← All drugs
Drug · FAERS side-effect profile with label screen

Dextroamphetamine combination (4 ingredients) side effects: what 41,214 FDA adverse event reports show

Dextroamphetamine Sulfate, Dextroamphetamine Saccharate, Amphetamine Sulfate And Amphetamine Aspartate · Xelstrym · 1,189 reaction terms · 157,836 drug–reaction co-reports · data 2026-09-14
Share: X Facebook Reddit Email

Drug class

Central Nervous System Stimulant

FDA label (Established Pharmacologic Class) · compare the class

Brand names

Xelstrym

openFDA label

Who reports

41,214 reports · 44% serious · 504 with death outcome · 71% female

openFDA FAERS counts, all years, deduplication not applied

Used for

XELSTRYM ® is indicated for the treatment of Attention Deficit Hyperactivity Disorder (ADHD) in adults and pediatric patients 6 years and older . Limitations of Use The use of XELSTRYM is not recommended in pediatric patien.

FDA label, Indications and Usage

What it is

XELSTRYM (dextroamphetamine) transdermal system, contains dextroamphetamine, a CNS stimulant. Dextroamphetamine is the dextro isomer of the compound d , l -amphetamine.

FDA label, Description section

Boxed warning

ABUSE, MISUSE, AND ADDICTION XELSTRYM has a high potential for abuse and misuse, which can lead to the development of a substance use disorder, including addiction. Misuse and abuse of CNS stimulants, including XELST.

FDA label
How to read this page. FAERS is a spontaneous-reporting system: counts are not incidence rates and a signal is not proof of causation. Each reaction below is run through an automated screen — is the term in the FDA label (known), in the indications (the disease being treated), an administrative/coding term, or none of these (unlabeled)? That screen is mechanical text matching, not a causality assessment. The 30 hand-written Bradford Hill assessments are on the causality assessment page. Not medical advice.

Causality screen of the 40 strongest signals

Labeled adverse reaction 1Labeled (related wording) 3Likely indication confounding 2Reporting / coding artifact 5Lab value / disease marker 1Not in label — unassessed 28
What the badges mean

Strongest disproportionality signals

Flagged terms (PRR ≥ 2, χ² ≥ 4, n ≥ 10), ranked by PRR; infinite PRRs (no comparator reports) excluded. The EBGM column is a second, shrinkage-based estimate (MGPS) with its 5th percentile EB05 and the BCPNN IC025; a pair flagged by PRR alone is marked PRR-only and should be read as fragile. The strata column recomputes the PRR on serious reports only (and, for the 300 most-reported drugs, adjusted for age band), and flags pairs whose reports are unusually skewed by sex or come mostly from consumers. Each row also shows the PRR against the other drugs of the same FDA class, which removes most confounding by the condition being treated, and a calibrated p-value: on validation, known non-causes average an ROR of about 2, so significance is judged against that empirical null (✓ = p < 0.05 after calibration). 1,149 further terms are in the interactive explorer. Reaction links open the term's cross-drug page.

Show:
ReactionReportsPRR 95% CI · ROR · χ²/pEBGM EB05 · IC025Label screenSerious-only & strataTrial cross-check
Cataplexy17570.9
60.6–83.1ROR 71.2 · calibrated p 1e-6 ✓
61.9 EB05 54.5 · IC025 +5.5
3/3 methods agree
vs other Central Nervous System Stimulants: PRR 17.3 (14.2–20.9)
Not in label — unassessedserious n=133no trial arm names this drug
Product administration interrupted64746.8
43.2–50.7ROR 47.5 · calibrated p 2e-5 ✓
42.8 EB05 40.1 · IC025 +5.2
3/3 methods agree
vs other Central Nervous System Stimulants: PRR 32.3 (28.7–36.3)
Reporting / coding artifactserious n=597no trial arm names this drug
Asthma exercise induced2539.4
26.2–59.1ROR 39.4 · calibrated p 1e-4 ✓
35.7 EB05 25.4 · IC025 +3.8
3/3 methods agree
vs other Central Nervous System Stimulants: only this drug
Not in label — unassessedserious n=21no trial arm names this drug
Periodic limb movement disorder2435.3
23.4–53.5ROR 35.4 · calibrated p 2e-4 ✓
32.3 EB05 22.9 · IC025 +3.6
3/3 methods agree
vs other Central Nervous System Stimulants: only this drug
Not in label — unassessedserious n=20 · ♀ 100% (drug 71%)no trial arm names this drug
Sleep-related eating disorder6135.3
27.2–45.7ROR 35.3 · calibrated p 1e-4 ✓
32.7 EB05 26.4 · IC025 +4.3
3/3 methods agree
vs other Central Nervous System Stimulants: PRR 17.6 (12.6–24.4)
Not in label — unassessedserious n=36no trial arm names this drug
Sleep paralysis9434.8
28.3–42.9ROR 34.9 · calibrated p 1e-4 ✓
32.4 EB05 27.3 · IC025 +4.5
3/3 methods agree
vs other Central Nervous System Stimulants: PRR 31.5 (23.2–42.8)
Not in label — unassessedserious n=50no trial arm names this drug
Manufacturing issue2833.3
22.7–48.8ROR 33.3 · calibrated p 2e-4 ✓
30.7 EB05 22.3 · IC025 +3.7
3/3 methods agree
vs other Central Nervous System Stimulants: only this drug
Not in label — unassessedserious n=15 · 100% consumerno trial arm names this drug
Narcolepsy11533.0
27.3–39.8ROR 33.0 · calibrated p 2e-4 ✓
30.8 EB05 26.4 · IC025 +4.5
3/3 methods agree
vs other Central Nervous System Stimulants: PRR 16.6 (13.1–21.0)
Not in label — unassessedserious n=103 · 76% consumerno trial arm names this drug
Perinatal depression2530.2
20.1–45.2ROR 30.2 · calibrated p 4e-4 ✓
28.0 EB05 19.9 · IC025 +3.5
3/3 methods agree
vs other Central Nervous System Stimulants: only this drug
Not in label — unassessedserious n=23 · ♀ 100% (drug 71%)no trial arm names this drug
Parasomnia3728.3
20.3–39.4ROR 28.3 · calibrated p 5e-4 ✓
26.5 EB05 20.1 · IC025 +3.8
3/3 methods agree
vs other Central Nervous System Stimulants: PRR 12.9 (8.7–19.3)
Not in label — unassessedserious n=20no trial arm names this drug
Abnormal sleep-related event6626.6
20.8–34.1ROR 26.6 · calibrated p 6e-4 ✓
25.2 EB05 20.5 · IC025 +4.0
3/3 methods agree
vs other Central Nervous System Stimulants: PRR 23.4 (16.7–32.8)
Not in label — unassessedserious n=35no trial arm names this drug
Sleep attacks2325.9
17.0–39.3ROR 25.9 · calibrated p 9e-4 ✓
24.2 EB05 17.0 · IC025 +3.3
3/3 methods agree
vs other Central Nervous System Stimulants: only this drug
Not in label — unassessed–no trial arm names this drug
Ehlers-danlos syndrome2225.3
16.5–38.9ROR 25.3 · calibrated p 0.001 ✓
23.7 EB05 16.5 · IC025 +3.3
3/3 methods agree
vs other Central Nervous System Stimulants: only this drug
Not in label — unassessedserious n=18no trial arm names this drug
Attention deficit hyperactivity disorder18924.2
–ROR 24.3 · –
–Likely indication confounding
term in indications
serious n=134 · 72% consumerno trial arm names this drug
Postural orthostatic tachycardia syndrome5823.5
18.1–30.6ROR 23.5 · calibrated p 0.001 ✓
22.3 EB05 17.9 · IC025 +3.8
3/3 methods agree
vs other Central Nervous System Stimulants: PRR 36.4 (24.3–54.6)
Not in label — unassessedserious n=45no trial arm names this drug
Somnambulism28823.2
20.6–26.1ROR 23.4 · calibrated p 1e-3 ✓
22.2 EB05 20.1 · IC025 +4.2
3/3 methods agree
vs other Central Nervous System Stimulants: PRR 23.3 (19.8–27.3)
Not in label — unassessedserious n=162no trial arm names this drug
Enuresis17623.1
19.9–26.9ROR 23.2 · calibrated p 0.001 ✓
22.1 EB05 19.5 · IC025 +4.1
3/3 methods agree
vs other Central Nervous System Stimulants: PRR 15.1 (12.5–18.2)
Not in label — unassessedserious n=86no trial arm names this drug
Obstructive sleep apnoea syndrome6022.8
17.6–29.5ROR 22.8 · calibrated p 0.001 ✓
21.7 EB05 17.5 · IC025 +3.8
3/3 methods agree
vs other Central Nervous System Stimulants: PRR 22.9 (16.1–32.6)
Not in label — unassessedserious n=55no trial arm names this drug
Substance use6622.7
17.7–29.1ROR 22.7 · calibrated p 0.001 ✓
21.7 EB05 17.6 · IC025 +3.8
3/3 methods agree
vs other Central Nervous System Stimulants: PRR 17.6 (12.8–24.1)
Reporting / coding artifactserious n=38no trial arm names this drug
Snoring15822.2
18.9–26.0ROR 22.3 · calibrated p 0.001 ✓
21.2 EB05 18.6 · IC025 +4.1
3/3 methods agree
vs other Central Nervous System Stimulants: PRR 25.1 (20.1–31.3)
Not in label — unassessedserious n=87no trial arm names this drug
Attention deficit/hyperactivity disorder12620.3
17.0–24.3ROR 20.4 · calibrated p 0.002 ✓
19.5 EB05 16.8 · IC025 +3.9
3/3 methods agree
vs other Central Nervous System Stimulants: PRR 9.0 (7.3–11.0)
Likely indication confounding
term in indications
serious n=72 · 76% consumerno trial arm names this drug
Amphetamines positive2819.5
13.4–28.4ROR 19.5 · calibrated p 0.003 ✓
18.5 EB05 13.4 · IC025 +3.2
3/3 methods agree
vs other Central Nervous System Stimulants: PRR 40.3 (22.1–73.6)
Lab value / disease marker–no trial arm names this drug
Dissociation27819.4
17.2–21.9ROR 19.6 · calibrated p 0.002 ✓
18.7 EB05 16.9 · IC025 +4.0
3/3 methods agree
vs other Central Nervous System Stimulants: PRR 40.5 (33.4–49.0)
Not in label — unassessedserious n=245no trial arm names this drug
Job dissatisfaction2318.7
12.3–28.3ROR 18.7 · calibrated p 0.004 ✓
17.7 EB05 12.2 · IC025 +3.0
3/3 methods agree
vs other Central Nervous System Stimulants: only this drug
Not in label — unassessed–no trial arm names this drug
Sleep apnoea syndrome64617.7
16.4–19.2ROR 18.0 · calibrated p 0.003 ✓
17.2 EB05 16.1 · IC025 +4.0
3/3 methods agree
vs other Central Nervous System Stimulants: PRR 15.3 (13.9–16.9)
Not in label — unassessedserious PRR 25.2no trial arm names this drug
Inability to afford medication30816.4
14.7–18.4ROR 16.5 · calibrated p 0.005 ✓
15.9 EB05 14.5 · IC025 +3.8
3/3 methods agree
vs other Central Nervous System Stimulants: PRR 58.0 (47.2–71.1)
Not in label — unassessedserious n=47 · 74% consumerno trial arm names this drug
Hangover10715.8
13.1–19.2ROR 15.9 · calibrated p 0.006 ✓
15.3 EB05 13.0 · IC025 +3.5
3/3 methods agree
vs other Central Nervous System Stimulants: PRR 27.8 (21.1–36.7)
Not in label — unassessedserious n=52no trial arm names this drug
Product tampering5215.1
11.5–19.9ROR 15.2 · calibrated p 0.008 ✓
14.6 EB05 11.5 · IC025 +3.2
3/3 methods agree
vs other Central Nervous System Stimulants: PRR 318.1 (115.0–879.3)
Reporting / coding artifactserious n=28no trial arm names this drug
Thyrotoxic crisis3214.8
10.4–21.0ROR 14.8 · calibrated p 0.009 ✓
14.1 EB05 10.2 · IC025 +3.0
3/3 methods agree
vs other Central Nervous System Stimulants: only this drug
Not in label — unassessedserious n=32 · ♀ 0% (drug 71%) · 100% clinicianno trial arm names this drug
Terminal insomnia4814.4
10.8–19.2ROR 14.4 · calibrated p 0.009 ✓
13.9 EB05 10.8 · IC025 +3.2
3/3 methods agree
vs other Central Nervous System Stimulants: PRR 15.7 (10.9–22.5)
Labeled adverse reaction
exact term
100% consumerno trial arm names this drug
Product availability issue60914.2
13.1–15.4ROR 14.4 · calibrated p 0.008 ✓
13.8 EB05 12.9 · IC025 +3.6
3/3 methods agree
vs other Central Nervous System Stimulants: PRR 19.1 (17.2–21.2)
Reporting / coding artifactserious PRR 5.7no trial arm names this drug
Sleep talking4413.4
9.9–18.1ROR 13.4 · calibrated p 0.013 ✓
12.8 EB05 9.8 · IC025 +3.0
3/3 methods agree
vs other Central Nervous System Stimulants: PRR 17.4 (11.8–25.5)
Not in label — unassessedserious n=15no trial arm names this drug
Post-traumatic stress disorder17113.3
11.4–15.4ROR 13.3 · calibrated p 0.012 ✓
12.9 EB05 11.3 · IC025 +3.4
3/3 methods agree
vs other Central Nervous System Stimulants: PRR 28.3 (22.7–35.2)
Not in label — unassessedserious n=146no trial arm names this drug
Therapeutic product effect variable9512.9
10.6–15.9ROR 13.0 · calibrated p 0.013 ✓
12.5 EB05 10.5 · IC025 +3.2
3/3 methods agree
vs other Central Nervous System Stimulants: PRR 24.2 (18.2–32.1)
Reporting / coding artifactserious n=22 · 80% consumerno trial arm names this drug
Tachyphrenia8512.8
10.3–15.8ROR 12.8 · calibrated p 0.014 ✓
12.3 EB05 10.2 · IC025 +3.2
3/3 methods agree
vs other Central Nervous System Stimulants: PRR 24.5 (18.1–33.0)
Not in label — unassessedserious n=41no trial arm names this drug
Feeling drunk17712.3
10.6–14.3ROR 12.4 · calibrated p 0.015 ✓
12.0 EB05 10.6 · IC025 +3.3
3/3 methods agree
vs other Central Nervous System Stimulants: PRR 31.8 (25.5–39.8)
Not in label — unassessedserious n=88no trial arm names this drug
Binge eating2512.1
8.1–18.0ROR 12.1 · calibrated p 0.021 ✓
11.2 EB05 7.6 · IC025 +2.6
3/3 methods agree
vs other Central Nervous System Stimulants: only this drug
Not in label — unassessed–no trial arm names this drug

Trial evidence (ClinicalTrials.gov)

ClinicalTrials.gov returned results-bearing trials mentioning Dextroamphetamine only as a background or rescue medication (NCT01436175, NCT01436149); no trial listing it as the tested intervention was cached, so no trial cross-check is shown.

Most frequently reported reactions

By raw co-report count, regardless of disproportionality. Common terms here are often the illness itself or generic outcomes.

ReactionReportsPRR 95% CI · ROR · χ²/pEBGM EB05 · IC025Label screenSerious-only & strataTrial cross-check
Drug ineffective (drug did not work)4,7431.8
1.8–1.9ROR 1.9 · calibrated p 0.912
1.8 EB05 1.8 · IC025 +0.8
vs other Central Nervous System Stimulants: PRR 9.7 (9.4–10.0)
Reporting / coding artifactserious PRR 1.8 · 72% consumerno trial arm names this drug
Fatigue (tiredness)3,2312.1
2.0–2.2ROR 2.2 · calibrated p 0.944
2.1 EB05 2.1 · IC025 +1.0
3/3 methods agree
vs other Central Nervous System Stimulants: PRR 12.2 (11.7–12.7)
Labeled adverse reaction
exact term
serious PRR 2.3 · 71% consumerno trial arm names this drug
Nausea2,9221.9
1.8–2.0ROR 2.0 · calibrated p 0.918
1.9 EB05 1.8 · IC025 +0.9
vs other Central Nervous System Stimulants: PRR 12.8 (12.3–13.4)
Labeled adverse reaction
exact term
serious PRR 2.2no trial arm names this drug
Headache2,6742.2
2.1–2.3ROR 2.3 · calibrated p 0.923
2.2 EB05 2.1 · IC025 +1.1
3/3 methods agree
vs other Central Nervous System Stimulants: PRR 11.4 (10.9–11.9)
Labeled adverse reaction
exact term
serious PRR 2.6no trial arm names this drug
Anxiety2,5074.5
4.3–4.7ROR 4.7 · calibrated p 0.267
4.5 EB05 4.3 · IC025 +2.1
3/3 methods agree
vs other Central Nervous System Stimulants: PRR 11.1 (10.6–11.6)
Labeled adverse reaction
exact term
serious PRR 5.0no trial arm names this drug
Depression2,1334.8
4.6–5.0ROR 5.0 · calibrated p 0.236
4.7 EB05 4.6 · IC025 +2.2
3/3 methods agree
vs other Central Nervous System Stimulants: PRR 11.9 (11.4–12.6)
Labeled adverse reaction
exact term
serious PRR 5.8no trial arm names this drug
Pain1,7811.5
1.4–1.5ROR 1.5 · calibrated p 0.638
1.5 EB05 1.4 · IC025 +0.5
vs other Central Nervous System Stimulants: PRR 10.7 (10.2–11.3)
Labeled adverse reaction
exact term
serious PRR 1.9no trial arm names this drug
Dizziness1,7611.8
1.7–1.9ROR 1.8 · calibrated p 0.852
1.8 EB05 1.7 · IC025 +0.8
vs other Central Nervous System Stimulants: PRR 11.3 (10.7–11.9)
Labeled adverse reaction
exact term
serious PRR 2.1no trial arm names this drug
Somnolence (drowsiness)1,7174.4
4.2–4.6ROR 4.5 · calibrated p 0.294
4.3 EB05 4.2 · IC025 +2.0
3/3 methods agree
vs other Central Nervous System Stimulants: PRR 13.2 (12.5–14.0)
Labeled adverse reaction
exact term
serious PRR 4.1no trial arm names this drug
Insomnia (trouble sleeping)1,6263.1
3.0–3.3ROR 3.2 · calibrated p 0.565
3.1 EB05 3.0 · IC025 +1.5
3/3 methods agree
vs other Central Nervous System Stimulants: PRR 9.0 (8.6–9.6)
Labeled adverse reaction
exact term
serious PRR 3.5 · 73% consumerno trial arm names this drug
Off label use (used outside approved label)1,4920.9
0.8–0.9ROR 0.9 · calibrated p 0.224
0.9 EB05 0.8 · IC025 -0.3
PRR-only: not supported by EBGM or IC
vs other Central Nervous System Stimulants: PRR 3.3 (3.2–3.5)
Reporting / coding artifactserious PRR 0.9no trial arm names this drug
Vomiting1,2911.4
1.3–1.5ROR 1.4 · calibrated p 0.585
1.4 EB05 1.3 · IC025 +0.4
vs other Central Nervous System Stimulants: PRR 8.0 (7.5–8.5)
Labeled adverse reaction
exact term
serious PRR 1.5no trial arm names this drug
Malaise (feeling unwell)1,1831.4
1.3–1.4ROR 1.4 · calibrated p 0.562
1.4 EB05 1.3 · IC025 +0.4
vs other Central Nervous System Stimulants: PRR 9.1 (8.6–9.7)
Labeled adverse reaction
exact term
serious PRR 1.4 · 75% consumerno trial arm names this drug
Condition aggravated1,1662.0
1.9–2.1ROR 2.0 · calibrated p 0.941
2.0 EB05 1.9 · IC025 +0.9
vs other Central Nervous System Stimulants: PRR 7.2 (6.7–7.7)
Reporting / coding artifactserious PRR 2.3no trial arm names this drug

Unlabeled candidate signals

These flagged terms were not found in the FDA label text and do not match an artifact pattern. They are the pairs that would merit a structured assessment (temporality, dose-response, biological plausibility, consistency across databases, trial or cohort evidence). The screen has not done that; string-matching misses label wording, and a strong PRR can still be stimulated reporting, co-medication, or the disease itself.

✓ A hand-written Bradford Hill causality assessment exists for this drug: Gentamicin Sulfate ↔ Renal Failure.

Want to assess one of these properly? The runbook describes the Bradford Hill / trial-evidence workflow used on the assessment page, and handoff_top1000_signals.csv lists the strongest unassessed pairs across all drugs.

Common questions

What are the most reported side effects of Dextroamphetamine?

In FDA FAERS, the most frequently co-reported reaction terms for Dextroamphetamine are fatigue, nausea, headache, anxiety, depression, feeling abnormal. These are report counts, not rates: FAERS has no denominator, reporting is voluntary and uneven, and a term can be reported because of the illness being treated rather than the drug.

Does Dextroamphetamine have an FDA boxed warning?

Yes. The current FDA label carries a boxed warning: ABUSE, MISUSE, AND ADDICTION XELSTRYM has a high potential for abuse and misuse, which can lead to the development of a substance use disorder, including addiction. Misuse and abuse of CNS stimulants, including XELST.

Do FAERS signals prove that Dextroamphetamine causes these side effects?

No. A disproportionality signal (PRR, ROR) means a reaction is reported more often with this drug than with others in the database. That can reflect a real effect, but also the disease being treated, stimulated reporting after news or litigation, co-medications, or how reports are coded. Causality needs temporality, dose-response, biological plausibility, consistency across data sources and, ideally, trial or cohort evidence. This page screens each term against the FDA label and ClinicalTrials.gov results; it does not establish causation.

Sources & methods

Page generated 2026-10-14. Label and PubChem text are retrieved automatically and may lag the current label; always check the current prescribing information. OpenPV is a beta research tool of the Open Source Medicine Foundation.