Before Using

Drug information provided by: Merative, Micromedex®

In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For this medicine, the following should be considered:

Allergies

Tell your doctor if you have ever had any unusual or allergic reaction to this medicine or any other medicines. Also tell your health care professional if you have any other types of allergies, such as to foods, dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully.

Pediatric

Appropriate studies have not been performed on the relationship of age to the effects of amphetamine tablets in children with obesity who are younger than 12 years of age, in children with narcolepsy who are younger than 6 years of age, and in children with ADHD who are younger than 3 years of age. Safety and efficacy have not been established.

Appropriate studies have not been performed on the relationship of age to the effects of amphetamine extended-release oral suspension, extended-release tablets, Adzenys XR-ODT® extended-release oral disintegrating tablets, and Evekeo ODT® extended-release oral disintegrating tablets in children with ADHD who are younger than 6 years of age. Safety and efficacy have not been established.

Geriatric

No information is available on the relationship of age to the effects of amphetamine tablets in geriatric patients.

Appropriate studies have not been performed on the relationship of age to the effects of amphetamine extended-release oral suspension, extended-release tablets, and extended-release oral disintegrating tablets in the geriatric population. However, elderly patients are more likely to have age-related liver, kidney, or heart problems, which may require caution and an adjustment in the dose for patients receiving this medicine.

Breastfeeding

There are no adequate studies in women for determining infant risk when using this medication during breastfeeding. Weigh the potential benefits against the potential risks before taking this medication while breastfeeding.

Drug Interactions

Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. When you are taking this medicine, it is especially important that your healthcare professional know if you are taking any of the medicines listed below. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive.

Using this medicine with any of the following medicines is not recommended. Your doctor may decide not to treat you with this medication or change some of the other medicines you take.

  • Isocarboxazid
  • Linezolid
  • Methylene Blue
  • Ozanimod
  • Phenelzine
  • Procarbazine
  • Rasagiline
  • Safinamide
  • Selegiline
  • Sibutramine
  • Tranylcypromine

Using this medicine with any of the following medicines is usually not recommended, but may be required in some cases. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.

  • Abiraterone Acetate
  • Acetazolamide
  • Albuterol Sulfate
  • Alfentanil
  • Almotriptan
  • Aluminum
  • Amifampridine
  • Amineptine
  • Amitriptyline
  • Amitriptylinoxide
  • Amoxapine
  • Anileridine
  • Apraclonidine Hydrochloride
  • Arformoterol Tartrate
  • Armodafinil
  • Atomoxetine Hydrochloride
  • Benzhydrocodone
  • Benzthiazide
  • Brimonidine Tartrate
  • Brompheniramine
  • Buprenorphine
  • Bupropion
  • Buspirone
  • Butorphanol
  • Calcium Carbonate
  • Carbamazepine
  • Chlorothiazide
  • Chlorpheniramine
  • Cimetidine
  • Cinacalcet
  • Citalopram
  • Clobazam
  • Clomipramine
  • Clonidine
  • Cobicistat
  • Cocaine
  • Codeine
  • Cyclobenzaprine
  • Desipramine
  • Desvenlafaxine
  • Dexlansoprazole
  • Dexmethylphenidate Hydrochloride
  • Dextromethorphan
  • Diazoxide
  • Dibenzepin
  • Difenoxin
  • Dihydrocodeine
  • Dihydroxyaluminum Aminoacetate
  • Diphenoxylate
  • Dolasetron
  • Donepezil
  • Doxepin
  • Droxidopa
  • Duloxetine
  • Eletriptan
  • Ephedrine Hydrochloride
  • Ephedrine Sulfate
  • Epinephrine
  • Escitalopram
  • Esomeprazole
  • Ethylmorphine
  • Fenfluramine
  • Fentanyl
  • Fluoxetine
  • Fluticasone Propionate
  • Fluvoxamine
  • Formoterol Fumarate
  • Frovatriptan
  • Gepirone
  • Granisetron
  • Hydrochlorothiazide
  • Hydrocodone
  • Hydroflumethiazide
  • Hydromorphone
  • Hydroxytryptophan
  • Imipramine
  • Iobenguane I 131
  • Isoproterenol Hydrochloride
  • Ketobemidone
  • Lansoprazole
  • Lasmiditan
  • Levalbuterol Hydrochloride
  • Levalbuterol Tartrate
  • Levomilnacipran
  • Levorphanol
  • Lisdexamfetamine Dimesylate
  • Lithium
  • Lofepramine
  • Lorcaserin
  • Magaldrate
  • Magnesium Carbonate
  • Melitracen
  • Meperidine
  • Metaxalone
  • Methadone
  • Methamphetamine Hydrochloride
  • Methylphenidate
  • Midodrine Hydrochloride
  • Milnacipran
  • Mirabegron
  • Mirtazapine
  • Modafinil
  • Morphine
  • Morphine Sulfate Liposome
  • Nalbuphine
  • Naratriptan
  • Nefazodone
  • Nicomorphine
  • Norepinephrine Bitartrate
  • Nortriptyline
  • Oliceridine
  • Omeprazole
  • Ondansetron
  • Opipramol
  • Opium
  • Opium Alkaloids
  • Oxycodone
  • Oxymetazoline Hydrochloride
  • Oxymorphone
  • Palonosetron
  • Pantoprazole
  • Papaveretum
  • Paregoric
  • Paroxetine
  • Pentazocine
  • Phenylephrine Hydrochloride
  • Piritramide
  • Polythiazide
  • Protriptyline
  • Pseudoephedrine Hydrochloride
  • Quinidine
  • Quinine
  • Rabeprazole
  • Remifentanil
  • Ritonavir
  • Rizatriptan
  • Rolapitant
  • Salmeterol Xinafoate
  • Sertraline
  • Sodium Bicarbonate
  • St John's Wort
  • Sufentanil
  • Sumatriptan
  • Tapentadol
  • Terbinafine
  • Terbutaline Sulfate
  • Tetrahydrozoline Hydrochloride
  • Tianeptine
  • Tilidine
  • Tramadol
  • Trazodone
  • Trichlormethiazide
  • Trimipramine
  • Tryptophan
  • Venlafaxine
  • Vilazodone
  • Vortioxetine
  • Xipamide
  • Ziprasidone
  • Zolmitriptan

Other Interactions

Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur. Discuss with your healthcare professional the use of your medicine with food, alcohol, or tobacco.

Other Medical Problems

The presence of other medical problems may affect the use of this medicine. Make sure you tell your doctor if you have any other medical problems, especially:

  • Agitation, severe or
  • Arteriosclerosis (hardening of the arteries), severe or
  • Drug abuse, history of or
  • Heart attack, recent or
  • Heart failure or
  • Heart or blood vessel disease (eg, cardiomyopathy, coronary artery disease) or
  • Heart rhythm problems (eg, arrhythmia, ventricular arrhythmia), or family history of or
  • Hypertension (high blood pressure), moderate to severe or
  • Hyperthyroidism (overactive thyroid) or
  • Stroke, history of—Avoid use in patients with these conditions.
  • Bipolar disorder (manic-depressive illness), or a family history of or
  • Blood vessel problems (eg, Raynaud disease) or
  • Depression, or a family history of or
  • Hypertension (high blood pressure), mild or
  • Psychosis (mental illness), history of or
  • Seizures, history of or
  • Tourette syndrome, or family history of—Use with caution. May make these conditions worse.