Hey all, welcome back to the Real Life Pharmacology podcast. I'm your host, pharmacist, Derek Christensen.

Thank you so much for listening today. So always go check out Real Life Pharmacology.com. Get your

free 31 page PDF on the top 200 drugs. It's a great study guide. It's a great review out in practice.

Definitely go take advantage of that. Simply an email is going to get you

access to that. And then we've also get you emails when we've got new content available as well,

such as this podcast, for example. So the drug of the day today is Lizdexamphetamine.

Brand name of this medication is Vivance.

This is a CNS stimulant.

It is a sympathamomimetic agent.

It is primarily going to release norepinephrine and dopamine.

And it is going to be used in ADHD,

and it also is indicated in binge eating disorder.

Primary dosing range, initial dosing can be in the 10 to 30 milligram range.

Obviously, if we're using potentially in pediatrics,

younger patients, smaller patients, we're probably going to start more conservatively there. In adults,

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

some caution with renal impairment and recommended max dose in a patient with 15 mils per minute, 30

mils per minute range. That maximum dose is recommended to be 50 milligrams per day.

In patients with end-stage renal disease and or

granting clearance less than 15 mils per minute,

we're looking at a maximum of 30 milligrams per day.

So let's get into some of the risks and adverse effects with this agent.

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