What goes into a doctor’s selection of which medication to try first if you have ADHD?

Harold Robert Meyer and The ADD Resource Center                             01/28/2025 

A doctor typically considers several key factors when selecting an initial ADHD medication:

1. Age and Medical History: First, they’ll consider your age (whether you’re a child, adolescent, or adult) and review your medical history, including:

• Heart conditions
• Blood pressure
• History of anxiety or mood disorders
• History of drug or alcohol abuse
• Family history of cardiovascular issues
• Co-occurring conditions
• Other medications you’re taking

2. Type and Severity of Symptoms: They’ll evaluate which ADHD symptoms are most problematic for you:

• Difficulty focusing
• Hyperactivity
• Impulsivity
• Impact on daily functioning

3. Medication Classes: They’ll typically choose between two main categories:

• Stimulants (like methylphenidate or amphetamines) are usually tried first as they’re effective for about 70-80% of people
• Non-stimulants (like atomoxetine or guanfacine) might be chosen first if there are concerns about stimulant use

4. Practical Considerations:

Whether you can swallow pills or need liquid/chewable forms

Insurance coverage and medication costs

Whether you need the medication to work primarily during school/work hours or throughout the day

Your ability to remember to take medications multiple times per day

© 2025 The ADD Resource Center. All rights reserved. 01/28/2025

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 Harold Robert Meyer and The ADD Resource Center 

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