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AMFEXA 5MG TABLETS

Active substance(s): DEXAMFETAMINE SULFATE

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Erstellungsdatum:
Bezeichnung:
Artikelnr.:
Farben:

24.05.2016
Amfexa 5mg comprimdos GI UK
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Amfexa 5mg GI UK_2016-01_20070124 BPZ UK XL Variation 24.05.16 13:55 Seite 1

PACKAGE LEAFLET: INFORMATION FOR THE PATIENT

Amfexa® 5 mg Tablets
Dexamfetamine sulfate

This medicine is subject to additional monitoring. This will allow quick identification of new safety
information. You can help by reporting any side effects you may get. See the end of section 4 for how
to report side effects.
Read all of this leaflet carefully before your child starts taking this medicine because it
contains important information for you.
• Keep this leaflet. You may need to read it again.
• If you have any further questions, ask your doctor or pharmacist.
• This medicine has been prescribed for your child only. Do not pass it on to others. It may harm
them, even if their signs of illness are the same.
• If your child gets any side effects, talk to your doctor or pharmacist. This includes any possible
side effects not listed in this leaflet. See section 4.
What is in this leaflet:
1 What Amfexa® 5 mg Tablets is and what it is used for
2 What you need to know before you use Amfexa® 5 mg Tablets
3 How to use Amfexa® 5 mg Tablets
4 Possible side effects
5 How to store Amfexa® 5 mg Tablets
6 Contents of the pack and other information
1

WHAT AMFEXA® 5 MG TABLETS IS AND WHAT IT IS USED FOR

What Amfexa® 5 mg Tablets is
Amfexa® 5 mg Tablets contain the active substance dexamfetamine sulfate.

Amfexa® 5 mg Tablets is a psychostimulant. It improves activity in parts of the brain. This medicine
can help to improve attention span, concentration, and reduce impulsive behaviour.
What it is used for
Amfexa® 5 mg Tablets is used to treat attention-deficit/hyperactivity disorder (ADHD).
• it is used in children and adolescents aged 6-17 years.
• it is not indicated in all children with ADHD
• it is used only after when another medicine called methylphenidate was not sufficiently effective.
• It should be used as part of a treatment programme which typically includes psychological,
educational and social measures.

Amfexa® 5 mg Tablets treatment must only be initiated by, and used under the supervision of a
specialist in childhood or adolescent behavioural disorders.
You must talk to a doctor if your child does not feel better or if they feel worse after a month. The
doctor may decide that a different treatment is needed.
2

WHAT YOU NEED TO KNOW BEFORE YOU USE AMFEXA® 5 MG TABLETS

Do not use Amfexa® 5 mg Tablets if your child:
• is allergic (hypersensitive) to dexamfetamine or other amfetamine compounds or any of the other
ingredients of Amfexa® 5 mg Tablets (listed in Section 6)
• has a thyroid problem
• has increased pressure in the eyes (glaucoma)
• has a tumour of the adrenal gland (phaeochromocytoma)
• has an eating problem, does not feel hungry or does not want to eat (e.g anorexia nervosa)
• has very high blood pressure or narrowing of the blood vessels, which can cause pain in the arms
and legs
• has advanced arteriosclerosis
• has ever had heart problems - such as a heart attack, uneven heartbeat, pain and discomfort in
the chest, heart failure, heart disease, or was born with a heart problem
• has had a problem with the blood vessels in the brain - such as a stroke, swelling and weakening
of part of a blood vessel (aneurysm), narrow or blocked blood vessels, or inflammation of the
blood vessels (vasculitis)
• has mental health problems such as:
- a psychopathic or borderline personality disorder
- abnormal thoughts or visions or schizophrenia
- signs of a severe mood disorder like:
suicidal feelings
severe depression
mania
• is currently taking or has taken within the last 14 days an antidepressant (known as a monoamine
oxidase inhibitor) – see the ‘Other medicines and Amfexa® 5 mg Tablets’ section below
• has ever abused alcohol, prescription medicines, or street drugs
• or anyone in your family has Tourette’s syndrome or other motor or verbal tics
• has hard-to-control, repeated twitching of any parts of the body or repeats sounds and words
• has porphyria
Do not use this medicine if any of the above applies to your child. If you are not sure, talk to your
doctor or pharmacist before you use Amfexa® 5 mg Tablets. This is because this medicine can make
these problems worse.
Warnings and precautions
Talk to your doctor or pharmacist before taking Amfexa® 5 mg Tablets if your child
• has a disease of the blood or liver, or kidney problems
• is hyperexcitable or has an unstable personality
• has had fits (seizures, convulsions, epilepsy) or any abnormal brain scans (EEGs)
• is female and has started having periods (see the ‘Pregnancy and breast-feeding’ section below)
• has high blood pressure
• has a heart problem which is not in the ‘Do not take’ section above
• has a mental health problem which is not in the ‘Do not take’ section above. This may include
mood swings, unusual aggression, hallucinations, delusions, paranoia, agitation and anxiety,
feelings of guilt or depression.

Tell your doctor or pharmacist if any of the above applies to your child before starting treatment. This
is because this medicine can make these problems worse. Your doctor will want to monitor how the
medicine affects your child.

Checks that your doctor will make before Amfexa® 5 mg Tablets is used
These checks are to decide if this is the correct medicine for your child. Your doctor will talk to you
about:
• any other medicines your child is taking
• whether there is any family history of sudden unexplained death
• any other medical problems (such as heart problems) you or your family may have
• how your child is feeling, such as feeling high or low, having strange thoughts or if your child has
had any of these feelings in the past
• whether there is a family history of ‘tics’ (hard-to-control, repeated twitching of any parts of the
body or repeating sounds and words)
• any mental health or behaviour problems you or other family members have ever had.

Your doctor will discuss whether your child is at risk of having mood swings (from being manic to
being depressed - called ‘bipolar disorder’). They will check your child’s mental health history, and
check if any of your family has a history of suicide, bipolar disorder or depression.

It is important that you provide as much information as you can. This will help your doctor decide if
Amfexa® 5 mg Tablets is the correct medicine for your child. Your doctor may decide that other
medical tests are needed before they start taking this medicine.
Effect on weight/growing
Amfexa® 5 mg Tablets may cause reduced weight in some children and adolescents.
• There may be lack of weight gain
• Your doctor will carefully watch the height and weight of your child, as well as how well your child
is eating.
• If your child is not growing as expected, then your doctor may stop treatment with Amfexa® 5 mg
Tablets for a short time.
Having an operation
Tell your doctor if your child is going to have an operation. Amfexa® 5 mg Tablets should not be taken
on the day of surgery if a certain type of anaesthetic is used. This is because there is a chance of a
sudden rise in blood pressure during the operation.

Drug testing
This medicine may give a positive result when testing for drug use. Athletes must be aware that this
medicinal product may cause a positive reaction to ‘anti-doping’ tests.
Children and adolescents
Amfexa® 5 mg Tablets is not for use as a treatment for ADHD in children under 6 years of age, and
adults. It is not known if it is safe or of benefit for these people.
Other medicines and Amfexa® 5 mg Tablets
Tell your doctor or pharmacist if your child is taking, has recently taken or might take any other
medicines, including medicines obtained without a prescription.
Monoamine oxidase inhibitors
Do not use this medicine if your child is taking a medicine called a ‘monoamine oxidase inhibitor’
(MAOI) used for depression, or has taken an MAOI in the last 14 days. Taking an MAOI with
dexamfetamine may cause a sudden increase in blood pressure.

If your child is taking other medicines, this medicine may affect how well they work or may cause
side effects. If your child is taking any of the following medicines, check with your doctor or
pharmacist before using Amfexa® 5 mg Tablets:
• other medicines for depression, e.g. tricyclic antidepressants and selective serotonin reuptake
inhibitors
• medicines for severe mental health problems, e.g. phenothiazines and haloperidol
• medicines for epilepsy, e.g. anticonvulsants like phenobarbital, phenytoin, primidone, and
ethosuximide
• medicinal products that help to give up alcohol, e. g. disulfiram
• medicines used to reduce or increase blood pressure, e.g. guanethidine, clonidine, reserpine, or
alpha-methyltyrosine, or beta-blockers such as propranolol
• some cough and cold remedies which contain medicines that can affect blood pressure.
It is important to check with your pharmacist when you buy any of these products
• medicines that thin the blood to prevent blood clots, e.g. coumarin anticoagulants
• any medicines that contain glutamic acid HCl, ascorbic acid, ammonium chloride, sodium acid
phosphate, sodium bicarbonate, acetazolamide, thiazides
• any of the following medicines: beta-blockers, antihistamines, lithium, noradrenaline, morphine,
and meperidine

If you are in any doubt about whether any medicines your child is taking are included in the list
above, ask your doctor or pharmacist for advice before taking this medicine.

Amfexa® 5 mg Tablets with alcohol
Alcohol must not be consumed while taking this medicine. Remember that some foods and
medicines contain alcohol.
Pregnancy and breast-feeding
Amfexa® 5 mg Tablets may affect an unborn baby.

If your daughter is pregnant or breast-feeding, she may be pregnant or is planning to have a baby,
ask your doctor or pharmacist for advice before using this medicine.
• your doctor will discuss contraception
• if your daughter is pregnant she may have to stop taking this medicine.
• it is possible that this medicine is passed into human breast milk. Therefore, your doctor will
decide whether your daughter should stop breast-feeding or stop taking this medicine.
Driving and using machines
Your child may feel dizzy, have problems focussing, or have blurred vision when taking this medicine.
If so, it may be dangerous to do things such as drive, use machines, ride a bike or horse, or climb
trees.

The medicine can affect your ability to drive as it may make you sleepy or dizzy.
• Do not drive while taking this medicine until you know how it affects you.
• It is an offence to drive if this medicine affects your ability to drive.
• However, you would not be committing an offence if:
- The medicine has been prescribed to treat a medical or dental problem and
- You have taken it according to the instructions given by the prescriber or in the information
provided with the medicine and
- It was not affecting your ability to drive safely
Talk to your doctor or pharmacist if you are not sure whether it is safe for you to drive while taking
this medicine.

Amfexa® 5 mg Tablets contains isomalt (E953)
If you have been told by your doctor that your child cannot tolerate some sugars, talk to your doctor
before using this medicinal product.
3

HOW TO TAKE AMFEXA® 5 MG TABLETS

How much to take
Always use this medicine exactly as your doctor has told you. You should check with your doctor or
pharmacist if you are not sure.
The normal recommended dose is between 5 mg and 20 mg.

- Your doctor will usually start treatment with a low dose of one tablet Amfexa® 5 mg Tablets. This will
be increased gradually by one tablet Amfexa® 5 mg Tablets at weekly intervals, as required.

- The maximum daily dose is 20 mg (in rare cases, 40 mg may be needed).
How to take
The medicinal product is intended for oral use.

Your child should take Amfexa® 5 mg Tablets with a drink of water, preferably with or immediately
after meals. Amfexa® 5 mg Tablets should be taken at the same time in relation to the meals. The
last dose should, in general, not be given too late after lunch in order to prevent disturbances in
falling asleep.

The tablets have a score line and can be divided, if needed. The score line is only there to help you
break the tablet if there is difficulty swallowing it whole. To split it, place the tablet onto a hard surface
with the cross-scored, smooth side downwards and then push carefully with your index finger at the
centre of its top side. The tablet then breaks into four parts.
If your child does not feel better, tell your doctor. They may decide a different treatment is needed.

Long-term treatment
Your doctor will decide how long the treatment is given. If your child takes this medicine for more than
a year, your doctor should stop treatment for a short time, e.g. during a school holiday. This will show
if the medicine is still needed.
Not using Amfexa® 5 mg Tablets properly
If Amfexa® 5 mg Tablets is not used properly, it may cause abnormal behaviour. It may also mean
that your child starts to depend on the medicine. Tell your doctor if your child has ever abused or
been dependent on alcohol, prescription medicines or street drugs.
This medicine is only for your child. Do not give this medicine to anyone else, even if their symptoms
seem similar.

If your child takes more Amfexa® 5 mg Tablets than they should
Talk to a doctor or call an ambulance straight away. Tell them how much has been taken. Show the
package or this leaflet to the doctor. Overdosage of these tablets can be very serious.

Signs of overdose may include: excitement, hallucinations, convulsions leading to coma, irregular
and rapid heartbeat, and reduced breathing.

If your child forgets to take Amfexa® 5 mg Tablets
Do not use a double dose to make up for a forgotten dose. If your child forgets a dose, wait until it
is time for the next dose.
If your child stops taking Amfexa® 5 mg Tablets
If your child suddenly stops taking this medicine, this can lead to extreme tiredness, depression,
mood disorders, agitation, sleep disturbances, increased appetite, or involuntary movements. Your
doctor may want to gradually reduce the amount of medicine taken each day, before stopping it
completely. Talk to your doctor before stopping Amfexa® 5 mg Tablets.
If you have any further questions on the use of this medicine, ask your doctor or pharmacist.
4

POSSIBLE SIDE EFFECTS

Like all medicines, this medicine can cause side effects, but not everybody gets them. Your doctor
will talk to you about these side effects.

Very common: may affect more than 1 in 10 people
• decreased appetite, reduced weight gain and weight loss during prolonged use in children
• difficulty in sleeping
• nervousness
Common: may affect up to 1 in 100 people
• irregular or increased heartbeat, a more noticeable heartbeat,
• abdominal pain and/or cramps, nausea, vomiting, dry mouth
These effects usually occur at the beginning of treatment and may be alleviated by taking the
medicine with meals.
• changes in blood pressure and heart rate (usually increases)
• joint pain
• A feeling of dizziness or “spinning”, jerky or involuntary movements, headache, hyperactivity
• abnormal behaviour, aggression, excitation, anorexia, anxiety, depression, irritability
Rare: may affect up to 1 in 1,000 people
• angina pectoris
• difficulties in visual sharpening and focus, blurred vision, dilation of the pupils.
• reduced height increase during prolonged use in children
• fatigue
• rash, hives
Very rare: may affect up to 1 in 10,000 people
• Reduction in red blood cells which can make the skin pale and cause weakness or
breathlessness, changes in blood cell counts (leukopenia, thrombocytopenia, thrombocytopenic
purpura)
• cardiac arrest
• Tourette’s syndrome
• abnormal liver function ranging from hepatic enzyme elevations to hepatic coma
• muscle cramps
• convulsions, involuntary movements (choreoathetoid movements), bleeding inside the skull
(intracranial haemorrhage)
• hallucinations, psychosis / psychotic reactions, suicidal behaviour or suicide, tics, worsening of
pre-existing tics
• itchy red skin lesions (erythema multiforme) or scaly skin patches (exfoliative dermatitis), recurring
rash, which happens in the same place each time the medicine is taken (fixed drug eruption)
• inflammation of the blood vessels of the spinal cord and brain (cerebral vasculitis) and/or
occlusion
Not known: frequency cannot be estimated from the available data
• heart muscle disease (cardiomyopathy), heart attack
• inflammation of parts of the large intestine when the blow flow is reduced (ischaemic colitis),
diarrhoea
• chest pain, growth retardation during prolonged use, increased body temperature, allergic
reactions including serious allergic reaction which causes swelling of the face or throat
(angioedema) and serious allergic reaction which causes difficulty in breathing or dizziness
(anaphylaxis), sudden death
• disturbance of the acid-base balance of the body (acidosis)
• abnormal muscle breakdown which can lead to kidney problems (rhabdomyolysis)
• difficulty in controlling movements (ataxia), dizziness, abnormal or impaired sense of taste,
concentration difficulties, hyperreflexia, stroke, shaking (tremor)
• confusion, dependence, dysphoria, emotional instability, euphoria, impaired cognitive test
performance, altered libido, night terrors, obsessive-compulsive behaviour, panic states, paranoia,
restlessness
• renal damage
• impotence
• sweating, hair loss
• circulatory failure
Reporting of side effects
If you get any side effects, talk to your doctor or pharmacist. This includes any possible side effects
not listed in this leaflet. You can also report side effects directly via the Yellow Card Scheme, website:
www.mhra.gov.uk/yellowcard. By reporting side effects you can help provide more information on the
safety of this medicine.

5

HOW TO STORE AMFEXA® 5 MG TABLETS

Keep this medicine out of the sight and reach of children.

Do not use this medicine after the expiry date which is stated on the blister and the box after “EXP”.
The expiry date refers to the last day of that month.
Do not store above 30 °C.
Store in the original package in order to protect from moisture.

Do not throw away any medicines via wastewater or household waste. Ask your pharmacist how to
throw away medicines you no longer use. These measures will help to protect the environment.
6

CONTENTS OF THE PACK AND OTHER INFORMATION

What Amfexa® 5 mg Tablets contains:

- The active substance is dexamfetamine sulfate
One tablet contains 5 mg dexamfetamine sulfate
- The other ingredients are:
isomalt (E953)
crospovidone
magnesium stearate

What Amfexa® 5 mg Tablets looks like and the contents of the pack:
Amfexa® 5 mg Tablets

White, round, cloverleaf-shaped tablets with a notched, cross-scored line on the top side and a
cross-scored line embossed with “S” on each quarter on the rear side.
The tablets can be divided.
Pack sizes: 20, 30, 50, or 100 tablets
Boxes containing tablets packed in blisters made of PVC/PE/PVdC aluminium foil
Not all pack sizes may be marketed.

Marketing authorisation holder and manufacturer

MEDICE Arzneimittel Pütter GmbH & Co. KG
Kuhloweg 37
58638 Iserlohn
Germany

This package leaflet was last revised in 01/2016

United Kingdom:
Ireland:
Denmark:
Finland:
Luxembourg:
Netherlands:
Norway:
Spain:
Sweden:

Amfexa® 5 mg Tablet
Tentin 5 mg tablets
Attentin® 5 mg
Attentin® 5 mg
Attentin® 5 mg
Amfexa® 5 mg
Attentin® 5 mg
Amfexa® 5 mg comprimidos
Attentin® 5 mg

This package leaflet is also available in formats appropriate for the blind and partially sighted.

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Erstellungsdatum:
Bezeichnung:
Artikelnr.:
Farben:

24.05.2016
Amfexa 5mg comprimdos GI UK
000000000000
■ Schwarz

Amfexa 5mg GI UK_2016-01_20070124 BPZ UK XL Variation 24.05.16 13:55 Seite 2

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Source: Medicines and Healthcare Products Regulatory Agency

Disclaimer: Every effort has been made to ensure that the information provided here is accurate, up-to-date and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. This information has been compiled for use by healthcare practitioners and consumers in the United States. The absence of a warning for a given drug or combination thereof in no way should be construed to indicate that the drug or combination is safe, effective or appropriate for any given patient. If you have questions about the substances you are taking, check with your doctor, nurse or pharmacist.

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