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What the FDA labels say about taking them together

Lisdexamfetamine and lithium

Lisdexamfetamine's FDA label of April 30, 2026 names lithium in its warnings and precautions section; the lithium labels PlainMeds reads (4) do not name lisdexamfetamine. The lisdexamfetamine label: “… reuptake inhibitors (SNRIs), triptans, tricyclic antidepressants, fentanyl, lithium, tramadol, tryptophan, buspirone, and St. John's Wort.”

Check it at the source: the lisdexamfetamine FDA label on DailyMed (effective April 30, 2026, Takeda Pharmaceuticals America, Inc.); the lithium FDA label on DailyMed (effective December 23, 2025, Glenmark Pharmaceuticals Inc., USA).

What does the lisdexamfetamine label say about lithium?

Lisdexamfetamine label, warnings and precautions

Serotonin syndrome, a potentially life-threatening reaction, may occur when amphetamines are used in combination with other drugs that affect the serotonergic neurotransmitter systems such as monoamine oxidase inhibitors (MAOIs), selective serotonin reuptake inhibitors (SSRIs), serotonin norepinephrine reuptake inhibitors (SNRIs), triptans, tricyclic antidepressants, fentanyl, lithium, tramadol, tryptophan, buspirone, and St. John's Wort [see Drug Interactions (7.1) ].

Source: FDA drug label (Vyvanse), Takeda Pharmaceuticals America, Inc., effective April 30, 2026 (SPL set 704e4378-ca83-445c-8b45-3cfa51c1ecad), via openFDA; the full label on DailyMed

What does the lithium label say about lisdexamfetamine?

Lithium's label (effective December 23, 2025) and its 3 other brand-application labels do not name lisdexamfetamine in these sections. A label lists what its studies and reports found; it is not a complete list.

Source: FDA drug label (Lithium Carbonate), Glenmark Pharmaceuticals Inc., USA, effective December 23, 2025 (SPL set 63b3790f-a9b5-47f4-bae1-ddf8b43c13c1), via openFDA; the full label on DailyMed

These are the labels' own sentences. PlainMeds does not grade interactions; a pharmacist or prescriber can say what they mean for one person's medicines.

Both medicines on the record

19Lisdexamfetamine generic labelers
24Lithium generic labelers
LisdexamfetamineLithium
Labeled forADHD, Binge eating disorderBipolar disorder
Boxed warningYesYes
Pharmacy cost (NADAC)$2.44 per capsule 20 mg capsule$0.104 per capsule 300 mg capsule
Shortage nowIn shortageNo current entry

Source: FDA NDC Directory, CMS NADAC of October 7, 2026 and the FDA Drug Shortage Database (FDA files October 8, 2026)

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