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U.S. Department of Health and Human Services

Safety

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Adderall XR (dextroamphetamine mixed salts of a single-entity amphetamine product) Capsules

Detailed View: Safety Labeling Changes Approved By FDA Center for Drug Evaluation and Research (CDER)

 

March 2013

Summary View

ADVERSE REACTIONS

  • paresthesia (including formication) 

 

February 2012

Summary View

 

ADVERSE REACTIONS

Adverse Reactions with the Use of Amphetamine, Adderall XR, or Adderall
  • Central Nervous System-Psychotic episodes at recommended doses, overstimulation, restlessness, irritability, euphoria, dyskinesia, dysphoria, depression, tremor, tics, aggression, anger, logorrhea, dermatillomania.
  • Eye Disorders-Vision blurred, mydriasis
  • Gastrointestinal - Unpleasant taste, constipation, other gastrointestinal disturbances.
  • Skin- Alopecia.

 

November 2010

Summary View

PRECAUTION

Drug Interactions
  • Proton Pump Inhibitors (PPIs) PPIs act on proton pumps by blocking acid production, thereby reducing gastric acidity. When ADDERALL XR (20 mg single-dose) was administered concomitantly with the proton pump inhibitor, omeprazole (40 mg once daily for 14 days), the median Tmax of d-amphetamine was decreased by 1.25 hours (from 4 to 2.75 hours), and the median Tmax of l-amphetamine was decreased by 2.5 hours (from 5.5 to 3 hours), compared to ADDERALL XR administered alone. The AUC and Cmax of each moiety were unaffected. Therefore, co-administration of ADDERALL XR and proton pump inhibitors should be monitored for changes in clinical effect.

 

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