{"id":4102,"date":"2025-11-28T10:06:58","date_gmt":"2025-11-28T10:06:58","guid":{"rendered":"https:\/\/nhsdorset.nhs.uk\/medicines\/?page_id=4102"},"modified":"2026-03-27T13:25:57","modified_gmt":"2026-03-27T13:25:57","slug":"methylphenidate-prescribing","status":"publish","type":"page","link":"https:\/\/nhsdorset.nhs.uk\/medicines\/value\/pqs\/25-26\/methylphenidate-prescribing\/","title":{"rendered":"Methylphenidate prescribing"},"content":{"rendered":"<div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 fusion-flex-container has-pattern-background has-mask-background nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"max-width:1310.4px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"accordian fusion-accordian\" style=\"--awb-border-size:1px;--awb-icon-size:18px;--awb-content-font-size:var(--awb-typography4-font-size);--awb-icon-alignment:left;--awb-hover-color:var(--awb-color2);--awb-border-color:var(--awb-color3);--awb-background-color:var(--awb-color1);--awb-divider-color:var(--awb-color3);--awb-divider-hover-color:var(--awb-color3);--awb-icon-color:var(--awb-color5);--awb-title-color:var(--awb-color5);--awb-content-color:var(--awb-custom_color_1);--awb-icon-box-color:var(--awb-color5);--awb-toggle-hover-accent-color:var(--awb-color4);--awb-toggle-active-accent-color:var(--awb-color4);--awb-title-font-family:var(--awb-typography1-font-family);--awb-title-font-weight:var(--awb-typography1-font-weight);--awb-title-font-style:var(--awb-typography1-font-style);--awb-title-font-size:20px;--awb-content-font-family:var(--awb-typography4-font-family);--awb-content-font-weight:var(--awb-typography4-font-weight);--awb-content-font-style:var(--awb-typography4-font-style);\"><div class=\"panel-group fusion-toggle-icon-unboxed\" id=\"accordion-4102-1\"><div class=\"fusion-panel panel-default panel-7ad88245fa50bdf2c fusion-toggle-no-divider fusion-toggle-boxed-mode\" style=\"--awb-title-color:var(--awb-color5);--awb-content-color:var(--awb-custom_color_1);\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_7ad88245fa50bdf2c\"><a aria-expanded=\"false\" aria-controls=\"7ad88245fa50bdf2c\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-4102-1\" data-target=\"#7ad88245fa50bdf2c\" href=\"#7ad88245fa50bdf2c\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box active-icon awb-icon-minus\" aria-hidden=\"true\"><\/i><i class=\"fa-fusion-box inactive-icon fa-pills fas\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">What are you asking me to do?<\/span><\/a><\/h4><\/div><div id=\"7ad88245fa50bdf2c\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_7ad88245fa50bdf2c\"><div class=\"panel-body toggle-content fusion-clearfix\">\n<p><span data-contrast=\"auto\">Following sign-off by the Dorset Formulary Working Group, Mental Health Working Group, GP Alliance and Integrated Medicines Optimisation Committee (IMOC) it has been agreed that:<\/span><span data-ccp-props=\"\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Patients prescribed methylphenidate MR tablets can be switched to Xaggitin XL or Affenid XL tablets.<\/span><span data-ccp-props=\"\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Using a slow and co-ordinated approach, GP teams are asked to work with community pharmacy and secondary care, to return to the branded prescribing of Methylphenidate modified release tablets.<\/span><span data-ccp-props=\"\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Xaggitin XL and Affenid XL are now the first line branded formulary choice of Methylphenidate modified release tablets. <\/span><span data-ccp-props=\"\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Concerta brand of methylphenidate has now been made non-formulary in Dorset.<\/span><span data-ccp-props=\"\">\u00a0<\/span><\/p>\n<\/div><\/div><\/div><div class=\"fusion-panel panel-default panel-d9da01c44c4e813e7 fusion-toggle-no-divider fusion-toggle-boxed-mode\" style=\"--awb-title-color:var(--awb-color5);--awb-content-color:var(--awb-custom_color_1);\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_d9da01c44c4e813e7\"><a aria-expanded=\"false\" aria-controls=\"d9da01c44c4e813e7\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-4102-1\" data-target=\"#d9da01c44c4e813e7\" href=\"#d9da01c44c4e813e7\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box active-icon awb-icon-minus\" aria-hidden=\"true\"><\/i><i class=\"fa-fusion-box inactive-icon fa-pills fas\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">Why are you asking me to do this?<\/span><\/a><\/h4><\/div><div id=\"d9da01c44c4e813e7\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_d9da01c44c4e813e7\"><div class=\"panel-body toggle-content fusion-clearfix\">\n<p><span data-contrast=\"auto\">Best practice guidance states to prescribe methylphenidate MR products by brand where possible.<\/span><span data-ccp-props=\"\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">The previous long standing manufacturing supply shortages associated with branded preparations of Methylphenidate MR tablets have now been resolved. It is anticipated that stocks will be normalised from January 26.<\/span><span data-ccp-props=\"\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">The proposed prescribing changes will reduce the cost of ADHD medications to the system, increasing capacity to treat patients and provide wider access.<\/span><span data-ccp-props=\"\">\u00a0<\/span><\/p>\n<\/div><\/div><\/div><div class=\"fusion-panel panel-default panel-ea776d85694c17830 fusion-toggle-no-divider fusion-toggle-boxed-mode\" style=\"--awb-title-color:var(--awb-color5);--awb-content-color:var(--awb-custom_color_1);\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_ea776d85694c17830\"><a aria-expanded=\"false\" aria-controls=\"ea776d85694c17830\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-4102-1\" data-target=\"#ea776d85694c17830\" href=\"#ea776d85694c17830\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box active-icon awb-icon-minus\" aria-hidden=\"true\"><\/i><i class=\"fa-fusion-box inactive-icon fa-pills fas\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">How do I do it?<\/span><\/a><\/h4><\/div><div id=\"ea776d85694c17830\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_ea776d85694c17830\"><div class=\"panel-body toggle-content fusion-clearfix\">\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"2\" data-list-defn-props=\"{\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"auto\">Please ensure a gentle transition to branded products, to reduce the risk of disruption to supply chains.<\/span><span data-ccp-props=\"\">\u00a0<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"2\" data-list-defn-props=\"{\" data-aria-posinset=\"2\" data-aria-level=\"1\"><span data-contrast=\"auto\">Notify community pharmacy colleges of the intention to revert to branded prescribing of Methylphenidate MR tablets.<\/span><span data-ccp-props=\"\">\u00a0<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"2\" data-list-defn-props=\"{\" data-aria-posinset=\"3\" data-aria-level=\"1\"><span data-contrast=\"auto\">Work with community pharmacy colleagues to ensure sufficient stock of the branded products is available to support the switching programme and minimise disruption to patients, GP and community pharmacy teams.<\/span><span data-ccp-props=\"\">\u00a0<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"2\" data-list-defn-props=\"{\" data-aria-posinset=\"4\" data-aria-level=\"1\"><span data-contrast=\"auto\">Identify\u202fpeople prescribed\u202fgeneric methylphenidate MR tablets or Concerta branded MR tablets using the\u202fSystmOne\u202fsearch provided, (excluding any patient noted by specialist teams to require Concerta XL because of failure on <\/span><span data-contrast=\"auto\">all <\/span><span data-contrast=\"auto\">other formulary brands of MR methylphenidate tablet.)<\/span><span data-ccp-props=\"\">\u00a0<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"2\" data-list-defn-props=\"{\" data-aria-posinset=\"5\" data-aria-level=\"1\"><span data-contrast=\"auto\">Use the patient text messages and letters within\u202fSystmOne\u202fto notify people of a change to\u202ftheir methylphenidate MR prescription.<\/span><\/li>\n<\/ul>\n<\/div><\/div><\/div><div class=\"fusion-panel panel-default panel-a8bb7fed5a4523930 fusion-toggle-no-divider fusion-toggle-boxed-mode\" style=\"--awb-title-color:var(--awb-color5);--awb-content-color:var(--awb-custom_color_1);\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_a8bb7fed5a4523930\"><a aria-expanded=\"false\" aria-controls=\"a8bb7fed5a4523930\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-4102-1\" data-target=\"#a8bb7fed5a4523930\" href=\"#a8bb7fed5a4523930\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box active-icon awb-icon-minus\" aria-hidden=\"true\"><\/i><i class=\"fa-fusion-box inactive-icon fa-pills fas\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">What resources\/support is provided to help me deliver this?<\/span><\/a><\/h4><\/div><div id=\"a8bb7fed5a4523930\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_a8bb7fed5a4523930\"><div class=\"panel-body toggle-content fusion-clearfix\">\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"1\" data-list-defn-props=\"{\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"auto\">SystmOne\u202fsearch: Dorset SystmOne GPs> PQS Finance 25\/26> F14 Methylphenidate<\/span><span data-ccp-props=\"\">\u00a0<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"1\" data-list-defn-props=\"{\" data-aria-posinset=\"2\" data-aria-level=\"1\"><span data-contrast=\"auto\">Template patient letter \u2013 in SystmOne communications annexe\u202f<\/span><span data-ccp-props=\"\">\u00a0<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"1\" data-list-defn-props=\"{\" data-aria-posinset=\"3\" data-aria-level=\"1\"><span data-contrast=\"auto\">Template patient text message \u2013 Template patient letter \u2013 in SystmOne communications annexe\u202f<\/span><span data-ccp-props=\"\">\u00a0<\/span><\/li>\n<\/ul>\n<p><span data-contrast=\"auto\">\"Dorset Specialist Clinicians have asked GP teams to the review prescribing of Modified Release (MR\/XL) methylphenidate tablets and convert them to the Xaggitin XL or Affenid XL branded Methylphenidate modified release tablets. Your prescription has been updated.\u00a0 Your medicine may look slightly different, but these products are clinically interchangeable and help the NHS budget treat more patients. If you have any questions regarding this change, please contact your GP team.<\/span><\/p>\n<p><a href=\"https:\/\/www.sps.nhs.uk\/articles\/prescribing-and-switching-between-modified-release-methylphenidate\/\"><span data-contrast=\"none\">Prescribing and switching between modified-release methylphenidate \u2013 SPS \u2013 Specialist Pharmacy Service \u2013 The first stop for professional medicines advice<\/span><\/a><span data-ccp-props=\"\">\u00a0<\/span><\/p>\n<p><a href=\"https:\/\/dorsetformulary.nhs.uk\/chaptersSubDetails.asp?FormularySectionID=4&SubSectionRef=04.04&SubSectionID=A100&drugmatch=1135#1135\"><span data-contrast=\"none\">Dorset formulary<\/span><\/a><span data-contrast=\"auto\">\u202f<\/span><span data-ccp-props=\"\">\u00a0<\/span><\/p>\n<\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":29,"featured_media":0,"parent":3699,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"100-width.php","meta":{"footnotes":""},"class_list":["post-4102","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/nhsdorset.nhs.uk\/medicines\/wp-json\/wp\/v2\/pages\/4102","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/nhsdorset.nhs.uk\/medicines\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/nhsdorset.nhs.uk\/medicines\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/nhsdorset.nhs.uk\/medicines\/wp-json\/wp\/v2\/users\/29"}],"replies":[{"embeddable":true,"href":"https:\/\/nhsdorset.nhs.uk\/medicines\/wp-json\/wp\/v2\/comments?post=4102"}],"version-history":[{"count":7,"href":"https:\/\/nhsdorset.nhs.uk\/medicines\/wp-json\/wp\/v2\/pages\/4102\/revisions"}],"predecessor-version":[{"id":4513,"href":"https:\/\/nhsdorset.nhs.uk\/medicines\/wp-json\/wp\/v2\/pages\/4102\/revisions\/4513"}],"up":[{"embeddable":true,"href":"https:\/\/nhsdorset.nhs.uk\/medicines\/wp-json\/wp\/v2\/pages\/3699"}],"wp:attachment":[{"href":"https:\/\/nhsdorset.nhs.uk\/medicines\/wp-json\/wp\/v2\/media?parent=4102"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}