ADHD Medications Table
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- Phillip Hall
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1 Stimulants are the first line treatment of choice for ADHD followed by Non-Stimulants, then off-label medications. We are providing this list of medications so that you can be familiar with the common medications clients may mention and hopefully be able to answer basic questions that your clients may ask. Always refer your clients back to their diagnosticians, appreciating that you are only able to share a layman s knowledge and what you have gained from your clients, ADHD conference presentations, current research literature, and any physicians/pa s that you have an interaction with. We did have this table reviewed and approved by a psychiatrist who specializes in ADHD. Overview Stimulants Methylphenidate Therapeutic Amphetamines (amount needed to achieve desired therapeutic outcome) Methamphetamine (Desoxyn) Non-Stimulants Atomoxetine Guanfacine Clonidine Special Notes: Columns on the next pages are all estimates. Actual frequency, etc. is dependent upon what is prescribed by the physician. levels do not indicate the severity of a person s ADHD. level is based on how sensitive the brain is to the medication. Off-Label Medications Antidepressants Aventyl, Cymbalta, Effexor, Norpramin, Pamelor, Savella, Tofranil, Wellbutrin, Wellbutrin SR, Wellbutrin XL Antinarcoleptics Nuvigil, Provigil Antiparkinsonians Requip (ropinirole), Symmetrel (amantadine) MAOI s Emsam (selegiline patch), Marplan, Nardil, Parnate Appetite Suppressants Adipex-P (phentermine) If an ADHD client is prescribed a medication that is not listed here, and told it is prescribed as a first line of ADHD treatment, that should concern you enough to encourage the client to ask his/her doctor why that medication was prescribed. If client is not sure of the color of the pill they should be taking, check the number on the pill to be sure they are taking the correct pill. You can find a visual ADHD Medication Guide with colors/numbers at: adhdmedicationguide.com/pdf/adhd_med_guide_ pdf If a client s medication side effect lasts more than two ADD Coach Academy Page 1
2 weeks, recommend that they tell their doctor. Stimulants Mixed Amphetamine Salts Adderall Short Appetite Adderall XR Long Insomnia Agitation Tremor BP Adzenys ODT Dexedrine Short Appetite Dextroamphetamine Dexedrine Long Spansules (sustained release) Dextrostat Short 4-6 Insomnia Agitation Lisdexamfetamine Vyvanse Long Tremor BP Dextroamphetamine Zenzedi Short Mixed Evekeo Short ADD Coach Academy Page 2
3 Amphetamine Methylphenidate Aptensio XR 30 Concerta Long Appetite Daytrana Patch Long Skin Irritation Metadate CD Metadate ER Intermediate Intermediate Appetite Methylin Short Appetite Methylin Chewable Methylin ER Intermediate Quillichew 30 Quillivant XR (liquid Concerta) Long Appetite Ritalin (1 st used Short ) Ritalin LA Intermediate Appetite ADD Coach Academy Page 3
4 Ritalin SR Intermediate nd : 4 later 4-8 Dexmethylphenidate Focalin Short Child Adult Focalin XR Long Child Adult Appetite nd : 4 later 6-10 Appetite Non-Stimulants Atomoxetine (norepinephrine reuptake inhibitor) Strattera Long (Extended release) Up to 24 Sleepiness Headache Poor Appetite GI Upset 20% Urinary Flow Risk 1 st 2 months for ADD Coach Academy Page 4
5 Guanfacine (alpha agonist) Not approved for adults Guanfacine ER (alpha agonist) Not approved for adults Clonidine (alpha agonist) Not approved for adults suicide Tenex 6-8 Irritability Low BP Behavior Problems Intuniv Long (Extended release) Kapvay or Catapres Long Up to (tablets) 24 (patch) 24 (tablet twice/day) Sleepiness Headache Abdominal Pain Low BP Irritability Low BP Behavior Problems Off-Label Medications (Minimal research regarding the effectiveness of these meds on ADHD) Antidepressants Aventyl 8-24 Anxiety ADD Coach Academy Page 5
6 Upset Stomach Cymbalta Effexor Norpramin 8-24 Not recommended for children Pamelor 8-24 Anxiety Upset Stomach Savella Tofranil 8-24 Anxiety Upset Stomach Wellbutrin Short Wellbutrin SR Sustained release (long ) Wellbutrin XL Extended 100, 150, Rare Seizure Risk ADD Coach Academy Page 6
7 release (long ) Antinarcoleptics Nuvigil Provigil/Sparlon 340- (Modafinil) Antiparkinsonians Symmetrel (amantadine) Requip (ropinirole) MAOI s (Monoamine oxidase inhibitor) Emsam (selegiline patch) Marplan Nardil Parnate (tranylcypromine) 1 Dangerous to use without many other meds. Best to avoid for ADHD Appetite Suppressants Adipex-P (phentermine) ADD Coach Academy Page 7
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Clinical Policy: Reference Number: CP.PMN.XX Effective Date: 03.01.18 Last Review Date: 02.18 Line of Business: Commercial, Medicaid Revision Log See Important Reminder at the end of this policy for important
CENPATICO INTEGRATED CARE BEHAVIORAL HEALTH DRUG LIST BY DRUG CLASS
ANTIDEPRESSANTS ALPHA-2 RECEPTOR ANTAGONIST ANTIDEPRESSANTS MIRTAZAPINE ODT TABLETS 15 MG REMERON SOL 90 30 MIRTAZAPINE ODT TABLETS 30 MG REMERON SOL 45 30 MIRTAZAPINE ODT TABLETS 45 MG REMERON SOL 30