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    Evekeo Odt, Evekeo

    Amphetamine

    Amphetamine (am FET a meen) is a generic medication prescribed for attention deficit hyperactivity disorder (ADHD), narcolepsy, and obesity. Amphetamine belongs to a group of drugs called stimulants.

    Medically reviewed by Dena Westphalen, PharmD on May 30, 2023
    Written by Sarah Lewis, PharmD

    Introduction

    This article describes amphetamine’s uses, side effects, ways to save on cost, and more. Below you’ll find some coupon options for amphetamine.

    This article doesn’t provide coupons for all forms of amphetamine. To find coupons for the brand-name versions of amphetamine extended release (ER), see this article.

    Boxed warnings

    Amphetamine oral tablet has a boxed warning about the risk of drug misuse and dependence. It also has a boxed warning about heart problems or sudden death. Boxed warnings are the most serious warnings from the Food and Drug Administration (FDA).

    For details, see the “Interactions and warnings for amphetamine” section below.

    Common questions about amphetamine

    Below you’ll find answers to a few commonly asked questions about amphetamine.

    How does amphetamine compare with other similar drugs, such as dextroamphetamine or methylphenidate?

    Amphetamine is a stimulant medication. Other stimulant medications include methylphenidate and dextroamphetamine. There are also combination stimulant medications, such as amphetamine/dextroamphetamine (Adderall).

    Stimulant drugs increase the activity in your central nervous system. And they’re typically prescribed to treat attention deficit hyperactivity disorder (ADHD). Stimulant medications usually have similar uses and side effects. But they can affect people differently. Your doctor will work with you to find the one that works best for you. For some people, this can take a few tries.

    If you have questions about how amphetamine compares with dextroamphetamine or methylphenidate, talk with your doctor.

    Can amphetamine be prescribed for depression?

    Possibly. Amphetamine isn’t approved to treat depression. But doctors may prescribe it off-label for this purpose. With off-label use, doctors prescribe a drug for a condition other than those it’s been approved for.

    In rare cases, doctors may recommend amphetamine for depression that hasn’t responded to other treatments.

    To learn more about taking amphetamine for depression, talk with your doctor.

    How does amphetamine work? And how long does it take to start working?

    Amphetamine is a stimulant that works in the brain. (Stimulants are substances that increase the activity in your central nervous system.) But the exact way how amphetamine helps with attention deficit hyperactivity disorder (ADHD) and narcolepsy isn’t clear.

    When prescribed for obesity, amphetamine tends to reduce appetite, which can lead to weight loss. But it isn’t clear whether this is the only effect it has or whether it works in another way as well.

    Amphetamine will start to work within 30–60 minutes of taking it.

    Talk with your doctor or pharmacist to find out more about what to expect with amphetamine treatment.

    Is weight gain or hair loss a side effect of amphetamine?

    No, neither weight gain nor hair loss are expected side effects of amphetamine. They weren’t reported in studies of the drug. (For details about the studies of amphetamine, see the prescribing information, in the “Article resources” section below.)

    Talk with your doctor if you experience these side effects after starting amphetamine treatment. They can help determine the most likely cause and suggest ways to manage your symptoms.

    Uses of amphetamine

    The Food and Drug Administration (FDA) approves prescription drugs such as amphetamine for certain conditions. Approved uses for amphetamine are described below.

    Use for ADHD

    Doctors may prescribe amphetamine oral tablet for treating attention deficit hyperactivity disorder (ADHD). It’s prescribed for this purpose in children ages 3 years and older. It’s usually prescribed as a long-term treatment.

    ADHD is a mental health condition that causes hyperactivity and impulsive behavior. In children, symptoms include being severely distracted, overactive, talking too much, or acting without thinking. These symptoms can affect a child’s development. Amphetamine can help increase attention span and reduce impulsiveness.

    Doctors may not prescribe amphetamine oral tablet in certain situations. These include if you’ve ever had drug misuse,* heart disease,* high blood pressure, or high thyroid hormone level.

    * Amphetamine oral tablet has a boxed warning about the risks of drug misuse and heart problems. Boxed warnings are the most serious warnings from the Food and Drug Administration (FDA). For details, see the “Interactions and warnings for amphetamine” section below.

    Use for narcolepsy

    Doctors may prescribe amphetamine oral tablet for treating narcolepsy. It’s prescribed for this purpose in adults and children ages 12 years and older. It’s usually prescribed as a long-term treatment.

    With narcolepsy, people have unmanageable sleep attacks. This causes excessive daytime sleepiness. Amphetamine can help people with narcolepsy stay awake.

    Doctors may not prescribe amphetamine oral tablet in certain situations. These include if you’ve ever had drug misuse,* heart disease,* high blood pressure, or high thyroid hormone level.

    * Amphetamine oral tablet has a boxed warning about the risks of drug misuse and heart problems. Boxed warnings are the most serious warnings from the FDA. For details, see the “Interactions and warnings for amphetamine” section below.

    Use for obesity

    Doctors may prescribe amphetamine oral tablet for treating obesity. It’s prescribed for this purpose in adults and children ages 12 years and older. It’s usually prescribed as a short-term treatment.

    With obesity, you have a body mass index of 30 or more. Amphetamine can help reduce appetite in people with obesity. This can cause them to eat less and manage their weight.

    Doctors may not prescribe amphetamine oral tablet in certain situations. These include if you’ve ever had drug misuse,* heart disease,* high blood pressure, or high thyroid hormone.

    * Amphetamine oral tablet has a boxed warning about the risks of drug misuse and heart problems. Boxed warnings are the most serious warnings from the FDA. For details, see the “Interactions and warnings for amphetamine” section below.

    Side effects of amphetamine

    Amphetamine may cause mild or serious side effects. More common mild side effects of amphetamine and its serious side effects are listed below. This article doesn’t include all possible side effects of the drug. Side effects can vary based on your age, overall health, and any other medications you take.

    To learn more about amphetamine’s side effects, ask your doctor or pharmacist. You can also read the prescribing information* for amphetamine.

    * To view amphetamine’s prescribing information, see the “Article resources” section below.

    Mild side effects

    More common mild side effects reported with amphetamine are listed below.

    This article doesn’t include all possible mild side effects of the drug. To learn more about amphetamine’s side effects, see the prescribing information* for amphetamine.

    With many drugs, mild side effects may go away within a few days or a couple of weeks. If the side effects are bothersome, tell your doctor or pharmacist. They may be able to suggest ways to manage them.

    Amphetamine oral tablet’s mild side effects include:

    * To view amphetamine’s prescribing information, see the “Article resources” section below.
    † For details about this side effect, see the “Interactions and warnings for amphetamine” section below.

    Serious side effects

    Serious side effects of amphetamine are listed below.

    This article doesn’t include all possible serious side effects of the drug. To learn more about amphetamine’s side effects, see the prescribing information* for amphetamine.

    With many drugs, serious side effects are possible but not common. If you have serious side effects from this drug, call your doctor right away. If you’re having severe symptoms or a medical emergency, call 911 or a local emergency number.

    In general, amphetamine’s serious side effects include:

    * To view amphetamine’s prescribing information, see the “Article resources” section below.
    † For details about this side effect, see the “Interactions and warnings for amphetamine” section below.
    This side effect is specific to children taking amphetamine rather than adults. For details, see amphetamine’s prescribing information in the “Article resources” section below.

    Suicide prevention

    If you know someone at immediate risk of self-harm, suicide, or hurting another person:

    • Ask the tough question: “Are you considering suicide?”
    • Listen to the person without judgment.
    • Call 911 or the local emergency number, or text TALK to 741741 to communicate with a trained crisis counselor.
    • Stay with the person until professional help arrives.
    • Try to remove any weapons, medications, or other potentially harmful objects.

    If you or someone you know is having thoughts of suicide, a prevention hotline can help. The 988 Suicide and Crisis Lifeline is available 24 hours a day at 988. During a crisis, people who are hard of hearing can use their preferred relay service or dial 711 then 988.

    Click here for more links and local resources.

    Interactions and warnings for amphetamine

    Below, you’ll find information about amphetamine’s possible interactions and warnings.

    Interactions of amphetamine

    Certain things may affect how a drug works. These include getting vaccines, consuming alcohol or certain foods, or taking the drug with other medications. This effect is called a drug interaction.

    Before you take amphetamine, ask your doctor to check for possible interactions. Be sure to tell them about any of the following you take or use:

    • prescription drugs
    • over-the-counter medications
    • vitamins, herbs, or supplements

    To learn about drug-condition interactions, see the “Warnings for amphetamine” section below.

    Warnings for amphetamine

    Amphetamine should not be taken or should be taken cautiously by certain people.

    Boxed warnings

    Amphetamine has a boxed warning about the risk of drug misuse and dependence. It also has a boxed warning about heart problems and sudden death. Boxed warnings are the most serious warnings from the Food and Drug Administration (FDA).

    Risk of drug misuse and dependence. Amphetamine has a high risk of misuse and dependence. With misuse, you take a drug in a way other than how a doctor prescribes it. With dependence, your body needs the drug to function like usual.

    Symptoms of dependence may include anxiety, nightmares, or nausea between your doses.

    Due to these risks, doctors usually don’t prescribe amphetamine to people who have had substance or alcohol use disorder. These conditions increase the risk of misuse and dependence with amphetamine.

    If you have concerns about misuse or dependence with amphetamine treatment, tell your doctor. They’ll likely recommend ways to get help.

    Risk of heart problems or sudden death. Misusing amphetamine can lead to serious heart problems, such as heart attack, and sudden death.

    Symptoms of a heart attack may include chest pain, shortness of breath, and anxiety.

    Due to this risk, you should not take amphetamine if you have the following conditions:

    If you experience symptoms of a heart attack, seek emergency medical care or call 911 or your local emergency number.

    Other warnings

    Amphetamine could cause harm to people with certain health conditions. This effect is called a drug-condition interaction. Other factors can also affect whether amphetamine is a safe option for you.

    Ask your doctor about specific warnings for amphetamine, and be sure to tell your doctor about your:

    • current health, including any allergies to medications
    • past health conditions or surgeries

    Allergic reaction

    Amphetamine can cause an allergic reaction in some people. Severe allergic reactions are rare but possible.

    If you’ve had an allergic reaction to amphetamine or any of its ingredients, your doctor will likely not prescribe amphetamine. They can tell you about medications that are safer options for you.

    A mild allergic reaction may cause the following symptoms:

    A severe allergic reaction may cause the following symptoms:

    • swelling under your skin, usually in your hands, feet, eyelids, or lips
    • swelling of your mouth, throat, or tongue, which can cause breathing problems

    If you have an allergic reaction to amphetamine, call your doctor right away. If you have severe symptoms, call 911 or a local emergency number.

    Pregnancy or breastfeeding and amphetamine

    Information about amphetamine and pregnancy and breastfeeding is described below.

    Amphetamine and pregnancy

    There are risks to taking amphetamine during pregnancy. But there are also risks with having untreated attention deficit hyperactivity disorder (ADHD) and narcolepsy while pregnant. (Keep in mind that amphetamine is prescribed for treating ADHD and narcolepsy.)

    If you’re planning a pregnancy or can become pregnant, talk with your doctor about your treatment options during pregnancy. Together, you can discuss the risks and benefits of your treatment options and decide whether or not you should take amphetamine during pregnancy.

    Note: If you are pregnant and have obesity, your doctor won’t likely prescribe amphetamine for obesity.

    Amphetamine and breastfeeding

    Amphetamine should not be taken while breastfeeding. If you’re currently breastfeeding or planning to do so, talk with your doctor before taking this medication. Your doctor may recommend other ways to feed your child during treatment with amphetamine.

    Dosage of amphetamine

    The dosage of amphetamine your doctor prescribes may vary based on your condition and certain other factors. Talk with your doctor about the dosage you should take.

    Taking amphetamine

    Amphetamine oral tablet is swallowed with or without food.

    Your doctor will talk with you about how to take amphetamine. They’ll explain how much to take and how often. Always follow your doctor’s recommendation.

    Overdose of amphetamine

    You should not take more amphetamine than your doctor prescribes. For some drugs, doing so may lead to serious side effects or overdose.

    If you think you’ve taken too much amphetamine, call your doctor or pharmacist right away. Or you could call 800-222-1222 to speak with someone at America’s Poison Centers. You can also use its online resource. If you have concerning symptoms, call 911 or a local emergency number immediately. You can also go to the closest emergency room.

    Amphetamine coupon

    You may be able to save money on your prescription for amphetamine by using our Perks discount coupons. They can be found at the end of this article.

    If you have questions about how to pay for amphetamine, talk with your doctor or pharmacist.

    Note: Optum Perks coupons cannot be used with insurance copays or benefits.

    What to ask your doctor

    This article describes amphetamine’s uses and dosage, ways to save on cost, and more. Let your doctor know if you have questions about amphetamine or would like more details about it.

    Here’s a list of some possible questions you may want to ask your doctor:

    • How can I reduce the risk of misuse or dependence with amphetamine?
    • Do I have an increased risk of side effects from amphetamine for any reason?
    • Do any of the other medications I take interact with amphetamine?
    • How does amphetamine compare with other drugs that could treat my condition?

     Article resources

    Disclaimer: Optum Perks has made every effort to make certain that all information is factually correct, comprehensive, and up to date. However, this article should not be used as a substitute for the knowledge and expertise of a licensed healthcare professional. You should always consult your doctor or another healthcare professional before taking any medication. The drug information contained herein is subject to change and is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. The absence of warnings or other information for a given drug does not indicate that the drug or drug combination is safe, effective, or appropriate for all patients or all specific uses.

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    • 60 Tablets

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    Name

    Amphetamine Orally Disintegrating Tablets

    Pronunciation

    (am FET a meen)

    Brand Names: US

    Adzenys XR-ODT, Evekeo ODT

    Warning

    This drug has a risk of abuse and misuse. This drug may also be habit-forming if taken for a long time. Do not take for longer than you have been told by your doctor. Use only as you were told. Tell your doctor if you have ever abused or been addicted to any drugs or alcohol. Misuse of this drug may cause heart-related side effects or even sudden death.

    What is this drug used for?

    It is used to treat attention deficit problems with hyperactivity. It may be given to you for other reasons. Talk with the doctor.

    What do I need to tell my doctor BEFORE I take this drug?

    If you are allergic to this drug; any part of this drug; or any other drugs, foods, or substances. Tell your doctor about the allergy and what signs you had. If you or a family member have any of these health problems: Blood vessel disease, high blood pressure, heart structure problems or other heart problems, or Tourette's syndrome or tics. If you have any of these health problems: Glaucoma, agitation, anxiety, or overactive thyroid. If you have ever had any of these health problems: Drug abuse or stroke. If you are taking any of these drugs: Acetazolamide or sodium bicarbonate. If you have taken certain drugs for depression or Parkinson's disease in the last 14 days. This includes isocarboxazid, phenelzine, tranylcypromine, selegiline, or rasagiline. Very high blood pressure may happen. If you are taking any of these drugs: Linezolid or methylene blue. If you are breast-feeding. Do not breast-feed while you take this drug. This is not a list of all drugs or health problems that interact with this drug. Tell your doctor and pharmacist about all of your drugs (prescription or OTC, natural products, vitamins) and health problems. You must check to make sure that it is safe for you to take this drug with all of your drugs and health problems. Do not start, stop, or change the dose of any drug without checking with your doctor.

    What are some things I need to know or do while I take this drug?

    Tell all of your health care providers that you take this drug. This includes your doctors, nurses, pharmacists, and dentists. Avoid driving and doing other tasks or actions that call for you to be alert until you see how this drug affects you. If you have been taking this drug for a long time or at high doses, it may not work as well and you may need higher doses to get the same effect. This is known as tolerance. Call your doctor if this drug stops working well. Do not take more than ordered. If you have been taking this drug for many weeks, talk with your doctor before stopping. You may want to slowly stop this drug. You may need to have some heart tests before starting this drug. If you have questions, talk with your doctor. This drug may cause high blood pressure. Check blood pressure and heart rate as the doctor has told you. Have blood work checked as you have been told by the doctor. Talk with the doctor. This drug may affect certain lab tests. Tell all of your health care providers and lab workers that you take this drug. You may need to avoid drinking alcohol with some products. Talk with your doctor or pharmacist to see if you need to avoid drinking alcohol with this drug. New or worse behavior and mood changes like change in thinking, anger, and hallucinations have happened with this drug. Tell your doctor if you or a family member have any mental or mood problems like depression or bipolar illness, or if a family member has committed suicide. Call your doctor right away if you have hallucinations; change in the way you act; or signs of mood changes like depression, thoughts of suicide, nervousness, emotional ups and downs, thinking that is not normal, anxiety, or lack of interest in life. A severe and sometimes deadly problem called serotonin syndrome may happen if you take this drug with certain other drugs. Call your doctor right away if you have agitation; change in balance; confusion; hallucinations; fever; fast or abnormal heartbeat; flushing; muscle twitching or stiffness; seizures; shivering or shaking; sweating a lot; severe diarrhea, upset stomach, or throwing up; or severe headache. This drug may affect growth in children and teens in some cases. They may need regular growth checks. Talk with the doctor. Tell your doctor if you are pregnant or plan on getting pregnant. You will need to talk about the benefits and risks of using this drug while you are pregnant.

    What are some side effects that I need to call my doctor about right away?

    WARNING/CAUTION: Even though it may be rare, some people may have very bad and sometimes deadly side effects when taking a drug. Tell your doctor or get medical help right away if you have any of the following signs or symptoms that may be related to a very bad side effect: Signs of an allergic reaction, like rash; hives; itching; red, swollen, blistered, or peeling skin with or without fever; wheezing; tightness in the chest or throat; trouble breathing, swallowing, or talking; unusual hoarseness; or swelling of the mouth, face, lips, tongue, or throat. Signs of high blood pressure like very bad headache or dizziness, passing out, or change in eyesight. Signs of a urinary tract infection (UTI) like blood in the urine, burning or pain when passing urine, feeling the need to pass urine often or right away, fever, lower stomach pain, or pelvic pain. Shakiness. Change in eyesight. Seizures. Trouble controlling body movements. Change in color of hands or feet from pale to blue or red. Numbness, pain, tingling, or cold feeling of the hands or feet. Any sores or wounds on the fingers or toes. Muscle pain or weakness, dark urine, or trouble passing urine. Not able to get or keep an erection. Change in sex interest. For males, erections (hard penis) that happen often or that last a long time. Heart attacks, strokes, and sudden deaths have happened in adults taking this drug. Sudden deaths have also happened in children with some heart problems or heart defects. Call your doctor right away if you have a fast, slow, or abnormal heartbeat; weakness on 1 side of the body; trouble speaking or thinking; change in balance; drooping on 1 side of the face; change in eyesight; chest pain or pressure; shortness of breath; or severe dizziness or passing out.

    What are some other side effects of this drug?

    All drugs may cause side effects. However, many people have no side effects or only have minor side effects. Call your doctor or get medical help if any of these side effects or any other side effects bother you or do not go away: Feeling dizzy, tired, or weak. Dry mouth. Constipation, diarrhea, stomach pain, upset stomach, throwing up, or feeling less hungry. Trouble sleeping. Headache. Weight loss. Bad taste in your mouth. Feeling nervous and excitable. Restlessness. These are not all of the side effects that may occur. If you have questions about side effects, call your doctor. Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-332-1088. You may also report side effects at https://www.fda.gov/medwatch.

    How is this drug best taken?

    Use this drug as ordered by your doctor. Read all information given to you. Follow all instructions closely. Take this drug early in the day to prevent sleep problems. Take with or without food. Do not take this drug out of the blister pack until you are ready to take it. Take this drug right away after opening the blister pack. Do not store the removed drug for future use. Use dry hands to open the blister pack. Take the tablet out of the blister pack as you have been told or read the package insert. Place on your tongue and let it dissolve. Water is not needed. Do not swallow it whole. Do not chew, break, or crush it. Talk with your doctor before using OTC products that may raise blood pressure. These include cough or cold drugs, diet pills, stimulants, non-steroidal anti-inflammatory drugs (NSAIDs) like ibuprofen or naproxen, and some natural products or aids. Different brands of this drug may be for use in different ages of children. Talk with the doctor before giving this drug to a child.

    What do I do if I miss a dose?

    Take a missed dose as soon as you think about it. If it is close to the time for your next dose, skip the missed dose and go back to your normal time. Do not take 2 doses at the same time or extra doses.

    How do I store and/or throw out this drug?

    Store at room temperature in a dry place. Do not store in a bathroom. Store blister packs in the plastic case that comes with this drug. Store this drug in a safe place where children cannot see or reach it, and where other people cannot get to it. A locked box or area may help keep this drug safe. Keep all drugs away from pets. Throw away unused or expired drugs. Do not flush down a toilet or pour down a drain unless you are told to do so. Check with your pharmacist if you have questions about the best way to throw out drugs. There may be drug take-back programs in your area.

    General drug facts

    If your symptoms or health problems do not get better or if they become worse, call your doctor. Do not share your drugs with others and do not take anyone else's drugs. This drug comes with an extra patient fact sheet called a Medication Guide. Read it with care. Read it again each time this drug is refilled. If you have any questions about this drug, please talk with the doctor, pharmacist, or other health care provider. If you think there has been an overdose, call your poison control center or get medical care right away. Be ready to tell or show what was taken, how much, and when it happened.

    Consumer Information Use and Disclaimer

    This information should not be used to decide whether or not to take this medicine or any other medicine. Only the healthcare provider has the knowledge and training to decide which medicines are right for a specific patient. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about this medicine. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to this medicine. This information is not specific medical advice and does not replace information you receive from the healthcare provider. You must talk with the healthcare provider for complete information about the risks and benefits of using this medicine.

    This information should not be used to decide whether or not to take this medicine or any other medicine. Only the healthcare provider has the knowledge and training to decide which medicines are right for a specific patient. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about this medicine. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to this medicine. This information is not specific medical advice and does not replace information you receive from the healthcare provider. You must talk with the healthcare provider for complete information about the risks and benefits of using this medicine.