3.2 Attention deficit hyperactivity disorder
CNS stimulants and drugs used for ADHD
NICE NG87 Attention deficit hyperactivity disorder: diagnosis and management
| CNS stimulants and drugs used for ADHD | Preparations | Comments | ||
| Atomoxetine hydrochloride | 10mg,18mg, 25mg, 40mg, 60mg, 80mg capsules | Consider shared care once patient is stabilised. Atomoxetine is significantly more expensive than other treatment options for ADHD. |
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| Dexamfetamine sulphate | 5mg tablets | CD. Consider shared care once patient is stabilised. |
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| Guanfacine hydrochloride | 1mg, 2mg, 3mg, 4mg MR tablets | For specialist initiation in line with HPFT prescribing guidelines on pharmacological management of ADHD. Prescribing responsibility to remain with HPFT | ||
| Lisdexamfetamine | 20mg, 30mg, 40mg, 50mg, 60mg, 70mg capsules | CD. NICE CG 87 ADHD: diagnosis and management | ||
| Methylphenidate hydrochloride | Immediate release 5mg, 10mg, 20mg tablets Modified release Delmosart® XL: 18mg, 27mg and 36mg MR tablets Equasym XL®: 10mg, 20mg and 30mg MR capsules Medikinet XL®: 5mg, 10mg, 20mg, 30mg, 40mg MR capsules |
CD. Consider shared care once patient is stabilised. Different versions of modified release preparations may not have the same clinical effect. To avoid confusion between these different formulations prescribe by brand name. |
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| % dose immediate release | % dose modified release | |||
| Delmosart® XL | 25 | 75 | ||
| Equasym XL® | 30 | 70 | ||
| Medikinet XL® | 50 | 50 | ||
| Alpha2-adrenergic agonist | Preparations | Comments |
| Clonidine | 25 microgram tablets |
Off label use in children with ADHD and sleep disturbance, rages or tics on the advice of tertiary ADHD service (NICE CG87) |
Continue to 3.3 Bipolar disorder and mania