Lancashire and South Cumbria
Formulary
 
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4 Central nervous system
04-04 CNS stimulants and other drugs used for attention deficit hyperactivity disorder

Atomoxetine
Formulary

Capsules 10mg, 18mg, 25mg, 40mg, 60mg

ADHD

Restricted Item Restricted to initiation by child or adolescent psychiatrists or paediatricians
experienced in the management of ADHD.

Link  LSCMMG: Shared care guideline
Link  MHRA: Atomoxetine (Strattera▼): increases in blood pressure and heart rate

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Clonidine hydrochloride
Formulary

Tablets 25 micrograms

ADHD unlicensed(unlicensed indication).


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Dexamfetamine
Formulary

Tablets 5mg, 10mg, 20mg

ADHD

Link  LSCMMG: Shared care guideline

Controlled Drug  Amber 1 View adult BNF  View SPC online  View childrens BNF
Guanfacine Intuniv®
Formulary

M/R tablets 1mg, 2mg, 3mg, 4mg

For use in children and adolescents 6 - 17 years for whom stimulants are not suitable, not tolerated or have shown to be ineffective.

Specialist initiation only.

Link  LSCMMG: Shared care guideline

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Lisdexamfetamine Elvanse®
Formulary

Adult Hard Capsules 30mg, 50 mg and 70mg (Elvanse Adult)

Hard capsules 20mg, 30mg, 40mg, 50mg, 60mg, 70mg (Elvanse)

Lisdexamfetamine (Elvanse) is recommended for use in the treatment of ADHD in children and young adults only in complex patients who meet both of the following criteria.
- extenuating circumstances exist which mean that a patient would not reliably receive all the required doses of dexamfetamine throughout the day and requires a once daily dose of lisdexamfetamine to support adherence
- treatment has been agreed through the internal governance arrangements of the trust.
  

Link  LSCMMG: Shared care guideline

Controlled Drug  Amber 1 View adult BNF  View SPC online  View childrens BNF
Methylphenidate
Formulary

Tablets 5mg, 10mg, 20mg
M/R tablets 18mg, 27mg, 36mg, 54mg
M/R capsules 5mg, 10mg, 20mg, 30mg, 40mg, 50mg, 60mg

All brands are formulary - choice of brand to made by specialist.

Certain methylphenidate products are in limited supply and may be out of stock due to on-going supply disruption; prescribe generically to enable switching between bioequivalent MR products where possible to do so.

For adult patients under the care of Psychiatry UK in South Cumbria, please prescribe as Xaggatin XL in primary care.

Link  LSCMMG: Shared care guideline
Link  MHRA: Methylphenidate long-acting (modified-release) preparations: caution if switching between products due to differences in formulations

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Modafinil
Formulary

Tablets 100mg

Specialist initiation only.

Link  MHRA: Modafinil (Provigil): increased risk of congenital malformations if used during pregnancy
Link  MHRA: Modafinil (Provigil): now restricted to narcolepsy

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Solriamfetol hydrochloride Sunosi®
Formulary

Tablets 75mg, 150mg

Red for NICE TA758:  Solriamfetol for excessive daytime sleepiness caused by narcolepsy

Black for NICE TA777: Solriamfetol for treating excessive daytime sleepiness caused by obstructive sleep apnoea 

Link  NICE TA758: Solriamfetol for treating excessive daytime sleepiness caused by narcolepsy

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