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First-line medications in the UK include: Methylphenidate (e.g., Concerta XL, Equasym XL, Medikinet XL)a stimulant that increases dopamine and noradrenaline availability Lisdexamfetamine (Elvanse)a prodrug stimulant for ADHD when significant impairment persists [19] [18] Atomoxetine (Strattera)a non-stimulant noradrenaline reuptake inhibitor, suitable when stimulants are contraindicated or ineffective Guanfacine (Intuniv)a non-stimulant alpha-2 adrenergic agonist licensed for children and adolescents aged 6-17 years Medication choice depends on individual factors including comorbidities (such as anxiety, tics, or substance misuse history), cardiovascular health, and patient preference
Shrivastava R, Upreti RK, Seth PK, Chaturvedi UC (2002) Effects of chromium on the immune system
Arif RT, Mogaddam MA, Merdad LA, Farsi NJ
Bigarella, C
