ADHD medication shortages: keeping continuity of treatment

National supply problems affected some ADHD medicines after demand increased and manufacturing difficulties arose. The Department of Health and Social Care and NHS bodies issued national patient safety alerts and guidance to prescribers during these periods. Because stimulants are controlled drugs, supply, prescribing and dispensing are tightly regulated, which makes it harder to move stock quickly.

• Ask the pharmacist whether they can source it elsewhere, and call other pharmacies nearby.

• Ask whether an alternative strength or brand of the same medicine is available and suitable.

• Contact your prescriber promptly if you cannot find a supply, because a new prescription may be needed.

• Do not stockpile or accept supply from friends, online sellers or social media.

• Keep a record of what you have, when you took it and when you will run out.

Different ADHD medicines and formulations vary in how fast they start, how long they last and how they feel. Switching from one to another often requires dose conversion and monitoring. Equivalent doses are not interchangeable between products. An unplanned switch can cause side effects or leave symptoms uncontrolled. Prescribers can advise and, where necessary, restart titration under supervision.

Prescriptions for controlled drugs have time limits on validity and are written for a limited quantity. If a pharmacy cannot supply a full amount, there are rules about part-supplies and about how remaining quantities can be dispensed. Pharmacists can explain what applies. If a prescription expires before it can be supplied, a new one is needed.

If you have to go without for a period, plan your day. Use external reminders, structure and prioritisation. Tell your employer or school if you need temporary support. Be careful with driving if symptoms are poorly controlled. Remember sleep, food and movement. Contact your prescriber if you feel low or unsafe.

Ask your prescriber what alternatives they would consider if supply problems recur, and whether they can note this in your plan. Keep your repeat prescriptions in good time. National guidance on shortages is updated, so check current information from the NHS and your pharmacist.

A period without medicine can affect work or study, and a short conversation can reduce pressure. Explain that there is a national supply problem rather than a change in your health, say what support would help for a few weeks, such as written instructions or flexible deadlines, and offer a review date. Parents can ask the school to be flexible about homework and behaviour expectations. Keeping the tone practical and time-limited tends to produce a better response than a general request for understanding.