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