ADHD Medication Overview

Home , Dextroamphetamine, Levoamphetamine

Available Maximal Duration of Active Ingredient Drug Name (mg) Dosing Recommended Behavioral Strengths (mg) Dose (mg) Effects

Stimulants

Mixed amphetamine salts ADDERALL© Start with 5 mg 1-2 times per day and increase by 5 mg each week until (dextroamphetamine/ Immediate-Release Tablet 5, 7.5, 10, 12.5, 15, 20, 30 good control is achieved. Give first dose in morning and 1-2 additional 40 per day 4-6 hours levoamphetamine) Scored doses at intervals of 4-6 hours.

© Start with 5 mg 1-2 times per day and increase by 5 mg each week until DEXTROSTAT 4-6 hours Dextroamphetamine Immediate-Release Tablet 5, 10 good control is achieved. Give first dose in morning and 1-2 additional 40 per day Scored doses at intervals of 4-6 hours.

RITALIN© Immediate-Release Tablet 5, 10, 20 Scored

© METHYLIN 5, 10, 20 Immediate-Release Tablet Start with 5 mg 2 times per day (morning and afternoon) and increase by SHORT-ACTING SHORT-ACTING 5-10 mg each week until good control is achieved. May need third 60 per day 3-5 hours reduced dose in evening. Methylphenidate © METHYLIN CHEWABLE 2.5, 5, 10 Immediate-Release Chewable Tablet

FOCALIN© Start with 2.5 mg 2 times per day and increase by 2.5-5 mg each week Immediate-Release Tablet 2.5, 5, 10 until good control is achieved. May need third reduced dose in the 20 per day 3-5 hours Scored evening.

RITALIN SR© Sustained-Release Tablet 20 Cannot be crushed, split, or chewed 4-8 hours Start with 10 mg 1 time in morning and increase by 10 mg each week METHYLIN ER© Extended-Release Tablet 10, 20 until good control is achieved. Alternatively, titrate using immediate- Methylphenidate Cannot be crushed, split, or chewed release methylphenidate and then switch over to extended-release form. 60 per day May need dose of immediate-release methylphenidate for quicker onset or in evening. METADATE ER© Extended-Release Tablet 10, 20 6-8 hours

INTERMEDIATE-ACTING INTERMEDIATE-ACTING Cannot be crushed, split, or chewed LONG-ACTING Dextroamphetamine Mixed amphetaminesalts Lisdexamfetamine Methylphenidate (dextroamphetamine/ levoamphetamine) Atomoxetine Guanfacine Bupropion Clonidine

Reference: https://research.tufts-nemc.org/help4kids/docs/tables/Table%201_ADHD%20Meds_Dec%20 2011.pdf C Extended KAPVAY C Capsule STRATTERA C Extended INTUNIV C Extended WELLBUTRIN XL C Sustained WELLBUTRIN SR Tablet WELLBUTRIN C Extended FOCALINXR Patch DAYTRANA C Extended CONCERTA C Extended METADATECD C Extended RITALINLA consumedimmediately C Capsule VYVANSE C Sustained DEXEDRINESPANSULE C Extended ADDERALLXR annotbe crushed, split,or chewed annotbe crushed, annotbe crushed, split,or chewed annotbe crushed, split,or chewed annotbe crushed, split,or chewed bean sprinkledon applesauce annotbe crushed, split,or chewed bean sprinkledon applesauce bean sprinkledon applesauce bean sprinkledin water and annotbe crushed, split,or chewed bean sprinkled

ReleaseTablet © ReleaseCapsule

onapplesauce

split,or chewed

20,30, 40,50, 60, 70 5,10,15 5,10,15, 20, 25, 30 0.1, 0.2 10,18, 25,40, 60, 80, 100 1,2,3, 4 150,300 100,150, 200 75,100 5,10,15, 20, 30, 40 10,15, 20,30 18,27, 36,54, 72 10,20, 30,40, 50, 60 10,20, 30,40

Non-stimulants

goodcontrol isachieved. withStart 30 mgin goodcontrol isachieved. withStart 5 mg1 time per day andincrease by 5 mg eachweek until controlis achieved. withStart 5 mgin morningand increase by 5 day, withday, equal or higher split dosage at bedt weekuntil good controlis achieved. Doses shouldbe given 2 times per withStart 0.1 mgatbedtime andadjust by increments of 0.1 mgeach daysto target maximumrecommended dose per day. withStart 0.5 mg/kg bodyweight perday andincrease after minimumof 3 controlis achieved. withStart 1 mgper day and increase by1 mgeach week until good day. withStart 150 mg 1 timeper day and increase gradually to300 mgper dosesper day at 8 hourintervals. withStart 100 mg 1 timeper day and increase gradually tomaximum goodcontrol isachieved or to maximumof 2 withStart 37.5 mg2 times per dayand increase in atleast 3 controlis achieved. withStart 5 mgin morningand increase by 5 mgeach week until good hours.Patch should be replaced each morning. eachweek until good control isachieved. Patchis to wornbe daily for 9 withStart 10 mgdelivered dose per hours9 and controlis achieved. withStart 18 mgin morningand increase by 18 mgeach week until good onsetor in evening. Mayneed a dose of immediate release methylphenidateand then switchover toextended untilgood control isachieved. Alternatively, titrate usingimmediate withStart 10

- 20 mg1 time in morningand increase by10 mgeach week morningand increase by 10

- release methylp

- - ime. 3doses perday. 20each week until good -

henidatedose for quicker 20 mg eachweek until increaseby 5

- release form. daysuntil

- 10 mg - of2 30 mgper 9 hours day(adolescents) (children);72 per 100 mgper day bodyweight or 1.4 mgper kg 300 perday 200 perday 150 perday 0.4per day 60 per day 30 per30 day per54 day per70 day per40 day per30 day 4 per4 day

10 18 18 10 10 10 8-12hours 9 8 8 8 4 24 hours24 - - - - 9 hours9 ------12hours 12hours 12hours 14hours 12hours 24hours 24hours 14hours 6 hours 16hours 12hours