CareCard Logo
Savings forHealthcare Logo Icon

Mobile App

Discount Card

Partnerships

Blog

Need Help?

Chevron Left Icon

Back To Blog

Nov 24, 2025

Prescriptions

Discounts

Azstarys: Dosage, Usage, and Important Information

Azstarys

Azstarys: Dosage, Usage, and Important Information

THIS WEBSITE DOES NOT PROVIDE MEDICAL ADVICE. The content included on this website is for informational and educational purposes only. Always consult with your healthcare provider regarding any medical condition and before starting any healthcare or medication regimen.

Azstarys is a prescription medication used primarily to treat attention deficit hyperactivity disorder (ADHD) in children and adults. It combines two active ingredients, serdexmethylphenidate and dexmethylphenidate, which work as stimulants to help improve focus and attention, and control impulsivity. This article will cover the recommended dosage for Azstarys, how to take it, possible side effects, and important safety information.

Discover the best prices for Azstarys and access free instant savings coupons for your local pharmacy using our prescription discount card. No insurance or sign-up is necessary.

What Is Azstarys?

Azstarys is a brand-name medication available in the form of an oral capsule. It’s currently not available in a generic version, meaning if you are prescribed Azstarys, you will receive the brand-name drug.

Boxed Warning: Risk of Misuse and Addiction

Before taking Azstarys, it’s crucial to understand its boxed warning, the most serious warning issued by the FDA. The medication carries a risk of misuse and addiction, which is common among stimulant drugs. This means it should be taken exactly as prescribed by your doctor to avoid dependency or other serious issues.

Available Forms and Strengths of Azstarys

Azstarys comes as an oral capsule that you take by mouth, and it’s available in the following strengths:

  • 26.1 mg/5.2 mg

  • 39.2 mg/7.8 mg

  • 52.3 mg/10.4 mg

The strengths represent the amounts of serdexmethylphenidate and dexmethylphenidate in the capsule. These two active ingredients work together to manage ADHD symptoms throughout the day.

Recommended Dosage of Azstarys

The appropriate dosage of Azstarys will vary depending on your age, response to the medication, and the specific condition being treated. Always follow the dosage instructions provided by your healthcare provider. Below is a general guideline based on manufacturer recommendations.

Dosage for Adults

  • Starting dosage: 39.2 mg/7.8 mg, taken once daily in the morning

  • Maintenance dosage: 52.3 mg/10.4 mg, taken once daily in the morning

  • Maximum dosage: 52.3 mg/10.4 mg, taken once daily in the morning

Dosage for Children

For children 6 years and older, the following guidelines apply:

  • Starting dosage: 39.2 mg/7.8 mg, taken once daily in the morning

  • Maintenance dosage: 26.1 mg/5.2 mg to 52.3 mg/10.4 mg, depending on how the child responds

  • Maximum dosage: 52.3 mg/10.4 mg, taken once daily in the morning

It’s important to note that Azstarys is generally not prescribed to children under 6 years of age. Doctors typically start with a lower dose for children between 6 and 17 years and gradually adjust it based on the child’s response.

Adjusting Dosages

Doctors may adjust the dosage of Azstarys depending on several factors:

  • Severity of ADHD symptoms

  • Age of the person taking it 

  • Presence of other health conditions

  • Response to the medication over time

How to Take Azstarys

Azstarys should be taken once daily in the morning, as taking it later in the day may cause difficulty sleeping. Always follow the dosing instructions given by your healthcare provider, as they may adjust your regimen based on your individual needs.

Swallow the capsule whole with water. If swallowing capsules is difficult, you can open the capsule and mix the contents with 2 tablespoons of applesauce or 2 ounces of water. Consume the entire mixture immediately or within 10 minutes of preparation—do not store it for later.

If you have trouble swallowing pills in general, try taking a sip of water first, placing the capsule on your tongue, and then drinking more water to help it go down smoothly.

Missed Dose of Azstarys

If you forget to take your dose of Azstarys, contact your healthcare provider for advice. They may instruct you to take the missed dose or skip it and resume your regular schedule. Avoid taking a double dose to make up for the missed one. Missing doses consistently can reduce the effectiveness of the medication, so consider setting reminders or using a pillbox to help you stay on track.

Side Effects of Azstarys

Like all medications, Azstarys can cause side effects. While not everyone will experience side effects, knowing what to look out for is crucial.

Common Side Effects:

  • Loss of appetite

  • Weight loss

  • Insomnia

  • Nervousness

  • Headache

  • Nausea

If these side effects become severe or bothersome, contact your doctor.

Serious Side Effects:

  • Heart problems (chest pain, shortness of breath, or fainting)

  • Severe mood changes (aggression, depression, or suicidal thoughts)

  • Allergic reactions (rash, swelling, or trouble breathing)

If you experience any of these more severe side effects, seek medical help immediately.

Safety and Precautions

Before starting Azstarys, discuss your medical history with your doctor, particularly if you have a history of:

  • Heart disease

  • High blood pressure

  • Mental health disorders (such as anxiety, bipolar disorder, or depression)

  • Substance use disorder

  • Seizures

Stimulant medications like Azstarys can sometimes increase blood pressure and heart rate, so regular monitoring is recommended, especially for those with preexisting heart conditions.

Drug Interactions

Azstarys can interact with other medications, which may affect how it works or increase your risk for side effects. Be sure to tell your doctor about all medicines you’re taking, including:

  • Antidepressants (such as MAO inhibitors)

  • Blood pressure medications

  • Other stimulant medications for ADHD

Avoid alcohol while taking Azstarys, as it can increase certain side effects.

How to Save On Azstarys

To save on Azstarys, consider comparing prices at different pharmacies, as costs vary. Many pharmacies accept prescription discount cards like CareCard, which can significantly reduce your medication's price. 

Additionally, check for manufacturer savings programs or coupons for Azstarys that may be available. These programs often provide discounts. If your insurance doesn’t cover Azstarys, looking into generic or alternative options with your healthcare provider could also help make treatment more affordable.

Conclusion

Azstarys is an effective treatment for ADHD in both children and adults, offering long-lasting symptom control with a convenient once-daily dosing schedule. While it carries a boxed warning for the risk of misuse and addiction, it remains a valuable option when used as prescribed. Always follow your healthcare provider’s guidance regarding dosage and usage to maximize benefits and minimize risks. 

FAQs About Azstarys

Here are some commonly asked questions about Azstarys and its dosage:

How Does Azstarys Compare to Adderall and Vyvanse?

Azstarys, Adderall, and Vyvanse are all stimulant medications used to treat ADHD, but they differ in their active ingredients, dosage forms, and how they are metabolized. Each drug is prescribed based on individual needs, so following your doctor’s recommendations is essential.

Can I Take Azstarys Long Term?

Yes, Azstarys is generally prescribed as a long-term treatment for ADHD as long as it remains effective and safe for those taking it. Consult your doctor regularly to evaluate its continued use.

What Should I Do if I Miss a Dose?

If you miss a dose, contact your healthcare provider. Depending on the timing, they may recommend taking the dose later or skipping it entirely. Avoid doubling up on doses.

Where to Get Azstarys at an Affordable Price

If you need help managing the cost of your medications, consider using a prescription discount card like CareCard. These cards can help reduce the out-of-pocket cost of your prescriptions, including brand-name drugs like Azstarys.

Save up to 85% on prescriptions

CellCept

Compare prices, get free coupons, and save instantly at any pharmacy.

Background

Savings

Discount Card

Mobile App

Account

Education

About Us

Meet Dr. Bob

Blog

Support

FAQs

Email Us

Help: (866) 410-1217

Terms of Service

Privacy Policy

Subscribe to Our Newsletter

You will receive a free pharmacy discount card when you subscribe.

By subscribing to the newsletter you agree with our Privacy Policy.
CareCard LogoPharmacy names, logos, brands, and other trademarks are the property of their respective owners. Prescription savings may vary by prescription and by pharmacy, and in some cases may be discounted up to 85% off cash price*. Please note, this is NOT insurance. CareCard offers you the opportunity to find prescription discount prices, which ultimately depend on the provider. You are fully responsible for paying for all health care services but will be entitled to receive a discount from those health care providers in accordance with the specific pre-negotiated discounted rates. CareCard Inc. is not sponsored by or affiliated with any of the pharmacies identified in its price comparisons. This information is not meant to be a substitute for professional medical advice, treatment, or diagnosis. For additional information, please reach our customer support at (866) 410-1217, Mon-Fri 9am–5pm EST or email us at hello@carecard.com. By using the CareCard prescription discount card or service, you are agreeing to CareCard’s Terms of Service.

Get the CareCard Mobile App

App Store linkGoogle Play link
Facebook Custom IconLinkedIn IconInstagram IconTwitter Icon
LegitScript approvedSOC 2 Type II Compliant