GlobalRPh Renal Dosing Masterv6.6
Evidence addition

Dextroamphetamine transdermal system (XELSTRYM)

Local RX List renal extractBase record retrieved 2026-09-07See the evidence for this drug1 sources available - open source summaries, references and comparisons

XELSTRYM

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Renal guidance at a glance

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Display order is not a clinical ranking. Date of retrieval is not the label revision date. Sources are never merged into one regimen. Other sources and conflicts remain below.

Rxlist source

GlobalRPh RX List - XELSTRYM

Product / population
XELSTRYM transdermal system, patients within its approved age scope; not oral amphetamine products.
Renal measure
Indexed GFR, mL/min/1.73 m2.

RX mirror: this is not independent corroboration of its underlying label. Check dated-label and formulation limitations.

Renal dosing, restrictions and evidence limits

Severe renal impairment, GFR 15 to <30 mL/min/1.73 m2: maximum 13.5 mg per 9-hour application. End-stage renal disease, GFR <15: maximum 9 mg per 9-hour application. These are ceilings, not starting doses. Dextroamphetamine is not dialyzable. Do not replace another amphetamine product milligram-for-milligram; use the product-specific age, titration and wear-time instructions.

Source revision: Source revision date not established in selected retrieval. | Retrieved: 2026-09-07. Retrieval date is not the revision date.

Source: https://globalrph.com/rx-list/xelstrym-drug/

Scope: Selected source text imported locally; independent clinical review pending. Not a complete prescribing monograph. GlobalRPh v6.6.

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Source-first renal review

Evidence sources and renal implications

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GlobalRPh RX List

GlobalRPh RX List - XELSTRYM

Dose or interval guidance. Use only the product, indication, renal metric and population described in this source.

XELSTRYM transdermal system, patients within its approved age scope; not oral amphetamine products.

Renal method: Indexed GFR, mL/min/1.73 m2.
Retrieved: 2026-09-07

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Source presence is not independent validation. A label mirror is not a second independent source; review the original reference and exact formulation.

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Jump to renal guidanceClinician guide

Only one eligible source version is stored here. No second source is inferred from a reference link. Independent corroboration is still needed.

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Renal-context checklist: population, kidney trend and dialysis

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See source-specific renal methods and the clinical interpretation guide for the supporting context.

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Renal dosing and precautions

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New source summary - independent clinical review pending. Summaries of the identified label sections are included locally. Source import and numeric transcription checks are not independent two-reference validation. Do not treat this card as an approved institutional dosing protocol.

No dialysis or renal heading shown? Read the complete source summary. Absence of a heading is not evidence that dose adjustment is unnecessary.

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All content below is stored locally. Read a whole source version; do not combine its dose with another source's interval, renal metric or dialysis assumptions.

Original content / product scopeGlobalRPh RX List - XELSTRYM
Exact product and population matter. This added page contains locally stored, source-specific clinical summaries. Historical handbook information, when present, is identified separately and may conflict with U.S. labeling. Confirm indication, population, kidney-function method, monitoring and the full prescribing information before applying a regimen.
Locally stored source content

Exact product and population

Product identity selected for the separately displayed source protocols below. Reference: https://globalrph.com/rx-list/xelstrym-drug/

Exact product and population

XELSTRYM transdermal system, patients within its approved age scope; not oral amphetamine products.

RDM35-SCOPE-dextroamphetamine-xelstrym-patch · Source section: Selected source product scopeRenal section finder
Locally imported selected renal sections

GlobalRPh RX List renal information

Rxlist

GlobalRPh RX List - XELSTRYM

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GlobalRPh-hosted RX List · XELSTRYM transdermal system, patients within its approved age scope; not oral amphetamine products.

Renal method: Indexed GFR, mL/min/1.73 m2.
Source date: Source revision date not established in selected retrieval.
Retrieved: 2026-09-07

Label mirror, not independent corroboration. This is selected locally stored RX List content. Full monograph import and current official-label review are not implied.
Dose or interval guidance. Use only the product, indication, renal metric and population described in this source.

Selected source text imported locally; independent clinical review pending. Not a complete prescribing monograph.

Renal dosing, restrictions and evidence limits

Severe renal impairment, GFR 15 to <30 mL/min/1.73 m2: maximum 13.5 mg per 9-hour application. End-stage renal disease, GFR <15: maximum 9 mg per 9-hour application. These are ceilings, not starting doses. Dextroamphetamine is not dialyzable. Do not replace another amphetamine product milligram-for-milligram; use the product-specific age, titration and wear-time instructions.

RDM35-rxlist-dextroamphetamine-xelstrym-patch-2042f23867-C1 · Source locator: Renal impairment; dosage; warnings; pharmacokinetics, as identified in the selected retrieval.

Source identity and provenance
Source family
product_label_mirror
Source
https://globalrph.com/rx-list/xelstrym-drug/
Retrieved
2026-09-07
Renal-function method
Indexed GFR, mL/min/1.73 m2.
Source date/version
Source revision date not established in selected retrieval.
Hash meaning
SHA-256 of local authored summary only; not original HTML, PDF or SPL bytes.
Local summary SHA-256
70cae02c10ffede505524347bffb10dd37e03ba1434e9ffd8534bcd398408eeb

Provenance and preservation

Additional summaries stored on this page: 0 official-label, 1 RX List, 0 professional, 0 handbook. Empty additional-source groups are not shown. A missing layer is not a no-adjustment recommendation.

Original source
https://globalrph.com/rx-list/xelstrym-drug/
Source retrieval
2026-09-07. This is not the source publication or label revision date.
Original source type
rxlist summary
Local text SHA-256
f9f86b838a0832349724d2d6e317f63fbaccfd7b7a702c153607dcc52eb1d708
Import versus clinical validation
Source-section locators identify where retained content came from. A source-section identifier does not assert that every numeric statement has been independently corroborated. The local text hash is not a hash of original HTML, an FDA PDF or SPL XML.

This page is an additional exact-product entry, not a recovered GlobalRPh monograph. Its primary scope text and separately attributed clinical summaries are locally included.

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