NHS Dudley Health Economy Medicines Formulary
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4.4 CNS stimulants and drugs used for attention deficit hyperactivity disorder

General Guidance

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These drugs have very few indications and in particular should not be used to treat depression, obesity, senility, debility, or for relief of fatigue.

  • The use of amphetamines should be discouraged as they may cause dependence and psychotic states. They have no place in the management of depression or obesity.
  • Patients with narcolepsy may gain benefit form treatment with dexamphetamine. However, such treatment should be under specialist advice and supervision. Modafinil is also used in the management of narcolepsy, it should be used with caution since the development of dependence with long-term use cannot be excluded.

Recommended drugs

Dexamfetamine

Lisdexamfetamine

Modafinil

Methylphenidate

Atomoxetine

Guanfacine - To be included in the formulary in line with the proposed ESCA for initiation by DWMHT CAMHS consultants

 

Drug Traffic Light Key:

Green – On Formulary

Amber – Restricted use, see local guidelines      

Purple – Specialist use/initiation

Red – Non Formulary

 

Relative Costs Key (where indicated):

£££££ - high

£££ - moderate

£ - low

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