Common Medications
Children with ADHD fall into three categories:
Primarily hyperactive-impulsivePrimarily inattentiveA combination of the two
Although some people with ADHD “outgrow” the disease, it’s estimated that as many as 80% of people carry the condition through adulthood. Adults with ADHD are by and large not hyperactive and instead inattentive. Medications are a big part of treatment for both adults and children. The stimulants your doctor may prescribe include:
Adderall and Adderall XR (amphetamine and dextroamphetamine) Concerta (methylphenidate) Daytrana (methylphenidate) Dexedrine (dextroamphetamine) Dyanavel XR (amphetamine) Focalin and Focalin XR (dexmethylphenidate) Metadate CD (methylphenidate) Methylin and Methylin ER (methylphenidate) Ritalin and Ritalin LA (methylphenidate) Quillivant XR (methylphenidate) Vyvanse (lisdexamfetamine)
The following non-stimulant medications may also be prescribed for ADHD treatment when an individual does not respond well to stimulants:
Intuniv (guanfacine)Kapvay (clonidine)Strattera (atomoxetine)Qelbree (viloxazine)
Of note, the XR, ER, and LA designations indicate extended-release preparations.
Cost Differences
Brand-name drugs are typically expensive. Generic medications are often low-cost alternatives that, for most people, work just as well as brand-name drugs. In fact, according to the FDA, the cost of generic medications is typically around 85% less than brand-name drugs when there are multiple generics for the same drug on the market. Keep in mind that medication costs can vary over time and be dependent on your pharmacy and insurance coverage. And some insurance companies only authorize brand-name drugs or vice versa. While this doesn’t reflect the potential savings for every generic medication, particularly when there are fewer generic competitors, in many instances, switching to generic medications can save you hundreds or thousands of dollars on ADHD treatment each year.
Effectiveness
Some people are concerned about the effectiveness of generic medications versus brand-name options. Each generic medication goes through the same level of scrutiny and approval process by the Food and Drug Administration (FDA). Notably, the FDA withdrew approval of two generic versions of Concerta (methylphenidate hydrochloride) extended-release (ER) capsules, as they failed to demonstrate the same therapeutic effect as the brand-name drug.
Changing Medications
Just as switching from any medication to another, some people will not have the same reaction to a generic drug as they would to the brand-name equivalent (and vice versa). Whenever you and your doctor decide to change to a different medication, it’s important that you monitor yourself or your child for any changes.
Payment Support
If you’re having trouble paying for ADHD medications, inform the prescribing physician and ask about generic alternatives. The physician can offer you options and alternatives that may lower the cost of ADHD medications. For example, many large pharmacy retailers offer a value formulary, a list of medications that can be prescribed for less cost. Moreover, patient assistance programs are also available in many communities and can subsidize the cost of treatment.
A Word From Verywell
Treating ADHD with medications often requires patience and open conversations with your doctor. If you have concerns over the cost of medications, bring these up during your appointments, along with any questions you have about side effects. By working together, you can find a treatment that will help.
