Did your doctor prescribe Amphetamine Extended-Release Disintegrating Tablets for you or your child? Hearing about a new medicine can feel a bit overwhelming at first. This special medicine is commonly used to help manage Attention Deficit Hyperactivity Disorder, which people often call ADHD. It is completely normal to have questions or feel a little worried when starting a new treatment.
Taking time to learn how your medicine works can give you peace of mind. Let us walk through everything you need to know in simple, clear everyday words. Your safety and comfort are always the top priority when starting any new health journey.
Key Takeaways
- This medicine helps improve focus and calm impulsive behaviors in people with ADHD.
- Always take the tablet exactly as your doctor tells you, usually once a day in the morning.
- Let the tablet dissolve on your tongue before swallowing. Never crush, chew, or cut it.
- Tell your doctor about all your medical conditions and other medicines before starting.
- Store the medicine safely away from children and pets to prevent accidental use or misuse.
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What Kind of Medicine Is This?
Simply put, this medicine is a type of stimulant used to treat attention deficit hyperactivity disorder, or ADHD. It helps improve your ability to pay attention and manage restless or impulsive actions. Because it is a stimulant medicine, it works by balancing certain natural chemicals in your brain.
Doctors sometimes prescribe this treatment for other health conditions as well. If you have questions about why you or your child received this prescription, feel free to ask your doctor or pharmacist. They are always happy to explain your personal treatment plan.
Things to Tell Your Doctor Before Taking This Medicine
Before you start taking this medicine, you must share your complete medical history with your doctor. This information helps your doctor decide if this treatment is safe and right for you. Be sure to mention if you have any of the following health conditions:
- Problems with blood circulation in your fingers or toes, such as feeling cold or skin color changes.
- Any history of heart disease, heart defects, or irregular heartbeats.
- High blood pressure or a previous stroke.
- A personal or family history of substance use disorder or drug addiction.
- Kidney disease or other organ problems.
- Mental health conditions, including depression, anxiety, or bipolar disorder.
- Thoughts or plans of suicide or self-harm.
- Tourette's syndrome or other tic disorders.
- Allergies to amphetamines, other medicines, foods, dyes, or preservatives.
- Pregnancy, planning to become pregnant, or breastfeeding.
Sharing these details openly with your doctor keeps you safe. Never hide medical information when starting a new medicine.
How to Use This Medicine Properly
This medicine comes in a special tablet that dissolves right in your mouth. You should take it exactly as your doctor prescribes, usually once every single day in the morning. Following these simple steps ensures you get the full benefit of your treatment:
1. Keep the tablet safely inside its sealed blister pack until you are ready to take it. Do not pop out the tablet ahead of time.
2. Make sure your hands are completely dry before peeling open the blister pack. Carefully take the tablet out. If the tablet breaks or crumbles, throw it away and get a fresh one.
3. Place the tablet directly on your tongue and let it dissolve completely. Once it melts, swallow it down. Never cut, crush, or chew this tablet, because it is specially made to dissolve in your mouth.
4. Take your dose in the morning hours to prevent nighttime sleep problems.
5. You can take this medicine with or without food. If it upsets your stomach, taking it with a small meal or snack can help.
6. Continue taking this medicine daily until your doctor tells you to stop.
Every time you pick up a refill at the pharmacy, you will receive a special patient information guide called a MedGuide. Read this guide carefully every time because it contains important safety updates.
Giving this medicine to children: Doctors sometimes prescribe this treatment for children ages six and older. Parents should supervise the child closely and follow all pediatric instructions given by the doctor.
What to do if you take too much: If you believe you or your child took more medicine than prescribed, call your local poison control center or go to the nearest emergency room right away.
Most important rule: This medicine is prescribed just for you. Never share your medicine with anyone else under any circumstances.
What to Do If You Miss a Dose
If you forget to take your scheduled dose, take it as soon as you remember later that day. However, if it is almost time for your next regular dose, simply skip the missed dose entirely. Just continue with your normal schedule from there.
Never take a double dose or extra medicine to make up for a missed one. Taking extra medicine can cause dangerous side effects and high blood pressure.
Things That Can Interact With This Medicine
Drug interactions are very important to watch out for. You should never take this medicine alongside certain other substances or medical treatments:
- Alcohol or alcoholic beverages.
- MAOI medicines used for depression, such as selegiline, phenelzine, or tranylcypromine. You must wait at least 14 days after stopping an MAOI before starting amphetamine.
- Other stimulant medicines used for attention problems.
In addition, this medicine can interact with many common drugs and supplements, including antacids, vitamin C, stomach acid reducers like omeprazole, and various blood pressure medicines. Always give your doctor a complete list of every prescription drug, over-the-counter medicine, vitamin, and herbal product you use.
Things to Watch Out For While Taking This Medicine
Your doctor will want to see you for regular checkups to see how well the medicine is working. You will need a new prescription from your doctor every time your supply runs low.
- This medicine can affect your concentration and alertness. Avoid driving, riding bicycles, or operating heavy machinery until you know how the medicine affects you.
- If the medicine stops working well, or if you feel a strong urge to take more than prescribed, tell your doctor right away. Never change your dose on your own.
- For males: Seek immediate medical care if you experience a painful erection lasting longer than four hours. This requires urgent attention to prevent permanent injury.
- Loss of appetite is common when starting this treatment. Eating small, frequent meals can help maintain your nutrition. Doctors will monitor a child's height and weight closely during treatment.
- Avoid taking this dose close to bedtime, as it can cause severe trouble sleeping.
- Report any unusual skin changes, numbness, pain, or temperature sensitivity in your fingers or toes right away.
Possible Side Effects of This Medicine
Like all medicines, this treatment can cause side effects. Some side effects require quick medical attention. This others are mild and go away on their own.
Side Effects That Need Immediate Medical Attention:
Contact your doctor or seek emergency medical help right away if you notice any of these serious signs:
- Severe allergic reactions, including skin rash, hives, itching, or swelling of your face, lips, tongue, or throat.
- Signs of a heart attack, such as chest pain, shortness of breath, pain spreading to your arm or jaw, or cold sweats.
- Rapid, pounding, or irregular heart rhythm accompanied by dizziness or fainting.
- Sudden increase in blood pressure.
- Signs of serotonin syndrome, such as severe agitation, muscle stiffness, high fever, confusion, and rapid heart rate.
- Severe mood changes, worsening depression, or thoughts of self-harm.
- Raynaud's phenomenon, causing cold, numb, or painful fingers that change color from white to blue to red.
- Signs of a stroke, including sudden weakness on one side of the body, slurred speech, or severe headache.
Common Mild Side Effects:
These side effects usually do not need medical care unless they become severe or bothersome:
- Dry mouth and increased thirst.
- Mild headache.
- Decreased appetite and minor weight loss.
- Mild nausea or stomach discomfort.
- Trouble falling asleep at night.
If you experience any unusual symptoms not listed here, consult your doctor. You can also report side effects to the FDA at 1-800-FDA-1088.
| Side Effect Type | Common Symptoms | What You Should Do |
|---|---|---|
| Mild Side Effects | Dry mouth, mild headache, reduced appetite, trouble sleeping. | Monitor symptoms; mention them at your next routine doctor visit. |
| Serious Side Effects | Chest pain, irregular heartbeat, severe mood swings, fainting. | Contact your doctor or seek emergency medical help right away. |
Emergency Red Flags: When to Call 911 or 999
Seek emergency medical attention right away if you or your child experience crushing chest pain, sudden severe shortness of breath, sudden facial drooping or weakness, fainting spells, or severe allergic reactions with swelling of the face and throat. Call 911 (US/Canada), 999 (UK), or go to your nearest hospital Emergency Department (ER / A&E) right away.
How to Store and Throw Away This Medicine
Proper storage is essential for safety. Store this medicine at room temperature between 20°C and 25°C (68°F to 77°F). Keep the tablets in their original blister packaging inside the hard plastic travel case provided by your pharmacy.
Because stimulant medicines carry a risk of misuse or theft, always keep your medicine in a secure, locked place where children, teenagers, and pets cannot reach it. Never share your medicine with anyone else.
When you no longer need the medicine or when it passes its expiration date, dispose of it safely. You can use a community medicine take-back program through your local pharmacy or police station. If no take-back program is available, check the packaging instructions on how to dispose of it safely in your household trash by mixing it with an unappealing substance like coffee grounds or cat litter inside a sealed bag.
Important Summary Points to Remember
Managing ADHD successfully takes teamwork between you and your healthcare team. Here are the core points to keep in mind:
- Take your medicine exactly as prescribed by your doctor every morning. Let the tablet dissolve on your tongue without chewing.
- Share all health conditions and current medicines with your doctor to avoid dangerous drug interactions.
- Watch closely for serious side effects like heart rhythm changes or severe mood shifts, and report them right away.
- Keep your medicine locked up safely away from children, family members, and pets at all times.
- Dispose of expired or leftover medicine safely through official drug take-back programs.
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