10 Unexpected ADHD Medication Tips
ADHD Medication For Adults in the UK
In the UK There are many medications are approved for treating ADHD. The stimulant methylphenidate as well as the amphetamine-based drug lisdexamfetamine, are two of the most frequently prescribed drugs. The exact dosage will need to be monitored closely during the initial stages of treatment (titration) and then the stable prescriptions can be handled by your GP as part of a'shared care arrangement.
What is an Licensed Medication?
A medicine that is licensed has passed all the required tests and clinical trials, and the MHRA, the Medicines and Healthcare Products Regulatory Authority (MHRA) has given the green light for its use in Great Britain. The medication will also be clearly listed as suitable for a particular condition on its packaging or in the leaflet that is included with it. All licensed medicines are controlled and monitored, even after they've entered the market, which means that any issues are quickly identified and risks minimized.
Unlicensed medicines are often prescribed to people with ADHD, but they are seldom prescribed to adolescents or children. Unlicensed medications may be prescribed for other conditions that have been proved to work well (known as "off-label prescribing"), or they could be a form of treatment that isn't yet on the marketplace for example, an oral liquid instead of tablets. It could also be an experimental medication currently being evaluated in the UK.
Experimental drugs are known as Investigational Medicinal Products (IMPs) or Medicines with a Marketing Authorisation (MIA)(IMP). These medicines haven't been granted a licence yet and therefore can only be sold with the prescription of a doctor. The MHRA will have conducted a formal review as part of the Early Access to Medicines Scheme.
Atomoxetine is a medication that's not stimulant that is often prescribed in the UK and Europe for ADHD. It is a selective inhibitor of noradrenaline uptake and therefore works in a different way than other ADHD medications. It increases noradrenaline which is a chemical that aids in transmitting messages between brain cells. This improves concentration and aids in controlling impulses. It is typically taken in capsules once or twice a day.
A psychiatrist is the only mental health professional who can diagnose ADHD in adults and prescribe medication to treat it. It is important to keep in mind that ADHD isn't a condition which can be treated by medication by itself. Therapy is often incorporated in treatment plans. This can include psychoeducation to help children, teens and adults recognize their diagnosis as well as behavioural therapy which teaches techniques for managing symptoms.
What is an unlicensed drug?
The term 'unlicensed medicine' refers to any medicine that has not been granted a licence by MHRA. It could be because the drug was not developed by a UK-based business or it was prescribed outside of the terms of licence (off-label). The GMC's guidelines state that 'unlicensed drugs are generally used when a suitable licensed product is not available, or a clinically effective treatment is not available with the medication that the doctor is most comfortable with'.
The label of a medicine will include the conditions it treats and the age ranges that it can be administered to. It will also specify how it should be taken and by whom. The MHRA will only grant permission if the drug is thought to be safe and effective for that use, which is built on research in medical science and clinical studies. The drugs' manufacturers are not allowed to promote or advertise any use that is not covered by the licence.
In the UK It is not illegal to let healthcare professionals to prescribe unlicensed drug provided that the patient is aware of the potential risks and benefits. They must keep records of the use of medications that are not licensed and provide the patient with enough information to make an informed decision on whether or not to take it.
Hospitals tend to provide unlicensed medications because they have had more experiences with them than GP surgeries. The hospital will have procedures in place to ensure the security of the medication, which includes keeping detailed patient records and making sure that any adverse effects are recorded. They must follow MHRA guidelines for the safe supply of unlicensed medications.
Specials are prescribed by doctors who must be clear with their patients, their parents or caregivers of the medication it is prescribed for, its purpose, and any potential side effects. They should be able to answer any questions and provide written information about any medication they prescribe, including the reasons for it.
What is an Shared Care Agreement?

As the number of adults who are suspected of having ADHD has been increasing in recent years, so are the demand to be referred to an NHS assessment and to receive treatment for the condition. The waiting lists for NHS assessments can be very long, and many patients opt to pay privately for ADHD assessments in specialist private clinics. After a diagnosis has been confirmed then the GP could sign an agreement of shared-care (SCA) with the patient.
A SCA is a contract between your psychiatrist and GP which means that the responsibility for prescribing medication monitoring, as well as basic health checks are transferred to your GP. This is a recognized and accepted method of transferring the responsibility of managing a patient suffering from ADHD from an institution or specialist service to general practice, provided that it is in line with NHS England guidelines.
Before the responsibility is transferred the specialist and GP must agree on the SCA guidelines. This should be clearly stated on any referral form. It should also be made clear that the GP remains responsible for ongoing titration and monitoring requirements of the medication.
Unfortunately, a lot of GPs do not accept SCAs. This isn't because of an inability to accept however, the work involved with SCAs could be outside of their primary funding, and often an additional task on top of a busy schedule.
The doctor should be provided with good quality information on the rationale for SCA and what the expectations of both parties are including the roles of the patient and their caregivers. It is also important to be clear that a decision regarding SCA should be made by the doctor who initiated treatment. The doctor should be informed if they are not willing to participate in the SCA.
If a GP does not want to accept responsibility for SCA or SCA, they may refuse. However, medication for inattentive adhd can result in patients being sent back to the private ADHD clinic and psychiatrist that made their initial diagnosis. This could mean that prescriptions for medication are issued privately, rather than through the NHS, which of course can be more costly.
What is Titration Period?
The tration phase is a crucial element to determine the appropriate medication to manage your ADHD. It involves increasing your dosage gradually until you get to the level that maximises benefits and minimises side effects. It takes time however, your healthcare specialist should work closely with you to ensure that the titration process is as smooth as is possible.
Some patients might notice an increase in their symptoms during the titration period. For example, hyperactive people may be more agitated and irritable than usual. It is important that loved ones are aware of any changes in behavior and offer support. It is also crucial to eat a balanced diet and to create a consistent sleep routine to minimize the negative effects of ADHD medications.
It is important to keep in mind that medication isn't the only option for ADHD treatment. However, it is recommended as a first-line treatment method for adults. Talk therapy is an effective tool to deal with depression and anxiety that can cause certain symptoms of ADHD. It is important to remember that medication is only used to treat symptoms and does not change the negative coping mechanisms. Some patients decide not to take any medication, instead focusing on self-help strategies like fitness, nutrition and stress reduction.
It is essential to read about the potential adverse effects of any medication you are prescribed and know how the medication affects your body. Certain medications can cause headaches or drowsiness, as well as decrease appetite. Make sure you take your meds as directed and speak to your doctor if you experience any adverse reactions.
Presently, a lot of treatments for adults with ADHD are out of stock. This has resulted in delays in the diagnosis process as well as appointments with psychiatrists. NHS England has set up an inquiry taskforce to look into the issue and suggest ways of reducing waiting times for medications.
Ask your local GP what options are available to you. You may be able get the same medications privately, or they could suggest alternatives that provide similar results.