Drug Information

IMPORTANT NOTE: The following information is intended to supplement, not substitute for, the expertise and judgment of your physician, pharmacist or other healthcare professional. It should not be construed to indicate that use of the drug is safe, appropriate or effective for you. Consult your healthcare professional before using this drug.

Adderall, Adderall XR

Adderall is a pill that contains amphetamine and dextroamphetamine

Adderall comes in many different strengths, in tablet form and in capsule form.

Adderall, like all amphetamines, has a high potential for abuse. If used in large doses over long periods of time, it can cause dependence and addiction. Be careful to take Adderall only as prescribed.

What side effects may occur?

Side effects cannot be anticipated. If any develop or change in intensity, tell your doctor as soon as possible. Only your doctor can determine if it is safe for you or your child to continue taking Adderall.

Side effects of Adderall may include:
Dry mouth, high blood pressure, hives, impotence, overstimulation, rapid or pounding heartbeat, stomach and intestinal disturbances, weight loss, abdominal pain, diarrhea, dizziness, fever, infection (including viral), insomnia, loss of appetite, mood swings, nausea, nervousness, vomiting, weakness.

Why should Adderall not be prescribed?

Do not use Adderall if you have any of the following conditions:

Heart disease
Hardening of the arteries
High blood pressure
High pressure in the eye (glaucoma)
Overactive thyroid gland

Never take Adderall within 14 days of taking an antidepressant classified as an MAO inhibitor, including Nardil and Parnate. A potentially life-threatening spike in blood pressure could result.

Your doctor will not prescribe Adderall if you have ever had a reaction to similar stimulant drugs. The doctor will also avoid prescribing Adderall if you appear agitated or are prone to substance abuse.

Special warnings about Adderall

If you have even a mild case of high blood pressure, take Adderall with caution. Be careful, too, about driving or operating machinery until you know how this drug affects you. It may impair judgment and coordination.

Adderall can make tics and twitches worse. If you or a family member has this problem (or the condition called Tourette's syndrome), make sure the doctor is aware of it. Amphetamines such as Adderall have also been known to aggravate symptoms in seriously disturbed (psychotic) individuals.

If the problem is attention-deficit disorder, the doctor will do a complete history and evaluation before prescribing Adderall, taking particular account of the severity of the symptoms and the age of your child. If the problem is a temporary reaction to a stressful situation, Adderall is probably not called for.

Concerta

Concerta is one of the many ADHD drugs that has methylphenidate
as its active ingredient. Concerta differentiates itself from other
methylphenidate pills by a special time-release technology.

What side effects may occur?

Headache, stomach pain, loss of appetite, trouble sleeping, dizziness, nausea, vomiting, lightheadedness, irritability, nervousness, blurred vision, dry mouth, constipation or (rarely) drowsiness may occur. If any of these effects persist or worsen, notify your doctor or pharmacist promptly.

Inactive parts of this drug may be passed in your stool as a harmless soft mass that may look like the original tablet. This is normal for this drug.

Remember that your doctor has prescribed this medication because the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.

Tell your doctor immediately if any of these unlikely but serious side effects occur:

uncontrolled movements (motor tics or tremor)
verbal tics (e.g., Tourette's syndrome)
weight loss
fast/pounding/irregular heartbeat
chest pain
mental/mood/behavior changes (e.g., agitation, aggression, mood swings, depression, abnormal thoughts)
difficulty urinating

Tell your doctor immediately if any of these rare but very serious side effects occur:

signs of infection (e.g., fever, persistent sore throat)
easy bruising/bleeding

Seek immediate medical attention if any of these rare but very serious side effects occur:

shortness of breath
chest pain
jaw/left arm pain
fainting
seizures
blurred vision
weakness on one side of the body
slurred speech
confusion

A very serious allergic reaction to this drug is unlikely, but seek immediate medical attention if it occurs. Symptoms of a serious allergic reaction may include:

rash
itching
swelling
severe dizziness
trouble breathing

If you notice other effects not listed above, contact your doctor or pharmacist.

Possible drug interactions

Avoid taking MAO inhibitors (e.g., furazolidone, isocarboxazid, linezolid, moclobemide, phenelzine, procarbazine, selegiline, tranylcypromine) within 2 weeks before or after treatment with this medication. In some cases, a serious, possibly fatal, drug interaction may occur. If you are currently using any of these medications, tell your doctor or pharmacist before starting this medication.

Before using this medication, tell your doctor or pharmacist of all prescription and nonprescription/herbal products you may use, especially of:

"blood thinners" (e.g., warfarin)
clonidine
guanethidine
phenylbutazone
drugs that can increase blood pressure (e.g., phenylephrine)
anti-seizure drugs (e.g., phenobarbital, phenytoin, primidone)
tricyclic antidepressants (e.g., imipramine, desipramine)
SSRI antidepressants (e.g., fluoxetine, sertraline)

Cylert

Pronounced: SIGH-lert
Generic name: Pemoline

Cylert is used to help treat children who have attention deficit disorder with hyperactivity. However, this condition does not always require drug treatment. Drugs such as Cylert should be taken as part of a comprehensive treatment plan offering psychological and educational support to help the child become more stable.

Children who have attention deficit disorder with hyperactivity may show signs of:

Emotional mood swings
Hyperactivity
Impulsive actions
Moderate to severe distractibility
Short attention span

Most important fact about this drug

Cylert has been known to cause rare cases of liver damage, some serious enough to be fatal. Children taking Cylert should have their liver function tested every 2 weeks. If the child develops any signs of liver damage, call your doctor immediately. Warning signs include fatigue, loss of appetite, digestive problems, yellow skin or eyes, and pain in the upper right section of the abdomen.

What side effects may occur?

Side effects cannot be anticipated. If any develop or change in intensity, inform your doctor as soon as possible. Only your doctor can determine if it is safe for your child to continue taking Cylert.

The most common side effect may include:
Insomnia

Less common side effects may include:
Depression, dizziness, drowsiness, hallucinations, headache, hepatitis and other liver problems, increased irritability, involuntary, fragmented movements of the face, eyes, lips, tongue, arms, and legs, loss of appetite, mild depression, nausea, seizures, skin rash, stomachache, suppressed growth, uncontrolled vocal outbursts (such as grunts, shouts, and obscene language), weight loss, yellowing of skin or eyes

Rare side effects may include:
A rare form of anemia with symptoms such as bleeding gums, bruising, chest pain, fatigue, headache, nosebleeds, and abnormal paleness

Why should this drug not be prescribed?

Your child should not be using Cylert if he or she is allergic to it or if he or she has liver problems.

Special warnings about this medication

Cylert may cause dizziness. Warn your child to be careful climbing stairs or participating in activities that require mental alertness.

Although there have been no reports that Cylert is physically addictive, it is chemically similar to a class of drugs that are potentially addictive. Make sure your child takes no more than the prescribed dosage.

Children who take this drug on a long-term basis should be carefully monitored for signs of stunted growth.

Your doctor will be extra cautious if your child has kidney problems.

Children who have a psychiatric illness who take Cylert may experience increasingly disordered thoughts and behavioral disturbances.

Possible food and drug interactions when taking this medication

If Cylert is taken with certain other drugs, the effects of either could be increased, decreased, or altered. It is especially important to check with your doctor before combining Cylert with the following:

Seizure medications such as Tegretol
Other drugs that affect the central nervous system (brain and spinal cord) such as Ritalin

Desoxyn

Pronounced: des-OK-sin
Generic name: Methamphetamine hydrochloride

Why is Desoxyn prescribed?

Desoxyn is used to treat Attention Deficit Hyperactivity Disorder (ADHD). This drug is given as part of a total treatment program that includes psychological, educational, and social measures. Symptoms of ADHD include continual problems with moderate to severe distractibility, short attention span, hyperactivity, emotional instability, and impulsiveness.

Most important fact about Desoxyn

Excessive doses of this medication can produce addiction. Individuals who stop taking this medication after taking high doses for a long time may suffer withdrawal symptoms, including extreme tiredness, depression, and sleep disorders. Signs of excessive use of Desoxyn include severe skin inflammation, difficulty sleeping, irritability, hyperactivity, personality changes, and psychiatric problems.

What side effects may occur?

Side effects cannot be anticipated. If any develop or change in intensity, inform your doctor as soon as possible. Only your doctor can determine if it is safe to continue taking Desoxyn.

More common side effects may include:
Changes in sex drive, constipation, diarrhea, dizziness, dry mouth, exaggerated feeling of well-being, headache, hives, impaired growth, impotence, increased blood pressure, overstimulation, rapid or irregular heartbeat, restlessness, sleeplessness, stomach or intestinal problems, tremor, unpleasant taste, worsening of tics and Tourette's syndrome (severe twitching)

Why should Desoxyn not be prescribed?

You should not take Desoxyn if you are also taking a monoamine oxidase (MAO) inhibitor drug such as Nardil or Parnate. Allow 14 days between stopping an MAO inhibitor and beginning therapy with Desoxyn.

You should not take Desoxyn if you have glaucoma, advanced hardening of the arteries, heart disease, moderate to severe high blood pressure, thyroid problems, or sensitivity to this type of drug. This medication should not be taken by anyone who suffers from tics (repeated, involuntary twitches) or Tourette's syndrome or who has a family history of these conditions. People who are in an agitated state or who have a history of drug abuse should not take this medication. Desoxyn should not be used to treat children whose symptoms may be caused by stress or a psychiatric disorder.

Special warnings about Desoxyn

Desoxyn is not appropriate for all children with symptoms of ADHD. Your doctor will do a complete history and evaluation before prescribing this medication. The doctor will take into account the duration and severity of the symptoms as well as your child's age.

This type of medication can affect the growth of children, so your doctor will watch your child carefully while he or she is taking this drug. The long-term effects of this type of medication in children have not been established.

Desoxyn should be used with caution if you have mild high blood pressure.

Desoxyn may affect your ability to perform potentially hazardous activities, such as operating machinery or driving a car.

Desoxyn should not be used to combat fatigue or to replace rest.

Possible food and drug interactions when taking Desoxyn

If Desoxyn is taken with certain other drugs, the effects of either could be increased, decreased, or changed. It is especially important to check with your doctor before combining Desoxyn with the following:

Antidepressants classified as tricyclics, such as Elavil, Pamelor, and Tofranil
Drugs classified as monoamine oxidase (MAO) inhibitors, such as the antidepressants Nardil and Parnate
Drugs classified as phenothiazines, such as the antipsychotic medications chlorpromazine and prochlorperazine
Guanethidine
Insulin

Dexedrine

Pronounced: DEX-eh-dreen
Generic name: Dextroamphetamine sulfate

Why is Dexedrine prescribed?

Dexedrine, a stimulant drug available in tablet or sustained-release capsule form, is prescribed to help treat the following conditions:

Narcolepsy (recurrent "sleep attacks")
Attention Deficit Hyperactivity Disorder. (The total treatment program should include social, psychological, and educational guidance along with Dexedrine.)

Most important fact about Dexedrine

Because it is a stimulant, this drug has high abuse potential. The stimulant effect may give way to a letdown period of depression and fatigue. Although the letdown can be relieved by taking another dose, this soon becomes a vicious circle.

If you habitually take Dexedrine in doses higher than recommended, or if you take it over a long period of time, you may eventually become dependent on the drug and suffer from withdrawal symptoms when it is unavailable.

What side effects may occur?

Side effects cannot be anticipated. If any develop or change in intensity, inform your doctor as soon as possible. Only your doctor can determine if it is safe for you to continue taking Dexedrine.

More common side effects may include:
Excessive restlessness, overstimulation
Effects of chronic heavy abuse of Dexedrine may include:
Hyperactivity, irritability, personality changes, schizophrenia-like thoughts and behavior, severe insomnia, severe skin disease

Why should Dexedrine not be prescribed?

Do not take Dexedrine if you are sensitive to or have ever had an allergic reaction to it.

Do not take Dexedrine for at least 14 days after taking a monoamine oxidase inhibitor (MAO inhibitor) such as the antidepressants Nardil and Parnate. Dexedrine and MAO inhibitors may interact to cause a sharp, potentially life-threatening rise in blood pressure.

Your doctor will not prescribe Dexedrine for you if you suffer from any of the following conditions:

Agitation
Cardiovascular disease
Glaucoma
Hardening of the arteries
High blood pressure
Overactive thyroid gland
Substance abuse

Special warnings about Dexedrine

Be aware that one of the inactive ingredients in Dexedrine is a yellow food coloring called tartrazine (Yellow No. 5). In a few people, particularly those who are allergic to aspirin, tartrazine can cause a severe allergic reaction.

Dexedrine may impair judgment or coordination. Do not drive or operate dangerous machinery until you know how you react to the medication.

There is some concern that Dexedrine may stunt a child's growth. For the sake of safety, any child who takes Dexedrine should have his or her growth monitored.

Possible food and drug interactions when taking Dexedrine

If Dexedrine is taken with certain foods or drugs, the effects of either could be increased, decreased, or altered. It is especially important to check with your doctor before combining Dexedrine with the following:

Substances that dampen the effects of Dexedrine:
Ammonium chloride, Chlorpromazine (Thorazine), Fruit juices, Glutamic acid hydrochloride, Guanethidine, Haloperidol (Haldol), Lithium carbonate (Eskalith), Methenamine (Urised), Reserpine, Sodium acid phosphate, Vitamin C (as ascorbic acid)
Substances that boost the effects of Dexedrine:
Acetazolamide (Diamox), MAO inhibitors such as Nardil and Parnate, Propoxyphene (Darvon), Sodium bicarbonate (baking soda), Thiazide diuretics such as Diuril

Substances that have decreased effect when taken with Dexedrine:
Antihistamines such as Benadryl, Blood pressure medications such as Catapres, Hytrin, and Minipress, Ethosuximide (Zarontin), Veratrum alkaloids (found in certain blood pressure drugs)

Substances that have increased effect when taken with Dexedrine: Antidepressants such as Norpramin, Meperidine (Demerol), Norepinephrine (Levophed), Phenobarbital, Phenytoin (Dilantin)

Ferndex Oral

Generic Name: DEXTROAMPHETAMINE - ORAL
Pronounced: (dex-trow-am-FET-uh-meen)

Ferndex Oral Uses

Dextroamphetamine is used to treat attention deficit hyperactivity disorder (ADHD) as part of a total treatment plan, including psychological, social, and other treatments. It may help to increase the ability to pay attention, concentrate, stay focused, and stop fidgeting.

This drug may also be used to treat certain sleeping disorders (narcolepsy) to help you stay awake during the day. It should not be used to treat tiredness or to hold off sleep in people who do not have a sleep disorder.

Dextroamphetamine is a stimulant. It is thought to work by restoring the balance of certain natural chemicals (neurotransmitters) in the brain.

Dextroamphetamine is not recommended for use in children younger than 3.

Ferndex Oral Warning

Misuse or abuse of amphetamine may result in serious (possibly fatal) heart and blood pressure problems. Amphetamine-type medications can be habit-forming and should be used cautiously by people who have mental/mood disorders or a history of alcohol/drug abuse. Such people may be more likely to increase their dose of this drug unnecessarily or take this medication too often. With prolonged use or abuse of this medication, drug dependence and abnormal behavior may occur. Withdrawal symptoms may occur after stopping the drug. Consult your doctor or pharmacist for more details. (See also How to Use section).

Ferndex Oral Side Effects

Nausea, stomach upset, cramps, loss of appetite, diarrhea, dry mouth, headache, nervousness, dizziness, trouble sleeping, sweating, weight loss, irritability or restlessness may occur. If any of these effects persist or worsen, notify your doctor promptly.

Remember that your doctor has prescribed this medicine because the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.

Tell your doctor immediately if any of these unlikely but serious side effects occur:

mental/mood/behavior changes (e.g., agitation, aggression, mood swings, depression, hallucinations, abnormal thoughts/behavior)
uncontrolled movements
muscle twitching/shaking
outbursts of words/sounds
change in sexual ability/interest
swelling of the ankles/feet
extreme tiredness
significant unexplained weight loss

Seek immediate medical attention if any of these rare but very serious side effects occur:

shortness of breath
chest pain
severe headache
fainting
fast/pounding/irregular heartbeat
jaw/left arm pain
seizures
weakness on one side of the body
slurred speech
confusion
blurred vision

A very serious allergic reaction to this drug is unlikely, but seek immediate medical attention if it occurs. Symptoms of a serious allergic reaction may include:

rash
itching
swelling
severe dizziness
trouble breathing

Ferndex Oral Precautions

Before taking this medication, tell your doctor or pharmacist if you are allergic to it; or to other sympathomimetic amines (e.g., epinephrine, ephedrine); or to tartrazine yellow dye; or to aspirin; or if you have any other allergies.

This medication should not be used if you have certain medical conditions. Before using this medicine, consult your doctor or pharmacist if you have:

certain mental/mood conditions (e.g., severe agitation, psychosis)
heart/blood vessel disease (irregular heartbeat/rhythm, coronary artery disease, angina, heart failure, cardiomyopathy)
history of heart attack or stroke
problems with heart structure (e.g., valve problems)
moderate or severe high blood pressure (hypertension)
overactive thyroid (hyperthyroidism)
a certain eye problem (glaucoma)
personal or family history of regular use/abuse of drugs/alcohol

Before using this medication, tell your doctor or pharmacist your medical history, especially of:

asthma
family history of sudden death/irregular heartbeat/rhythm
family/personal history of mental/mood disorders (e.g., bipolar disorder, depression, psychotic disorder, suicidal thoughts)
seizures.
personal or family history of uncontrolled movements or outbursts of words/sounds (e.g., due to Tourette's syndrome)
mild high blood pressure (hypertension)

This drug may make you dizzy or cause blurred vision; use caution engaging in activities requiring alertness or clear vision such as driving or using machinery. Limit alcoholic beverages.

Before having surgery, tell your doctor or dentist that you are taking this medication.

Caution is advised when using this drug in children because it may affect weight, growth rate, and final height. The doctor may recommend temporarily stopping the medication from time to time to reduce this risk. Monitor your child's weight and height and consult your doctor or pharmacist for more details.

This medication should be used only if clearly needed during pregnancy. 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 immediately if you notice possible mood changes, agitation, or unusual tiredness in your newborn.

Ferndex Oral Drug Interactions

Your healthcare professionals (e.g., doctor or pharmacist) may already be aware of any possible drug interactions and may be monitoring you for them. Do not start, stop or change the dosage of any medicine before checking with them first.

Avoid taking MAO inhibitors (e.g., furazolidone, isocarboxazid, linezolid, moclobemide, phenelzine, procarbazine, selegiline, tranylcypromine) within 2 weeks before, during, and after treatment with this medication. In some cases a serious (possibly fatal) drug interaction may occur.

If you are currently using any of these medications listed above, tell your doctor or pharmacist before starting this medication.

Before using this medication, tell your doctor or pharmacist of all prescription and nonprescription/herbal products you may use, especially:

alpha blockers (e.g., prazosin)
certain antidepressants (e.g., tricyclics such as nortriptyline/imipramine, SSRIs such as fluoxetine/paroxetine, duloxetine, venlafaxine)
medication for high blood pressure (e.g., beta blockers such as atenolol/metoprolol, clonidine, guanabenz, methyldopa)
antipsychotics (e.g., chlorpromazine, haloperidol)
lithium
certain pain medications (e.g., meperidine, propoxyphene)
sedatives (e.g., lorazepam, certain antihistamines such as diphenhydramine)
certain anti-seizure drugs (e.g., ethosuximide, phenytoin, phenobarbital)
medications that can raise blood pressure (e.g., norepinephrine, phenylephrine, pseudoephedrine)
other stimulants (e.g., methylphenidate)
certain street drugs (e.g., LSD, MDMA/ "ecstasy")
veratrum alkaloids (e.g., cevadine, veratridine)

Certain foods and drugs can affect the amount of acid in your stomach/intestines or urine. This can affect how well your body absorbs and uses this medication. Tell your doctor if you take any of these products:

ammonium chloride
antacids
anti-ulcer medicine (e.g., H2 blockers such as famotidine/ranitidine, proton pump inhibitors such as omeprazole/lansoprazole)
ascorbic acid (vitamin C)
carbonic anhydrase inhibitors (e.g., acetazolamide)
fruit juices
glutamic acid
guanethidine
methenamine
reserpine
sodium acid phosphate
sodium bicarbonate
certain "water pills" (diuretics, including some thiazides)

Consult your doctor or pharmacist for more details.

Check the labels on all your medicines (e.g., cough-and-cold products, diet aids) because they may contain ingredients that could increase your heart rate or blood pressure. Ask your pharmacist about the safe use of those products.

Avoid drinking large amounts of beverages containing caffeine (e.g., coffee, tea, colas) or eating large amounts of chocolate. Caffeine can increase the side effects of this medication.

This medication may affect the results of certain lab tests (blood and urine steroid levels). Tell laboratory personnel and all your doctors that you are taking this medication.

Also report the use of drugs which might increase seizure risk when combined with this medication such as isoniazid (INH), phenothiazines (e.g., thioridazine), theophylline, or tricyclic antidepressants (e.g., amitriptyline), among others. Consult your doctor or pharmacist for details.

Focalin

Pronounced: FOKE-ah-lin
Generic name: Dexmethylphenidate hydrochloride

Why is Focalin prescribed?

Focalin is a mild central nervous system stimulant used to treat Attention Deficit Hyperactivity Disorder (ADHD) in children. The drug is a modified version of Ritalin (a common medication for attention disorders) and contains only the most active component of Ritalin. Because of this special formulation, the usual dose of Focalin is half the amount of the Ritalin dose. Focalin should be given as part of a total treatment program that includes psychological, educational, and social measures. Symptoms of attention deficit disorders include continual problems with moderate to severe distractibility, short attention span, hyperactivity, emotional changeability, and impulsiveness.

Most important fact about Focalin

Excessive doses of Focalin over a long period of time can produce addiction. It is also possible to develop tolerance to the drug, so that larger doses are needed to produce the original effect. Because of these dangers, be sure to check with your doctor before making any change in dosage; and withdraw the drug only under your doctor's supervision.

What side effects may occur?

More common side effects may include:
Fever, insomnia, loss of appetite, nausea, nervousness, stomach pain

The most common side effects reported for drugs that are similar to Focalin (including Ritalin) are nervousness and the inability to fall asleep or stay asleep. In children, loss of appetite, stomach pain, weight loss during long-term treatment, inability to fall asleep or stay asleep, and abnormally fast heartbeat are the more common side effects.

Why should Focalin not be prescribed?

Focalin should not be used by people who suffer from anxiety, tension, and agitation, since the drug may aggravate these symptoms.

If Focalin, or similar drugs such as Ritalin, cause an allergic reaction, the drug should be avoided. It should not be taken by anyone with the eye condition known as glaucoma. It should also be avoided by anyone who suffers from motion tics (repeated, uncontrollable twitches) or verbal tics (uncontrollable repetition of words or sounds), or someone who suffers from, or has a family history of, Tourette's syndrome (severe and multiple tics). Focalin should not be taken with drugs classified as monoamine oxidase (MAO) inhibitors, such as the antidepressants Nardil and Parnate, or within 14 days of stopping this type of medication.

Special warnings about Focalin

Your doctor will do a complete history and evaluation before prescribing Focalin. It is important to remember that the drug is only part of the overall management of ADHD, and your doctor may also recommend counseling or other therapy.

There is no information about the safety and effectiveness of long-term Focalin treatment in children. However, suppression of growth has been seen with the long-term use of stimulants, so your doctor will watch your child carefully while he or she is taking this drug. If your child is not growing or gaining weight as expected, the doctor may stop Focalin treatment. This drug should not be given to children under 6 years of age; safety and effectiveness in this age group have not been established.

Blood pressure should be monitored in anyone taking Focalin, especially those with high blood pressure or abnormal heart rate or rhythm. Caution is also advised in those with heart or thyroid problems.

Be sure to tell the doctor if your child has blurred vision while taking Focalin; some people have reported visual disturbances while taking stimulants similar to this drug.

The use of Focalin by anyone with a seizure disorder or psychosis (abnormal thinking and hallucinations) is not recommended. Caution is also advisable for anyone with a history of emotional instability or substance abuse, due to the danger of addiction. Focalin should not be used for the prevention or treatment of normal fatigue, nor should it be used for the treatment of severe depression.

Do not share Focalin with anyone else, and give your child only the number of tablets prescribed by your doctor. Keep track of the number of tablets in a bottle so you will notice if any are missing. Not using Focalin correctly can lead to dependence; call the doctor immediately if you seem to be using more than the prescribed amount.

Possible food and drug interactions when taking Focalin

If Focalin is taken with certain other drugs, the effects of either can be increased, decreased, or altered. It is especially important to check with your doctor before combining Focalin with the following:

Antidepressant drugs, including MAO inhibitors (Nardil, Parnate), tricyclics (Elavil, Tofranil), and serotonin reuptake inhibitors (Prozac, Paxil)
Antiseizure drugs such as phenobarbital, Dilantin, and Mysoline
Blood pressure drugs such as Catapres
Blood thinners such as Coumadin
Herbal remedies such as ephedra and St. John's wort

Oxydess Oral

Generic Name: DEXTROAMPHETAMINE - ORAL
Pronounced: (dex-trow-am-FET-uh-meen)

Oxydess Oral Uses

Dextroamphetamine is a stimulant. It is thought to work by restoring the balance of certain natural chemicals (neurotransmitters) in the brain.

Dextroamphetamine is not recommended for use in children younger than 3.

Oxydess Oral Warning

Oxydess Oral Side Effects

Remember that your doctor has prescribed this medicine because the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.

Tell your doctor immediately if any of these unlikely but serious side effects occur:

mental/mood/behavior changes (e.g., agitation, aggression, mood swings, depression, hallucinations, abnormal thoughts/behavior)
uncontrolled movements
muscle twitching/shaking
outbursts of words/sounds
change in sexual ability/interest
swelling of the ankles/feet
extreme tiredness
significant unexplained weight loss

Seek immediate medical attention if any of these rare but very serious side effects occur:

shortness of breath
chest pain
severe headache
fainting
fast/pounding/irregular heartbeat
jaw/left arm pain
seizures
weakness on one side of the body
slurred speech
confusion
blurred vision

A very serious allergic reaction to this drug is unlikely, but seek immediate medical attention if it occurs. Symptoms of a serious allergic reaction may include:

rash
itching
swelling
severe dizziness
trouble breathing

Oxydess Oral Precautions

This medication should not be used if you have certain medical conditions. Before using this medicine, consult your doctor or pharmacist if you have:

certain mental/mood conditions (e.g., severe agitation, psychosis)
heart/blood vessel disease (irregular heartbeat/rhythm, coronary artery disease, angina, heart failure, cardiomyopathy)
history of heart attack or stroke
problems with heart structure (e.g., valve problems)
moderate or severe high blood pressure (hypertension)
overactive thyroid (hyperthyroidism)
a certain eye problem (glaucoma)
personal or family history of regular use/abuse of drugs/alcohol

Before using this medication, tell your doctor or pharmacist your medical history, especially of:

asthma
family history of sudden death/irregular heartbeat/rhythm
family/personal history of mental/mood disorders (e.g., bipolar disorder, depression, psychotic disorder, suicidal thoughts)
seizures.
personal or family history of uncontrolled movements or outbursts of words/sounds (e.g., due to Tourette's syndrome)
mild high blood pressure (hypertension)

This drug may make you dizzy or cause blurred vision; use caution engaging in activities requiring alertness or clear vision such as driving or using machinery. Limit alcoholic beverages.

Before having surgery, tell your doctor or dentist that you are taking this medication.

Oxydess Oral Drug Interactions

If you are currently using any of these medications listed above, tell your doctor or pharmacist before starting this medication.

Before using this medication, tell your doctor or pharmacist of all prescription and nonprescription/herbal products you may use, especially:

alpha blockers (e.g., prazosin)
certain antidepressants (e.g., tricyclics such as nortriptyline/imipramine, SSRIs such as fluoxetine/paroxetine, duloxetine, venlafaxine)
medication for high blood pressure (e.g., beta blockers such as atenolol/metoprolol, clonidine, guanabenz, methyldopa)
antipsychotics (e.g., chlorpromazine, haloperidol)
lithium
certain pain medications (e.g., meperidine, propoxyphene)
sedatives (e.g., lorazepam, certain antihistamines such as diphenhydramine)
certain anti-seizure drugs (e.g., ethosuximide, phenytoin, phenobarbital)
medications that can raise blood pressure (e.g., norepinephrine, phenylephrine, pseudoephedrine)
other stimulants (e.g., methylphenidate)
certain street drugs (e.g., LSD, MDMA/ "ecstasy")
veratrum alkaloids (e.g., cevadine, veratridine)

ammonium chloride
antacids
anti-ulcer medicine (e.g., H2 blockers such as famotidine/ranitidine, proton pump inhibitors such as omeprazole/lansoprazole)
ascorbic acid (vitamin C)
carbonic anhydrase inhibitors (e.g., acetazolamide)
fruit juices
glutamic acid
guanethidine
methenamine
reserpine
sodium acid phosphate
sodium bicarbonate
certain "water pills" (diuretics, including some thiazides)

Ritalin

Pronounced: RIT-ah-lin
Generic name: Methylphenidate hydrochloride
Other brand names: Concerta, Metadate, Methylin

Why is Ritalin prescribed?

Ritalin and other brands of methylphenidate are mild central nervous system stimulants used in the treatment of attention deficit hyperactivity disorder in children. With the exception of Ritalin LA, Concerta, and Metadate CD, these products are also used in adults to treat narcolepsy (an uncontrollable desire to sleep).

When given for attention deficit disorder, this drug should be an integral part of a total treatment program that includes psychological, educational, and social measures. Symptoms of attention deficit disorder include continual problems with moderate to severe distractibility, short attention span, hyperactivity, emotional changeability, and impulsiveness.

Most important fact about Ritalin

Excessive doses of this drug over a long period of time can produce addiction. It is also possible to develop tolerance to the drug, so that larger doses are needed to produce the original effect. Because of these dangers, be sure to check with your doctor before making any change in dosage; and withdraw the drug only under your doctor's supervision.

What side effects may occur?

Side effects cannot be anticipated. If any develop or change in intensity, inform your doctor as soon as possible. Only your doctor can determine if it is safe for you to continue giving this drug.

More common side effects may include:
Inability to fall or stay asleep, nervousness

These side effects can usually be controlled by reducing the dosage and omitting the drug in the afternoon or evening.

In children, loss of appetite, abdominal pain, weight loss during long-term therapy, inability to fall or stay asleep, and abnormally fast heartbeat are more common side effects.

Why should Ritalin not be prescribed?

This drug should not be prescribed for anyone experiencing anxiety, tension, and agitation, since the drug may aggravate these symptoms.

Anyone sensitive or allergic to this drug should not take it.

This medication should not be taken by anyone with the eye condition known as glaucoma, anyone who suffers from tics (repeated, involuntary twitches), or someone with a family history of Tourette's syndrome (severe and multiple tics).

This drug is not intended for use in children whose symptoms may be caused by stress or a psychiatric disorder.

This medication should not be used for the prevention or treatment of normal fatigue, nor should it be used for the treatment of severe depression.

This drug should not be taken during treatment with drugs classified as monoamine oxidase inhibitors, such as the antidepressants Nardil and Parnate, nor for the 2 weeks following discontinuation of these drugs.

Special warnings about Ritalin

Your doctor will do a complete history and evaluation before prescribing this drug. He or she will take into account the severity of the symptoms, as well as your child's age.

This drug should not be given to children under 6 years of age; safety and effectiveness in this age group have not been established.

There is no information regarding the safety and effectiveness of long-term treatment in children. However, suppression of growth has been seen with the long-term use of stimulants, so your doctor will watch your child carefully while he or she is taking this drug.

Blood pressure should be monitored in anyone taking this drug, especially those with high blood pressure.

Some people have had visual disturbances such as blurred vision while being treated with this drug.

The use of this drug by anyone with a seizure disorder is not recommended. Be sure your doctor is aware of any problem in this area. Caution is also advisable for anyone with a history of emotional instability or substance abuse, due to the danger of addiction.

Possible food and drug interactions when taking Ritalin

If this medication is taken with certain other drugs, the effects of either can be increased, decreased, or altered. It is especially important to check with your doctor before combining this drug with the following:

Antiseizure drugs such as phenobarbital, Dilantin and Mysoline
Antidepressant drugs such as Tofranil, Anafranil, Norpramin, and Effexor
Blood thinners such as Coumadin
Clonidine (Catapres-TTS)
Drugs that restore blood pressure, such as EpiPen
Guanethidine (Ismelin)
MAO inhibitors (drugs such as the antidepressants Nardil and Parnate)
Phenylbutazone

Strattera

Pronounced: stra-TER-uh
Generic name: Atomoxetine hydrochloride

Why is Strattera prescribed?

Strattera is used in the treatment of Attention Deficit Hyperactivity Disorder (ADHD), a condition marked by either constant activity, a persistent inability to stay focused, or both. Medications such as Strattera should always be part of a comprehensive treatment program that includes psychological, educational, and social measures designed to remedy the problem.

Strattera is the first ADHD medication to avoid classification as a controlled substance (a drug with potential for abuse). It is thought to work by boosting levels of norepinephrine, one of the brain chemicals responsible for regulating activity. It is prescribed for children and adults.

Most important fact about Strattera

During clinical trials, researchers found that Strattera slowed children's average rate of growth. It's not known whether final adult height and weight are affected, but the manufacturer recommends interrupting use of the drug if a child is not growing or gaining weight at the expected rate.

What side effects may occur?

Side effects cannot be anticipated. If any develop or change in intensity, tell your doctor as soon as possible. Only your doctor can determine if it is safe to continue using Strattera.

Side effects in children may include:
Appetite loss, constipation, cough, crying, diarrhea, dizziness, drowsiness, dry mouth, ear infection, fatigue, headache, indigestion, influenza, irritability, mood swings, nausea, runny nose, skin inflammation, stomach pain, vomiting, weight loss

Side effects in adults may include:
Abnormal dreams, abnormal orgasms, appetite loss, chills, constipation, diminished sex drive, dizziness, dry mouth, ejaculation disorders, erection problems, fatigue or sluggishness, fever, headache, hot flushes, impotence, indigestion, insomnia, gas, menstrual problems, muscle pain, nausea, palpitations, prostate inflammation, sinusitis, skin inflammation, sleep disorder, sweating, tingling, urinary problems, weight loss

Why should Strattera not be prescribed?

Do not take Strattera within 2 weeks of taking any drug classified as an MAO inhibitor, such as the antidepressants Nardil and Parnate. The combination can cause severe--even fatal--reactions, including symptoms such as high fever, rigid muscles, rapid changes in heart rate, delirium, and coma.

You should also avoid Strattera if you have narrow angle glaucoma (high pressure in the eye), or if the drug causes an allergic reaction.

Special warnings about Strattera

Strattera can speed up the heart and boost blood pressure. Use it with caution if you have high blood pressure, a rapid heart rate, heart disease, or any other circulation problem.

On the other hand, Strattera can also cause an attack of low blood pressure when you first stand up. Use it with caution if you have a condition, such as severe dehydration, that can cause low blood pressure.

Because Strattera sometimes causes sluggishness, be careful when operating machinery or driving until you know how the drug affects you.

Possible food and drug interactions when taking Strattera

Remember that Strattera must never be combined with MAO inhibitors (see "Why should this drug not be prescribed?"). Also, the doctor will probably prescribe a lower dose of Strattera if you are taking one of the following:

Fluoxetine (Prozac)
Paroxetine (Paxil)
Quinidine (Quinidex)

Due to the possibility of boosted effects, you should check with your doctor before combining Strattera with the following:

Proventil and similar asthma medications
Drugs that raise blood pressure, such as the phenylephrine in some over-the-counter cold medications.

If you are unsure about a particular medication--whether prescription or over-the-counter--make a point of asking your doctor.

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