Sunderland Joint Formulary
NHS Sunderland Clinical Commissioning Group
South Tyneside and Sunderland NHS Foundation Trust

 
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4 Central nervous system

As psychiatric services are provided by Northumberland, Tyne and Wear NHS Foundation Trust (NTW) the drugs available for Sections 4.1, 4.2, 4.3 and 4.4 are those listed in the Formulary used by NTW which is the North of Tyne Formulary

04-04 CNS stimulants and other drugs used for attention deficit hyperactivity disorder

Methylphenidate
First Choice
 

Tablets: 5mg, 10mg

MR Tablets: 18mg, 27mg, 36mg, 54mg (Xaggitin XL® or Concerta XL®)

MR Capsules: 5mg, 10mg, 20mg, 30mg, 40mg (Medikinet XL®)

MR Capsules: 10mg, 20mg, 30mg (Equasym XL®)

NOTE

- Concerta XL is also approved for the treatment of narcolepsy in patients


Controlled Drug  Amber View adult BNF  View SPC online
Dexamfetamine
Second Choice

Tablets: 5mg

ADHD in children and adults : AMBER -  see shared care guideline.

Narcolepsy: Doses up to 30mg GREEN +, doses over 30mg RED


Controlled Drug  Amber View adult BNF  View SPC online
Lisdexamfetamine Elvanse®
Third Choice

Capsules: 20mg, 30mg, 40mg, 50mg, 60mg, 70mg (Elvanse®)
- For 3rd line use after an inadequate response to methylphenidate.
- For specialist initiation and only transferred to GPs after at least 6 month stable symptoms control.


Controlled Drug  Amber View adult BNF  View SPC online
Atomoxetine
Formulary
Capsules: 10mg, 18mg, 25mg, 40mg, 60mg, 80mg

Amber View adult BNF  View SPC online
Guanfacine Intuniv®
Formulary
Prolonged release tablets: 1mg, 2mg, 3mg, 4mg

Amber View adult BNF  View SPC online
Solriamfetol Sunosi®
Formulary

Tablets: 75 mg and 150 mg

Approved for the treatment of narcolepsy woth or without cataplexy in adults as an alternative to pitolisant in those who would have otherwise received pitolisant in line with NTAG guidance.


Red View adult BNF  View SPC online  HCD
Modafinil
Formulary
Tablets: 100 mg
- Only approved for limited use in the treatment of patients with narcolepsy

Green + View adult BNF  View SPC online
Pitolisant
Formulary
Tablets: 20mg
- approved for use in patients with narcolepsy who experience psychomotor side effects with modafinil and dexamfetamine.

Red View adult BNF  View SPC online