Table of ContentsView AllTable of ContentsTreating ADHD in ChildrenWhat Are Stimulants?Amphetamines vs. MethylphenidatesShort-Acting AmphetaminesLong-Acting AmphetaminesSide EffectsShort-Acting MethylphenidatesLong-Acting MethylphenidatesNonstimulant TreatmentsFrequently Asked QuestionsNext in ADHD GuideWhat Is ADHD (Attention Deficit Hyperactivity Disorder)?
Table of ContentsView All
View All
Table of Contents
Treating ADHD in Children
What Are Stimulants?
Amphetamines vs. Methylphenidates
Short-Acting Amphetamines
Long-Acting Amphetamines
Side Effects
Short-Acting Methylphenidates
Long-Acting Methylphenidates
Nonstimulant Treatments
Frequently Asked Questions
Next in ADHD Guide
Attention deficit hyperactivity disorder (ADHD)is a commonly diagnosed neurological condition. It affects more than 8% of children and 2.5% of adults.
In children, ADHD can impact many aspects of everyday life, including school, daily functioning, and interpersonal relationships.
The treatment of ADHD in children generally involves several factors, including medication, psychotherapy, and educational interventions.
Some common medications used to treat ADHD includeAdderall (mixed amphetamine salts)andRitalin (methylphenidate).
This article will analyzecommonly prescribed ADHD medicationsfor children and explain their uses, dosing requirements, potential side effects, administrative methods, and more.
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According to parent reports gathered for the National Survey of Children’s Health (NSCH) based on data from 2003 to 2011, the median age of ADHD onset is 6 years old. However, more severe cases tend to be diagnosed earlier.
Data from the NSCH also found that:
About 33% of children who have ADHD will continue to have ADHD into adulthood.
In children, ADHD treatment depends on their age.
For children younger than 6 years old, healthcare providers will recommend parent training in managing behavior as the first treatment before prescribing medication.
For children 6 years and older, healthcare providers will recommend a combination of both medication and behavioral therapy, including educational intervention.
For children with ADHD, symptoms can significantly affect the quality of life, especially in school. ADHD can affect many aspects of school life, including completing schoolwork or homework and navigating social relationships.
Medications used for ADHD in children include stimulant andnon-stimulant medications. The following content will provide more information about medication options for ADHD treatment in children. This information is a general overview.
For more information and medical advice, consult your child’s healthcare provider.
Symptoms and Types of ADHD
Symptoms of ADHD in children may include:
The three types of ADHD are:
Stimulants are considered first-line medications (the first choice of treatment) for children with ADHD.
Dopamine and norepinephrine areneurotransmitters(chemical messengers) that help with motivation, movement, focus, and attention.
Short-Acting vs. Long-Acting Stimulants
Children may be treated with a short-acting stimulant, a long-acting stimulant, or a combination.
Short-acting stimulants begin to take effect quickly after consumption. Furthermore, because their effects last only a few hours, one or two additional doses may be needed throughout the day.
Long-acting drugs require once-daily dosing. A once-daily dose provides a treatment that lasts for the entirety of the day.
This may help with convenience and help avoid trips to the nurse at school for additional doses, although some children will need both a long-acting and a short-acting stimulant.
The choice of short-acting or long-acting stimulants (or both) will depend on individual factors. Contact your child’s healthcare provider for more information and medical advice.
Amphetamine vs. Methylphenidate Medications
There are two types of stimulants: amphetamines, such as Adderall, and methylphenidates, such as Ritalin.
They work in slightly different ways, but for both types of drugs, the result is an increase in dopamine and norepinephrine, which helps improve ADHD symptoms.
For the selection of a first-choice ADHD medication, experts recommend using a methylphenidate product in children and adolescents and an amphetamine product in adults.
However, this is not always the case, as some children have better results with amphetamine medication. Healthcare providers will consider many factors when determining the best drug for each individual.
Also, healthcare providers prescribe these medications at the lowest effective doses.
Short-Acting Amphetamine Stimulants
A notable example of a short-acting amphetamine stimulant is Adderall immediate-release (IR), which contains mixed amphetamine salts, otherwise known as amphetamine/dextroamphetamine.
Adderall IR is a brand-name drug and is also available in generic form.
Adderall IR Dosing Guidelines
Standard dosing guidelines regarding the use of Adderall IR for the following conditions and age groups are:
Long-Acting Amphetamine Stimulants
Examples of commonly prescribed long-acting amphetamine stimulants areAdderall XR (extended-release, or ER, mixed amphetamine salts)andVyvanse (lisdexamfetamine).
Adderall XR
Adderall XR, a brand-name drug, is also available in generic form.
Standard dosing guidelines regarding the use of Adderall XR for ADHD in children 6-17 years old include:
Vyvanse
Vyvanseis a long-acting amphetamine stimulant that contains the ingredient lisdexamfetamine.
It is given as an oral capsule or chewable tablet.
Vyvanse is FDA-approved to treat ADHD in adults and children, as well as moderate to severebinge eating disorder (BED)in adults.
Vyvanse is a brand-name drug and is also available in generic form.
Standard dosing guidelines regarding the use of Vyvanse for ADHD in children 6 years and older, as well as adults, include the following:
Potential Side Effects: Amphetamine Stimulants
The warning states that amphetamine stimulants possess a high potential for abuse and misuse, which can lead to substance use disorder.
In general, potential users should understand that the misuse and abuse of stimulants can cause overdose and death.
Before prescribing a stimulant, the healthcare provider will consider the individual’s risk for abuse, misuse, and addiction.
The provider will also educate individuals and their families about drug risks and how to store and dispose of the medication properly.
During treatment, the individual will be closely monitored for symptoms of abuse and misuse.
Common Side Effects
Common side effects associated with the use of amphetamine stimulants include but are not limited to:
Contact your healthcare provider right away if you have serious side effects.
Dial 911if your symptoms feel life-threatening or if you think you are having a medical emergency.
Severe Side Effects
In addition to the boxed warning mentioned above, severe side effects associated with the use of amphetamine stimulants can include but are not limited to the following:
Short-Acting Methylphenidate Stimulants
Notable examples of short-acting methylphenidate stimulants includeFocalin (dexmethylphenidate)and Ritalin (methylphenidate).
Focalin
Focalin is FDA-approved to treat ADHD and is given as an orally administered IR tablet.
Focalin is a brand-name drug that is also available in generic methylphenidate.
Standard dosing guidelines regarding the use of Focalin for ADHD in children 6 years and older include the following:
Focalin should be taken twice daily, at least four hours between doses.
Ritalin
Ritalin is FDA-approved to treat ADHD and narcolepsy. It is given as an orally administered IR tablet.
Ritalin is a brand-name drug and is also available in generic form.
Standard dosing guidelines regarding the use of Ritalin for ADHD in children 6 and older include the following:
For those who have trouble sleeping with Ritalin, it is recommended to avoid taking Ritalin after 6 p.m.
Long-Acting Methylphenidate Stimulants
Some examples of long-acting methylphenidate stimulants includeConcerta (methylphenidate),Quillivant XR (methylphenidate), and Jornay PM (methylphenidate).
Concerta
Concerta is FDA-approved to treat ADHD in children 6 and older, as well as adults up to age 65 years old, and is given as an oral ER tablet.
ER Concerta is a brand-name drug and is also available in generic form.
Standard dosing guidelines regarding the use of Concerta for ADHD in children include the following:
For individuals taking Concerta, the healthcare provider will consider multiple factors to determine a proper dosage.
Concerta is taken once daily in the morning. The pill should be swallowed whole with a glass of water. It can be taken with or without food.
Concerta should not be crushed or chewed.
Quillivant XR
Quillivant XR is FDA-approved to treat ADHD and is available as a suspension that is given as an oral ER liquid suspension.
Quillivant XR is a brand-name drug not yet available in generic form.
Standard dosing guidelines regarding the use of Quillivant XR for ADHD in children 6 years and older include the following:
Quillivant XR comes in a powder form, and the pharmacist will add water to create a suspension.
Before measuring the dose with the enclosed measuring device, shake the bottle well for at least 10 seconds.
Jornay PM
Jornay PM is FDA-approved to treat ADHD and is given as an orally administered ER capsule.
Jornay PM is a brand-name drug not currently available in generic form.
Standard dosing guidelines regarding the use of Jornay PM for ADHD in children 6 years and older include the following:
You can take Jornay PM with or without food, but you should take it the same way each time.
Swallow the capsule whole; do not chew or crush. Or, you can open the capsule, sprinkle the contents onto applesauce, and consume immediately.
Side Effects and Safety
Methylphenidate stimulants have the same boxed warnings as amphetamine stimulants.
And, like amphetamine stimulants, they carry the potential for mild and severe side effects.
As mentioned above, if you or a loved one develops side effects that fail to dissipate or worsen over time, contact your healthcare provider for guidance on potential next steps.
Sometimes, the prescribing provider may recommend you stop taking the medication.
Common side effects associated with the use of methylphenidate stimulants include but are not limited to:
In addition to the boxed warning mentioned above, serious side effects associated with the use of methylphenidate stimulants can include, but are not limited to, the following:
Non-Stimulant Treatment Options for ADHD
In addition to stimulants, there are several non-stimulant drugs available that can be used to treat ADHD.
A non-stimulant medication may take longer to start working than a stimulant, but it can still improve ADHD symptoms.
A non-stimulant drug may be a better option for someone who has side effects from stimulant drugs or who has seen no improvement in symptoms from a stimulant drug.
In some cases, a non-stimulant may be prescribed along with a stimulant for increased effectiveness.
Examples of notable non-stimulant medications are discussed below.
Strattera
Stratteracontains the active ingredient atomoxetine. It is FDA-approved to treat ADHD in adults and children 6 years and older. It is given as an orally administered IR capsule.
Common side effects associated with the use of Strattera include:
Onyda XR
Onyda XR contains an ER formulation of clonidine. It is FDA-approved to treat ADHD alone or in combination with a stimulant medication.
Common side effects associated with the use of Onyda XR include:
Intuniv
Intuniv contains an ER formulation of guanfacine. It is FDA-approved to treat ADHD alone or in combination with a stimulant medication.
Intuniv can be used in children and adolescents ages 6 to 17. It is given as an oral ER tablet.
Common side effects associated with the use of Intuniv include:
Qelbree
Qelbreecontains an ER formulation of viloxazine.
It is FDA-approved to treat ADHD in adults and children 6 years and older. It is given as an orally administered ER capsule.
Common side effects associated with the use of Qelbree include:
Summary
ADHD is a common condition among children, as well as adults. Treatment involves a combination of medication, therapy, and other interventions.
Some of the common medications prescribed include amphetamine stimulants, such as Adderall, or methylphenidate stimulants, such as Ritalin or Focalin.
What works for one child may not work for another, but many options are available.
Working with your healthcare provider, you can help find the best prescription option for your child.
Frequently Asked QuestionsThese medications should be stored at room temperature (68-77 degrees F), away from direct light, heat, and moisture.Do not store medication in a bathroom. Keep ADHD medication and all other medications out of sight and out of reach of children and pets. Keep the bottle tightly closed when not in use.Stimulants have a high risk of abuse and misuse. Because of this, if your child takes a stimulant, you should store it where no one else can get to it, preferably locked, if possible.Keep track of the pills so you know if any are missing.Yes, adults take many of the same medications used in children for ADHD.However, dosing may vary according to age.Also, some side effects vary depending on the individual’s age.Stimulants have not been studied in pregnant individuals, so not much is known about their safety. Talk to your healthcare provider if you are pregnant or planning to become pregnant.You can also consider other nondrug methods to treat ADHD symptoms during pregnancy, such as therapy and coaching.
These medications should be stored at room temperature (68-77 degrees F), away from direct light, heat, and moisture.Do not store medication in a bathroom. Keep ADHD medication and all other medications out of sight and out of reach of children and pets. Keep the bottle tightly closed when not in use.Stimulants have a high risk of abuse and misuse. Because of this, if your child takes a stimulant, you should store it where no one else can get to it, preferably locked, if possible.Keep track of the pills so you know if any are missing.
These medications should be stored at room temperature (68-77 degrees F), away from direct light, heat, and moisture.
Do not store medication in a bathroom. Keep ADHD medication and all other medications out of sight and out of reach of children and pets. Keep the bottle tightly closed when not in use.
Stimulants have a high risk of abuse and misuse. Because of this, if your child takes a stimulant, you should store it where no one else can get to it, preferably locked, if possible.
Keep track of the pills so you know if any are missing.
Yes, adults take many of the same medications used in children for ADHD.However, dosing may vary according to age.Also, some side effects vary depending on the individual’s age.
Yes, adults take many of the same medications used in children for ADHD.
However, dosing may vary according to age.
Also, some side effects vary depending on the individual’s age.
Stimulants have not been studied in pregnant individuals, so not much is known about their safety. Talk to your healthcare provider if you are pregnant or planning to become pregnant.You can also consider other nondrug methods to treat ADHD symptoms during pregnancy, such as therapy and coaching.
Stimulants have not been studied in pregnant individuals, so not much is known about their safety. Talk to your healthcare provider if you are pregnant or planning to become pregnant.
You can also consider other nondrug methods to treat ADHD symptoms during pregnancy, such as therapy and coaching.
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Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read oureditorial processto learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.
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DailyMed.Label: Ritalin- methylphenidate hydrochloride tablet.
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DailyMed.Label: Adderall XR- dextroamphetamine sulfate, dextroamphetamine saccharate, amphetamine sulfate and amphetamine aspartate capsule, extended release.
DailyMed.Label: Vyvanse- lisdexamfetamine dimesylate capsule Vyvanse- lisdexamfetamine dimesylate tablet, chewable.
National Institute on Drug Abuse.Drug overdose drug rates.
DailyMed.Label: Focalin- dexmethylphenidate hydrochloride tablet.
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DailyMed.Label: Concerta- methylphenidate hydrochloride tablet, extended release.
DailyMed.Label: Quillivant XR- methylphenidate hydrochloride suspension, extended release.
DailyMed.Label: Jornay PM extended-release- methylphenidate hydrochloride capsule.
Child Mind Institute.What are nonstimulant medications for ADHD?
DailyMed.Label: Strattera- atomoxetine hydrochloride capsule.
Food and Drug Administration.Onyda XR label.
DailyMed.Label: Intuniv- guanfacine tablet, extended release Intuniv- guanfacine kit.
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