Table 7. Non-stimulant medications (10-15).
Drug brand | Formulation (mg) | Dosing | Duration (hrs) | Comments |
---|---|---|---|---|
Strattera (atomoxetine:norepinephrine reuptake inhibitor) | Capsule: 10, 18, 25, 40, 60 | Initial: <70 kg, 0.5 mg/kg; >70 kg, 40 mg daily. Titration: <70 kg, increase after 1 week to 1.2 mg/kg as single or divided dose; >70 kg, increase to 80 mg over 1 week as single or divided dose. Max: 1.4 mg/kg/day up to 100 mg/day | 10–12 | Dose adjustment required in hepatic impairment. Takes several weeks to see effect. May be stopped without taper. Single daily dose recommended |
Kapvay* (clonidine extended release; alpha-2-agonist) | Tablet: 0.1, 0.2 | Initial: 0.1 mg/day at bedtime. Titration: 0.1 mg/week and divided BID. Max: 0.4 mg/day divided BID | 12–24 | If stopping therapy taper daily dose by ≤0.1 mg every 3 to 7 days |
Intuniv* (guanfacine extended release; alpha-2-agonist) | Tablet: 1, 2, 3, 4 | Initial: 0.05–0.08 mg/kg/dose or 1 mg daily. Titration: no more than 1 mg/week. Max: 6–12 yr: 4 mg/day | 12–24 | Taper the dose in decrement of ≤1 mg every 3 to 7 days |
Drug brand names refer to United States brand names. *, approved for use in patients with ADHD ages 6 years and older. hrs, hours; max, maximum; mg, milligrams; yr, years old; BID, twice daily; ER, extended release; kg, kilograms; max, maximum; mg, milligrams.