ADHD is a mental health disorder that can cause inattentiveness . If youve had an allergic reaction to Azstarys or any of its ingredients, your doctor will likely not prescribe Azstarys. If you have or have ever had depression, tell your doctor before you start taking Azstarys. Ask them what other medications are better options for you. Azstarys may be used alone or with other medications. Here are a few questions you may want to ask your doctor about Azstarys: For information about other available ADHD treatments, you might find these articles helpful: Your doctor or pharmacist can also tell you about other treatments that may be good options for your condition. Serious side effects from Azstarys can occur, but they arent common. Sudden death has, if you or your child have mental (psychiatric) problems, or a family history of suicide, bipolar illness, or depression. Keep AZSTARYS in a safe, AZSTARYS is a federally controlled substance (CII) because it can be abused or. Keep AZSTARYS in a safe place to prevent misuse and abuse. Azstarys is a once-daily central nervous system (CNS) stimulant ADHD medication approved for the treatment of ADHD symptoms in patients 6 years of age and older. ADHD symptoms are best relieved when DAT occupancy is gradual, non-saturated, constant and prolonged. Azstarys comes as capsules that you swallow. Azstarys and some medicines may interact with each other and cause serious side effects. Exacerbation of Pre-existing. The capsule can be opened and its contents can be sprinkled into 2 ounces (50 mL) of water. It is a combination of two methylphenidate stimulants30% dexmethylphenidate (available generically as Focalin) and 70% serdexmethylphenidate (SDX), which is unavailable individually. Several stimulants are approved for narcolepsy. Azstarys has a boxed warning for risk of misuse and risk of dependence. Keep a list of the medicines with you to show your healthcare provider and pharmacist. AZSTARYS should be periodically discontinued to assess the pediatric patients condition. Azstarys comes as a capsule that you swallow. Tell your healthcare provider about any mental problems you or your child have, or about a family history of suicide, bipolar illness, or depression. tachycardia. A pregnancy registry is available for drugs that treat attention deficit hyperactivity disorder (ADHD), such as Azstarys. If you or your child has psychiatric problems, or a family history of suicide, bipolar illness, or depression, tell your doctor before starting Azstarys. The Schedule II stimulants (amphetamines and methylphenidates) have a Black Box Warning for risk of abuse and dependence. Keep AZSTARYS and all medicines out of the reach of children. These stimulants can also be more effective for ADHD by providing a slow-rising and constant steady-state level of stimulant. See the end of this page for a complete list of ingredients. If you have questions about taking Azstarys, talk with your doctor or pharmacist. Prior to initiating treatment with AZSTARYS, assess for the presence of cardiac disease (i.e., perform a careful history, family history of sudden death or ventricular arrhythmia, and physical exam) [see Warnings and Precautions (5.2)]. At even higher doses stimulants can produce paranoia, arrhythmias, and elevated body temperature. if your child is having slowing of growth (height and weight). The cash price for 100 generic Adderall 5 mg tablets costs about $14.00. QL: Quantity Limits Drugs that have quantity limits associated with each prescription. Stimulants may increase anxiety in some individuals, but those with ADHD are more likely to experience stimulants as calming if dosed appropriately. Can you pronounce this word better or pronounce in different accent or variation ? Adderall, Vyvanse, methylphenidate, Concerta, Ritalin, Strattera. Available for Android and iOS devices. *|ux$C2+oVc. For more information on KemPharm and its pipeline of prodrug product candidates visit www.kempharm.com or connect with us on Twitter, LinkedIn, Facebook and YouTube. For more information, see the Can Azstarys be misused or cause dependence? section below. Adults and Pediatric Patients 13 to 17 years of age. It takes a few days for your body to clear (get rid of) a dose of Azstarys. Some of the stimulants are approved for children as young as age 3, but most are approved for ages 6 and above. The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. Symptoms caused by an overdose of Azstarys can include: Call your doctor if you think youve taken too much Azstarys. AZSTARYS capsules may be taken whole, or opened and the entire contents sprinkled into 50 mL of water or over 2 tablespoons of applesauce. Drug class: CNS stimulants. 6 (52/10.4 mg). Here are a few tips that might help guide your discussion: Remember, your doctor and other healthcare professionals are available to help you. We comply with the HONcode standard for trustworthy health information. Studies have found Azstarys to be generally safe and effective for treating ADHD. Generic name: dexmethylphenidate and serdexmethylphenidate Swelling of the ear is also possible, and some people report severe skin reactions with Azstarys. They can also suggest ways to help reduce side effects. The main purpose of the stimulant mnemonics in Cafer's Psychopharmacology: Visualize to Memorize 270 Medication Mascots is to help you differentiate the Adderalls (amphetamines) from the Ritalins (methylphenidates). Adults and Patients 13 to 17 years: The recommended starting dosage is 39.2 mg/7.8 mg orally once daily in the morning. Paradoxically, some patients with ADHD complain stimulants make them overly slowed or even zombified. Azstarys is a prescription medicine used to treat symptoms of Attention Deficit Hyperactivity Disorder. It also helps the medication to work effectively when you need it during the daytime. The dose could be titrated weekly to 26.1 mg/5.2 mg, 39.2 mg/7.8 mg, or 52.3 mg/10.4 mg (maximum dose) based on tolerability and best individual response in the . They can also include swelling of your tongue, mouth, or throat, which can cause trouble breathing. Your doctor or pharmacist can tell you more about these interactions and any others that may occur with Azstarys. It will persist until the afternoon, about 13 hours after taking your dose. blood pressure medicines (anti-hypertensive). If DAT occupancy is rapid (e.g., taken IV or snorted), intermittent and saturated, the result is a euphoric high. Azstarys (serdexmethylphenidate and dexmethylphenidate) is a central nervous system (CNS) stimulant for the treatment of ADHD in patients 6 years of age and older. Available for Android and iOS devices. Azstarys is used to treat attention deficit hyperactivity disorder (ADHD) in adults and in children ages 6 years and older. This link will take you to a third-party website. Mild side effects of Azstarys that have been reported include: * To learn more about this side effect, see the Allergic reaction section below. allergic to serdexmethylphenidate, methylphenidate, or any of the ingredients in AZSTARYS. Because of this, Azstarys may offer all-day symptom relief with a single pill. Tell your doctor about any heart problems you have before you start Azstarys treatment. But if they become bothersome, talk with your doctor or pharmacist. Keep AZSTARYS in a safe place to prevent misuse and abuse. hb```e``rc`a`ae`@ +s,13(0xJZ-bR5;u!s,[n2_`'W+P$S:4- dp6i\".ZcM2r-p79tB$sZYSxg=[t3aQff] 8:XShh @* D2E,*:4:$\, Xt[U@m|qz63*33.hbpCXx*4# wq WARNING: AZSTARYS is a federally controlled substance (CII) because it can be abused or lead to dependence. But be sure to consume the applesauce or water mixture right away. There may not be a current cure for ADHD, but several options can help manage symptoms. It may harm them, and it is against the law. ADHD also affects many adults. For additional safety information, click here for Prescribing Information and Medication Guide and discuss with your doctor. Do not take Azstarys if you or your child are: Before you start treatment, tell your healthcare provider about all medical conditions, including if you or your child: Tell your healthcare provider about all of the medicines that you or your child take, including prescription and over-the-counter medicines, vitamins, and herbal supplements. allergic to serdexmethylphenidate, methylphenidate, or any of the ingredients. Adderall 10 mg is approximately equivalent to Ritalin 20 mg. Disclaimer: Healthline has made every effort to make certain that all information is factually correct, comprehensive, and up to date. You can contribute this audio pronunciation of AZSTARYS to HowToPronounce dictionary. Amphetamine pictures include an amplifier, while methylphenidates are depicted as scantron sheets. Azstarys has a high potential for abuse and dependence. Azstarys is used to treat attention deficit hyperactivity disorder (ADHD) in adults and in children ages 6 years and older. The recommended starting dosage of AZSTARYS is 39.2 mg serdexmethylphenidate/7.8 mg dexmethylphenidate once daily in the morning. Do not store applesauce or water and medicine mixture. In the evening, Azstarys gradually wears off. Your pharmacist may also recommend tools to help make it simpler to open the drugs container. Having investigated AZSTARYS and directly observed its clinical impact on patients, I believe this product will be an important new tool for physicians to use in providing effective care for patients with ADHD.. Your healthcare provider may sometimes stop treatment for a while to check ADHD symptoms. Although adults with ADHD may be impaired by inattentive symptoms, ADHD is often not the focus of pharmacotherapy because of comorbid conditions. Bronchospasm, rash, and pruritus have been reported in patients who received Azstarys. AZSTARYS consists of SDX, KemPharms prodrug of d-methylphenidate (d-MPH), co-formulated with immediate release d-MPH. Does taking Azstarys increase my childs risk of misusing drugs later in life? Otherwise, the drug may cause you to have trouble sleeping. Your healthcare provider may change the dose if needed. It is possible to develop priapism upon stopping the stimulant, e.g., for a drug holiday. AZSTARYS may help increase attention and decrease impulsiveness and hyperactivity in people with ADHD. KemPharm But if you think youre having a medical emergency, you should call 911 or your local emergency number. Misuse of a drug means using it in a different way than how it was prescribed. Your child should have his or her height and weight checked often. Selling or giving away AZSTARYS may harm others and is against the law. What is the best way to store and dispose of this drug? Should I take Azstarys with food? Dopamine is a chemical that sends messages between nerve cells. Azstarys comes as a capsule that you swallow. Amphetamine can be addictive when taken at high dose and is highly addictive if injected intravenously. if you or your child have circulation problems in fingers and toes (called peripheral vasculopathy, including Raynauds phenomenon). Certain factors can determine whether Azstarys is a good treatment option for you. In my research and practice, three properties are repeatedly cited by patients and their caregivers as being underserved by current ADHD medications: onset of action, duration of effect and consistency of therapy. It is expected to be available this summer. Azstarys can sometimes cause harmful effects in people who have certain conditions. Keep AZSTARYS in a safe place to prevent misuse and abuse. Your doctor will determine whether its safe for you to take this drug. Azstarys is a prescription drug used in adults and some children to treat ADHD. This can help researchers better understand the risks of taking those drugs during pregnancy. Tags: ADHD Etc., medication, treating adults, treating kids. Many psychiatrists believe prescription amphetamines are overly regulated, especially in the case of lisdexamfetamine (Vyvanse) which has gradual onset of action, even if snorted or injected. Symptoms of ADHD usually occur before the age of 12 years. Below are some common questions about taking Azstarys. If your blood pressure is consistently high while taking Azstarys, they may prescribe blood pressure medications if youre not already taking them. If improvement is not observed after appropriate dosage adjustment over a one-month period, the drug should be discontinued. The complete label for AZSTARYS, including prescribing information and important safety information, may be found at www.kempharm.com/pipeline-products/#kp415. if you or your child are pregnant or plan to become pregnant. These and other considerations to discuss with your doctor are described below. You've got the pronunciation of AZSTARYS right. Azstarys may help increase attention and decrease impulsiveness and hyperactivity in people 6 years of age and older with ADHD. For most individuals, the FDA maximum dose for a given stimulant is no more effective than a moderate dose. This is best accomplished by a modestly dosed, slow-onset, long-duration stimulant formulation. serious heart arrhythmias, coronary artery disease, or other serious heart problems. Please What are some frequently asked questions about Azstarys? It isnt available in a generic form. However. AZSTARYSTM is an FDA-approved, once-daily product for the treatment of attention deficit hyperactivity disorder (ADHD) in patients age six years or older. For more information about the use of Azstarys for treating ADHD, talk with your doctor or pharmacist. AZSTARYS is a federally controlled substance (CII) because it can be abused or lead to dependence. Journal of Clinical Child & Adolescent Psychology, Volume 47, 2018 - Issue 23 SimonV, CzoborP, BlintS, et al::Prevalence and correlates of adult attention-deficit hyperactivity disorder:a meta-analysis. Do not take more Azstarys than your doctor prescribes. Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. Do not take Azstarys if your or your child is allergic to any of the ingredients, including serdexmethylphenidate or methylphenidate. Seems like your pronunciation of AZSTARYS is not correct. Stimulants decrease appetite by increasing adrenergic and dopaminergic activity in the hypothalamus. It works by. Psychostimulants are sympathomimetics that mimic the action of norepinephrine (NE) and dopamine (DA) to activate the sympathetic (fight or flight) nervous system. To help prevent dependence, your doctor will routinely evaluate your need for treatment with Azstarys. Azstarys is a central nervous system stimulant prescription medicine used for the treatment of Attention-Deficit Hyperactivity Disorder (ADHD) in people 6 years of age and older. Dependence on a drug means your body gets used to a drug and needs it to function as usual. For a smaller group of individuals, stimulants may trigger tics that persist for several months after the stimulant is stopped, before eventually resolving spontaneously. Taking more than this can lead to serious side effects. If you develop symptoms of mania during Azstarys treatment, your doctor may tell you to stop taking it. Definition; PA: Prior Authorization Drugs that require prior authorization. Symptoms of a severe allergic reaction can include swelling under your skin, usually in your eyelids, lips, hands, or feet. Yes, Azstarys (dexmethylphenidate and serdexmethylphenidate) is a central nervous system (CNS) stimulant medication used to treat Attention-Deficit Hyperactivity Disorder (ADHD) in adults and children 6 years of age and older. Our mission is to be your trusted advisor, an unwavering source of understanding and guidance along the path to wellness. Azstarys can interact with several kinds of drugs. Brain fog is a common symptom of ADHD, read on to learn the current research and treatment options. Its unclear how increasing dopamine levels works to ease symptoms of ADHD. Your child should have his or her height and weight checked often. They may be able to put Azstarys in an easy-open container. Azstarys has a boxed warning. On college campuses, prescription stimulants are commonly diverted for nonmedical uses such as all-night studying and countering sedation from binge drinking. Read on to learn about the uses of Azstarys, its side effects, and more. Circulation problems in fingers and toes (peripheral vasculopathy, including Raynauds phenomenon). AZSTARYS is a federally controlled substance (CII) because it can be abused or lead to dependence. Which natural remedies for brain health can I try to help improve focus during Azstarys treatment. sudden death, stroke, and heart attack in adults, sudden death in children who have heart problems or heart defects, new or worse behavior and thought problems, new psychotic symptoms (such as hearing voices, or seeing or believing things that are not real) or new manic symptoms. After a week of treatment, raters used the SKAMP-Combined rating scale to evaluate the children's attention and behavior in a classroom setting. Prescribers can minimize risk of diversion (i.e., patients sharing their pills) by limiting supply to one extended-release capsule daily. Corium, Inc. (Corium), a portfolio company of Gurnet Point Capital (GPC), will lead the commercialization of AZSTARYS per the definitive collaboration and license agreement (the License Agreement) between KemPharm and an affiliate of GPC. Channel providing free audio/video pronunciation tutorials in English and many other languages. Predominantly inattentive ADHD usually does not tend to improve throughout adulthood. 3 dosage strengths to fit WARNING: AZSTARYS is a federally controlled substance (CII) because it can be abused or lead to dependence. All Rights Reserved, {{app['fromLang']['value']}} -> {{app['toLang']['value']}}, Pronunciation of AZSTARYS with 2 audio pronunciations. ADHD Treatment Options: Therapy, Medication, and More. This restriction requires that specific clinical criteria be met prior to the approval of the prescription. Itll take about 55 hours for your body to clear Azstarys. If you have serious side effects from Azstarys, call your doctor right away. These medications are dramatically effective for 75% of individuals with ADHD. ADHD aged 6 to 12 years (mean, 9.6 years). Even at therapeutic doses, stimulants increase blood pressure (averaging 2 to 4 mmHg) and heart rate (averaging 36 bpm); some individuals have larger increases. Serious side effects include painful and prolonged erections (priapism) and circulation problems in fingers and toes. WARNING: AZSTARYS is a federally controlled substance (CII) because it can be abused or lead to dependence. After both drugs in Azstarys take effect, your body will clear them. These "chemical cousins" are similar but have different effects. Continue reading. (An active ingredient is what makes a drug work.) Your doctor may ask you questions about how much and how often you drink alcohol. AZSTARYS is a central nervous system (CNS) stimulant indicated for the treatment of Attention Deficit Hyperactivity Disorder (ADHD) in patients aged 6 years and older. AZSTARYS is a central nervous system (CNS) stimulant prescription medicine for the treatment of Attention Deficit Hyperactivity Disorder (ADHD) in people 6 years of age and older. Poststroke lethargy and apathy may respond to stimulants, with potential long-term effectiveness. At doses effective for ADHD, the difference between amphetamine and methylphenidate is minimal, like Coca-Cola vs Pepsiboth inhibit reuptake of dopamine (DA) by blocking the dopamine transporter (DAT). Its important to make AZSTARYS part of your childs daily routine. taking or have stopped taking within the past 14 days a medicine used to treat depression called a monoamine oxidase, if you or your child have heart problems, heart defects, high blood pressure, or a family history of these problems. Can Azstarys be misused or cause dependence? Tell your doctor if you have bipolar disorder before you start taking Azstarys. It is not known if Azstarys may harm your unborn baby. You can also check out this article to learn more about saving money on prescriptions. Like most drugs, Azstarys may cause mild or serious side effects. (The receptors are a kind of protein on the surface of cells in the brain and other areas of the central nervous system.) Download the Progress Journal to help keep track of AZSTARYS administration and your childs experience with ADHD, You may have questions about Azstarys and your treatment plan. You can also call 800-222-1222 to reach the American Association of Poison Control Centers or use its online resource. Theyll also explain how much to take and how often. Milligram per milligram, Adderall (amphetamine) is about twice as potent as Ritalin (methylphenidate). Is there a best time of day to take Azstarys? Some people may have an allergic reaction to Azstarys. About Attention Deficit Hyperactivity Disorder (ADHD): Attention-deficit/hyperactivity disorder (ADHD) is one of the most common mental disorders affecting children. When abused, the potential for addiction is greater with amphetamine. CNS stimulants help to adjust chemicals in the brain and nerves that contribute to symptoms of ADHD, such as hyperactivity and impulse control. What should be considered before taking Azstarys? At high dose, amphetamine has the additional mechanism of entering neurons and displacing DA from synaptic vesicles and causing DA to be released in the reward pathway, resulting in euphoria. You should always consult your doctor or another healthcare professional before taking any medication. all patients for hypertension and. For some individuals, stimulant-related tics improve when the dose is decreased. | Source: AZSTARYS, KP484, and KP879 are all based on SDX. AZSTARYS may help increase attention and decrease impulsiveness and hyperactivity in people with ADHD. But some experts suggest that people living with ADHD have fewer dopamine receptors. Your doctor will recommend the dosage of Azstarys thats right for you. Azstarys dexmethylphenidate 5.2 mg / serdexmethylphenidate 26.1 mg (KP415 286). The drug information contained herein is subject to change and is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. To learn more about this boxed warning, see the Can Azstarys be misused or cause dependence? section below. Although adults with ADHD may be impaired by inattentive symptoms, ADHD is often not the focus of pharmacotherapy because of comorbid conditions. 0 SERDEXMETHYLPHENIDATE CHLORIDE 26.1mg, DEXMETHYLPHENIDATE HYDROCHLORIDE 5.2mg. AZSTARYS may help increase attention and decrease impulsiveness and hyperactivity in people with ADHD. Azstarys can cause serious heart problems. Patients with ADHD have. The best time of the day to take Azstarys is in the morning. So your doctor will continue to check you for signs and symptoms of misuse while youre taking Azstarys. Taking a medication with certain vaccines, foods, and other things can affect how the medication works. These are known as drug-condition interactions. If switching from other methylphenidate products, discontinue that treatment, and titrate with AZSTARYS using the titration schedule described above. We explore the specific types of treatment Medicare covers and how to find mental health professionals and care. Its part of a group of drugs called central nervous system stimulants. allergic to serdexmethylphenidate, methylphenidate, or any of the ingredients in AZSTARYS. KemPharm, Conference Call and Live Audio Webcast Scheduled for Tomorrow, Wednesday, March 3, at 8:30 a.m. 1 (26/5.2 mg and 39/7.8 mg), FD&C Red No. Misuse of a drug means using it in a different way than how it was prescribed. Corium expects to make AZSTARYS commercially available in the U.S. as early as the second half of 2021. Formerly referred to as KP415, Azstarys comprises serdexmethylphenidate (SDX), KemPharm's prodrug of d-methylphenidate (d-MPH), co-formulated with immediate-release d-MPH. Although brand name Adderall has been discontinued, the pharmacy may still have some in stock. For Neurodivergent Black Adults, Whats in a Diagnosis? There is no generic option at this time. Rate the pronunciation difficulty of AZSTARYS. taking or have stopped taking within the past 14 days a medicine used to treat depression called a monoamine oxidase, if you or your child have heart problems, heart defects, high blood pressure, or a family history of these problems. These drugs include: * If you plan to get surgery, your doctor will likely ask you not to take your Azstarys dose that day. Azstarys may cause serious side effects, including: Tell your healthcare provider if you or your child have numbness, pain, skin color change, or sensitivity to temperature in the fingers or toes. This form is only used to treat ADHD. Azstarys is a once-daily central nervous system (CNS) stimulant ADHD medication approved for the treatment of ADHD symptoms in patients 6 years of age and older. Blocking the, Stimulants decrease appetite by increasing adrenergic and dopaminergic activity in the hypothalamus. Call your healthcare provider right away if there are any new or worsening mental symptoms or problems during treatment. Below are commonly used dosages, but always take the dosage your doctor prescribes. Call your doctor for medical advice about side effects. KemPharm is under no obligation to, and expressly disclaims any such obligation to, update or alter its forward-looking statements, whether as a result of new information, future events or otherwise. Symptoms of ADHD include inattention (not being able to keep focus), hyperactivity (excess movement that is not fitting to the setting) and impulsivity (hasty acts that occur in the moment without thought).1 An estimated 8.4% of children and 2.5% of adults have ADHD.23. In 2021 the FDA granted approval for clinical trials investigating SDX (without dexmethylphenidate) for the treatment for stimulant use disorder. WARNING: AZSTARYS is a federally controlled substance (CII) because it can be abused or lead to dependence. If paradoxical aggravation of symptoms or other adverse reactions occur; the dosage should be reduced, or, if necessary, the drug should be discontinued. For additional safety information, click here for Prescribing Information and Medication Guide and discuss with your doctor. Talk to your healthcare provider about. attention deficit hyperactivity disorder (ADHD). But there. of behavior disturbance and thought. Another possible misuse of CNS stimulants is to feel high.. If you or your child becomes pregnant during treatment, talk to your healthcare provider about registering with the National Pregnancy Registry for Psychostimulants at. If youve ever misused alcohol, Azstarys may not be the right drug for you. The serdexmethylphenidate component lasts for 13 hours. Tell your doctor if youve had trouble with drug misuse in the past. certain anesthetics used before surgery,* such as sevoflurane (Sojourn) and desflurane (Suprane), euphoria (a state of extreme happiness or excitement). Our website services, content, and products are for informational purposes only. All of the applesauce or water mixture should be swallowed within 10 minutes. Azstarys can cause dependence. For information about drug-condition interactions, see the Other warnings section below. Bring someone with you to your appointment if doing so will help you feel more comfortable. Medically reviewed by Drugs.com. Caution Concerning Forward Looking Statements: This press release may contain forward-looking statements made in reliance upon the safe harbor provisions of Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended. Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. Also, if youre having trouble opening your medication bottles, let your pharmacist know. But if you think youre having a medical emergency, call 911 or your local emergency number. are breastfeeding or plans to breastfeed. Formerly referred to as KP415, Azstarys comprises serdexmethylphenidate (SDX), KemPharms prodrug of d-methylphenidate (d-MPH), co-formulated with immediate-release d-MPH. Stimulants are used off-label for short-term treatment of depression, particularly in elderly patients. For more information, call 866-961-2388 or visit the National Pregnancy Registry for ADHD Medications website. A Patients Primer on the Stimulant Medications Used to Treat ADHD, The ADHD & Addiction Link: Addictive Behaviors in Adults Explained, 6 Things You Didnt Know About the ADHD Brain, Substance Use Disorders and ADHD: 5 Key Facts, The Top ADHD Medications for Children Rated by Readers, Right Goal, Wrong Strategy 11 New Treatment Ideas. ADHD is a mental health disorder that can cause inattentiveness, hyperactivity, and impulsive behavior. %%EOF Azstarys was approved in March 2021 and the cash price for 30 capsules is about $410. If your heart rate is too high, your doctor may also prescribe medication to slow your heart rate. Serious side effects of Azstarys that have been reported include: * For more information, see the Can Azstarys be misused or cause dependence? section below. To learn more about this side effect, see the Allergic reaction section below.