ADHD TREATMENTS | ||||||
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Generic | Brand | Strength | Form | Max Dose | Administration | |
amphetamine | Adzenys ER | CII | 1.25mg/mL | ext-rel oral susp | 6-12yrs: 18.8mg (15mL) daily 13–17yrs: 12.5mg (10mL) daily |
• Give once daily in the AM • May increase by 3.1mg (2.5mL) or 6.3mg (5mL) at weekly intervals |
Adzenys XR-ODT | CII | 3.1mg, 6.3mg, 9.4mg, 12.5mg, 15.7mg, 18.8mg | ext-rel orally disintegrating tabs | 6–12yrs: 18.8mg/day 13–17yrs: 12.5mg/day |
• Give once daily in the AM • May increase by 3.1mg or 6.3mg at weekly intervals |
|
Dyanavel XR | CII | 2.5mg/mL | ext-rel oral susp | ≥6yrs: max 20mg/day |
• Give once daily in the AM • May increase by 2.5–10mg/day every 4–7 days |
|
amphetamine sulfate | Evekeo | CII | 5mg, 10mg | tabs | 3–5yrs: initially 2.5mg daily, may increase by 2.5mg/day at weekly intervals ≥6yrs: max 40mg/day |
• Avoid late evening doses • Give first dose upon awakening and additional doses at 4−6hr intervals |
Evekeo ODT | CII | 5mg, 10mg, 15mg, 20mg | tabs | 6-17yrs: 40mg/day |
• Give first dose once or twice daily and additional dose after 4–6hrs • Titrate in increments of 5mg at weekly intervals |
|
atomoxetine HCl | Strattera | Rx | 10mg, 18mg, 25mg, 40mg, 60mg, 80mg, 100mg | caps | ≥6yrs: 1.4mg/kg or 100mg/ day (which– ever is less) |
• Swallow whole • Give once daily in the AM or in 2 divided doses (in AM + the late afternoon/ • May discontinue without tapering dose |
clonidine HCl | Kapvay | Rx | 0.1mg | ext-rel tabs | 6–17yrs: 0.2mg twice daily |
• Swallow whole • Titrate by response • Withdraw gradually by 0.1mg/day at 3−7 day intervals |
dextro– amphetamine sulfate |
— | CII | 5mg, 10mg | scored tabs | usually 40mg/day in 2−3 divided doses |
• Give in the AM and then 1−2 more doses 4−6hrs apart |
Dexedrine Spansule | CII | 5mg, 10mg, 15mg | sust-rel caps | 6–17yrs: 40mg/day |
• Avoid late evening doses |
|
Zenzedi | CII | 2.5mg, 5mg, 7.5mg, 10mg, 15mg, 20mg, 30mg | tabs | ≥3yrs: usually 40mg/day in 2–3 divided doses |
• Give first dose upon awakening and then 1–2 more doses 4–6hrs apart • Avoid late evening doses |
|
dexmethyl– phenidate HCl |
Focalin | CII | 2.5mg, 5mg, 10mg | tabs | ≥6yrs: 20mg/day |
• Give twice daily at least 4hrs apart • Single isomer methylphenidate product (use 1/2 of racemic methylphenidate dose initially) |
Focalin XR | CII | 5mg, 10mg, 15mg, 20mg, 25mg, 30mg, 35mg, 40mg | ext-rel caps | 6–17yrs: 30mg/day ≥18yrs: 40mg/day |
• Give once daily in the AM • May sprinkle contents on applesauce and swallow without chewing beads |
|
guanfacine | Intuniv | Rx | 1mg, 2mg, 3mg, 4mg | ext-rel tabs | 6–12yrs: 4mg/day
13–17yrs: 7mg/day |
• Swallow whole with water, milk, or other liquid • Do not give with high‑fat meals • Withdraw gradually by 1mg every 3−7days |
lisdexam– fetamine dimesylate |
Vyvanse | CII | 10mg, 20mg, 30mg, 40mg, 50mg, 60mg, 70mg (caps only) | caps, chew tabs | ≥6yrs: 70mg/day |
• Give once daily in the AM. Do not subdivide a single dose. • Caps: swallow whole or may open and mix/dissolve contents in yogurt, water, or orange juice; take immediately • Chew tabs: chew thoroughly before swallowing |
metham– phetamine HCl |
Desoxyn | CII | 5mg | tabs | ≥6yrs: usually 20−25mg daily in two divided doses |
• Give once or twice daily 30min before meals • May increase at weekly intervals |
methylphen– idate |
Cotempla XR-ODT | CII | 8.6mg, 17.3mg, 25.9mg | ext-rel orally disintegrating tabs | 6–17yrs: 51.8mg/day |
• Give once daily in the AM • Place on tongue and allow to disintegrate • May titrate in increments of 8.6–17.3mg weekly |
Daytrana | CII | 10mg, 15mg, 20mg, 30mg | trans– dermal patches |
— |
• Apply patch to hip 2hrs before desired effect, remove 9hrs after application; may remove earlier if shorter duration of effect or late day side effect appears • May titrate dose at 1wk intervals |
|
methylphen– idate HCl |
— | CII | 5mg | tabs | 60mg/day in divided doses |
• Give preferably 30−45min before meals |
10mg, 20mg | ext-rel tabs | |||||
10mg, 20mg | scored tabs | |||||
2.5mg, 5mg, 10mg | chew tabs | 60mg/day in divided doses |
• Give before breakfast and lunch |
|||
Adhansia XR | CII | 25mg 35mg, 45mg*, 55mg, 70mg, 85mg | ext-rel caps | Children: 85mg/day Adults: 100mg/day |
• Give once daily in the AM • May titrate by 10–15mg at intervals of ≥5 days • May sprinkle contents on applesauce/yogurt and swallow immediately without chewing beads |
|
Aptensio XR | CII | 10mg, 15mg, 20mg, 30mg, 40mg, 50mg, 60mg | ext-rel caps | ≥6yrs: 60mg/day |
• Give once daily in the AM • May titrate in increments of 10mg/day weekly • May sprinkle contents on applesauce and swallow without chewing beads |
|
Concerta | CII | 18mg, 27mg, 36mg, 54mg | ext-rel tabs (with immediate-release outer coating) | 6−12yrs: 54mg/day 13−17yrs: 72mg/day or 2mg/kg/day (whichever is less) ≥18yrs: 72mg/day |
• Give once daily in the AM |
|
Jornay PM | CII | 20mg, 40mg, 60mg, 80mg, 100mg | ext-rel caps | ≥6yrs: 100mg/day |
• Give once daily in the PM (between 6:30–9:30) • May titrate in 20mg increments weekly • May sprinkle contents on applesauce and swallow without chewing beads |
|
Metadate CD | CII | 10mg, 20mg, 30mg, 40mg, 50mg, 60mg | ext-rel caps (containing immediate and ext‑rel beads) | ≥6yrs: 60mg/day |
• Give once daily in the AM before breakfast • May sprinkle contents on applesauce and swallow without chewing beads |
|
Methylin Oral Solution | CII | 5mg/ 5mL, 10mg/ 5mL |
oral soln | ≥6yrs: 60mg/day in divided doses |
• Give preferably 30−45min before meals |
|
Quillichew ER | CII | 20mg, 30mg, 40mg | ext-rel chew tabs | ≥6yrs: 60mg/day |
• Give once daily in the AM • May titrate in increments of 10mg, 15mg, or 20mg |
|
Quillivant XR | CII | 5mg/ mL |
ext-rel oral susp | ≥6yrs: 60mg/day |
• Give once daily in the AM • Shake bottle vigorously for ≥10sec before use • May increase by 10–20mg weekly |
|
Ritalin | CII | 5mg | tabs | ≥6yrs: 60mg/day |
• Give before breakfast and lunch |
|
10mg, 20mg | scored tabs | |||||
Ritalin LA | CII | 10mg, 20mg, 30mg, 40mg | ext-rel caps (half as immediate-release, half as e‑c delayed-release beads) | ≥6yrs: 60mg/day |
• Give once daily in the AM • May sprinkle contents on applesauce and swallow without chewing beads |
|
mixed dextro– amphetamine/ amphetamine salts |
— | CII | 5mg, 7.5mg, 10mg, 12.5mg, 15mg, 20mg, 30mg | double-scored tabs | usually 40mg/day in 2−3 divided doses |
• Give in AM and 4−6hrs apart |
Adderall XR | CII | 5mg, 10mg, 15mg, 20mg, 25mg, 30mg | ext-rel caps | 6–12yrs: 30mg/day |
• Give once daily in the AM upon awakening • May sprinkle contents on applesauce and swallow without chewing beads |
|
Mydayis | CII | 12.5mg, 25mg, 37.5mg, 50mg | ext-rel caps | 13–17yrs: 25mg/day 18–55yrs: 50mg/day |
• Give once daily in the AM • May increase by 12.5mg at weekly intervals • May sprinkle contents on applesauce and swallow without chewing beads |
|
serdexmethyl– phenidate/ dexmethyl– phenidate |
Azstarys | CII | 26.1mg/ 5.2mg, 39.2mg/ 7.8mg, 52.3mg/ 10.4mg |
caps | ≥6yrs: 52.3mg/ 10.4mg daily |
• Give once daily in the AM • May sprinkle contents into 50mL of water or over 2 tablespoons of applesauce and consume immediately |
viloxazine | Qelbree | Rx | 100mg, 150mg, 200mg | ext-rel caps | 6–17yrs: 400mg/day | • Give once daily with or without food • May sprinkle contents on applesauce and swallow without chewing beads |
NOTES | ||||||
*Contains tartrazine (Rev. 8/2021) |
ADHD Treatments
ADHD Treatments