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Generic name: dextroamphetamine [DEX-tro-am-GET-a-mean]
Drug class: CNS stimulants

What is Xelstrym?

Xelstrym (dextroamphetamine) can be described as a central nervous system (CNS) stimulant prescribed as medicine.

Xelstrym skin patches can be used to treat attention deficit hyperactivity disorder (ADHD) in adults and children aged 6 or older.

Xelstrym can help improve the focus of attention and reduce impulsiveness as well as hyperactivity in children and adults six years old and up with ADHD.

Xelstrym is a controlled drug because it contains dextroamphetamine. Xelstrym is a potential source of abuse for those who use prescription drugs as well as street drugs. Store your patches in a secure location to guard them from theft. Don't give Xelstrym patches to anyone else, since it could lead to the death of someone else or cause harm to them.


It is not recommended to make use of the Xelstrym skin patch if you suffer from glaucoma, an overactive thyroid, severe anxiety, mild to extreme elevated blood pressure, heart disease, or coronary artery disease, or have a history of addiction to drugs or alcohol dependence.

Dextroamphetamine can be a habit-forming drug. Use can result in dependence, serious heart problems, or even death.

Contact your doctor immediately for chest pain, feeling or hearing sounds that aren't true, a decrease in sleeping, feeling agitated, and unresolved cuts on your fingers and toes.

Before you take this drug

It is not recommended to use patches with Xelstrym if you are allergic to any stimulant medication or if you suffer from:

  • Moderate to extreme excessive blood pressure, heart conditions, and coronary artery diseases (clogged blood vessels);
  • Overactive thyroid, glaucoma
  • Extreme anxiety, tension, or anxiety (stimulant medications can intensify these symptoms), as well as
  • An antecedent of drug or alcohol dependence.

Don't use Xelstrym if you've taken an MAO inhibitor within the last 14 days. A potentially dangerous interaction with a drug could happen. MAO inhibitors include isocarboxazid, linezolid, methylene blue injection, phenelzine, and tranylcypromine, as well as others.

Consult your physician if you are also taking opioids or herbal products. medications for mental illness, depression, such as Parkinson's disease, severe infections, migraines, or the prevention of vomiting and nausea. The interaction between dextroamphetamine and other drugs could result in a serious illness known as serotonin syndrome.To ensure that Xelstrym is appropriate for you, ask your physician if you or any family member has ever been diagnosed with:

  • A heart defect or high blood pressure; an ancestor's background of heart diseases; or sudden death;
  • Depression mental illness: bipolar disorder, psychosis, suicidal thoughts, behaviors;
  • Motor tics (muscle twitching) as well as the syndrome of Tourette's;
  • Seizures or epilepsy, an abnormal testing of brain waves (EEG);
  • Contact dermatitis;
  • Blood circulation issues or peripheral vascular diseases like Raynaud's syndrome or
  • Kidney disease.

Consult your doctor if you are pregnant or planning to be pregnant. Utilizing Xelstrym during pregnancy can increase the risk of a premature delivery, withdrawal signs, or a birth weight that is too low.If you're expecting and you are a registered mother, your name could be added to an ob-gyn registry to track the effects of dextroamphetamine's skin patch on your baby.

Breastfeeding is not recommended when using Xelstrym.

How to take Xelstrym?

Use the Xelstrym patch exactly according to the prescription of your physician. Follow the directions on your prescription label and go through all medication guides and instruction sheets. Your doctor may alter your dosage.

Dextroamphetamine can be a trigger for addiction. The misuse of the drug can result in dependence, addiction, or overdose. grave heart issues or even the death of a person. Keep the medication in a place where other people cannot access it. Giving away or selling the medicine is against the law.

Place the Xelstrym patch on clean, dry, hairless, dry skin. The patch should be firmly pressed in place for approximately 10 seconds. Apply the patch while showering, bathing, or in the pool. Applying the patch 2 hours prior to the effect is required. Remove the patch after nine hours of application.Pick a different spot on your body every time you use a different patch of Xelstrym. Don't apply the patch to the same skin area for more than seven days. Don't wear more than one patch. Only wear one Xelstrym patch each day. Do not cut skin patches.

Your doctor will monitor your health frequently. You might require medical tests. Inform any doctor treating you that you're taking this medication.The dosage you require could change when you change to a different strength, brand, or dosage of this medication. Make sure you are using only the medication the doctor has prescribed.

Keep Xelstrym skin patches at cool temperatures away from heat, moisture, and light.Take note of and follow the instructions included in this medicine on how to get rid of any leftover portions. Don't flush the Xelstrym skin patch into the toilet.

Details on dosage

Pediatric Patients.
The recommended dose for pediatric patients aged 6–17 years is 4.5 mg every 9 hours. Dosage adjustments can be made each week in increments of 4.5 mg until the maximum dose recommended is 18 mg/9 hours.

Dosage for starting: 9 mg/9 hours. The dosage can be adjusted up to a maximum of 18 mg per 9 hours.

What happens if I miss a dose?

Don't miss the dose you missed, and take your next dose at the normal time. Do not take two doses at once.

What happens if I overdose?

For medical emergencies, seek emergency treatment or contact the Poison Help line at 1-800-222-1222. Dextroamphetamine, in excess, can cause death.

The signs of an overdose could include the feeling of being agitated as well as hallucinations, rapid breathing, nausea, aggression, diarrhea, fainting, uneven heartbeats, seizures, or coma.

What should be avoided Xelstrym?

Xelstrym could cause blurred vision and a decrease in your ability to react. Avoid driving or engaging in hazardous activities until you are aware of the effects of this medication on your vision.

Avoid sources of heat such as hair dryers or heat lamps when using the Xelstrym patches for skin.

Side effects of Xelstrym

Seek medical attention immediately in the event that you show symptoms that indicate an allergy reaction (hives or difficulty breathing, swelling of your throat or face) or a severe skin reaction (fever, sore throat, eye burning, irritation, and a red or purple rash on the skin with peeling and blistering).

The effects of stimulants can cause strokes, heart attacks, and sudden deaths in a few individuals. Seek medical attention immediately when you notice indications of stroke or heart attack symptoms like chest pain that spreads onto your shoulder or jaw, sudden weakness or numbness in one part of your body, slurred speech, or feeling tired.

Xelstrym can cause serious adverse side effects. Contact your doctor immediately if you suffer from:

  • Indications of blood circulation or heart issues chest pain, difficulty breathing, numbness or cold sensations, or the impression of fingers and toes;
  • Symptoms of psychosis or mania, such as being able to perceive or hear things that aren't real, such as paranoia, aggression, and a decreased need to sleep, taking risks, and being talkative or agitated;
  • A seizure, muscle shakes (tics), visual changes, blurred vision,
  • Minor skin irritations when the patch is placed.

Get medical attention immediately if you experience symptoms of serotonin syndrome, for example: hallucinations, agitation, sweating and shivering, high heart rate, muscle stiffness, losing coordination, twitching, nausea, vomiting, or diarrhea.

Dextroamphetamine can affect growth in children. Consult your physician if your child isn't growing normally when taking this medication.

Common Xelstrym side effects could include:

  • Dry mouth, uneasy stomach, weight loss, loss of appetite, losing weight
  • Headache, dizziness, headache, sleep issues (insomnia), irritation, muscle twitching (tics),
  • Sickness, vomiting, high blood pressure, shaking, and rapid heartbeats.

This isn't a complete list of all the side effects. Other side effects could occur. Contact your physician for advice regarding medical effects. You can report any side effects to the FDA at 1-800-FDA-1088.

Interaction with other drugs

It is sometimes not advisable to take certain medications simultaneously. Certain drugs may affect the blood levels of other medications that you are taking, which can create side effects or render the medication less effective.

Inform your doctor about your current medications. Certain drugs can interact with dextroamphetamine. This includes:

  • An antacid, migraine headache medicine, or seizure medicine;
  • Fentanyl, tramadol, lithium, and buspirone;
  • Acetazolamide, tryptophan, methenamine, and vitamin c products;
  • An antidepressant or diuretic, or "water pill";
  • Blood pressure medication

This isn't a complete list, and a variety of other medications could be incompatible with dextroamphetamine. This includes over-the-counter and prescription medications, vitamins, and herbal remedies. Some interactions with drugs are not listed here. are included here.