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Adult ADHD Medication & Titration

Adult ADHD Medication

Lisdexamfetamine (Elvanse)

Lisdexamfetamine is a similar medication to Dexamfetamine and works in the same way. It is a stimulant medication, which increases activity in the brain, particularly in areas that control attention and behaviour. Adults may be offered Lisdexamfetamine as the first-choice medication instead of Methylphenidate.

Lisdexamfetamine comes in a modified-release capsule form taken once daily in the morning with the dose released throughout the day for up to 12 hours.

Common side effects include:

Decreased appetite, which can lead to weight loss or poor weight gain

Aggression

Drowsiness

Dizziness

Headaches

Diarrhoea

Nausea and vomiting.

Methylphenidate (e.g. Concerta XL, Ritalin)

Methylphenidate is the most commonly used medication for ADHD. It is a stimulant medication, which increases activity in the brain, particularly in areas that control attention and behaviour.

The medication can be taken as either an immediate-release tablet taken 2 to 3 times a day or as a modified-release (MR) tablet taken once daily in the morning with the dose released throughout the day over 12 hours.

Common side effects include:

A small increase in blood pressure and heart rate

Loss of appetite, which can lead to weight loss or poor weight gain

Insomnia

Headaches

Stomach aches

Mood swings.

Dexamfetamine

Dexamfetamine is similar to Lisdexamfetamine and works in the same way. 

Dexamfetamine is usually taken as an immediate-release tablet taken 2 to 4 times a day.

 

Common side effects include:

Decreased appetite

Mood swings

Agitation and aggression

Dizziness

Headaches

Diarrhoea

Nausea and vomiting.

Atomoxetine (Strattera)

Atomoxetine works differently from other ADHD medications. It's a selective noradrenaline reuptake inhibitor (SNRI), which increases the amount of a chemical in the brain called noradrenaline. This chemical passes messages between brain cells, and increasing it can improve concentration and reduce impulsivity.

 

Atomoxetine may be offered to adults if it is not possible to use Methylphenidate or Lisdexamfetamine. 

Atomoxetine comes in capsule form usually taken once or twice a day.

 

Common side effects include:

A small increase in blood pressure and heart rate

Nausea and vomiting

Stomach aches

Trouble sleeping

Dizziness

Headaches

Irritability.

Atomoxetine has also been linked to some more serious side effects that are important to look out for, including suicidal thoughts and liver damage. If you begin to feel depressed or suicidal while taking this medication, speak to your doctor.

Private Adult ADHD Medication Titration

Once diagnosed with Adult ADHD, Dr Iqbal Mohiuddin can initiate and titrate your medication. Stabilisation of Adult ADHD medication usually takes 3 months but may take longer depending on your response. It may need to be changed to find the best medication for you. Your weight, pulse and blood pressure will be monitored during titration. 

 

Contact our team for personalised treatment and private Adult ADHD medication titration.

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