Xelstrym Patch for ADHD: A Guide for Patients

Introduction:

Xelstrym is a groundbreaking treatment option for Attention-Deficit Hyperactivity Disorder (ADHD) that utilizes a transdermal patch delivery system. This handout aims to provide comprehensive information about Xelstrym, including dosing options, application instructions, side effects, and insurance coverage details.

What is Xelstrym?

Xelstrym is the first and only FDA-approved, transdermal amphetamine patch for the treatment of ADHD in adults and children 6 years of age and older. The active ingredient in Xelstrym is dextroamphetamine, which is also the main metabolite of Vyvanse. The patch technology offers unique benefits over traditional oral stimulants, making it a convenient and effective option for managing ADHD symptoms.

Unique Benefits Over Oral Stimulants:

1. Early Morning Application: Parents can apply the patch to their children before they wake up, ensuring medication effectiveness from the moment they start their day.

2. Flexible Timing: The patch can be applied at any time, even as late as noon, and removed according to the individual's schedule.

3. Consistent Duration: The medication lasts approximately 9 hours, maintaining its effect even if removal is delayed.

Dosing Options:

Xelstrym is available in four dosing options to accommodate different treatment needs:

• 4.5mg (nickel size)

• 9mg

• 13.5mg

• 18mg (golf ball size)

Starting Doses & Titration Schedules:

Patients should work closely with their healthcare provider to determine the appropriate starting dose and any necessary adjustments over time. The goal is to find the optimal dose that effectively manages ADHD symptoms with minimal side effects.

Application Instructions:

The Xelstrym patch can be applied to one of ten different body sites, which should be rotated daily to avoid skin irritation. These sites include:

1. Upper Back

2. Chest

3. Upper Arm

4. Flank

5. Hip

Ensure the skin is clean, dry, and free of any cuts or irritations before applying the patch.

Side Effects:

Common side effects of Xelstrym include decreased appetite, trouble sleeping, stomach pain, nausea, increased blood pressure, headache, muscle twitching (tics), vomiting, and irritability. Patients should report any severe or persistent side effects to their healthcare provider.

Payment & Insurance Questions:

1. Specialty Pharmacy: Xelstrym prescriptions are filled through Konfeti specialty pharmacy, which offers home delivery. Contact them at 215-239-9774.

2. Insurance Coverage: Most commercial insurances cover Xelstrym, with a maximum out-of-pocket expense of $25 per month. For assistance with insurance issues, call 833-483-2178.

3. Coupon Program: Text 515-517-6662 to receive a coupon for the first month free and reduced copays for subsequent fills.

Conclusion:

Xelstrym represents a significant advancement in ADHD treatment, offering flexibility, convenience, and effective symptom management. Patients interested in exploring this treatment option should discuss it with their healthcare provider to determine if Xelstrym is right for them.

Citations:

1. https://www.xelstrym.com/pdfs/patient-brochure.pdf

2. https://www.drugs.com/pro/xelstrym-patch.html

3. https://www.xelstrym.com

4. https://www.noven.com/xelstrym/