The OAD Clinic
Medications for Adult ADHD
For adults diagnosed with ADHD, medication is often a key part of treatment, helping to manage symptoms and improve daily functioning. Let’s take a closer look at some of the most commonly prescribed medications in the UK. The most widely used medications for ADHD are stimulants, such as methylphenidate—found in Concerta and Ritalin—and lisdexamfetamine, known as Elvanse.
These work by boosting certain brain chemicals that help with focus, motivation, and impulse control. Stimulants increase the availability of dopamine and norepinephrine in the brain.
This improves communication between brain cells, helping people with ADHD stay focused and manage tasks more effective.
For those who may not respond well to stimulants, or prefer an alternative, non-stimulants like atomoxetine, known as Strattera, can be effective.
These medications work more gradually but can be particularly helpful for those with ADHD and anxiety. Selecting the right medication can take time, as each person’s response varies.
We usually start with a low dose, adjusting gradually based on symptoms, side effects, and personal goals.
Medication is most effective when combined with lifestyle changes, therapy, and support strategies. This comprehensive approach helps individuals manage their ADHD and develop skills to improve their quality of life.
ADHD medications can offer significant relief and help people achieve their full potential.
Elvanse and Concerta
When managing Adult ADHD, choosing the right medication is
essential for improving focus, attention, and productivity.
Two widely used options are Elvanse (Lisdexamfetamine) and
Concerta XL (Methylphenidate XL). While both are stimulants
designed to help with ADHD symptoms, they work differently,
making one more suitable depending on individual needs.
Elvanse, a prodrug of dextroamphetamine, requires metabolism in the body to become active. This gradual activation provides smooth, long-lasting symptom control, lasting up to 14 hours. Its design also makes it safer against misuse, as it cannot be easily abused by snorting or injecting. Elvanse is ideal for adults seeking consistent, all-day ADHD management.
In contrast, Concerta XL contains methylphenidate and works immediately by blocking dopamine and norepinephrine reuptake, offering faster symptom relief. Its effects typically last 8–12 hours due to its extended-release formulation, which reduces peaks and crashes. While Concerta is slightly more prone to misuse than Elvanse, its sustained action still makes it a good choice for managing Adult ADHD symptoms.
Both medications share common side effects, including insomnia, decreased appetite, headaches, irritability, dry mouth, and increased heart rate. These can be managed with proper dose adjustments, which are key in optimizing treatment.
When deciding between Elvanse and Concerta, consider your unique ADHD symptoms, lifestyle, and how your body responds to treatment. Whether you need long-lasting coverage or faster symptom relief, these medications are effective options for managing Adult ADHD.​