Dextroamphetamine: A Tool for ADHD and Narcolepsy Management
Dr. Danish frequently works with patients using medications like dextroamphetamine to address ADHD in patients of all ages. Dextroamphetamine is a central nervous system stimulant that promotes the release of dopamine and norepinephrine in the brain, enhancing focus, attention, and wakefulness. By focusing on targeting the underlying neurochemical imbalances of ADHD and narcolepsy, this medication helps patients manage these conditions effectively.
Dextroamphetamine’s efficacy has been demonstrated in various studies, making it a vital option in comprehensive treatment plans developed by Dr. David Danish and our entire prescription management team at Philadelphia Integrative Psychiatry. By combining medication with therapy, lifestyle adjustments, and supportive measures, these plans aim to improve the quality of life for individuals with ADHD or narcolepsy.
How Does Dextroamphetamine Work?
Dextroamphetamine works by increasing the release of dopamine and norepinephrine in the brain while blocking their reuptake. These neurotransmitters play a significant role in attention, impulse control, and wakefulness. This dual mechanism helps individuals maintain better focus and stay alert throughout the day.
Uses of Dextroamphetamine
ADHD:
Approved for children (3 years and older) and adults, dextroamphetamine improves focus, attention span, and reduces hyperactive and impulsive behaviors.
Extended-release formulations allow once-daily dosing, simplifying treatment regimens.
Narcolepsy:
Helps individuals stay awake during the day and reduces episodes of sudden sleep.
Dosing Options
Dextroamphetamine is available in both short-acting and long-acting forms to suit different patient needs. Dr. Danish prefers long acting preparations for most patients, but there are some exceptions.
Short-Acting (Immediate-Release)
Tablets and Oral Solution:
Children (3–5 years): Start with 2.5 mg daily, increasing by 2.5 mg weekly as needed.
Children (6 years and older): Start with 5 mg once or twice daily, increasing by 5 mg weekly as needed.
Adults: Usual dose is 5–60 mg daily, divided into 2–3 doses, with 4–6 hours between doses.
Long-Acting (Extended-Release)
Capsules (Dexedrine Spansules; 5, 10, and 15mg dose options):
Children (6 years and older): Start with 5 mg daily, increasing by 5 mg weekly. Usual dose: 5–20 mg per day in 1–2 doses.
Adults: Can use up to 60 mg daily, divided into 1–2 doses.
Transdermal Patch (Xelstrym; available in doses of 4.5 mg, 9 mg, 13.5 mg, and 18 mg):
Children (6–17 years): Start with 4.5 mg/9 hours, increasing by 4.5 mg weekly to a maximum of 18 mg/9 hours.
Adults: Start with 9 mg/9 hours, increasing as needed to a maximum of 18 mg/9 hours.
Common Side Effects
While dextroamphetamine is effective, it can cause side effects that are common to all stimulants used to treat ADHD. Some common issues include:
Decreased appetite
Insomnia
Headache
Irritability
Rare but serious side effects include cardiovascular complications and increased risk of substance misuse if not taken as prescribed. Regular follow-ups help mitigate these risks.
Safety Precautions
Dextroamphetamine has a high potential for misuse. Dr. Danish and his team assess each patient’s history to ensure safe use. Patients are educated on proper medication storage and disposal. Other precautions include:
Monitoring for cardiovascular issues.
Screening for psychiatric conditions like bipolar disorder or psychosis, as the medication may exacerbate symptoms.
Avoiding use in children under three years old.
Getting in Touch with Dr. Danish and Our Medication Management Team
At Philadelphia Integrative Psychiatry, we take pride in our nuanced approach to psychiatry and medication management, addressing each patient’s unique needs with personalized care. If you or a loved one are exploring treatment options for ADHD, narcolepsy, or similar conditions, call or text us at 610-999-6414 to learn more about how we can support you.
For more on this topic and related subjects, check out these blogs by Dr. Danish:
Dr. Danish creates these handouts based on research to provide reliable information, though they are not exhaustive. Patients should discuss any concerns with their provider. For a comprehensive list of side effects, visit Drugs.com or WebMD, as research on medications evolves.
