ADHD Medications List

Attention Deficit/Hyperactivity Disorder (ADHD) is a neurodevelopmental disorder characterized by excessive motor activity, difficulty paying attention, and impulsive behavior (acting before you think).

Psychostimulants

The two classes of psychostimulants indicated for the treatment of ADHD are methylphenidate and amphetamines. Stimulants function by increasing the amount of dopamine and noradrenaline in the brain and stimulating the central nervous system.

Stimulants are the most potent, and also the most effective class of ADHD medications. Stimulants are considered a first line therapy for controlling ADHD symptoms, unless there are contraindications that preclude their use. Methylphenidate and amphetamines are equally effective, with efficacy rates ranging from 70% to 90%3, 4.

Stimulants are available in many different formulations including short-acting, intermediate-acting, and long-acting preparations.

Class Generic/Brand
Amphetamine Dyanavel XR, Adzenys XR, Evekeo
Amphetamine/ dextroamphetamine salts Adderall, Adderall XR
Dexmethylphenidate Focalin, Focalin XR, Dexedrine, Dextrostat, ProCentra, Zenzedi
Lisdexamfetamine Vyvanse
Methamphetamine Desoxyn
Methylphenidate Ritalin, Ritalin SR, Ritalin LA, Methylin, Methylin ER, Quillichew ER, Quillivant XR, Aptensio XR, Concerta ER, Metadate CD
Methylphenidate transdermal Daytrana

Advertisement


Non-Stimulants

Non-stimulant medications approved for the treatment of ADHD have different mode of action compared to psychostimulants and are considered non-addictive with more favorable side effect profiles.

On the other hand, non-stimulants are generally less effective than stimulants in the treatment of ADHD. The non-stimulants are usually considered second- and third-line medications.

Atomoxetine is a selective norepinephrine reuptake inhibitor with a unique mechanism of action. Atomoxetine is thought to have minimal abuse potential and significantly less withdrawal symptoms than psychostimulants. The main drawback is that atomoxetine doesn't directly influence dopamine and it may take several weeks before the drug elicits a therapeutic effect.

Two antihypertensive drugs (alpha-2 noradrenergic agonists) are approved by the FDA to treat ADHD. These drugs reduce activity in the central nervous system but are considered less effective than stimulants2. Clonidine and guanfacine are considered relatively safe over the long-term.

Class Generic/Brand
Selective Norepinephrine Reuptake Inhibitor
Atomoxetine Strattera
Alpha-2 Noradrenergic Agonists
Clonidine extended-release Kapvay
Guanfacine extended-release Intuniv

"Off-label" Medications

There are several medications used to treat attention-deficit hyperactivity disorder "off-label". While they are not approved for this disease, these medications can improve productivity, concentration, and overall cognitive function. Additionally, many are used as an augmentation strategy to treat patients that have comorbid depression or other disorders.

Class Generic/Brand
Short-acting forms Alpha-2 Noradrenergic Agonists
Clonidine Catapres
Guanfacine Tenex
Antipsychotics
Aripiprazole Abilify
Olanzapine Zyprexa
Quetiapine Seroque
Risperidone Risperdal
Ziprasidone Geodon
Wakefulness-promoting eugeroic() drugs
Armodafinil Nuvigil
Modafinil Nuvigil
Antidepressants
Desipramine Norpramin
Imipramine Tofranil
Bupropion Wellbutrin SR, Wellbutrin XL

Advertisement


ADHD medications under investigation

Class Generic/Brand
Vortioxetine5
(serotonin modulator and stimulator)
Brintellix, Trintellix
Centanafadine
(serotonin-norepinephrine-dopamine reuptake inhibitor)
Dasotraline
(serotonin-norepinephrine-dopamine reuptake inhibitor )
Metadoxine6

Resources

  • 1. New FDA Approved Drugs CenterWatch
  • 2. Williams AE, Giust JM, Kronenberger WG, Dunn DW. Epilepsy and attention-deficit hyperactivity disorder: links, risks, and challenges. Neuropsychiatr Dis Treat. 2016 Feb 9;12:287-96. PubMed
  • 3. Biederman J, Quinn D, Weiss M, et al. Efficacy and safety of Ritalin LA, a new, once daily, extended-release dosage form of methylphenidate, in children with attention deficit hyperactivity disorder. Paediatr Drugs. 2003;5(12):833-41. PubMed
  • 4. Spencer TJ, Wilens TE, Biederman J, Weisler RH, Read SC, Pratt R. Efficacy and safety of mixed amphetamine salts extended release (Adderall XR) in the management of attention-deficit/hyperactivity disorder in adolescent patients. Clin Ther. 2006 Feb;28(2):266-79. PubMed
  • 5. Asherson P, Bushe C, Saylor K, et al. Efficacy of atomoxetine in adults with attention deficit hyperactivity disorder: an integrated analysis of the complete database of multicenter placebo-controlled trials. J Psychopharmacol. 2014 Sep;28(9):837-46. PubMed
  • 6. Manor I, Rubin J, Daniely Y, Adler LA. Attention benefits after a single dose of metadoxine extended release in adults with predominantly inattentive ADHD. Postgrad Med. 2014 Sep;126(5):7-16. PubMed

Last updated: March 04, 2017
Published: March 04, 2017

Advertisement

Home | Contact Us | Cookies Policy

This website is certified by Health On the Net Foundation. Click to verify. This site complies with the HONcode standard for trustworthy health information: verify here



Copyright 2007-2017 eMedExpert.com. All rights reserved.
All information is for educational purposes only.