Amphetamine and Lisdexamfetamine interaction

Amphetamine and Lisdexamfetamine: both prescribing labels flag this combination with the strongest language, such as a contraindication, a boxed warning, or an instruction to avoid it.

Major

Do not combine without a prescriber's guidance. The label language below is the strongest FDA uses.

What the FDA labels say

From the Amphetamine (Dyanavel XR) label · effective 2026-02-24

Major

Hypersensitivity reactions such as angioedema and anaphylactic reactions have been reported in patients treated with other amphetamine products [ see Adverse Reactions (6) ] .

Contraindicationsby drug classView label on DailyMed

From the Lisdexamfetamine (Vyvanse) label · effective 2026-04-30

Major

VYVANSE is contraindicated in patients with: Known hypersensitivity to amphetamine products or other ingredients of VYVANSE.

Contraindicationsnames AmphetamineView label on DailyMed
Major

Known hypersensitivity to amphetamine products or other ingredients in VYVANSE ( 4 )

Contraindicationsnames AmphetamineView label on DailyMed
Major

Serotonin Syndrome Serotonin syndrome, a potentially life-threatening reaction, may occur when amphetamines are used in combination with other drugs that affect the serotonergic neurotransmitter systems such as monoamine oxidase inhibitors (MAOIs), selective serotonin reuptake inhibitors (SSRIs), serotonin norepinephrine reuptake inhibitors (SNRIs), triptans,…

Warnings and precautionsnames AmphetamineView label on DailyMed
Moderate

Acidifying agents decrease amphetamine blood levels, while alkalinizing agents increase amphetamine blood levels.

Drug interactionsnames AmphetamineView label on DailyMed
Moderate

Alkalinizing Agents Clinical Impact Urinary alkalinizing agents can increase blood levels and potentiate the action of amphetamine.

Drug interactionsnames AmphetamineView label on DailyMed

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Not medical advice. Interaction Checker quotes FDA label text and NIH fact sheets. Whether an interaction matters for you depends on doses, timing, kidney and liver function, and other conditions. Confirm with a pharmacist or prescriber.