Dyanavel XR is a brand-name ADHD medication that combines three different amphetamines. They each work on different timelines, so one dose can provide ADHD symptom relief for most of the day. Dyanavel is taken as a tablet or liquid once daily in the morning.
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Dyanavel XR
Amphetamine-dextroamphetamine sulfate-amphetamine aspartate
Treats attention deficit hyperactivity disorder (ADHD).
CNS stimulant
Tablets, oral suspension (liquid)
By mouth
Dyanavel XR is a central nervous system stimulant FDA-approved to treat attention deficit hyperactivity disorder (ADHD) in adults and children 6 years of age and older. It improves attention and focus while decreasing impulsiveness and hyperactivity in patients with this condition.
Tablets
5 mg
10 mg
15 mg
20 mg
Oral suspension (liquid)
2.5 mg/mL
For ADHD: 2.5–20 mg taken once daily in the morning
Dyanavel XR
464ml of 2.5mg/ml bottle
Take this medicine as directed. The dose may change several times during treatment.
Please read the Medication Guide (tablets) and the Instructions for Use (liquid) that come with this medicine.
Take only one dose daily.
Take the daily dose in the morning.
Doses can be taken with or without food.
How to take Dyanavel XR tablets:
Swallow or chew the tablets.
Dyanavel XR 5 mg tablets are scored to allow them to be divided into two 2.5 mg doses. If you don’t know how to divide a tablet, ask the pharmacist for a demonstration.
Store Dyanavel XR tablets at room temperature in a safe place like a locked cabinet.
How to administer Dyanavel XR oral suspension:
Shake the bottle well before measuring a dose.
Use the oral dosing syringe provided by the pharmacist. If you don’t have an oral dosing syringe or bottle adapter, ask the pharmacist to provide them.
When dosing a child, place the tip of the dosing syringe against the inside of the child’s cheek to give a dose.
Store Dyanavel XR oral suspension at room temperature in a safe place like a locked cabinet.
Ask the prescriber what to do if a dose is missed.
Doses should only be taken in the morning.
Do not take two doses on the same day.
This medicine is not right for everyone.
Do not use it if you have had an allergic reaction to amphetamines.
Tell any doctor or other healthcare provider who treats you that you are using this medicine.
In most states, amphetamine treatment requires monthly doctor’s visits. The prescriber will occasionally need to check on side effects or growth velocity (in a child). Keep all appointments.
Make sure your prescriber knows if you are pregnant, breastfeeding, or if you have:
Heart problems
Heart disease
Heart defects
High blood pressure
Blood circulation problems in your fingers or toes
Tourette syndrome
Any tics or any family history of tics
A mental health condition
A family history of bipolar disorder, depression, or suicide
A drug addiction or a history of drug abuse or addiction
Amphetamines can cause serious problems including:
Abuse, misuse, and addiction
Heart problems
Blood circulation problems, particularly in the fingers and toes
Sudden death in people with heart problems
Heart attack
Stroke
High blood pressure
Behavior changes
Mood changes including mania
Seizures
Serotonin syndrome, a potentially life-threatening complication of taking certain types of drugs
Slowed growth (in children)
Women should avoid breastfeeding when taking this medicine.
This medicine can be habit-forming. Do not use more than your prescribed dose. Call the prescriber if the dose does not seem to be working.
Dyanavel XR is a federally controlled substance. Giving or selling this medicine to other people is dangerous and illegal.
Do not use this medicine if you are using or have used an MAO inhibitor (MAOI) within the past 14 days.
To avoid drug interactions, tell the prescribing healthcare provider about all the medications you take or plan to take, particularly:
Other ADHD medications
Other stimulants including weight loss medications
Antidepressants, particularly tricyclic antidepressants, SSRIs, or buspirone
Antipsychotic medications
Any other drug that treats mental disorders
Migraine medications called triptans
Narcotic pain medications
Drugs that reduce stomach acid
Drugs that make urine acidic or alkaline
The supplements St. John’s wort or tryptophan
Acetazolamide, ammonium chloride, ascorbic acid (vitamin C), buspirone, guanethidine, meperidine, methenamine, Paxlovid, reserpine, ritonavir, sodium bicarbonate
Avoid alcohol while you are using this medicine.
Avoid products with caffeine or similar stimulants.
Tell other healthcare providers you are using this medicine before they prescribe new medications.
Serious side effects
Talk to a doctor if you notice any signs or symptoms of a possible serious side effect including:
New or worsening tics
New or worse behavior issues
Extreme energy or restlessness, confusion, agitation, unusual moods or behavior, trouble sleeping
Depression, mania, seeing or hearing things that aren’t there, believing things that aren’t real
Sores, coldness, numbness, pain, color changes, or unexplained wounds on your fingers or toes
Increased blood pressure
Racing heartbeats
Chest pain during physical exertion, fainting, fast, pounding, or uneven heartbeat, trouble breathing
Seizures
Anxiety, agitation, confusion, dizziness, racing heartbeats, fever, flushing, stiff muscles, tremors, incoordination, nausea, vomiting, seeing or hearing things that are not there
Allergic reaction: Itching or hives, swelling in your face or hands, swelling or tingling in your mouth or throat, chest tightness, trouble breathing
Less serious side effects
Dry mouth
Appetite loss
Weight loss
Headache
Nausea
Stomach pain
Trouble sleeping
Restlessness
Mood changes
Dizziness
Fast heart rate
Dyanavel XR amphetamine tablet/suspension prescribing information, DailyMed (NIH National Library of Medicine)
Dyanavel XR drug summary, Prescriber’s Digital Reference (PDR)
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