5 • 716 Ratings
🗓️ 14 September 2023
⏱️ 11 minutes
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0:00.0 | Hey all, welcome back to the Real Life Pharmacology podcast. I'm your host, pharmacist, Derek Christensen. |
0:05.3 | Thank you so much for listening today. So always go check out Real Life Pharmacology.com. Get your |
0:11.4 | free 31 page PDF on the top 200 drugs. It's a great study guide. It's a great review out in practice. |
0:20.0 | Definitely go take advantage of that. Simply an email is going to get you |
0:23.1 | access to that. And then we've also get you emails when we've got new content available as well, |
0:28.6 | such as this podcast, for example. So the drug of the day today is Lizdexamphetamine. |
0:36.4 | Brand name of this medication is Vivance. |
0:40.3 | This is a CNS stimulant. |
0:44.0 | It is a sympathamomimetic agent. |
0:48.0 | It is primarily going to release norepinephrine and dopamine. |
0:54.0 | And it is going to be used in ADHD, |
0:56.9 | and it also is indicated in binge eating disorder. |
1:02.7 | Primary dosing range, initial dosing can be in the 10 to 30 milligram range. |
1:10.5 | Obviously, if we're using potentially in pediatrics, |
1:14.5 | younger patients, smaller patients, we're probably going to start more conservatively there. In adults, |
1:20.4 | you may see 30 milligrams started on a regular basis there, up to typically a max of 70 milligrams per day. I will say there is |
1:32.0 | some caution with renal impairment and recommended max dose in a patient with 15 mils per minute, 30 |
1:41.4 | mils per minute range. That maximum dose is recommended to be 50 milligrams per day. |
1:47.6 | In patients with end-stage renal disease and or |
1:52.1 | granting clearance less than 15 mils per minute, |
1:56.6 | we're looking at a maximum of 30 milligrams per day. |
2:00.5 | So let's get into some of the risks and adverse effects with this agent. |
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