b. Amphetamines

**Dosage should be individualized according to the therapeutic needs and response of the patient**

 

BrandGenericFormStrengthDosingMax doseDuration Peak Effectside effects Notes/Medication guide Tier SoonerCareTier BCBSTier Tricare
AdderallMixed salts: Dextroamphetamine/ Levoamphetamine Tablets5, 7.5, 10, 12.5, 15, 20, 30 mg3-5 yr: start w/ 2.5 daily, increment of 2.5 weekly until optimal response.
6 yr: start with 5 mg 1-2 time/day, increment of 5 mg wkly until optimal response.
40 mg 4-6 hrs3 hrsCommon:

Nervousness, insomnia, loss appetite, mood swings, nausea/vomiting, abdominal pain, weight t loss, digested problems, dizziness, headache, withdrawal symptoms.



Less common: palpitation, rare myocardial infarctions, changes in heart rate & blood pressure (usually increase of both, occasional decrease) skin rashes & itching, seizures, blurred vision, toxic psychosis, psychotics episodes, drug dependence synd. Growth retardation, severe depression upon withdraw
*1st dose on awaken; additional does (1 or 2) at 4-6h.
*Avoid acid food 1 h before and after

Med guide
1generic generic/brand1
Adderall XRMixed salts: Dextroamphetamine/ Levoamphetamine Ext-rel capsules, can be sprinkled5, 10, 15, 20, 25, 30 mg6 y: Start at 5-10 mg q am; increments of 5-10 mg weekly;
13-17 y/o: 10 mg daily, increment of 10 wkly
30 mg 8-12 hrs7 hrsGeneric available.
Med guide
Brand name 1generic generic/brand1
DexedrineDextroamphetamineTablets5 mg6 y/older: start at 5 mg daily or bid; increments of 5 mg wkly until optimal response40 mg 4-6 hrs3 hrsMed guide3generic generic/brand1
Dexedrine SpansuleDextroamphetamineSust-rel Spansule5, 10, 15 mg Start at 5 mg qam, increment 5 mg wkly40 mg 6-10 hrs3-4 hrsMed guide3generic generic/brand1
VyvanseLisdexamphetamineCapsules20, 30, 30, 50, 60, 70 mg6-12 y: 20-30 mg in q am, increments of 10-20 mg wkly70 mg 8-12 hrs3.5-4.5 hrsHigh fat food extends peak time for an hour
Med guide
1Formulary, DLNF ($44 network)