Evekeo

Evekeo is a stimulant medicine that treats attention deficit hyperactivity disorder (ADHD) in children. Some brands of amphetamine are for children 6 years and older. Evekeo can be used in children as young as 3 years old.

Evekeo is also used to treat narcolepsy in adults and children who are at least 6 years old, or obesity in adults and children who are at least 12 years old and have not lost weight with diets or other treatments.

Evekeo ODT is used only to treat ADHD in children who are at least 6 years old.

Evekeo may also be used for purposes not listed in this medication guide.

Follow all instructions on your prescription label and read all medication guides or instruction sheets. Your doctor may change your dose from time to time. Use the medicine exactly as directed.

Evekeo may be habit-forming. Misuse can lead to addiction, overdose, or death. Keep the medicine in a safe place where others cannot access it. Selling or giving away Evekeo is illegal.

Do not use this medicine more often than prescribed.

You can take Evekeo with or without food.

Dyanavel XR tablets can be chewed if you cannot swallow them.

Shake the oral suspension (liquid) before use. Measure a dose with the provided measuring device (not a kitchen spoon).

Take an orally disintegrating tablet out of the package with dry hands only when you are ready to use it. Let the orally disintegrating tablet dissolve in your mouth without chewing.

Your dose may change if you switch to a different brand, strength, or form of this medicine. Avoid mistakes by using only the medicine your doctor prescribes.

Your doctor will need to monitor your progress regularly and may require medical tests to check your heart function. Inform any doctor who treats you that you are using this medicine.

Store this medicine in the original container at room temperature, away from moisture and heat.

Do not keep leftover medicine. Ask your pharmacist about a drug take-back program. You can also mix leftover medicine with cat litter or coffee grounds in a sealed plastic bag and throw the bag in the trash.

Stimulants have caused stroke, heart attack, and sudden death in people with high blood pressure, heart disease, or a heart defect.

Do not use Evekeo if you have used an MAO inhibitor in the past 14 days. A dangerous drug interaction could occur. MAO inhibitors include isocarboxazid, linezolid, methylene blue injection, phenelzine, and tranylcypromine.

Evekeo may be habit-forming. Misuse can cause addiction, overdose, or death. Keep the medication where others cannot get to it. Selling or giving away this medicine is against the law.

Call your doctor right away if you have: signs of heart problems--chest pain, feeling light-headed or short of breath; signs of psychosis--paranoia, aggression, new behavior problems, seeing or hearing things that are not real; or signs of circulation problems--numbness, pain, cold feeling, unexplained wounds, or skin color changes (pale, red, or blue appearance) in your fingers or toes.

This medicine can affect the results of certain medical tests. Tell any doctor who treats you that you are using Evekeo.

You should not use Evekeo if you are allergic to any stimulant medicine or if you have taken an MAO inhibitor in the last 14 days, such as isocarboxazid, linezolid, methylene blue injection, phenelzine, or tranylcypromine.

You may not be able to use Evekeo if you have:

• chest pain or breathing issues due to heart disease;
• hardening of the arteries;
• moderate to severe high blood pressure;
• an overactive thyroid;
• a history of drug abuse; or
• if you are feeling agitated.

Stimulants have been linked to stroke, heart attack, and sudden death in certain individuals. Tell your doctor if you have:

• heart issues or a congenital heart defect;
• high blood pressure; or
• a family history of heart disease or sudden death.

Inform your doctor if you or anyone in your family has experienced:

• depression, mental illness, bipolar disorder, psychosis, or thoughts or actions of suicide;
• issues with drug or alcohol abuse;
• motor tics (muscle twitches) or Tourette's syndrome;
• a thyroid disorder;
• seizures or epilepsy;
• an abnormal brain wave test (electroencephalogram; EEG);
• coronary artery disease (clogged arteries);
• blood circulation problems in the hands or feet; or
• kidney disease.

Tell your doctor if you are pregnant or planning to become pregnant. Taking Evekeo during pregnancy may increase the risk of premature birth or low birth weight. If you are pregnant, your name may be included in a pregnancy registry to monitor the effects of amphetamine on the baby.

Do not breastfeed.

Get emergency medical help if you have signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.

Evekeo may cause serious side effects. Call your doctor right away if you have:

• signs of heart problems--chest pain, trouble breathing, feeling like you might faint;
• signs of psychosis--hallucinations (seeing or hearing things that are not real), new behavior problems, aggression, hostility, paranoia;
• signs of circulation problems--numbness, pain, cold feeling, unexplained wounds, or changes in skin color (pale, red, or blue appearance) in your fingers or toes;
• a seizure (convulsions);
• muscle twitches (tics);
• increased blood pressure or heart rate; or
• changes in your vision.

Seek medical attention immediately if you have symptoms of serotonin syndrome, such as: agitation, hallucinations, fever, sweating, shivering, fast heart rate, muscle stiffness, twitching, loss of coordination, nausea, vomiting, or diarrhea.

Evekeo can affect growth in children. Tell your doctor if your child is not growing at a normal rate while using Evekeo.

Common side effects of Evekeo may include:

• increased heart rate;
• mood changes, anxiety, feeling restless or nervous;
• trouble sleeping;
• dry mouth, stomach pain, nausea, vomiting, diarrhea, constipation;
• loss of appetite, weight loss;
• sexual problems (impotence in males);
• headache, dizziness; or
• itching.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.

Take the missed dose as soon as you remember, but not if it is late in the day. Skip the missed dose if it is almost evening. Do not take two doses at one time.

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. An overdose can be fatal.

Overdose symptoms may include restlessness, tremor, muscle twitches, rapid breathing, confusion, hostility, hallucinations, heart problems, blood pressure changes, panic, muscle pain or weakness, stomach cramps, vomiting, or diarrhea. These symptoms may be followed by depression and tiredness. Overdose may also lead to seizure or coma.

Avoid drinking fruit juices such as cranberry juice or taking vitamin C at the same time you take Evekeo. These can make your body absorb less of Evekeo.

Avoid drinking alcohol.

Avoid driving or hazardous activity until you know how this medicine will affect you. Your reactions could be impaired.

Sometimes, it is not safe to use certain medicines together. Some drugs can change how much of other drugs is in your blood, which may increase side effects or make the medicines less effective.

Ask your doctor before using a stomach acid medicine (including Alka-Seltzer or sodium bicarbonate). Some of these medicines can affect how your body absorbs Evekeo and may increase side effects.

Tell your doctor about all your current medicines. Many drugs can affect Evekeo, especially:

• antidepressants including desipramine, protriptyline, paroxetine, fluoxetine;
• lithium or other medicines to treat depression or mental illness;
• blood pressure medicines;
• blood thinners (warfarin, Coumadin, Jantoven);
• cold or allergy medicines that contain a decongestant;
• opioid (narcotic) medicines; or
• seizure medicines.

This list is not complete, and many other drugs may affect Evekeo. This includes prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible drug interactions are listed here.