Azstarys, a medication composed of dexmethylphenidate and serdexmethylphenidate, is prescribed primarily to manage attention deficit hyperactivity disorder (ADHD) in individuals aged six and older. While Azstarys can be effective in treating ADHD, it may also induce side effects that vary in severity. Common side effects may include a reduced appetite, nausea, and difficulties with sleep.

This article will explore the variety of side effects associated with Azstarys, dividing them into common, mild, and serious categories for better understanding.

During treatment with Azstarys, patients may encounter a range of side effects. Here are some of the commonly reported ones:

• Indigestion (upset stomach)
• Decreased appetite*
• Insomnia (difficulty sleeping)*
• Nausea
• Vomiting

* Refer to the “Side Effects Explained” section for more details.

Mild side effects linked to Azstarys include:

• Abdominal pain
• Nausea
• Vomiting
• Indigestion
• Decreased appetite*
• Minor weight loss
• Increased blood pressure and heart rate
• Irritability
• Dizziness
• Anxiety
• Insomnia*
• Mood shifts
• Mild allergic reactions*†

* See “Side Effects Explained” for further information. † Mild allergic reactions have been documented following the FDA approval of Azstarys.

These mild effects are usually fleeting, with potential management strategies including:

• Taking Azstarys in the morning after breakfast
• Adjusting dietary intake
• Utilizing over-the-counter remedies
• Employing home remedies

For persistent or concerning symptoms, consult your healthcare provider before ceasing the medication.

Serious side effects associated with Azstarys include:

• Stunted growth in children (height and weight)
• Significant weight loss
• Uncontrolled, spasm-like movements and sounds
• Severe cardiovascular issues, including elevated blood pressure and heart rate
• Glaucoma
• Restricted blood flow to extremities
• Prolonged and painful penile erections
• Mental health concerns including:
• Abnormal behavior or thoughts
• Severe psychosis (difficulty distinguishing reality)
• Manic episodes
• Boxed warning for the risk of misuse or addiction*
• Severe allergic reactions†‡

* Misuse involves using the medication differently than prescribed which can lead to addiction. Please consult the “Azstarys and Misuse” section below for details.

† For more on allergic reactions, refer to the “Side Effects Explained” section. ‡ Serious allergic reactions may only occur post-FDA approval.

If you experience any serious side effects while using Azstarys, contact your doctor immediately. In cases of life-threatening symptoms, call emergency services right away.

Azstarys is prescribed for children aged six and above with ADHD. Similar to adults, children may experience a range of side effects while using this medication. A notable issue observed in studies is a slowing of growth, affecting weight and height in comparison to peers. Discuss any concerns regarding a child’s side effects with their healthcare provider.

How do the side effects of Azstarys compare with Vyvanse or Adderall XR?

Azstarys, Adderall XR, and Vyvanse are all central nervous system stimulants effective for treating ADHD, and they tend to share similar side effects such as:

• Appetite loss
• Nausea and vomiting
• Weight reduction
• Anxiety
• Nervousness
• Insomnia

Unlike Adderall, Azstarys and Vyvanse are prodrugs, meaning they require conversion in the body, which may lower their potential for misuse.

Duration of Azstarys Side Effects

Generally, side effects associated with Azstarys are temporary and can fade with time. Once the medication is discontinued, it typically takes 2 to 3 days for the body to eliminate Azstarys, with a corresponding alleviation of symptoms. For lasting side effects, discussing them with your healthcare provider is advisable.

Does Azstarys lead to weight gain?

Weight gain has not been observed as a side effect in Azstarys studies; rather, weight loss is more prevalent. Consult your doctor if you have concerns regarding weight management while on this medication.

Decreased Appetite

A common side effect, decreased appetite may lead to:

• Fatigue
• Dizziness
• Irritability
• Headaches
• Weight loss

Risks can increase with the consumption of suppressive medications, caffeine, or chronic health issues.

Management Strategies

If you're facing appetite loss due to Azstarys, consider:

• Consuming larger breakfasts
• Pairing proteins with carbohydrates
• Incorporating smoothies for additional nutrition
• Consulting a dietitian for personalized guidance

Insomnia

Insomnia can manifest as:

• Difficulties falling asleep
• Frequent awakenings
• Daytime sleepiness
• Headaches
• Fatigue

Factors worsening insomnia may include irregular sleep schedules or consumption of large meals close to bedtime.

Management Strategies

To combat insomnia, consider:

• Eliminating screens before bed
• Engaging in relaxing activities like reading

Allergic Reactions

Symptoms of potential allergic reactions may range from mild rashes to severe respiratory issues, necessitating immediate medical attention.

Management Strategies

If mild allergy symptoms occur, contact your doctor for potential treatments, which may include antihistamines or topical creams. Severe symptoms require emergency assistance.

Documenting Side Effects

During Azstarys treatment, maintain a record of any side effects encountered. This can facilitate discussions with your healthcare provider, enabling tailored adjustments in your treatment plan.

Boxed Warning: Risk of Misuse and Addiction

Azstarys carries a boxed warning highlighting its potential for misuse and addiction, categorized as a Schedule II controlled substance. Your healthcare provider will monitor this risk throughout your treatment.

Considerations Before Starting Azstarys

Discuss your health history with your doctor before initiating Azstarys, particularly regarding any pre-existing conditions such as:

• Cardiovascular issues
• Glaucoma
• Tourette syndrome
• Substance abuse history

Alcohol Consumption with Azstarys

While no significant interactions between alcohol and Azstarys have been found, both can cause similar side effects, and combining them may exacerbate these effects.

Pregnancy and Lactation

Pregnancy and breastfeeding considerations should involve discussions about the risks and benefits of using Azstarys. Current studies exhibit mixed findings regarding its safety during pregnancy.

Azstarys is prone to misuse, including taking higher doses than prescribed or sharing the medication. Misuse can lead to severe health complications and potential overdose. It is crucial to adhere strictly to prescribed guidelines and store the medication safely to prevent unauthorized access.

If you're concerned about the side effects of Azstarys, consider asking your doctor the following:

• What should I expect if I stop taking Azstarys abruptly?
• Is depression a potential side effect of Azstarys?
• Which side effects warrant immediate contact with you?

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