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Reference · UK · 2026

Every ADHD medication
prescribed in the UK.

Four active molecules. Twelve plus brand names. Immediate-release, modified-release, gradual-release, long-acting and around-the-clock formulations. This page covers all of them, with a visual profile for each.

4 Active molecules
12+ UK brand names
7 Detailed monographs
214h Duration range
The three classes

Two stimulant families and the non-stimulant alternatives.

NICE recommends stimulants as first-line treatment. Non-stimulants are used when stimulants are ineffective, cause significant side effects, or are clinically unsuitable.

Class one · Stimulant

Methylphenidate

Increases dopamine and norepinephrine via reuptake inhibition. The most commonly prescribed ADHD medication in the UK. Available across short, medium and long-acting formulations.

Concerta XL Ritalin Medikinet Equasym XL
Class two · Stimulant

Amphetamines

Two amphetamine medications are licensed in the UK. Both produce d-amphetamine as the active molecule. Faster, stronger releaser-style mechanism than methylphenidate.

Elvanse Amfexa
Class three · Non-stimulant

Atomoxetine & guanfacine

Different mechanisms (norepinephrine reuptake; alpha-2A agonism). Take weeks to reach full effect, provide around-the-clock coverage, and must be tapered rather than stopped abruptly.

Strattera Intuniv Paxneury
The medications, side by side

Six medications. Filter by class or duration.

Each card lists the brand and active molecule, its release type, and how long it stays active. Tap any card for the full guide.

How long each one lasts

Duration at a glance.

Hover any row to isolate it. Bars represent typical effective coverage, not the full pharmacokinetic tail.

0h
6h
12h
18h
24h
Ritalin (IR)
Medikinet XL
Concerta XL
Elvanse
Dexamfetamine
Atomoxetine
Guanfacine
Behind each formulation

The release mechanisms, in detail.

Methylphenidate

Methylphenidate is the most commonly prescribed ADHD medication in the UK. It is available in immediate-release tablets (taken 2 to 3 times daily) and several modified-release formulations (taken once daily in the morning). All methylphenidate formulations contain the same active molecule but differ in how they release it through the day.

Immediate-release tablets (Ritalin, Medikinet) peak at about two hours and clear in two to four. Useful for fine-tuning timing, but multiple doses are needed.

Bimodal modified-release capsules (Medikinet XL, Equasym XL, Ritalin XL) use a 50/50 split of immediate-release and extended-release beads. The result is two visible peaks across six to eight hours.

OROS-style modified-release tablets (Concerta XL, plus the equivalent generic brands Matoride XL, Xaggitin XL, Delmosart XL, Xenidate XL, Affenid XL) use a laser-drilled gradual-release pump. A 22% immediate-release coating provides initial effect; the remaining 78% is released gradually over 10 to 12 hours. Tablets must not be crushed or broken.

OROS generics. All gradual-release pump brands listed above are pharmacologically equivalent to Concerta XL. Pharmacies may substitute based on availability. ADHDose models the identical concentration profile because the underlying PK is the same.

Amphetamines

Two amphetamine medications are prescribed in the UK. Both produce d-amphetamine as the active molecule, but they differ in how quickly it reaches the brain.

Elvanse (lisdexamfetamine) is a prodrug your body activates gradually. The conversion creates a slow, smooth onset (peak at about four hours) and a long tail (half-life approximately ten hours). Once daily. Coverage runs late into the evening, which can affect the wind-down window for sleep.

Dexamfetamine (Amfexa) is the same active molecule absorbed directly, not as a prodrug. Faster onset (peak at about 2.5 hours), shorter per-dose duration. Typically prescribed one to three times daily. The UK uses the spelling dexamfetamine (no 'p'), following MHRA convention.

Non-stimulants

Atomoxetine works by blocking the reuptake of norepinephrine. Takes four to six weeks to reach full effect. Available as capsules and liquid. Active 24 hours a day. Half-life varies significantly by genetics: approximately five hours in most people (extensive metabolisers), up to 22 hours in poor metabolisers (around 7% of Caucasians).

Guanfacine works through alpha-2A receptors in the prefrontal cortex, not the dopamine pathway. Takes two to four weeks to reach full effect. Should not be taken with a high-fat meal (increases absorption by up to 75%). Currently licensed for ages 6 to 17 in the UK; off-label adult use occurs.

How ADHDose tracks each type

For stimulant medications, ADHDose models your concentration profile hour by hour and translates it into real-time guidance through your day. For multi-dose medications like Ritalin IR, the app handles each dose separately and stitches the picture together. The Clinician Summary export pulls 28 days of patterns into NHS prescriber format for review appointments.

For non-stimulants, there is no daily curve to model because coverage is continuous. Instead, ADHDose focuses on daily tracking: focus, mood, sleep and adherence patterns over time. That data is especially useful during the initial weeks when you and your specialist are assessing whether the medication is reaching full effect.

Reference

Quick summary table.

Every UK ADHD medication, type, duration, dosing schedule and brand list, in one place.

Medication Type Duration Dosing UK brands
Methylphenidate IR Stimulant 2–4h 2–3x daily Ritalin, Medikinet
Methylphenidate MR (bimodal) Stimulant 6–8h 1x daily Medikinet XL, Equasym XL, Ritalin XL
Methylphenidate MR (OROS) Stimulant 10–12h 1x daily Concerta XL, Matoride XL, Xaggitin XL, Delmosart XL, Xenidate XL, Affenid XL
Lisdexamfetamine Stimulant Up to 14h 1x daily Elvanse
Dexamfetamine Stimulant Up to 6h 1–3x daily Amfexa
Atomoxetine Non-stimulant 24h 1x daily Strattera (generic: atomoxetine)
Guanfacine Non-stimulant 24h 1x daily Intuniv, Paxneury (generic: guanfacine)
Further reading

Detailed monographs and guides.

Track any of these medications with ADHDose

ADHDose models the concentration curve for stimulants and tracks daily patterns for non-stimulants.

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ADHDose is a tracking tool, not a medical device. It does not diagnose or prescribe. Always consult your specialist before making changes to your medication. References used: BNF, NICE NG87, manufacturer Patient Information Leaflets. Contact: [email protected]