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Table 9.2 Dextroamphetamine formulations of stimulant medication
Dexedrine [Peak:23 h] [Duration:56 h] ...
Adderall [Peak:23 h] [Duration:57 h]
Dexedrine spansules [Peak:78 h] [Duration:12 h] ...
Adderall XR [Peak:78 h] [Duration:12 h]
Vyvanse [Peak:34 h] [Duration:12 h]

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psychostimulants, such as methylphenidate and amphetamine,
improve performance on working memory tasks both in normal
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memory function, but also on general levels of arousal and, within
the nucleus accumbens, improve the saliency of tasks. Thus,
stimulants improve performance on effortful but tedious tasks ...
through indirect stimulation of dopamine and norepinephrine
receptors. ...
Beyond these general permissive effects, dopamine (acting via D1
receptors) and norepinephrine (acting at several receptors) can, at
optimal levels, enhance working memory and aspects of attention.
Drugs used for this purpose include, as stated above,
methylphenidate, amphetamines, atomoxetine, and desipramine.
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intensity and duration of training ...
Physiologic and performance effects
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inhibit their reuptake, leading to central nervous system (CNS)
stimulation
Amphetamines seem to enhance athletic performance in
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Improved reaction time
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their euphorogenic effects, the latter being related to the intrinsic
properties of the stimulants (e.g., IR versus ER profile) ...
Although useful in the treatment of ADHD, stimulants are controlled
II substances with a history of preclinical and human studies
showing potential abuse liability.
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to be expanded for various reasons, such as formulation purposes,
bioavailability or absorption rate. In 1975 the experts designated for
the selection of INN decided to adopt a new policy for naming such
molecules. In future, names for different salts or esters of the same
active substance should differ only with regard to the inactive
moiety of the molecule. ... The latter are called modified INNs
(INNMs).
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125127. ISBN 9781441913968. Ongoing research has provided
answers to many of the parents concerns, and has confirmed the
effectiveness and safety of the long-term use of medication.
52.Arnold LE, Hodgkins P, Caci H, Kahle J, Young S (February
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continuously effective for more than 2-year treatment periods with
few and tolerable adverse effects.
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99.doi:10.2147/PRBM.S49114. PMC 3785407. PMID 24082796. Only
one paper53 examining outcomes beyond 36 months met the review
criteria. ... There is high level evidence suggesting that
pharmacological treatment can have a major beneficial effect on the
core symptoms of ADHD (hyperactivity, inattention, and impulsivity)

in approximately 80% of cases compared with placebo controls, in


the short term.
57.Millichap JG (2010). "Chapter 9: Medications for ADHD". In Millichap
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62.Pringsheim T, Steeves T (April 2011). Pringsheim T, ed.
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63.Spencer RC, Devilbiss DM, Berridge CW (June 2015). "The CognitionEnhancing Effects of Psychostimulants Involve Direct Action in the
Prefrontal Cortex". Biol. Psychiatry 77 (11): 940
950.doi:10.1016/j.biopsych.2014.09.013. PMID 25499957. The
procognitive actions of psychostimulants are only associated with
low doses. Surprisingly, despite nearly 80 years of clinical use, the
neurobiology of the procognitive actions of psychostimulants has
only recently been systematically investigated. Findings from this
research unambiguously demonstrate that the cognition-enhancing
effects of psychostimulants involve the preferential elevation of
catecholamines in the PFC and the subsequent activation of
norepinephrine 2 and dopamine D1 receptors. ... This differential
modulation of PFC-dependent processes across dose appears to be
associated with the differential involvement of noradrenergic 2
versus 1 receptors. Collectively, this evidence indicates that at low,

clinically relevant doses, psychostimulants are devoid of the


behavioral and neurochemical actions that define this class of drugs
and instead act largely as cognitive enhancers (improving PFCdependent function). This information has potentially important
clinical implications as well as relevance for public health policy
regarding the widespread clinical use of psychostimulants and for
the development of novel pharmacologic treatments for attentiondeficit/hyperactivity disorder and other conditions associated with
PFC dysregulation. ... In particular, in both animals and humans,
lower doses maximally improve performance in tests of working
memory and response inhibition, whereas maximal suppression of
overt behavior and facilitation of attentional processes occurs at
higher doses.
64.Ilieva IP, Hook CJ, Farah MJ (January 2015). "Prescription Stimulants'
Effects on Healthy Inhibitory Control, Working Memory, and Episodic
Memory: A Meta-analysis". J. Cogn. Neurosci.: 1
21.doi:10.1162/jocn_a_00776. PMID 25591060.
65.Bagot KS, Kaminer Y (April 2014). "Efficacy of stimulants for
cognitive enhancement in non-attention deficit hyperactivity
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557. doi:10.1111/add.12460.PMC 4471173. PMID 24749160. Amphe
tamine has been shown to improve consolidation of information
(0.02 P 0.05), leading to improved recall.
66.Devous MD, Trivedi MH, Rush AJ (April 2001). "Regional cerebral
blood flow response to oral amphetamine challenge in healthy
volunteers". J. Nucl. Med. 42 (4): 535542. PMID 11337538.
67.Malenka RC, Nestler EJ, Hyman SE (2009). "Chapter 10: Neural and
Neuroendocrine Control of the Internal Milieu". In Sydor A, Brown
RY.Molecular Neuropharmacology: A Foundation for Clinical
Neuroscience(2nd ed.). New York, USA: McGraw-Hill Medical.
p. 266.ISBN 9780071481274. Dopamine acts in the nucleus
accumbens to attach motivational significance to stimuli associated
with reward.
68.Wood S, Sage JR, Shuman T, Anagnostaras SG (January 2014).
"Psychostimulants and cognition: a continuum of behavioral and
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69.Twohey M (26 March 2006). "Pills become an addictive study aid". JS
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70.Teter CJ, McCabe SE, LaGrange K, Cranford JA, Boyd CJ (October
2006)."Illicit use of specific prescription stimulants among college
students: prevalence, motives, and routes of

administration". Pharmacotherapy 26(10): 1501


1510. doi:10.1592/phco.26.10.1501. PMC 1794223.PMID 16999660.
71.Weyandt LL, Oster DR, Marraccini ME, Gudmundsdottir BG, Munro
BA, Zavras BM, Kuhar B (September 2014). "Pharmacological
interventions for adolescents and adults with ADHD: stimulant and
nonstimulant medications and misuse of prescription
stimulants". Psychol. Res. Behav. Manag. 7: 223
249. doi:10.2147/PRBM.S47013. PMC 4164338. PMID 25228824.mis
use of prescription stimulants has become a serious problem on
college campuses across the US and has been recently documented
in other countries as well. ... Indeed, large numbers of students
claim to have engaged in the nonmedical use of prescription
stimulants, which is reflected in lifetime prevalence rates of
prescription stimulant misuse ranging from 5% to nearly 34% of
students.
72.Clemow DB, Walker DJ (September 2014). "The potential for misuse
and abuse of medications in ADHD: a review". Postgrad.
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81.doi:10.3810/pgm.2014.09.2801. PMID 25295651. Overall, the
data suggest that ADHD medication misuse and diversion are
common health care problems for stimulant medications, with the
prevalence believed to be approximately 5% to 10% of high school
students and 5% to 35% of college students, depending on the
study.
73.Bracken NM (January 2012). "National Study of Substance Use
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74.Docherty JR (June 2008). "Pharmacology of stimulants prohibited by
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75.Parr JW (July 2011). "Attention-deficit hyperactivity disorder and the
athlete: new advances and understanding". Clin. Sports Med. 30 (3):
591610. doi:10.1016/j.csm.2011.03.007. PMID 21658550. In 1980,
Chandler and Blair47 showed significant increases in knee extension
strength, acceleration, anaerobic capacity, time to exhaustion
during exercise, pre-exercise and maximum heart rates, and time to
exhaustion during maximal oxygen consumption (VO2 max) testing
after administration of 15 mg of dextroamphetamine versus
placebo. Most of the information to answer this question has been
obtained in the past decade through studies of fatigue rather than
an attempt to systematically investigate the effect of ADHD drugs
on exercise. ... In 2008, Roelands and colleagues53 studied the effect
of reboxetine, a pure NE reuptake inhibitor, similar to atomoxetine,

in 9 healthy, well-trained cyclists. They too exercised in both


temperate and warm environments. They showed decreased power
output and exercise performance at both 18 and 30 degrees
centigrade. Their conclusion was that DA reuptake inhibition was the
cause of the increased exercise performance seen with drugs that
affect both DA and NE (MPH, amphetamine, and bupropion).
76.Roelands B, de Koning J, Foster C, Hettinga F, Meeusen R (May
2013). "Neurophysiological determinants of theoretical concepts
and mechanisms involved in pacing". Sports Med. 43 (5): 301
311. doi:10.1007/s40279-013-0030-4. PMID 23456493. In highambient temperatures, dopaminergic manipulations clearly improve
performance. The distribution of the power output reveals that after
dopamine reuptake inhibition, subjects are able to maintain a higher
power output compared with placebo. ... Dopaminergic drugs
appear to override a safety switch and allow athletes to use a
reserve capacity that is off-limits in a normal (placebo) situation.
77.Parker KL, Lamichhane D, Caetano MS, Narayanan NS (October
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increases concentrations of dopamine at the synaptic cleft advances
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glucose mouthwash (Chambers et al., 2009) and the greater power
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muscle glycogen (Bergstrom & Hultman, 1967) or increased


cardiovascular, metabolic, and thermoregulatory strain (Abbiss &
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it became clear that the central nervous system plays an important
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DA, and NA have all been implicated in the control of
thermoregulation and are thought to mediate thermoregulatory
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ergogenic effect, the authors observed core temperatures that were
much higher compared with the placebo situation. Interestingly, this
occurred without any change in the subjective feelings of thermal
sensation or perceived exertion. Similar to the methylphenidate
study (Roelands et al., 2008b), bupropion may dampen or override
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DOSAGE FORMS AND STRENGTHS
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abuse (Cosgrove et al., 2002; Zlebnik et al., 2010). There is also
some evidence that these preclinical findings translate to human
populations, as exercise reduces withdrawal symptoms and relapse
in abstinent smokers (Daniel et al., 2006; Prochaska et al., 2008),
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changes that develop during and following extended access to the
drug. ... Exercise has been proposed as a treatment for drug
addiction that may reduce drug craving and risk of relapse.
Although few clinical studies have investigated the efficacy of
exercise for preventing relapse, the few studies that have been

conducted generally report a reduction in drug craving and better


treatment outcomes ... Taken together, these data suggest that the
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of human and rodent studies clearly show that there are sex
differences in drug addiction and exercise. The sex differences are
also found in the effectiveness of exercise on drug addiction
prevention and treatment, as well as underlying neurobiological
mechanisms. The postulate that exercise serves as an ideal
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