Medications

Amphetamine/Dextroamphetamine XR

Amphetamine/Dextroamphetamine XR

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Comprehensive medication guide to {drug} including estimated pricing, availability information, side effects, and how to find it in stock at your local pharmacy.

Estimated Insurance Pricing
Most insurance plans cover generic Amphetamine/Dextroamphetamine XR with typical copays of $10 to $50 per month.
Estimated Cash Pricing
Generic Amphetamine/Dextroamphetamine XR costs $28 to $80 per month with discount coupons, or $200 to $350 without coupons.
Medfinder Findability Score
35
/100
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Post Author

Peter Daggett

Last Updated

February 14, 2026

Amphetamine/Dextroamphetamine XR 2026 Availability, Prices, and Tips to Find

What Is Amphetamine/Dextroamphetamine XR?

Amphetamine/Dextroamphetamine XR (brand name Adderall XR) is a central nervous system (CNS) stimulant prescribed primarily for the treatment of Attention Deficit Hyperactivity Disorder (ADHD) in patients aged 6 and older. It contains a combination of four amphetamine salts — dextroamphetamine sulfate, amphetamine sulfate, dextroamphetamine saccharate, and amphetamine aspartate monohydrate — in a 3:1 ratio of dextro- to levo-amphetamine.

The extended-release formulation uses two types of beads (immediate-release and delayed-release) to provide symptom control throughout the day with a single morning dose. It is one of the most widely prescribed ADHD medications in the United States.

How does it work?

Amphetamine/Dextroamphetamine XR works by blocking the reuptake of norepinephrine and dopamine into presynaptic neurons while simultaneously increasing their release into the space between neurons. This results in higher concentrations of these neurotransmitters in the brain, which improves focus, attention, and impulse control in patients with ADHD.

The extended-release capsule contains two types of drug-releasing beads: one that releases medication immediately and another that releases medication approximately four hours later. This dual-release mechanism provides up to 12 hours of symptom coverage from a single morning dose.

What doses are available?

Amphetamine/Dextroamphetamine XR is available as extended-release capsules in the following strengths:

  • 5 mg extended-release capsule
  • 10 mg extended-release capsule
  • 15 mg extended-release capsule
  • 20 mg extended-release capsule
  • 25 mg extended-release capsule
  • 30 mg extended-release capsule

Capsules can be swallowed whole or opened and sprinkled on applesauce for patients who have difficulty swallowing. Do not chew the beads.

How hard is it to find Amphetamine/Dextroamphetamine XR in stock?

Amphetamine/Dextroamphetamine XR has a findability score of 35 out of 100, meaning it is quite difficult to find in stock at most pharmacies. An ongoing nationwide shortage that began in October 2022 continues to affect supply into 2026. The 15 mg, 25 mg, and 30 mg strengths are particularly hard to find, with manufacturers reporting back orders and estimated availability in late February 2026. DEA production quotas were increased in October 2025, but high demand and supply chain disruptions have kept certain strengths intermittently unavailable.

If your pharmacy is out of stock, try using Medfinder to locate pharmacies near you that currently have your dose available. Calling independent pharmacies and asking your doctor about dose flexibility can also help.

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Who Can Prescribe?

As a Schedule II controlled substance, Amphetamine/Dextroamphetamine XR requires a prescription from a licensed medical provider with DEA registration. Common prescribing specialties include:

  • Psychiatrists — most commonly prescribe for ADHD in adults and children
  • Primary Care/Family Medicine — frequently manage ADHD treatment
  • Pediatricians — prescribe for children and adolescents with ADHD
  • Neurologists — may prescribe for ADHD or narcolepsy
  • Internal Medicine — can prescribe for adult ADHD patients

Telehealth providers can also prescribe Amphetamine/Dextroamphetamine XR, though some states have additional requirements for controlled substance prescriptions via telemedicine.

Is it a controlled substance?

Yes, Amphetamine/Dextroamphetamine XR is classified as a Schedule II controlled substance by the DEA. This is the highest schedule for medications with accepted medical use and reflects the drug's significant potential for abuse and physical or psychological dependence.

Because of its Schedule II classification:

  • Prescriptions cannot be called in to the pharmacy in most states — they must be written or sent electronically
  • No refills are allowed; a new prescription is required each month
  • Pharmacies have quantity limits and may require ID at pickup
  • DEA production quotas limit how much can be manufactured annually, which has contributed to the ongoing shortage

Common Side Effects

The most frequently reported side effects of Amphetamine/Dextroamphetamine XR include:

  • Decreased appetite — the most common side effect, often leading to weight loss
  • Insomnia — take the medication in the morning to minimize sleep disruption
  • Dry mouth
  • Headache
  • Weight loss
  • Abdominal pain
  • Nervousness or anxiety
  • Nausea
  • Emotional lability — mood swings, irritability
  • Dizziness
  • Increased heart rate

Serious side effects are rare but may include sudden cardiac events in patients with structural heart abnormalities, psychiatric reactions (psychosis, mania), and peripheral vasculopathy. Contact your doctor immediately if you experience chest pain, shortness of breath, or hallucinations.

Alternatives

If you're unable to find Amphetamine/Dextroamphetamine XR in stock, or if your doctor recommends a different option, these alternatives may be worth discussing:

  • Vyvanse (Lisdexamfetamine) — a prodrug amphetamine with lower abuse potential and smooth extended-release action
  • Concerta (Methylphenidate ER) — a different stimulant class, extended-release, often covered by insurance
  • Mydayis (Mixed Amphetamine Salts, triple-bead) — a longer-acting amphetamine option providing up to 16 hours of coverage
  • Dexedrine Spansules (Dextroamphetamine ER) — pure dextroamphetamine in extended-release form
  • Adderall IR (Immediate-Release) — the short-acting version, taken 2-3 times daily, which may be easier to find in stock

Drug Interactions

Amphetamine/Dextroamphetamine XR has several important drug interactions to be aware of:

  • MAO inhibitors — contraindicated within 14 days; risk of hypertensive crisis
  • Serotonergic drugs (SSRIs, SNRIs, triptans, tramadol, lithium, St. John's Wort) — risk of serotonin syndrome
  • CYP2D6 inhibitors (fluoxetine, paroxetine, quinidine) — may increase amphetamine levels
  • Alkalinizing agents and antacids — may increase amphetamine absorption and effects
  • Acidifying agents — may decrease amphetamine levels and effectiveness
  • Antihypertensive medications — amphetamines may reduce their effectiveness

Additionally, acidic foods and drinks such as orange juice and vitamin C supplements may decrease absorption. Always inform your doctor and pharmacist of all medications and supplements you take.

Final Thoughts

Amphetamine/Dextroamphetamine XR remains one of the most effective and widely prescribed treatments for ADHD, but the ongoing shortage that began in 2022 continues to make it challenging to find in stock. With a findability score of just 35 out of 100, patients often need to check multiple pharmacies or try different strengths.

Generic versions are affordable with discount coupons — as low as $28 per month through SingleCare — but finding a pharmacy with stock is the bigger challenge. Use Medfinder to search for pharmacies near you that currently have Amphetamine/Dextroamphetamine XR available. If your usual dose is unavailable, talk to your doctor about dose adjustments or alternative medications like Vyvanse or Concerta.

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