Child ADHD Medication

Following a diagnosis of ADHD, you might want to consider medication as part of your treatment plan.

Introduction to ADHD Medication

We are an assessment and diagnosis only service, so we don’t offer intervention, therapy or medication ourselves. Medication isn’t the only treatment option for ADHD (psychological therapy is recommended too), but it can be very effective and make a real difference to people’s lives.

If treatment pathways are something you’d like to explore for your child, our sister company, The ADHD Service, can support you further in understanding your options.

To give you a starting point, medication can help manage ADHD symptoms such as poor focus, impulsivity and hyperactivity. It’s best discussed with a psychiatrist, who can help find the most suitable option for your needs, with regular follow-up appointments to monitor progress and adjust the plan over time.

 

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Types of medication

There are two types of medication for ADHD: stimulant and non-stimulant.

Stimulant medications are the most commonly prescribed and have been shown to be highly effective for many individuals. They work by rapidly increasing the levels of certain chemicals in the brain that help improve attention and focus. Common stimulants include Methylphenidate,  Medikinet and Concerta.

Non-stimulant medications, on the other hand, are an alternative for those who may not respond well to stimulants or prefer a different option. These medications, which include atomoxetine, work by affecting neurotransmitters in the brain and can help manage ADHD symptoms, though they may take longer to show effects compared to stimulants.

Benefits of medication

Medication can help with many aspects of daily life for people with ADHD, including:

  • Increased concentration
  • Better memory
  • Reduced movement
  • Calmness
  • Sense of wellbeing

For many people, these changes make a real difference. For children, this can support them in catching up academically; for adults, it can help with managing work and relationships.

Side-effects

Side effects include:

  • Headaches
  • Anxiety
  • Aggression
  • Mood changes
  • Difficulty sleeping

The most common reason for stopping or changing ADHD medication is an unwelcome change in mood, which is often when the medication wears off each
day.

Shared Care

Everyone on ADHD medication has a specialist, usually a consultant psychiatrist, overseeing their care. Some GPs, but not all, will take on shared care, meaning they’ll issue NHS prescriptions for the medicine as long as the patient attends their 6 monthly or 12 monthly reviews with the psychiatrist. This is more convenient and reduces the cost of ongoing treatment.

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FAQs

Medication will help around 90 percent of those with diagnosed ADHD. If you are being held back by symptoms of the disorder, then it is very likely medication will be helpful.

ADHD medication is regulated and must be started by a specialist, usually a consultant doctor (psychiatrist or paediatrician). Sometimes other prescribers with additional training can also become ADHD specialists. They commonly work under the supervision of a consultant doctor.

Our sister company The ADHD Service in CQC Registered and offers treatment pathways including prescribing medication.

ADHD medication is regulated in the UK and therefore can only be started and monitored by a ‘specialist prescriber’. Therefore, your GP cannot start the medication

Medication for ADHD is only licenced for those with a confirmed diagnosis of ADHD.

ADHD medication can in rare cases affect blood pressure and heart rhythm. Therefore, if you have any history of cardiac problems these would need to be considered. Sometimes people will need a check of the heart rhythm called an ECG before starting the medicine.

People with mental health conditions such as depression and anxiety need to carefully consider the risks and benefits of ADHD medications as in some cases it can make things worse.

ADHD medications are very safe, but there are risks, including weight loss, slow growth in children and a slight increase in some mental health conditions. For most people with moderate to severe ADHD symptoms the risks are outweighed by the benefits.

You should notice that you are able to focus and complete tasks more easily. People describe a feeling of calm, and that they are able to think more clearly. Some people notice that they can remember things more easily. If you feel that there is an unhelpful change to your energy levels or ‘personality’, the dose can be adjusted downwards.

Stimulant medication can cause weight loss by supressing your appetite and slightly increasing metabolism. It is unusual but possible that weight gain can occur if individuals feel very hungry and eat a lot in the evenings when the medicine wears off. Usually, any concerns about weight changes are manageable with small adjustments to eating routines.

If you start medication, then typically between 1 and 3 follow-ups (a month apart) are necessary to get the dose right.

Once the dose is stable, you will need to be seen for follow up after three months. This is because sometimes side effects can take some time to emerge and also some people find their response to the medicine changes over time

Young people under 18 require 6 monthly appointments to monitor the medication and adults must be seen yearly to meet the prescribing regulations.

Some people will have done lots of research about the types of medication and have a preference. This preference will form part of the decision making about the treatments offered.

Shared care is an agreement between a specialist and a GP that the GP will issue NHS prescriptions in between reviews. GP surgeries have different policies about these agreements. We have a high rate of acceptance due to the quality of the care we are providing, however, due to the number of new diagnoses, some GP practices

If your GP does not accept shared care, we will continue to provide monthly prescriptions. There is an admin fee for this service, and you would continue to pay for the medication in the pharmacy as it will be on a private prescription.

There are other ways to treat ADHD. These include ‘brain-training’ and ‘coaching’. However, medication is safe and effective for those with moderate and severe symptoms and can be “life-changing”.

Stimulant medication does not need to be taken every day. In fact, many people with ADHD benefit from a more flexible approach. It is usually recommended that children use medication on school days and take breaks over weekends and holidays.