Site icon Chris Pagnani MD PC

ADHD Medication Shortage “Substitutions” for Amphetamines such as Adderall, Adderall XR & Vyvanse.

Many providers unfortunately do not take the time to discuss alternatives for a patient’s ADHD medications, when a patient is struggling to consistently fill their stimulant medication due to the ADHD Stimulant Medication Shortage, which is affecting Philadelphia, Manhattan, Delaware and the areas that we serve for ADHD Medication Management & Treatment.

We recommend discussing the following with your provider, if you are doing well with prescribed Adderall, Adderall XR, Dexedrine or Vyvanse for your adult ADHD treatment, but are unable to consistently fill your medication due to the ADHD medication shortage affecting Philadelphia, Manhattan and Delaware.

  1. Discuss Adzenys XR-ODT, as this is a dissolvable product containing D-Amphetamine and L-Amphetamine (the active ingredients in Adderall and Adderall XR) but in a dissolvable pill form, which is readily available at many specialty pharmacies. Click here for information on manufacturer programs, making this medication affordable for many patients with commercial insurance.
  2. Discuss Dynavel XR, as it is a extended release medication containing D-Amphetamine and L-Amphetamine (the active ingredients in Adderall and Adderall XR) but in an extended release version that often lasts up to 13 hours. This medication is often readily available at local pharmacies in Philadelphia, Manhattan, Delaware and the areas that we serve. Click here for information on manufacturer programs, making this medication affordable for many patients with commercial insurance.
  3. Discuss Xelstrym, which is a Patch containing D-Amphetamine (the active ingredient in Dexedrine, and the primary active ingredient in Adderall and Adderall XR). Many patients will state that wearing the patch for 8-9 hours through a work day, provides consistent support for their Adult ADHD, without the “ups and downs” of multiple daily dosing of immediate release Adderall or similar medications. This medication can be ordered by many pharmacies in the Philadelphia and surrounding areas, and made affordable for many patients with commercial insurance, using the manufacturer’s coupon program, found here.
  4. Discuss Mydayis ER, which is a combination of D-Amphetamine (the main active ingredient in Adderall and Adderall XR) and 3 additional amphetamine salts. This medication is both in trade name and generic versions. The beads of this product are coated in various thicknesses, providing symptom relief for many patients for up to 16 hours. Many pharmacies can order this product, and Good Rx coupons may make it relatively affordable, even if paying out of pocket.
  5. Discuss Evekeo, which is a mixture of 50% D-amphetamine and 50% L-amphetamine. It is available in both trade name and generic forms. Coupons can be found on GoodRx. 

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