Medication initiation and optimisation in attention deficit hyperactivity disorder: A practical approach for general practice

Overview

Title: Medication initiation and optimisation in attention deficit hyperactivity disorder: A practical approach for general practice

Publish date: September 2026

Journal: Australian Journal of General Practice

Authors: Tognarini, K., Kidd Leong, H., Nahamkes, V., Kramer, J., & Errington, W.

Summary

This paper provides practical guidance for Australian general practitioners initiating and optimising medication for people with attention deficit hyperactivity disorder, covering when to consider medication, stimulant and non stimulant options, titration and monitoring.

The authors recommend shared decision making with a focus on functional outcomes and position medication as one component of multi modal care. The paper also addresses adverse effect monitoring, escalation to non GP specialist care and differing prescribing requirements across states and territories, which are practical considerations for general practitioners taking on this work.

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