Lisdexamfetamine dimesylate: the first long-acting prodrug stimulant treatment for attention deficit/hyperactivity disorder
Abstract
BACKGROUND: Lisdexamfetamine dimesylate is the first long-acting prodrug stimulant and is indicated for the treatment of attention deficit/hyperactivity disorder. Lisdexamfetamine dimesylate is a therapeutically inactive molecule. METHODS: Following oral ingestion, it is converted to L-lysine and active d-amphetamine, which is responsible for the therapeutic effect. Lisdexamfetamine dimesylate was developed with the goal of providing a long duration of effect with the potential for less abuse-related liking. RESULTS: In controlled clinical trials lisdexamfetamine dimesylate demonstrated a significant efficacy and extended duration of action as well as a safety profile consistent with other once-daily stimulants (mixed amphetamine salts extended release). In addition, abuse liability studies have shown that lisdexamfetamine dimesylate has lower abuse-related liking scores compared with equipotent doses of immediate-release d-amphetamine.
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Lisdexamfetamine is an effective, safe, well-tolerated medication for children aged 6 to 12 years through to adulthood with ADHD.
“The evidence suggests that LDX is an effective, safe, well-tolerated medication for children aged 6 to 12 years through to adulthood, with ADHD.16,17”
From Exploratory meta-analysis on lisdexamfetamine versus placebo in adult ADHD (2014) · cites this paper as [17]
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- Authors
- Faraone, S. V.
- Affiliations
- SUNY Upstate Medical University (US)
- Corresponding author
- Faraone, Stephen V
- ORCID
- Faraone, Stephen V
- Venue
- Expert Opinion on Pharmacotherapy
- Publisher
- Informa Healthcare
- Published
- 2008-06
- Volume
- 9
- Issue
- 9
- Pages
- 1565-1574
- ISSN
- 1465-6566 (ISSN-L)
- 1744-7666
- OpenAlex
- W1973129436
- Cited by
- 33
- References
- 29
- Citations by year
- 2025: 2 · 2021: 1 · 2018: 1 · 2017: 2 · 2016: 1 · 2014: 1 · 2013: 3 · 2012: 3
- FWCI
- 4.45
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Expert Opinion on Pharmacotherapy (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Eli Lilly and Company
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Attention Deficit Hyperactivity Disorder
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pharmaceutical studies and practices
- Health Sciences › Medicine › Pharmacology › Pharmacology and Obesity Treatment
- Keywords
- lisdexamfetamine dimesylate, attention deficit hyperactivity disorder, long-acting stimulants, d-amphetamine, L-lysine, abuse liability, sustained drug release, mixed amphetamine salts, treatment efficacy and safety
- MeSH terms
- Lisdexamfetamine Dimesylate, Adult, Attention Deficit Disorder with Hyperactivity, Child, Delayed-Action Preparations, Dextroamphetamine, Humans, Prodrugs, Randomized Controlled Trials as Topic, Treatment Outcome
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