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Adderall XR 25mg

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Description

Adderall XR 25mg: Complete Guide to This ADHD Medication

Adderall XR 25mg is a high-strength, extended-release formulation of mixed amphetamine salts, a central nervous system (CNS) stimulant used to treat Attention Deficit Hyperactivity Disorder (ADHD) in adults and children aged 6 years and older . It is a Schedule II controlled substance with a high potential for abuse and dependence . For more information on ADHD treatment options and medication management, visit our website.


Product Identification

Adderall XR 25mg capsules are distinct and identifiable by the following physical characteristics :

Attribute Description
Imprint ADDERALL XR 25 mg
Color Orange & White
Shape Capsule/Oblong
Size 21.00 mm
Generic Name amphetamine/dextroamphetamine
Labeler / Supplier Shire US Inc. (Takeda)
CSA Schedule 2 (High potential for abuse)

Composition

Each 25 mg capsule contains a combination of four active ingredients in equal portions :

  • Dextroamphetamine Saccharate (6.25 mg)

  • Amphetamine Aspartate Monohydrate (6.25 mg)

  • Dextroamphetamine Sulfate USP (6.25 mg)

  • Amphetamine Sulfate USP (6.25 mg)

The total amphetamine base equivalence for the 25 mg strength is 15.6 mg .

Inactive Ingredients

The 25mg capsule contains methacrylic acid – methyl methacrylate copolymer (1:1), sucrose, magnesium silicate, triethyl citrate, ferric oxide red, titanium dioxide, and ferric oxide yellow .


How Adderall XR Works

Adderall XR is a CNS stimulant that works by increasing the activity of certain neurotransmitters in the brain, specifically dopamine and norepinephrine . The extended-release capsule contains two types of drug-containing beads designed to give a double-pulsed delivery of amphetamines, providing a prolonged effect with a single morning dose . This once-daily dosing helps manage ADHD symptoms throughout the day .


Primary Uses

Adderall XR is FDA-approved for the treatment of ADHD :

  • Children (ages 6-12): Efficacy established in clinical trials 

  • Adolescents (ages 13-17): Efficacy established in clinical trials 

  • Adults: Efficacy established in clinical trials 

For more information on ADHD treatment and other medication options, explore our resources.


Dosage and Administration

Recommended Dosing

Patient Group Starting Dose Maximum Dose
Adults 20 mg once daily in the morning  Varies based on response 
Adolescents (13-17 years) 10 mg once daily in the morning  Doses above 40 mg daily not typically needed 
Children (6-12 years) 10 mg once daily in the morning  Maximum 30 mg per day 
Children (6-12 years) with severe renal impairment 5 mg once daily Maximum 20 mg once daily 

General Administration Guidelines

  • Timing: Take once daily in the morning when you first wake up . Avoid afternoon doses as they may cause insomnia .

  • Swallowing: Swallow capsules whole with water. Do not crush or chew the capsules .

  • Alternative Administration: If you cannot swallow the capsule, open it and sprinkle the contents over a spoonful of applesauce. Swallow the mixture immediately without chewing, followed by a drink of water .

  • With or Without Food: May be taken with or without food, but consistency matters .

You can learn more about ADHD medication dosage and titration from our resources.


Important Safety Information

Boxed Warning: Abuse, Misuse, and Addiction

Adderall XR has a high potential for abuse, misuse, and addiction, which can lead to overdose and death . The medication can be habit-forming and should only be used as prescribed. Assess the risk of abuse before prescribing and monitor for signs of abuse and dependence during therapy .

Contraindications

Do not take Adderall XR if you have :

  • Advanced arteriosclerosis

  • Symptomatic cardiovascular disease

  • Moderate to severe hypertension

  • Hyperthyroidism

  • Glaucoma

  • Agitated states

  • History of drug abuse

  • Known hypersensitivity to amphetamine

  • Taken a monoamine oxidase inhibitor (MAOI) within the past 14 days

Warnings and Precautions

  • Serious Cardiovascular Events: Sudden death has been reported in children and adolescents with structural cardiac abnormalities taking usual doses; sudden death, stroke, and myocardial infarction have been reported in adults .

  • Increased Blood Pressure and Heart Rate: Monitor blood pressure and pulse at appropriate intervals .

  • Psychiatric Adverse Events: Stimulants may cause new or worsened psychotic or manic symptoms .

  • Long-Term Suppression of Growth: Monitor height and weight in pediatric patients .

  • Seizures: May lower the convulsive threshold. Discontinue in the presence of seizures .

  • Peripheral Vasculopathy (Raynaud’s Phenomenon): Careful observation for digital changes is necessary .

  • Serotonin Syndrome: Increased risk when coadministered with serotonergic agents (SSRIs, SNRIs, triptans) .

  • Visual Disturbance: Blurred vision has been reported .

  • Tics: May exacerbate tics. Evaluate for tics and Tourette’s syndrome prior to use .


Potential Side Effects

Common Side Effects in Children (6-12 years)

Loss of appetite, insomnia, abdominal pain, emotional lability, vomiting, nervousness, nausea, and fever .

Common Side Effects in Adolescents (13-17 years)

Loss of appetite, insomnia, abdominal pain, weight loss, and nervousness .

Common Side Effects in Adults

Dry mouth, loss of appetite, insomnia, headache, weight loss, nausea, anxiety, agitation, dizziness, tachycardia, diarrhea, asthenia, and urinary tract infections .

Other Reported Side Effects

Constipation, decreased interest in sexual activity, drowsiness, grinding teeth, irritability, mood changes, stomach ache, sweating, and thirst .


Drug Interactions

  • MAOIs: Contraindicated. Do not administer within 14 days of stopping MAOI .

  • Serotonergic Drugs: Increased risk of serotonin syndrome .

  • CYP2D6 Inhibitors: May increase exposure and risk of serotonin syndrome .

  • Urinary Alkalinizing Agents (Antacids): Increase blood levels and potentiate amphetamine action. Avoid coadministration .


Frequently Asked Questions

What is Adderall XR 25mg used for?
Adderall XR 25mg is used to treat ADHD in adults and children aged 6 years and older .

What does Adderall XR 25mg look like?
Adderall XR 25mg capsules are orange & white, capsule/oblong in shape, 21mm in size, with the imprint “ADDERALL XR 25 mg” .

What is the maximum dose of Adderall XR for children?
The maximum Adderall XR dosage for children ages 6 to 12 years is 30 mg daily .

How should I take Adderall XR?
Take it once daily in the morning. Swallow the capsule whole, or open it and sprinkle the contents over applesauce. Avoid afternoon doses .

Is Adderall XR a controlled substance?
Yes, Adderall XR is classified as a Schedule II controlled substance due to its high potential for abuse and dependence .

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