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Lancet Study Identifies Optimal Doses for Five ADHD Medications

A new tool turns the dose–response data into clear dosing options for shared decision-making.

Overview

  • The Lancet Psychiatry paper published Thursday analyzed 113 randomized trials covering more than 25,000 people to chart how dose changes affect benefits and side effects.
  • Authors advise clinicians to avoid doses that are too low and to increase the dose when symptoms remain poorly controlled.
  • The team found no average gain from exceeding licensed maximum doses, which more often raise side effects, though individual responses can vary.
  • Dose–response patterns differ by medication and by age group, and the researchers released the free ADORMA tool to guide dosing choices.
  • The findings aim to curb common underdosing seen in children and adolescents, which prior evidence links to poorer adherence to treatment.