ADHD medications fall into two categories: stimulants and non-stimulants.

Stimulants have the longest history of use in ADHD treatment and are generally the first-line treatment, provided the patient’s medical history does not contraindicate their use. They work by increasing activity in the brain regions responsible for concentration and the control of actions.

One advantage of stimulants is their rapid onset of action. They are available in both short-acting (immediate-release) and long-acting (delayed-release) formulations. If you have no prior experience with ADHD medication and are unsure, a short-acting preparation can help you get a feel for the effects.

There are two main types of stimulants used to treat ADHD:

Methylphenidate-based medications (e.g., Ritalin)
Amphetamine-based medications (e.g., Adderall)
Methylphenidate-based medications
Methylphenidate preparations are the most commonly prescribed ADHD medications in the UK and across Europe. The full scientific name is methylphenidate hydrochloride. Short-acting versions have a duration of action of approximately two to three hours.

Ritalin is one of the best-known methylphenidate medications. However, in the UK, it is licensed only for children aged six and older, not for adults.

Methylphenidate preparations licensed in the UK include:

Generic methylphenidate
Concerta XL
Delmosart (delayed-release)
Eqasym XL
Medikinet XL
Xaggitin XL
It is important to note that dosages exceeding 60 mg per day (or 54 mg for Concerta XL) are not licensed.

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