Name of the Procedure:

Common Name: Dextroamphetamine Sulfate, 5 mg
Medical Term: Dextroamphetamine Sulfate Administration

Summary

The administration of dextroamphetamine sulfate, commonly referred to by its brand names like Dexedrine or Dextrostat, involves taking a 5 mg dose of this medication, which is typically prescribed in tablet or capsule form. This drug belongs to a class of medications known as central nervous system stimulants.

Purpose

Dextroamphetamine sulfate is primarily used to treat attention deficit hyperactivity disorder (ADHD) and narcolepsy. The goal of the medication is to increase attention and decrease impulsiveness and hyperactivity in patients with ADHD, and to help stay awake during the day in patients with narcolepsy.

Indications

• Symptoms of ADHD such as inattention, hyperactivity, and impulsiveness.
• Narcolepsy symptoms like excessive daytime sleepiness and sudden muscle weakness attacks (cataplexy).
• ADHD diagnosis typically includes behavioral assessments.
• Narcolepsy diagnosis may include sleep studies.

Preparation

• No special preparation required for taking the medication.
• Patients might need routine check-ups to monitor their response to the drug.
• Discuss any other medications being taken to avoid interactions.

Procedure Description

1. Prescription Issued: The healthcare provider prescribes dextroamphetamine sulfate.
2. Medication Intake: The patient takes a 5 mg dose, usually orally, with or without food, as directed by their healthcare provider. It is generally taken one to three times a day, according to the specific needs of the patient.
3. Monitoring: Periodic visits to the healthcare provider to monitor the patient’s response and adjust dosage if necessary.

Duration

Each dose's effect lasts typically from 4-6 hours, and dosing frequency can vary. Regular follow-ups assess the effectiveness and side effects.

Setting

• The medication is usually taken at home.
• Follow-up visits are conducted at the healthcare provider’s office.

Personnel

• Primary care physician or psychiatrist
• Pharmacist who dispenses the medication

Risks and Complications

• Common Risks: Insomnia, dry mouth, loss of appetite, weight loss, increased heart rate.
• Rare Risks: Severe heart problems, mental/mood changes (e.g., agitation, aggression, mood swings), numbness, slow healing of wounds.
• Management: Regular monitoring and adjustments by a healthcare provider.

Benefits

• Improved attention span, focus, and behavior in patients with ADHD.
• Reduced episodes of daytime sleepiness for those with narcolepsy.
• Benefits can often be noticed within a few hours of taking the medication.

Recovery

• No recovery period needed as this is a medication regimen.
• Continuous follow-up to ensure proper dosing and to monitor side effects.
• Regular physical exams to check blood pressure, heart rate, and growth (in children).

Alternatives

• Medications: Other stimulants like methylphenidate (Ritalin), non-stimulant options such as atomoxetine (Strattera).
• Therapies: Behavioral therapy, lifestyle changes (diet, sleep hygiene).
• Pros and Cons: Each alternative has its own benefits and side effects, which should be discussed with a healthcare provider to determine the best treatment plan.

Patient Experience

• During: Patients might feel more awake, focused, or slightly nervous soon after taking a dose.
• After: Effects generally wear off in 4-6 hours; patients may experience increased wakefulness or improved attention.
• Pain Management: Side effects like headache or stomachache might occur but can often be managed with over-the-counter pain relievers or adjustments in dosing.

The healthcare provider's advice will be crucial in tailoring the treatment to the patient’s specific needs and situations.