
Methylphenidate hydrochloride - Attention Deficit Hyperactivity Disorder (ADHD) - Adults
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Status 1
- Modified release tablets
18mg, 27mg, 36mg, 54mg: Prescribe by brand - use the branded-generic with the lowest acquisition cost
Adult ADHD - to be diagnosed, initiated and stabilised on ADHD medication by a SABP specialist before shared-care can be requested.
Patients transitioning from children's services can continue to be managed under existing arrangements
Principles for shared care found here: https://surrey.res.services/PAD/Profile/NonClinicalProfile/9136
Status 2
- Immediate release tablets
- Oral solution
Adult ADHD - to be diagnosed, initiated and stabilised on ADHD medication by a SABP specialist before shared-care can be requested.
Patients transitioning from children's services can continue to be managed under existing arrangements.
Principles for shared care found here: https://surrey.res.services/PAD/Profile/NonClinicalProfile/9136
Status 3
- Modified release capsules
Adult ADHD - to be diagnosed, initiated and stabilised on ADHD medication by a SABP specialist before shared-care can be requested.
Patients transitioning from children's services can continue to be managed under existing arrangements
Principles for shared care found here: https://surrey.res.services/PAD/Profile/NonClinicalProfile/9136
Documentation
PAD Profile
Other Indications
Below are listed other indications that Methylphenidate hydrochloride is used to treat.
Other Drugs
Below are listed other drugs that are used to treat Attention Deficit Hyperactivity Disorder (ADHD) - Adults.
Committee Recommendations (2)
MODIFIED RELEASE TABLETS (18, 27, 36 and 54mg):
The Surrey Heartlands Integrated Care System Area Prescribing Committee have agreed the recommendation to prescribe the branded generic Methylphenidate modified release preparations (18, 27, 36 and 54mg) with the lowest acquisition cost.
Such products have an AMBER traffic light status and are the preferred alternatives to Concerta®.
- See the "Branded generic methylphenidate letters" for information for patients and clinicians
N.B. This guidance does not apply to other strengths of modified release methylphenidate as these have different release characteristics
Information on management of ADHD medication stock shortages
There are currently supply disruptions affecting various medications which are licensed for the treatment of attention deficit hyperactivity disorder (ADHD).
A national patient safety alert has been issued and we have been liaising with colleagues both regionally and nationally about the ongoing situation. We have been advised that centrally they are looking at publishing further guidance but until this is published we have been working with colleagues from Surrey & Borders Partnership NHS Trust and the Local Pharmaceutical Committee to produce the pack below which provides useful information and clinical recommendations about how to manage these shortages. See resources titled "ADHD Medication Shortage"