In short
- In Ireland, ADHD medication for adults is usually started by a consultant psychiatrist after a diagnosis.
- There are stimulant and non-stimulant medicines. Your doctor will help you choose.
- Under the Drugs Payment Scheme, a household pays no more than €80 a month for approved prescribed medicines.
Who can prescribe ADHD medication?
ADHD medication is normally started by a consultant psychiatrist with experience in ADHD. They confirm the diagnosis, check your physical health and agree a plan with you. Once you are stable, some GPs are happy to continue prescribing under a shared care arrangement, but this varies.
At ADHD Point, once your assessment is complete you can book an initial consultation with our IMC registered consultant psychiatrist. Your prescription, if appropriate, is sent directly to your chosen pharmacy.
Types of ADHD medication
Stimulants
Stimulants are usually the first option for adults. They increase the activity of dopamine and noradrenaline, brain chemicals involved in attention and self control. The two main groups are:
- Methylphenidate, available in short acting and long acting forms
- Lisdexamfetamine, a long acting medicine taken once a day
Long acting forms usually last through the working day, which many adults prefer.
Non-stimulants
Atomoxetine is a non-stimulant option. It works more gradually, over several weeks. It may suit people who cannot take stimulants, or who have found them unhelpful. Your psychiatrist will explain which medicines are suitable and licensed for you.
Before you start: health checks
Before prescribing, your psychiatrist will ask about your physical health, any heart problems in you or your family, and other medicines you take. They will check your blood pressure, heart rate and weight, and may ask your GP for a recent reading or an ECG if needed.
Finding the right dose
Medication is usually started at a low dose and increased gradually. You will have follow-up appointments to review how it is working and any side effects. Common side effects include reduced appetite, trouble sleeping, headaches and a faster heart rate. These often settle, and changing the dose or timing can help. Never change your dose without talking to your doctor.
Prescriptions and pharmacies
Stimulant ADHD medicines are controlled drugs in Ireland, so their prescriptions have extra legal rules, for example around how long they are valid and how much can be supplied at once. This is why your prescription is sent securely from your doctor to your pharmacy. It helps to use the same pharmacy each time and to order early, as some medicines may need to be ordered in.
What does ADHD medication cost?
Medicine prices vary by product, dose and pharmacy. Under the HSE Drugs Payment Scheme, an individual or family pays a maximum of €80 a month for approved prescribed medicines. You need to register for the scheme, which you can do online. If you have a medical card, your costs will be different.
You may also be able to claim tax relief at 20% on prescribed medicines and doctors’ fees. See our guide to tax relief on ADHD costs.
Is medication the only option?
No. Medication helps many adults, but it works best alongside understanding, practical strategies and support. Therapy, coaching and changes at work or college can all help. Some people choose not to take medication at all.
Sources: HSE, Drugs Payment Scheme; Health Products Regulatory Authority; NICE guideline NG87; Citizens Information.
This guide is general information to help you understand your options. It is not medical, legal or financial advice. Rules and benefits can change, so please check with the organisation concerned. If you are in crisis, call 112 or 999, or contact Samaritans free on 116 123.