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Mixed amphetamine salts is a central nervous system (CNS) stimulant medication primarily indicated for the treatment of Attention-Deficit Hyperactivity Disorder (ADHD) and narcolepsy. It consists of a specific 3:1 ratio of dextroamphetamine and levoamphetamine salts, typically formulated as a combination of dextroamphetamine saccharate, amphetamine aspartate monohydrate, dextroamphetamine sulfate, and amphetamine sulfate. The drug functions as a sympathomimetic amine that increases the synaptic concentrations of norepinephrine and dopamine. Its mechanism of action involves the inhibition of monoamine reuptake via the dopamine transporter (DAT) and norepinephrine transporter (NET), as well as the promotion of neurotransmitter release from presynaptic neurons through interaction with the trace amine-associated receptor 1 (TAAR1) and the vesicular monoamine transporter 2 (VMAT2). Originally developed by Shire (now part of Takeda), it is available in both immediate-release and extended-release formulations.
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