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Correspondence: ACMD advice on lisdexamfetamine and z-drugs

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The ACMD has given the following advice:

Lisdexamfetamine

Lisdexamfetamine is itself an inactive pro-drug but it is rapidly metabolised to dexamphetamine which then has the potential to exert the physical and social harms associated with amphetamines as a class although there may be some differences attributable to its prolonged pharmacokinetic profile.

Z class drugs

Z-drugs and benzodiazepines share the same basic mechanism of pharmacological action. There are no very significant differences in therapeutic efficacy or adverse effect potential between benzodiazepines and z-drugs, or between the z-drugs themselves. The suggested differences that have been reported, include a reduced abuse potential and propensity to tolerance and withdrawal with z-drugs compared to benzodiazepines.


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