mydayis

Medically Reviewed by Dr. Harshi Dhingra, M.D.

Last Reviewed: Feb 18, 2025

Warnings


Mydayis Risks, Warnings, and Complications


Mydayis can cause or worsen serious health problems in some people. Discuss other medications and therapies for attention deficit hyperactivity disorder with your doctor or pharmacist if you are at an increased risk of adverse effects from this drug. Some of the risks of taking Mydayis include:

  • POTENTIAL FOR ABUSE AND ADDICTION: Mydayis and other ADHD medications (stimulants) are federally controlled substances (Schedule II drugs) with a high potential for abuse and misuse. These prescription medicines can be habit-forming. Taking Mydayis other than exactly as prescribed can lead to physical and psychological dependence and addiction. In addition, misuse and abuse of CNS stimulants such as Mydayis is associated with a high risk of possibly fatal overdose.

    Before starting Mydayis treatment for ADHD, tell your doctor if you have a personal or family history of drug abuse (misuse or abuse of alcohol, street drugs, or prescription drugs). 

     Do not take a bigger dose or take Mydayis more frequently than prescribed. Do not give or sell your Mydayis to others - this is illegal. Store Mydayis capsules in a safe place to prevent others from stealing them or ingesting them accidentally. Never obtain Mydayis from illegal sources. Do not use the drug in unapproved ways, such as snorting or injecting it. 

  • RISK IN PATIENTS WITH SEVERE HEART DISEASE: There are reports of sudden death in people with severe heart disease, such as structural heart abnormalities, cardiomyopathy, coronary artery disease, heart arrhythmias, and other serious cardiovascular diseases, while on treatment with CNS stimulants such as Mydayis for ADHD.

     Tell your doctor if you have a history of heart problems before starting treatment for ADHD with stimulants. Seek emergency medical attention for symptoms such as chest pain, chest pressure, or difficulty breathing while on this drug.

  • INCREASED BLOOD PRESSURE AND HEART RATE: Stimulant medications, including Mydayis, can increase blood pressure and heart rate. Your doctor will monitor your blood pressure and heart rate while you are on this medication. Talk to your doctor about adjusting the dose of your blood pressure medicine if you take one.

  • ADVERSE PSYCHIATRIC REACTIONS: Mydayis and other CNS stimulants can cause worsening mental symptoms in people with psychotic disorders. These medications can also cause or worsen bipolar illness and trigger manic episodes or mixed episodes in people with bipolar disorder.

     Some people receiving Mydayis develop new psychotic symptoms (changes in thinking and behavior), manic symptoms (abnormal excitement or frenzy), delusions, paranoia, or hallucinations. Tell your doctor immediately if you notice any unusual mood changes or behavior problems. You may need to interrupt treatment with Mydayis if you develop adverse psychiatric effects.

     Before starting Mydayis therapy, tell your doctor if you have a personal or family history of depression, bipolar disorder, psychosis, or suicide attempts, or if you take psychiatric medications.

  • LONG-TERM SUPPRESSION OF GROWTH IN CHILDREN: Mydayis and other prescription stimulant medicines can cause weight loss and slowed growth in pediatric patients. Your child’s healthcare provider will monitor their growth (height and weight) carefully during treatment with Mydayis. Your child may need to stop taking the ADHD medication if they are not growing and gaining weight at the expected rate for their age.

  • SEIZURES: CNS stimulants such as Mydayis can lower the seizure threshold in people with a history of epilepsy (seizure disorders) or abnormal brain wave test (EEG). Rarely, convulsions (seizures) can occur in people with no previous history of seizures or EEG abnormalities. You will need to discontinue Mydayis if you experience seizures.

  • SEROTONIN SYNDROME: People receiving Mydayis can develop potentially life-threatening serotonin syndrome, a condition that occurs due to too much serotonin, which is a natural chemical in the brain. Risk factors include the use of other serotonergic drugs that also increase serotonin levels, such as monoamine oxidase inhibitors (MAOIs), tricyclic antidepressants, selective serotonin reuptake inhibitors (SSRIs), serotonin-norepinephrine reuptake inhibitors (SNRIs), triptans for migraine headaches, opioid drugs like fentanyl and tramadol, mood stabilizers like lithium, anti-anxiety drugs like buspirone, and dietary supplements like tryptophan and St. John's Wort.

     Give your doctor a complete list of your medications before starting treatment with Mydayis. Stop taking Mydayis and seek emergency medical care at the nearest emergency room if you develop signs and symptoms of serotonin syndrome, such as mental status changes (agitation, confusion, delirium, hallucinations, or loss of consciousness), fast heartbeat, changes in blood pressure, dizziness, sweating, flushing, fever, tremors, muscle rigidity, muscle twitching, incoordination, convulsions, nausea, vomiting, or diarrhea. 

  • PERIPHERAL VASCULAR DISEASE: Mydayis and other CNS stimulants can cause peripheral vasculopathy (circulation problems), including Raynaud's phenomenon. Call your doctor immediately if you develop symptoms of blood flow problems, such as changes in your fingers and toes, including color changes (pale or blue), temperature sensitivity, burning, numbness, tingling, or unexplained wounds. These symptoms usually go away after the dose is reduced or treatment is stopped.

  • TICS: Mydayis and other CNS stimulants can cause motor and verbal tics and worsening symptoms of Tourette's syndrome. Tell your healthcare provider if there is a personal or family history of tics or Tourette's syndrome before starting Mydayis.


Precautions Before Starting Mydayis

Tell your doctor if you have had allergic reactions to Mydayis; any of the active or inactive ingredients in Mydayis extended-release capsules (amphetamine, dextroamphetamine); other amphetamine-containing medicines, including a single entity amphetamine products such as lisdexamfetamine (Vyvanse), methamphetamine (Desoxyn), benzphetamine; other ADHD medications; or any other drugs. Your pharmacy can give you a list of ingredients.

Give your doctor a full list of all the drugs you are taking, including prescription medicines, over-the-counter medicines, vitamins, dietary supplements, and herbal supplements. This will help to avoid possible drug interactions.

Give your doctor a complete medical history. Mydayis may not be safe for people with certain health conditions, such as glaucoma; hyperthyroidism (overactive thyroid); a personal or family history of mental illness (depression, anxiety, suicide attempts, bipolar disorder); a family history of irregular heartbeat or sudden death due to cardiac causes; a personal history of high blood pressure, irregular heartbeat, recent heart attack, serious cardiovascular disease, structural heart defects; verbal or motor tics, Tourette’s syndrome; seizure disorders (epilepsy) or abnormal brain wave test (EEG).

Mydayis can cause dizziness and weakness. Do not drive or operate heavy machinery until you know how the medication affects you.

Tell your doctor if you are pregnant, could be pregnant, plan to get pregnant, or are breast-feeding. You should not nurse an infant on breast milk while on Mydayis.

Talk to your doctor about the benefits versus risks of taking Mydayis if you are an older adult (age 65 or older). There may be other safer medications available.

You should know that healthcare professionals prescribe Mydayis as part of a total treatment program for ADHD, including behavior therapy, skills training, and educational support for children. Follow your doctor’s treatment plan for best results in managing your ADHD.

Precautions During Use of Mydayis

Keep all your medical and lab appointments while on Mydayis. Your doctor will adjust your dose based on your response to the medicine.

Mydayis can cause lightheadedness, dizziness, and coordination problems in some people. Be careful while driving or operating machinery until you know how the medicine affects you.

Tell your doctor if you become pregnant while on Mydayis. Do not breastfeed while on this drug.

Tell all your healthcare providers you are on Mydayis before any surgical procedure, including dental surgery.

Mydayis is used to treat ADHD as part of a total treatment plan which includes behavior therapy, counseling, training, and medications. Follow your doctor’s recommendations for comprehensive ADHD treatment to get the maximum benefits from this drug.

Mydayis Drug Interactions

Taking certain other medicines with Mydayis can affect how the medications work. Possible drug interactions can increase the risk of severe adverse effects. Your doctor may change the dose of your medicines, switch you to a different ADHD medicine or therapy, and/or monitor you carefully for adverse effects if there are known interactions.

You should not take Mydayis if you are currently taking or have taken in the last two weeks a monoamine oxidase inhibitor (MAOI), for example, selegiline (Eldepryl, Emsam, Zelapar), isocarboxazid (Marplan), methylene blue, linezolid (Zyvox), phenelzine (Nardil), or tranylcypromine (Parnate).

Mydayis can also interact with the following medications:

  • Medications used to treat depression called tricyclic antidepressants, selective serotonin reuptake inhibitors (SSRIs), or serotonin-norepinephrine reuptake inhibitors (SNRIs)
  • Anti-anxiety drugs such as buspirone
  • Mood stabilizers like lithium
  • Triptans prescribed for migraine headaches
  • Opioid drugs like fentanyl and tramadol
  • Antacids
  • Acid reducers such as cimetidine (Tagamet)
  • Proton pump inhibitors such as omeprazole (Prilosec) and esomeprazole (Nexium)
  • Allergy medications such as chlorpheniramine, diphenhydramine, cetirizine, loratadine, or fexofenadine
  • Herbal products and dietary supplements such as St. John's wort, tryptophan, glutamic acid (L-glutamine), sodium bicarbonate (baking soda), and sodium phosphate

The above list may not include all the potential interactions of Mydayis. Give your doctor or pharmacist a complete list of your medications, including prescription and nonprescription drugs, nutritional supplements, and herbal remedies. Also, tell your healthcare professional if you smoke, drink alcohol, or use illegal drugs because some of these substances can cause serious health complications when used with prescription medications.