talkADHD ADHD Medication Explained by a Clinical prescriber
Jan 6, 2025
Dive into a captivating discussion about ADHD medications. Discover the NICE guidelines for children and adults and the differences between first-line treatments. Learn how medications like methylphenidate and dexamphetamine work in the brain while debunking the myth that ADHD is a low-dopamine disorder. Explore non-stimulant options like atomoxetine and guanfacine, and understand the importance of patient education and shared decision-making regarding side effects. It's an informative journey into the world of ADHD treatment!
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Follow NICE Steps For Children's Treatment
- For children, start with non-medication approaches and use methylphenidate first when medication is needed.
- If methylphenidate is ineffective after an effective dose for six weeks, try lisdexamfetamine next, then consider dexamphetamine or non-stimulants.
Give Adults A Choice Of First-Line Drugs
- Adults should be offered a choice between extended-release methylphenidate or lisdexamfetamine and informed about differences.
- If the first choice fails, move to dexamphetamine (if duration issues) or atomoxetine as third-line options.
Match Formulation To Your Daily Rhythm
- Know the difference between immediate-release and extended-release preparations and their time to peak effect.
- Ask your prescriber which formulation fits your daily needs and task timing.