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How ADHD medication works


In ADHD, the brain region prefrontal cortex (responsible for planning, focus, and impulse control) and their networks with the striatum and basal ganglia don’t regulate dopamine and norepinephrine efficiently.


  • This leads to inconsistent attention, difficulty sustaining focus, impulsivity, and problems with motivation.

  • Mechanism:
    • Increase dopamine and norepinephrine levels in synapses.
    • Block reuptake transporters (so neurotransmitters stay active longer).
    • Amphetamines also increase release of dopamine and norepinephrine from neurons.


  • Effect:
    • Boosts signal strength in the prefrontal cortex, leads better sustained attention, working memory, and self-regulation.
    • Reduces “background noise” in the brain so relevant information is easier to focus on.



How ADHD medication works: click here for more details


Mechanism of action of long acting Vyvanse


Studies on Safety of Vyvanse medication: 

Coghill, D.R., Caballero, B., Sorooshian, S. et al. A Systematic Review of the Safety of Lisdexamfetamine Dimesylate. CNS Drugs 28, 497–511 (2014)

ADHD Medication explained

Clinical Studies on effectiveness of long acting stimulant medication for ADHD


These medicines are called stimulants because they increase the brain 

chemicals dopamine and norepinephrine.  


They are a central nervous system stimulant prescription medicine. 


These medications are Schedule 8 medicines which are subject to strict legislative controls due to their high potential for misuse, abuse and dependence. 


They come in 2 forms; long acting & short acting 


Long acting 

Takes from 45-90 mins to work

Lasts from 8-12 hours

One a day

Doses from 20mg to 70mg

This medication is Vyvanse

Vyvanse Patient Information 

Vyvanse Clinical Information 

Detailed medication data can be found here 

Covered on PBS $31.60 for 30 days


Short acting

Takes around 30 mins to work

Lasts from 3-4 hours

Multiple doses per day, upto a max of 8 tablets per day

5mg dose

This medication is Dexamphetamine 


Clinical trials highlighting effectiveness and safety


Long-lasting medicines are usually the most practical option because people with ADHD may have trouble remembering to take their medicine.

They also provide steady symptom relief throughout the day. By contrast, if you use short-acting stimulants, your symptoms may return between doses. Some people “crash” as their short-acting dose wears off, meaning their energy and mood drop.

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