Dextroamphetamine
Dextroamphetamine can cause dependence (addiction). Do not take a larger dose, or more often, or for a longer time than prescribed by your doctor. If you take too much dextroamphetamine, you may think that the medication no longer controls your symptoms and you feel the need to take it in large quantities and you may have symptoms such as: rash (skin rash), difficulty staying or staying asleep, irritability, hyperactivity, Rare changes in personality and loss of contact with reality. Excessive use of Dextroamfetamine can cause serious heart problems or sudden death.
Tell your doctor if you or someone in your family drinks or has ever drunk large amounts of alcohol, if you use or have ever used illegal drugs, or if you have abused prescription medications. Your doctor probably will not prescribe dextroamphetamine for you.
Do not stop taking dextroamphetamine without first talking to your doctor, especially if you have abused the medication. Your doctor will probably reduce your dose gradually and monitor you carefully during this period. You may experience depression and extreme tiredness if you suddenly stop taking dextroamphetamine after you have taken it in excess.
Do not sell or give away your medication, or let anyone else take it. Selling or giving away methylphenidate can cause harm to other people and is a crime. Store methylphenidate in a safe place so that no other person can take it accidentally or intentionally. Keep track of how much medicine you have left, so you notice any missing.
Do not let other people take your medicine. Store dextroamphetamine in a safe place so that nobody else can take it accidentally or purposely. Keep track of how many tablets or capsules are left, so you know if any are missing.
Dextroamphetamine can cause sudden death or serious heart problems, especially if the medication is misused.
Your doctor or pharmacist will give you the manufacturer's printed information sheet for the patient (medication guide) when you start dextroamphetamine treatment and as long as you renew your prescription. Read the information carefully and ask your doctor or pharmacist about any questions you may have. You can also get the '' drug guide '' on the Food and Drug Administration (FDA) website http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm or the website of the manufacturer.
For what conditions or diseases is this medication prescribed?
Dextroamphetamine is used as part of a treatment program to control the symptoms of attention deficit hyperactivity disorder (ADHD), more difficulty concentrating, controlling your actions and staying still or quiet than other people in the same age) in adults and children. Dextroamphetamine is also used to treat narcolepsy (a sleep disorder that causes excessive sleepiness during the day and sudden attacks of sleep). It belongs to a class of medications called central nervous system stimulants. It works by changing the amounts of certain natural substances in the brain.
How should this medicine be used?
Dextroamphetamine comes as a liquid, tablet, and extended-release capsule (slow), to be taken orally. In general, tablets are taken 2 to 3 times a day with or without food. The extended-release capsules are usually taken once a day with or without food. The liquid is usually taken 1 or 2 times a day with or without food. Take dextroamphetamine around the same hours every day. If you are taking dextroamphetamine tablets, take your first dose as soon as you wake up in the morning and space out the remaining doses between 4 to 6 hours. Do not take dextroamphetamine at night because it can cause difficulty staying or staying asleep. Carefully follow the instructions on the medication label and ask your doctor or pharmacist anything you do not understand. Use dextroamphetamine exactly as directed.
Do not chew or crush the extended-release capsules.
Your doctor will probably start with a low dose of dextroamphetamine and gradually increase it, no more than once a week.
Your doctor may tell you to stop taking dextroamphetamine sporadically to see if you still need the medication. Follow these instructions carefully.
What other uses does this medication have?
Dextroamphetamine should not be used to treat excessive fatigue that is not caused by narcolepsy.
This medication may also be prescribed for other uses; Ask your doctor or pharmacist for more information.
What special precautions should I follow?
Before you start taking dextroamphetamine:
tell your doctor and pharmacist if you are allergic to dextroamphetamine, any other medications, or any of the ingredients in dextroamphetamine preparations. Ask your pharmacist for a list of the ingredients.
tell your doctor if you are taking or receiving the following medications or if you stopped taking them within the last 14 days: monoamine oxidase (MAO) inhibitors, including isocarboxazide (Marplan), linezolid (Zyvox), methylene blue, phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar), and tranylcypromine (Parnate). If you stop taking dextroamphetamine, you should wait at least 14 days before you start taking an MAO inhibitor.
tell your doctor and pharmacist what prescription and non-prescription medications, vitamins, nutritional supplements, and herbal products you are taking. Be sure to mention the following: alpha-blockers such as alfuzosin (Uroxatral), doxazosin (Cardura), prazosin (Minipress), tamsulosin (Flomax, in Jalyn) and terazosin; ammonium chloride; antacids and other medicines for heartburn or ulcers such as omeprazole (Prilosec); antihistamines (medicines for cold and allergies); ascorbic acid (vitamin C); beta-blockers such as atenolol (Tenormin), labetalol (Trandate), metoprolol (Lopressor, Toprol XL), nadolol (Corgard) and propranolol (Inderal; Innopran); buspirone; chlorpromazine; diuretics ("water pills"); fentanyl (Actiq, Duragesic, Subsys, others); Guanethidine (Ismelin, is no longer available in the US); haloperidol (Haldol); Lithium (Lithobid); medications for hypertension; medicines for migraines such as almotriptan (Axert), eletriptan (Relpax), frovatriptan (Frova), naratriptan (Amerge), rizatriptan (Maxalt), sumatriptan (Imitrex, in Treximet), and zolmitriptan (Zomig); medications for seizures such as ethosuximide (Zarontin), phenobarbital, and phenytoin (Dilantin, Phenytek); meperidine (Demerol); methenamine (Hiprex, Urex); Propoxyphene (Darvon, Darvon-N, is no longer available in the US); quinidine (in Nuedexta); reserpine; ritonavir (Norvir, in Kaletra); selective serotonin reuptake inhibitors (SSRIs) such as citalopram (Celexa), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem, in Symbyax), fluvoxamine (Luvox), paroxetine (Brisdelle, Prozac, Pexeva) and sertraline (Zoloft); norepinephrine and serotonin reuptake inhibitors (SNRI) such as desvenlafaxine (Khedezla, Pristiq), duloxetine (Cymbalta), milnacipran (Savella) and venlafaxine (Effexor); baking soda (Arm and Hammer Baking Soda, Soda Mint); and sodium phosphate; tramadol; or tricyclic antidepressants ('mood elevators') such as desipramine (Norpramine) or protrip tilina (Vivactil). Your doctor may need to change the dosage of your medications or monitor you carefully to avoid side effects.
Tell your doctor what herbal products you are taking, especially St. John's wort and tryptophan or nutritional supplements including glutamic acid (L-glutamine).
tell your doctor if you have or have ever had glaucoma (increased eye pressure that can cause loss of vision), hyperthyroidism (a condition in which too much thyroid hormone is generated in the body), anxiety, tension, or agitation . Your doctor can tell you not to take dextroamphetamine.
tell your doctor if someone in your family has or has ever had an irregular heartbeat or sudden death. Also tell your doctor if you have recently had a heart attack and if you have or have ever had heart problems, high blood pressure, irregular heartbeat, heart or blood vessel disease, or other heart problems. hardening of the arteries, or other heart problems. Your doctor will probably examine you to see if your heart and blood vessels are healthy. Your doctor may tell you not to take dextroamphetamine and amphetamine if you have a heart problem or if you are at risk of developing a heart problem.
tell your doctor if you or someone in your family has or has ever had depression, bipolar disorder (mood that changes from depressed to unusually aroused), hobbies (abnormally excited, frantic mood), facial tics or motor tics (repeated movements of any part of your body) or verbal tics (repetition of words or sounds) or Tourette's syndrome (a disorder characterized by the need to perform movements repeatedly or repeat sounds or words), or thought or tried to commit suicide. Also tell your doctor if you have or have ever had mental illness, seizures, or an abnormal encephalogram (EEG, a test that measures the electrical activity of the brain). If your child is taking dextroamphetamine to treat ADHD, tell the pediatrician if you have recently experienced unusual stress.
tell your doctor if you are pregnant, have plans to get pregnant, or are breastfeeding. If you become pregnant while taking this medication, call your doctor. You should not breast-feed while taking dextroamphetamine.
Talk to your doctor about the risks and benefits of taking this medicine if you are 65 years of age or older. Older adults do not usually take dextroamphetamine because it is not as safe and effective as other medications that can be used to treat the same condition. you should know that dextroamphetamine can cause difficulties when performing activities that require attention or physical coordination. Do not drive cars or operate heavy machinery until you know how this medication will affect you.
you should know that dextroamphetamine should be used as part of a total ADHD treatment program, which may include differential education and guidance. Be sure to follow all instructions from your doctor and / or therapist.
You should know that dextroamphetamine can cause sudden death in children and adolescents, especially children and adolescents who have heart defects or serious heart problems. This medicine can also cause sudden death, heart attack, or stroke in adults, especially adults with heart defects or serious heart problems. Call your doctor or your child's doctor right away if you or your child has any signs of heart problems while taking this medicine, including: chest pain, shortness of breath, or fainting.
What special diet should I follow while I take this medicine?
Unless your doctor tells you otherwise, continue with your normal diet.
What do I have to do if I forget to take a dose?
Take the missed dose as soon as you remember it. However, if it is time for the next one or if the time to go to sleep is approaching, skip the one you did not take and continue with the regular dosage. Do not take a double dose to make up for the one you forgot.
What are the possible side effects of this medication?
Dextroamphetamine can cause side effects. Tell your doctor if any of these symptoms become severe or do not go away:
restlessness
difficulty staying or staying asleep
headache
uncontrollable trembling of some part of your body
Dry sensation in the mouth
unpleasant taste in the mouth
constipation
loss of appetite
weightloss
changes in sexual drive or ability
Some Side Effects Can Be Serious. If you experience any of the following symptoms, call your doctor immediately:
faster-than-normal heartbeat or palpitations
shortness of breath
chest pain
Excessive fatigue
difficulty or slowness to speak
dizziness or lightheadedness
weakness or numbness of an arm or leg
convulsive crisis
changes in mood
believe things that are not true
suspect others in an unusual way
agitation, hallucinations (seeing things or hearing voices that do not exist), fever, sweating, confusion, rapid heart rate, tremors, spasms or severe muscle stiffness, loss of coordination, nausea, vomiting or diarrhea
hallucinations (see or hear things that do not exist)
abnormally excited mood
aggressive or hostile behavior
abnormal movements
verbal tics
changes in vision or blurred vision
urticaria
paleness or blue color of the nails or toes
pain, tingling, burning or numbness in the hands or feet
unexplained wounds that appear on the fingers and toes
Dextroamphetamine can cause growth retardation (height and weight) in children. The pediatrician will carefully watch your child's growth. Talk to your pediatrician if you have concerns about your child's growth or weight gain while taking the medication. Talk to your doctor about the risks of using this medication.
Dextroamphetamine can cause other side effects. Call your doctor if you have any unusual problems while taking this medication. If you develop a serious side effect, you or your doctor can send a report to the Food and Drug Administration (FDA) 'MedWatch' adverse effects disclosure program on the website (http: // /www.fda.gov/Safety/MedWatch) or by phone at 1-800-332-1088.
How should I store or dispose of this medicine?
Keep this medication in its container, tightly closed and out of the reach of children. Store it at room temperature and away from excessive heat and moisture (not in the bathroom).
It is important that you keep all medications out of the sight and reach of children, because many containers (such as weekly pill boxes, and those containing eye drops, creams, patches, and inhalers) are not proof-of-concept. small children, who can open them easily. In order to protect them from intoxication, always use safety caps and immediately place the medications in a safe place, one that is above and far from your sight and reach. http://www.upandaway.org/
Medications that are no longer needed should be discarded in an appropriate manner to ensure that pets, children and others can not consume them. However, you should not throw these medications down the toilet. Instead, the best way to get rid of your medications is through a medication return program. Talk to your pharmacist or contact your local waste / recycling department to learn about your community's medication return programs. See the Food and Drug Administration (FDA) website, (https://goo.gl/xRXbPn) for more information on how to safely dispose of medications, if you do not have access to the medication return program.
what should I do in case of an overdose?
In case of overdose, call the poison control helpline at 1-800-222-1222. The information is also available online at https://www.poisonhelp.org/help. If the victim has collapsed, has had a seizure, has trouble breathing, or is unable to wake up, call 911 emergency services immediately.
Symptoms of overdose may include:
restlessness
uncontrollable tremors of a part of your body
dark red or colored urine from a cola drink
weakness or muscle aches
tiredness or weakness
fast breathing
fever
confusion
aggressive behavior
hallucinations (see or hear things that do not exist)
panic
depression
irregular heartbeat
dizziness
fainting
blurry vision
Stomach ache
vomiting
diarrhea
cramps (stomach cramps)
convulsive crisis
coma (loss of consciousness for a certain period)
What other important information should I know?
Keep all appointments with your doctor.
Before having any laboratory test, tell your doctor and the laboratory staff that you are taking dextroamphetamine.
This prescription is not renewable. Make sure you consistently follow the appointment calendar that your doctor has marked so you do not run out of medication.
It is important that you keep a written list of all the medicines you are taking, including those you received with a prescription and those you bought without a prescription, including vitamins and diet supplements. You should have the list each time you visit your doctor or when you are admitted to a hospital. It is also important information in cases of emergency.
Minggu, 15 April 2018
dextroamphetamine
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