4.4.2 Attention deficit hyperactive disorder (ADHD) in adults

ChoiceDrugDosage

1st choice

For information

Specialist initiation only

Delmosart ® (methylphenidate) 18mg, 27mg, 36mg, 54mg prolonged-release tabletsDose:
See BNF for dosing
[Initiation unlicensed in adults]

2nd choice

For information

Specialist initiation only

Methylphenidate standard release tablets 5mg, 10mg, 20mgDose:
See BNF for dosing
[Initiation unlicensed in adults]

Prescribing Notes

  • Methylpenidate is an amber list drug. Initiation and titration of treatment should be carried out by a specialist. A shared care protocol is available which provides information about prescribing in hospital and general practice.
  • See NICE NG87 ADHD.
  • Following a decision to start drug treatment in adults with ADHD, methylphenidate should normally be tried first. Refer to NICE NG87 for details of other treatment options.
  • Modified-release preparations of methylphenidate should be prescribed by brand. GPs should prescribe the brand of methylphenidate that has been recommended by the specialist.

Cautions