It is incredibly important for prescribers to discuss alternatives for a patient’s ADHD medications, when the ADHD stimulant shortage is causing disruptions in their ADHD treatment, whether they live in Philadelphia, Manhattan, Delaware or the other ares that we serve.
Providers should additionally take the time to educate themselves on the psychopharmacology of these medications, the medications within each class of stimulant that are more readily available, manufacturer promotions and coupons to make newer medications more affordable, and they should take the time to establish relationships with specialty pharmacies that can help patients to consistently fill their prescriptions.
We recommend discussing the following with your mental health provider for adult ADHD treatment, if you are doing well being prescribed Ritalin, Ritalin LA, Focalin, Focalin XR or Concerta, but the ADHD stimulant shortage in the Philadelphia, Manhattan and Delaware area is preventing you from consistently filling your prescriptions.
- Discuss Azstarys, which contains D-Methylphenidate (the active ingredient in Focalin and Focalin XR) and Serdexmethylphenidate (which is a “prodrug” that is metabolized into D-Methylphenidate by the body). This medication can be thought of as an extended release Focalin (providing 8-9 hours of symptom relief). It is readily available at pharmacies, and many can easily order it, if it not in stock. The manufacturer’s promotion makes it reasonably affordable for patients. Click here for information.
- Discuss Contempla XR-ODT, which is an extended release and dissolvable D-Methylphenidate and L-Methylphenidate medication (the same active ingredients in Ritalin and Ritalin LA). This medication can often be stocked by both chain and specialty pharmacies, and the manufacturer’s coupon can be found here.
- Discuss Jornay PM, which is an extended release D-Methylphenidate and L-Methylphenidate medication (the same active ingredients in Ritalin and Ritalin LA). This medication is taken AT NIGHT, and starts to become active as the patient is starting their school or work day. Many believe that the delayed effect, decreases risk of abuse for certain individuals. This medication is often available at pharmacies and specialty pharmacies, and manufacturer promotions can be found here.
- Discuss Daytrana, which is a patch that contains D-Methylphenidate and L-Methylphenidate, the same active ingredients in Ritalin and Ritalin LA. Daytrana is available as both a generic medication and Trade Name medication, and therefore, it can not only be readily available, but affordable for patients to fill. Some individuals prefer wearing a patch for 8-9 hours, over having the “ups and downs,” of multiple daily dosing of immediate release Ritalin.
- Discuss Relexxii, which is a once daily extended release D-Methylphenidate and L-Methylphenidate medication (the same active ingredients as Ritalin and Ritalin LA). Relexxii is approved for children 6 years and older, and adults up to 65 years of age. It is available in 7 different strengths, so that a patient’s symptom control and side effects can be more fine tuned, than many alternative medications. It can be ordered by pharmacies and manufacturer coupons can be found here.
- Discuss Quillivant XR, which is a liquid medication containing the active ingredients of Ritalin and Ritalin LA. It provides approximately 12 hours of symptom control for many patients. It can be ordered by pharmacies and the manufacture’s promotions can be found here.
- Discuss Methylin, which has the same active ingredients as Ritalin (D and L-Methylphenidate). This medication is in liquid form, and many providers and patients alike do not think of this as an option. Due to that fact, it is often either available in pharmacies, or pharmacies can order it within a reasonable amount of time. As it is available in both Trade name and Generic forms, patients can often fill it at a reasonable cost, utilizing Good Rx coupons.
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