Stop using this medication and call your doctor at once if you have a serious side effect such as:

• fast, pounding, or uneven heartbeats;
• pain or burning when you urinate;
• talking more than usual, feelings of extreme happiness or sadness;
• 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).

Less serious side effects may include:

• headache, weakness, dizziness, blurred vision;
• feeling restless, irritable, or agitated,
• sleep problems (insomnia);
• dry mouth or an unpleasant taste in your mouth;
• diarrhea, constipation, stomach pain, nausea, vomiting;
• fever;
• hair loss, loss of appetite, weight loss; or
• loss of interest in sex, impotence, or difficulty having an orgasm.

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 IS THE MOST IMPORTANT INFORMATION I SHOULD KNOW ABOUT AMPHETAMINE AND DEXTROAMPHETAMINE (ADDERALL 15MG, ADDERALL XR)?

Do not use amphetamine and dextroamphetamine 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 this medication if you are allergic to amphetamine and dextroamphetamine, or if you have hardened arteries (arteriosclerosis), heart disease, moderate to severe high blood pressure (hypertension), overactive thyroid, glaucoma, severe anxiety or agitation, or a history of drug or alcohol addiction.

Some stimulants have caused sudden death in children and adolescents with serious heart problems or congenital heart defects. Before taking amphetamine and dextroamphetamine, tell your doctor if you have any type of heart problems.

Long-term use of amphetamine and dextroamphetamine can slow a child’s growth. Tell your doctor if the child using this medication is not growing or gaining weight properly.

Adderall 15mg, Amphetamine and dextroamphetamine may be habit-forming and should be used only by the person for whom it was prescribed. Keep the medication in a secure place where others cannot get to it. Using this medication improperly can cause death or serious side effects on the heart.

WHAT SHOULD I DISCUSS WITH MY DOCTOR BEFORE TAKING AMPHETAMINE AND DEXTROAMPHETAMINE (ADDERALL, ADDERALL XR)?

Do not use Adderall 15mg, amphetamine and dextroamphetamine 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 this medication 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.

Some stimulants have caused sudden death in children and adolescents with serious heart problems or congenital heart defects. Before taking this medication, tell your doctor if you have:

• a congenital heart defect;
• 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;
• epilepsy or other seizure disorder; or
• tics (muscle twitches) or Tourette’s syndrome.

Adderall 15mg, Amphetamine and dextroamphetamine may be habit forming and should be used only by the person for whom it was prescribed. Never share amphetamine and dextroamphetamine 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 amphetamine and dextroamphetamine during pregnancy. Tell your doctor if you are pregnant or plan to become pregnant while using this medication.

Adderall 15mg, 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 amphetamine and dextroamphetamine 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 AMPHETAMINE AND DEXTROAMPHETAMINE (ADDERALL, ADDERALL XR)?

Take exactly as prescribed by your doctor. Do not take in larger or smaller amounts or for longer than recommended. Follow the directions on your prescription label.

Your doctor may occasionally change your dose to make sure you get the best results.

Do not take amphetamine and dextroamphetamine in the evening because it may cause sleep problems (insomnia).

Do not crush, chew, break, or open an extended-release capsule. Swallow it whole. Breaking or opening the pill may cause too much of the drug to be released at one time.

Your doctor will need to check your progress on a regular basis. Do not miss any scheduled appointments.

This medication can cause unusual results with certain medical tests. Tell any doctor who treats you that you are using amphetamine and dextroamphetamine.

Store at room temperature away from moisture, heat, and light.

Keep track of the amount of medicine used from each new bottle. Amphetamine and dextroamphetamine 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 (ADDERALL, ADDERALL XR)?

Take the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose, or if it is already evening. Taking this medicine late in the day can cause sleep problems. Do not take extra medicine to make up the missed dose.

WHAT HAPPENS IF I OVERDOSE (ADDERALL, ADDERALL XR)?

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

Overdose symptoms may include severe forms of some of the side effects listed in this medication guide.

WHAT SHOULD I AVOID WHILE TAKING AMPHETAMINE AND DEXTROAMPHETAMINE (ADDERALL, ADDERALL XR)?

Adderall 15mg, Amphetamine and dextroamphetamine may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be alert.

Do not take amphetamine and dextroamphetamine 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 amphetamine and dextroamphetamine. These can make your body absorb less of the medicine.

WHAT OTHER DRUGS WILL AFFECT AMPHETAMINE AND DEXTROAMPHETAMINE (ADDERALL, ADDERALL XR)?

Tell your doctor about all other medicines you use, especially:

• heart or blood pressure medications;
• a diuretic (water pill);
• cold or allergy medicines (antihistamines);
• acetazolamide (Diamox);
• chlorpromazine (Thorazine);
• ethosuximide (Zarontin);
• haloperidol (Haldol);
• lithium (Eskalith, Lithobid);
• meperidine (Demerol);
• methenamine (Hiprex, Mandelamine, Urex);
• phenytoin (Dilantin), phenobarbital (Luminal, Solfoton);
• reserpine;
• ammonium chloride, ascorbic acid (vitamin C), potassium phosphate (K-Phos);
• antacids, sodium bicarbonate (Alka-Seltzer), potassium citrate (K-Lyte, Urocit-K), sodium citrate and citric acid (Bicitra, Oracit), or sodium citrate and potassium (Citrolith, Polycitra);
• stomach acid reducers such as cimetidine (Tagamet),esomeprazole (Nexium), famotidine (Pepcid), lansoprazole (Prevacid), nizatidine (Axid), omeprazole (Prilosec), or ranitidine (Zantac); or
• an antidepressant such as amitriptyline (Elavil, Vanatrip, Limbitrol), doxepin (Sinequan, Silenor), nortriptyline (Pamelor), and others.

This list is not complete and other drugs may interact with amphetamine and dextroamphetamine. Tell your doctor about all medications you use. This includes prescription, over-the-counter, vitamin, and herbal products. Do not start a new medication without telling your doctor.