At CARE ADHD, we offer a range of medication options to support adults with ADHD. The goal of medication is to help improve focus, impulse control, and overall functioning, enabling you to better manage the symptoms of ADHD in daily life. Your clinician will work with you to determine the most appropriate medication based on your individual needs, preferences, and medical history. 

Stimulant medications are the most commonly prescribed for ADHD and are known for their effectiveness in improving focus and reducing impulsivity. They work by increasing the levels of certain neurotransmitters in the brain, which help with attention and self-control. 

• Methylphenidate (e.g., Concerta): Often the first medication prescribed for ADHD, it is available in short-acting and long-acting formulations. 

• Dexamfetamine (e.g., Amfexa): Another stimulant that can be used if methylphenidate is not effective. 

• Lisdexamfetamine (e.g. Elvanse): A popular ADHD medication, Lisdexamfetamine is an inactive prodrug that works after being converted by the body into dextroamphetamine, a central nervous system (CNS) stimulant. 

Non-stimulant medications may be recommended if stimulants are not effective, or if you experience undesirable side effects. They are also often used when there are concerns about substance misuse. 

• Atomoxetine (Strattera): A selective norepinephrine reuptake inhibitor that can help improve focus and reduce impulsivity. It is non-addictive and may be prescribed for those who do not respond well to stimulants. 

• Guanfacine (Intuniv): This medication can help with impulse control and hyperactivity. It is less commonly prescribed but may be a good option for some individuals.  

• Please note this medication will not be accepted under shared care by NHS GPs. If you decide to take guanfacine, you will have to remain under the care of CARE ADHD privately. Your clinician will discuss the your on going care options should you require treatment with guanfacine. 

The process of selecting the right medication for you may involve trying different options to see which one works best. This process is known as titration, and it typically involves 3 appointments over a 12-week period, during which your medication is monitored and adjusted as needed. 

Your clinician will guide you through this process and make any necessary adjustments to ensure the medication you are prescribed is both effective and manageable. 

You can learn more about our titration pathway here. 

In some cases, stimulant and non-stimulant medications may be prescribed together. This combination approach is tailored to your specific needs and is carefully monitored to ensure safety and effectiveness. 

The choice of medication will depend on several factors, including: 

• Side effects: Some people may experience side effects such as insomnia or appetite changes with stimulants, so non-stimulants may be preferred. 

• Response to medication: Not all ADHD medications work for everyone, and finding the right fit may require trying different options. 

• Other health conditions: Your clinician will consider any other medical conditions you may have and choose a medication that is safe and effective for you. 

We understand that finding the right medication is an important part of your ADHD treatment. Your clinician will support you throughout the process and work with you to ensure the best outcome. If you have any questions or concerns, please discuss these with your clinician so they can best support you. 

For further information on the various medications used to treat the symptoms of ADHD, please visit this link to the British National Formulary (BNF).