MEDICATION GUIDE

Dextroamphetamine Sulfate Tablets, USP CII
Rx only

What is the most important information I should know about Dextroamphetamine Sulfate Tablets?

Dextroamphetamine Sulfate Tablets may cause serious side effects, including:

• Abuse misuse, and addiction

Dextroamphetamine Sulfate Tablets has a high chance for abuse and misuse and may lead to substance use problems, including addiction. Misuse and abuse of Dextroamphetamine Sulfate Tablets, other amphetamine containing medicines, and methylphenidate containing medicines, can lead to overdose and death. The risk of overdose and death is increased with higher doses of Dextroamphetamine Sulfate Tablets or when it is used in ways that are not approved, such as snorting or injection.

o Your healthcare provider should check you or your child’s risk for abuse, misuse, and addiction before starting treatment with
   Dextroamphetamine Sulfate Tablets and will monitor you or your child during treatment.
o  Dextroamphetamine Sulfate Tablets may lead to physical dependence after prolonged use, even if taken as directed by your healthcare
   provider.
o  Do not give Dextroamphetamine Sulfate Tablets to anyone else. See “What is Dextroamphetamine Sulfate Tablets?” for more information.
o  Keep Dextroamphetamine Sulfate Tablets in a safe place and properly dispose of any unused medicine. See “How should I store Dextroamphetamine Sulfate Tablets?” for more information.
o Tell your healthcare provider if you or your child have ever abused or been dependent on alcohol, prescription medicines, or street drugs.

• Risk for People with serious heart disease: Sudden death has happened in people who have heart defects or other serious heart disease.

Your healthcare provider should check you or your child carefully for heart problems before starting treatment with Dextroamphetamine Sulfate Tablets. Tell your health care provider if you or your child have any heart problems, heart disease, or heart defects.

Call your health care provider right away or go to the nearest hospital emergency room right away if you or your child have any signs of heart problem such as chest pain, shortness of breath, or fainting during treatment with Dextroamphetamine Sulfate Tablets.

• Increased blood pressure and heart rate.
   Your healthcare provider should check you or your child’s blood pressure and heart rate regularly during treatment with Dextroamphetamine Sulfate Tablets.

• Mental (psychiatric) problems, including:
o new or worse behavior or thought problems
o new or worse bipolar illness
o new psychotic symptoms (such as hearing voices, or seeing or believing things that are not real, or new manic symptoms

Tell healthcare provider about any mental problems you or your child have, or about a family history of suicide, bipolar illness, or depression.
 

Call your healthcare provider right away if you or your child have any new or worsening mental symptoms or problems during treatment with Dextroamphetamine Sulfate Tablets especially hearing voices, seeing or believing things that are not real, or new manic symptoms.

What is Dextroamphetamine Sulfate Tablet?
Dextroamphetamine Sulfate Tablets is a central nervous system (CNS) stimulant prescription medicine used for the treatment of:
• a sleep disorder called narcolepsy.
• Attention – Deficit Hyperactivity Disorder (ADHD) in children 6 to 17 years of age.
• Dextroamphetamine Sulfate Tablets may help increase attention and decrease impulsiveness and hyperactivity in people with ADHD.

It is not known if Dextroamphetamine Sulfate Tablets is safe and effective in children under 6 years of age.

Dextroamphetamine Sulfate is a federally controlled substance (CII) because it contains dextroamphetamine that can be a target for people who abuse prescription medicine or street drugs. Keep Dextroamphetamine Sulfate Tablets in a safe place to protect it from theft. Never give your Dextroamphetamine Sulfate to anyone else because it may cause death or harm them. Selling or giving away Dextroamphetamine Sulfate Tablets may harm others and is against the law.

Do not take Dextroamphetamine Sulfate Tablets if you or your child:
• are allergic to amphetamine products or any of the ingredients in Dextroamphetamine Sulfate Tablets. See the end of this Medication Guide for a complete  list of ingredients in Dextroamphetamine Sulfate Tablets.
• Are taking or have taken within the past 14 days. A medicine used to treat depression called a monoamine oxidase inhibitor (MAOI), including the antibiotic linezolid or the intravenous medicine methylene blue.

Before taking Dextroamphetamine Sulfate Tablets tell your health care provider about all of your or your child’s medical conditions including if you or your child:
• have heart problems, heart disease, heart defects, or high blood pressure.
• mental problems including psychosis, mania, bipolar illness, or depression or have a family history of suicide, bipolar illness or depression.
• have seizure or have had an abnormal brain wave test (EEG)
• Circulation problems in fingers and toes
• Have or had repeated movements or sounds (tics) or Tourette’s syndrome or have a family history of tics or Tourette’s syndrome.
• Are pregnant or planning to become pregnant. It is not known if Dextroamphetamine Sulfate Tablets will harm the unborn baby. Tell your healthcare provider if you or your child become pregnant during treatment with Dextroamphetamine Sulfate Tablets
• Are breastfeeding or plan to breast feed. Dextroamphetamine Sulfate Tablets passes into breast milk. You or your child should not breastfeed during treatment with Dextroamphetamine Sulfate Tablets. Talk to your healthcare provider about the best way to feed the baby during treatment with   Dextroamphetamine Sulfate Tablets

Tell your health care provider about all of the medicines that you or your child take including prescription and over the counter medicines, vitamins, and herbal supplements.

Dextroamphetamine Sulfate Tablets and some medicines may interact with each other and cause serious side effects. Sometimes the doses of other medicines will need to be changed during treatment with Dextroamphetamine Sulfate Tablets.

Your health care provider will decide if Dextroamphetamine Sulfate Tablets can be taken with other medicines.

Especially tell your healthcare provider if you or your child take:

• Selective serotonin reuptake inhibitors (SSRIs)
• Medicines used to treat migraine headaches called triptans
• Lithium
• Tramadol
• Buspirone
• Serotonin norepinephrine reuptake inhibitors (SNRIs)
• Tricyclic antidepressants
• Fentanyl
• Tryptophan
• St. John’s Wort

Know the medicines that you or your child take. Keep a list of your or your child’s medicines with you to show your healthcare provider and pharmacist when you or your child get a new medicine.

Do not start any new medicine during treatment with Dextroamphetamine Sulfate Tablets without talking to your healthcare provider first.

How should Dextroamphetamine Sulfate Tablets be taken?
• Take Dextroamphetamine Sulfate Tablets exactly as prescribed by your child’s healthcare provider
• Your healthcare provider may change the dose if needed
• Dextroamphetamine Sulfate Tablets is usually taken two or three times a day. The first dose is usually taken in the morning. One or two more doses 
    may be taken during the day, 4 to 6 hours apart.
If you or your child take too much Dextroamphetamine Sulfate Tablets, call your healthcare provider or Poison Help Line at 1-800-222-1222 or go to the nearest hospital emergency room right away.

What should I avoid while taking Dextroamphetamine Sulfate Tablets?
Do not drive, operate heavy machinery, or do other potentially dangerous activities until you know how Dextroamphetamine Sulfate Tablets affects you.

What are possible side effects of Dextroamphetamine Sulfate Tablets may cause serious side effects, including:

See “What is the most important information I should know about Dextroamphetamine Sulfate Tablets?”

• Slowing growth (height and weight) in children. Children should have their height and weight checked often during treatment with Dextroamphetamine Sulfate Tablets. Your healthcare provider may stop your child’s Dextroamphetamine Sulfate Tablets treatment if they are not growing or gaining weight as expected.
• Seizures mainly in patients with a history of seizures Your healthcare provider may stop treatment with Adderall if you or your child have a seizure.
• Circulation problems in fingers and toes (peripheral vasculopathy, including Raynaud’s phenomenon). Signs and symptoms may include:
o fingers or toes may feel numb, cool, painful
o fingers or toes may change color from pale, to blue, to red

Tell your healthcare provider if you or your child have numbness, pain, skin color change, or sensitivity to temperature in your fingers or toes.
Call your healthcare provider right away if you or your child have any signs of unexplained wounds appearing on fingers or toes during treatment with Dextroamphetamine Sulfate Tablets.

• New or worsening tics or worsening Tourette’s syndrome. Tell your healthcare provider if you or your child get any new or worsening tics or worsening Tourette’s syndrome during treatment with Dextroamphetamine Sulfate Tablets.
• Serotonin syndrome. This problem may happen when Dextroamphetamine Sulfate Tablets is taken with certain other medicines and may be life- threatening. Stop taking Dextroamphetamine Sulfate Tablets and call your healthcare provider or go to the nearest hospital emergency room right  away if you or your child develop any of the following signs and symptoms of serotonin syndrome:

       • Agitation
       • fast heartbeat
       • flushing
      • seizure
      • coma
      • sweating
      • loss of coordination
      • confusion
      • dizziness
      • tremors, stiff muscles or muscle twitching
      • seeing or hearing things that are not real (hallucination)
      • Changes in blood pressure
      • High body temperature (hyperthermia)
      • Nausea, vomiting, diarrhea

The most common side effects of Dextroamphetamine Sulfate Tablets include:

• Fast heartbeat
• Decreased appetite
• tremors
• Headache
• Trouble sleeping
• dizziness
• Stomach upset
• Weight loss
• Dry mouth

These are not all of the possible side effects of Dextroamphetamine Sulfate Tablets. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

How should I store Dextroamphetamine Sulfate Tablets?
• Store Dextroamphetamine Sulfate Tablets at room temperature between 68° to 77°C (20° to 25°C).
• Store Dextroamphetamine Sulfate Tablets in a safe place, like a locked cabinet. Protect from light.
• Dispose of remaining, unused, or expired Dextroamphetamine Sulfate Tablets by a medicine take back program at a U.S. Drug Enforcement Administration (DEA) authorized collection site. If no takeback program or DEA authorized collector is available, mix Dextroamphetamine Sulfate Tablets with an undesirable, nontoxic substance such as dirt, cat litter, or used coffee grounds to make it less appealing to children and pets. Place the mixture in a container such as a sealed plastic bag and throw away Dextroamphetamine Sulfate Tablets in the household trash. Visit www.fda.gov/drugdisposal for additional information on disposal of unused medicines.

Keep Dextroamphetamine Sulfate Tablets and all medicines out of the reach of children.

General information about safe and effective use of Dextroamphetamine Sulfate Tablets
Medicines are sometimes prescribed for purposes other than those listed in a Medication Guide. Do not use Dextroamphetamine Sulfate Tablets for a condition for which it was not prescribed. Do not give Dextroamphetamine Sulfate Tablets to other people, even if they have the same symptoms that you or your child have. It may harm them and it is against the law. You can ask your pharmacist or healthcare provider for information about Dextroamphetamine Sulfate Tablets that is written for health professionals.

What are the ingredients in Dextroamphetamine Sulfate Tablets?
Active ingredient: dextroamphetamine sulfate

Inactive ingredients:
Colloidal silicon dioxide, FD&C red #40 aluminum lake, FD&C yellow #6 aluminum lake, magnesium stearate, microcrystalline cellulose, and pregelatinized starch

Dispense with Medication Guide available at www.aurobindousa.com/medication-guides

Manufactured by:
Aurobindo Pharma USA, Inc.
279 Princeton-Hightstown Road
East Windsor, NJ-08520

Distributed by:
Aurobindo Pharma USA, Inc.
279 Princeton-Hightstown Road
East Windsor, NJ-08520

For more information about Dextroamphetamine Sulfate Tablets, please contact Aurobindo Pharma USA, Inc. at 1-866-850-2876.

This Medication Guide has been approved by the U.S. Food and Drug Administration.

                                                                                                                                                                          Revised: 01/2024