Adderall XR

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Product name: Adderall XR

Active substance: 25% levoamphetamine salts and 75% dextroamphetamine salts

Other names; Amphetamine, Dextroamphetamine

Strength: 5 MG, 10 MG, 15 MG, 20 MG, 25 MG, 30 MG

Quantity: 60 – 450 Capsules

$268.00$1,200.00

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Description

BUY ADDERALL XR ONLINE

DESCRIPTION

BUY ADDERALL XR ONLINE, ADDERALL XR is a once-daily extended-release, single-entity amphetamine product. ADDERALL XR combines the neutral sulfate salts of dextroamphetamine and amphetamine, with the dextro isomer of amphetamine saccharate and d,l-amphetamine aspartate monohydrate. The ADDERALL XR capsule contains two types of drug-containing beads designed to give a double-pulsed delivery of amphetamines, which prolongs the release of amphetamine from Adderall XR compared to the conventional ADDERALL (immediate-release) tablet formulation.

Each capsule contains: 5 mg 10 mg 15 mg 20 mg 25 mg 30 mg

Dextroamphetamine Saccharate 1.25 mg 2.5mg 3.75 mg 5.0 mg 6.25 mg 7.5 mg

Amphetamine Aspartate Monohydrate 1.25 mg 2.5mg 3.75 mg 5.0 mg 6.25 mg 7.5 mg

Dextroamphetamine Sulfate USP 1.25 mg 2.5mg 3.75 mg 5.0 mg 6.25 mg 7.5 mg

Amphetamine Sulfate USP 1.25 mg 2.5mg 3.75 mg 5.0 mg 6.25 mg 7.5 mg

Total amphetamine base equivalence 3.1 mg 6.3mg 9.4 mg 12.5mg 15.6 mg 18.8 mg

Inactive Ingredients and Colors

The inactive ingredients in ADDERALL XR capsules include gelatin capsules, hydroxypropyl methylcellulose, methacrylic acid copolymer, poetry beige, sugar spheres, talc, and triethyl citrate. Gelatin capsules contain edible inks, kosher gelatin, and titanium dioxide. The 5 mg, 10 mg, and 15 mg capsules also contain FD&C Blue #2. The 20 mg, 25 mg, and 30 mg capsules also contain red iron oxide and yellow iron oxide.

INDICATIONS

ADDERALL XR™ is indicated for the treatment of Attention Deficit Hyperactivity Disorder (ADHD).

The efficacy of ADDERALL XR™ in the treatment of ADHD was established on the basis of two controlled

trials in children aged 6 to 12 and one controlled trial in adults who met DSM-IV criteria for ADHD (see

CLINICAL PHARMACOLOGY), along with extrapolation from the known efficacy of ADDERALL®, the

immediate-release formulation of this substance.

A diagnosis of Attention Deficit Hyperactivity Disorder (ADHD; DSM-IV) implies the presence of hyperactive-impulsive

or inattentive symptoms that caused impairment and were present before age 7 years. The symptoms

must cause clinically significant impairment, e.g., in social, academic, or occupational functioning, and be present in two or more settings, e.g., school (or work) and at home. The symptoms must not be better accounted for by another mental disorder. For the Inattentive Type, at least six of the following symptoms must have 4 persisted for at least 6 months: lack of attention to details/careless mistakes; lack of sustained attention; poor listener; failure to follow through on tasks; poor organization; avoids tasks requiring sustained mental effort; loses things; easily distracted; forgetful. For the Hyperactive-Impulsive Type, at least six of the following symptoms must have persisted for at least 6 months:fidgeting/squirming; leaving seat; inappropriate running/climbing; difficulty with quiet activities; “on the go;” excessive talking; blurting answers; can’t wait turn; intrusive. The Combined Type requires both inattentive and hyperactive-impulsive criteria to be met.

Special Diagnostic Considerations: Specific etiology of this syndrome is unknown, and there is no single diagnostic test. Adequate diagnosis requires the use not only of medical but of special psychological, educational, and social resources. Learning may or may not be impaired. The diagnosis must be based upon a complete history and evaluation of the child and not solely on the presence of the required number of DSM-IV

characteristics.

Need for Comprehensive Treatment Program: ADDERALL XR™ is indicated as an integral part of a total

treatment program for ADHD that may include other measures (psychologicaleducationalsocial) for patients

with this syndrome. Drug treatment may not be indicated for all children with this syndrome. Stimulants are not

intended for use in the child who exhibits symptoms secondary to environmental factors and/or other primary

psychiatric disorders, including psychosis. Appropriate educational placement is essential and psychosocial

intervention is often helpful. When remedial measures alone are insufficient, the decision to prescribe stimulant

medication will depend upon the physician’s assessment of the chronicity and severity of the child’s symptoms.

Long-Term Use: The effectiveness of ADDERALL XR™ for long-term use, i.e., for more than 3 weeks in

children and 4-weeks in adults, has not been systematically evaluated in controlled trials. Therefore, the

physician who elects to use ADDERALL XR™ for extended periods should periodically re-evaluate the longterm

usefulness of the drug for the individual patient.

INTERACTIONS

Drug interactions may change how your medications work or increase your risk for serious side effects. This document does not contain all possible drug interactions. Keep a list of all the products you use (including prescription/nonprescription drugs and herbal products) and share it with your doctor and pharmacist. Do not start, stop, or change the dosage of any medicines without your doctor’s approval.

Taking MAO inhibitors with this medication may cause a serious (possibly fatal) drug interaction. Avoid taking MAO inhibitors (isocarboxazid, linezolid, methylene blue, moclobemide, phenelzine, procarbazine, rasagiline, safinamide, selegiline, tranylcypromine) during treatment with this medication. Most MAO inhibitors should also not be taken for two weeks before treatment with this medication. Ask your doctor when to start or stop taking this medication.

Some products have ingredients that could raise your heart rate or blood pressure. Tell your pharmacist what products you are using, and ask how to use them safely (especially cough-and-cold products or diet aids).

The risk of serotonin syndrome/toxicity increases if you are also taking other drugs that increase serotonin. Examples include street drugs such as MDMA/ “ecstasy,” St. John’s wort, certain antidepressants (including SSRIs such as fluoxetine/paroxetine, SNRIs such as duloxetine/venlafaxine), among others. The risk of serotonin syndrome/toxicity may be more likely when you start or increase the dose of these drugs.

Dextroamphetamine is very similar to lisdexamfetamine. Do not use medications containing lisdexamfetamine while usingdextroamphetamine.

This medication may interfere with certain medical/laboratory tests (including blood and urine steroid levels, brain scan for Parkinson’s disease), possibly causing false test results. Make sure laboratory personnel and all your doctors know you use this drug.

DOSAGE

As with all medications, follow your Adderall XR prescription instructions exactly. Adderall XR is taken orally, with or without food, once daily. The first dose is typically taken first thing in the morning; it should be taken at the same time each day for the best results.

Capsules should be swallowed whole with water or other liquids. If your child is unable to swallow the capsule, it can be opened and sprinkled over a spoonful of applesauce. Taken this way, the mixture should be swallowed whole without chewing, followed by a drink of water or other liquid. Capsules should never by crushed or chewed.

Capsules are available in 5mg, 10mg, 15mg, 20mg, 25mg and 30mg dosages. The time-release formulation is designed to maintain a steady level of medication in your body throughout the day.

The optimal dosage varies patient by patient; is not determined by age, weight, or height, but rather by how a person metabolizes the medication. Your doctor may adjust your daily dosage by 5mg increments until you or your child experiences the best response — that is, the lowest dosage at which you experience the greatest improvement in symptoms without side effects.

Children ages 6-12 should not exceed 30mg once daily. It is rare that a patient needs to exceed 40mg daily. Taking a high dosage for a prolonged time can result in withdrawal symptoms like fatigue, depression, insomnia, irritability, psychosis, or personality changes. If you or your child exceeds the prescribed dosage, call your doctor or poison control, or seek emergency medical care.

During treatment, your doctor may periodically ask you to stop taking your Adderall XR so that he or she can monitor ADHD symptoms; check vital statistics including blood, heart, and blood pressure; or evaluate height and weight. If any problems are found, your doctor may recommend discontinuing treatment.

Some patients report developing a tolerance to Adderall after long-term usage. If you notice that your dosage is no longer controlling your symptoms, talk to your doctor to plan a course of action.

PRECAUTIONS

Before taking this medication, tell your doctor or pharmacist if you are allergic to it; or to other sympathomimetic drugs (such as lisdexamfetamine); or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details.

Sudden death has been reported in association with CNS stimulant treatment at usual doses in children and adolescents with structural cardiac abnormalities or other serious heart problems. Although some serious heart problems alone carry an increased risk of sudden death, stimulant products generally should not be used in children or adolescents with known serious structural cardiac abnormalities, cardiomyopathy, serious heart rhythm abnormalities, or other serious cardiac problems that may place them at increased vulnerability to the sympathomimetic effects of a stimulant drug

Hypertension and Other Cardiovascular Conditions

Stimulant medications cause a modest increase in average blood pressure (about 2-4 mmHg) and average heart rate (about 3-6 bpm), and individuals may have larger increases. While the mean changes alone would not be expected to have short-term consequences, all patients should be monitored for larger changes in heart rate and blood pressure.Caution is indicated in treating patients whose underlying medical conditions might be compromised by increases in blood pressure or heart rate, e.g., those with pre-existing hypertension, heart failure, recent myocardial infarction, or ventricular arrhythmia.

During pregnancy, this medication should be used only when clearly needed. Discuss the risks and benefits with your doctor. Infants born to mothers who are dependent on this medication may be born too soon (premature) and have low birth weight. They may also have withdrawal symptoms. Tell your doctor right away if you notice possible mood changes, agitation, or unusual tiredness in your newborn.

Assessing Cardiovascular Status in Patients being Treated with Stimulant Medications

Children, adolescents, or adults who are being considered for treatment with stimulant medications should have a careful history (including assessment for a family history of sudden death or ventricular arrhythmia) and physical exam to assess for the presence of cardiac disease, and should receive further cardiac evaluation if findings suggest such disease (e.g. electrocardiogram and echocardiogram). Patients who develop symptoms such as exertional chest pain, unexplained syncope, or other symptoms suggestive of cardiac disease during stimulant treatment should undergo a prompt cardiac evaluation.

This drug may make you dizzyAlcohol or marijuana can make you more dizzy. Do not drive, use machinery, or do anything that needs alertness until you can do it safely. Limit alcoholic beverages. Talk to your doctor if you are using marijuana.

Before having surgery, tell your doctor or dentist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products).

 

Additional information

QUANTITY

60 Capsules, 90 Capsules, 120 Capsules, 180 Capsules, 270 Capsules, 360 Capsules, 450 Capsules

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