Are there any recommendations for switching between stimulants during the Adderall shortage?

Comment by InpharmD Researcher

There is a lack of recommendations for switching between various stimulants. Expert opinion suggests multiplying the previous stimulant dose by the ratio of (new duration)/(old duration) when switching between similar isomer formulations (levo- or dextro-) with different durations. Conversely, when switching between different isomer formulations, conversion factors may be utilized to adjust for respective absorption and bioavailability. For switching between the two primary stimulants, amphetamine and methylphenidate, several reviews recommend using one-half to one-third of the dose of methylphenidate as an appropriate dose for amphetamine. Overall, it is advised to initiate the new stimulant at a lower dose and titrate as needed according to patient needs, especially when the converted dose exceeds the maximum recommended dose for the condition treated.

Background

Per the American Society of Health-System Pharmacists (ASHP) drug shortage detail, both extended-release capsules and immediate-release tablets of amphetamine mixed salts from various manufacturers are currently affected. The estimated reapply dates vary from late December to January 2023, with many unable to provide a release date. Discussion on potential alternatives is lacking in both formulations. [1], [2]

A 2019 review updating on relatively newer stimulant formulations (e.g., orally dissolving tablets, chewable tablets, extended-release liquid formulations, transdermal patches, and novel “beaded” technology) for attention-deficit/hyperactivity disorder (ADHD) briefly discusses the pharmacokinetic properties of amphetamine and methylphenidate. Switching strategies between formulations of amphetamine and methylphenidate are not discussed, except that given the higher potency of amphetamine compared to that of methylphenidate, approximately half to two-thirds of the methylphenidate dose is suggested when converting between the two agents. [3]

A 2012 review article explored the role of stimulant medications, amphetamine, and methylphenidate, in the treatment of ADHD in children and adolescents. General consensus in the guidelines recommends employing a comprehensive, multimodal treatment plan irrespective of which medication is recommended as the first-line agent. The article also reviews available literature comparing the efficacy and safety of methylphenidate and amphetamine for the treatment of ADHD. Due to the paucity of direct, head-to-head, parallel-group studies, the majority of the available evidence was limited to crossover studies (Table 1). Based on included studies, overall, the doses of amphetamine were approximately one-third to one-half the dose of methylphenidate used as specified in Table 1. Although some studies demonstrated methylphenidate was more efficacious than amphetamine and vice-versa, in general, similar responses and rates of adverse events were reported for both medications at the doses studied. Overall, it was recommended that both methylphenidate and amphetamine are appropriate therapies for ADHD, and the choice of simulant should be based on a combination of factors including drug formulation, regimen optimization, monitoring of medication effects, adherence to therapy, and inclusion of behavioral therapy for a multimodal treatment strategy. Non-stimulant medications may also be considered although they may be generally less effective. [4]

An online presentation developed by a psychiatrist and published in the Psychiatric Times discussed switching strategies between different stimulants. Aside from various release mechanisms and numerous stimulant products available, the mainstay of stimulants is categorized as two medications within the formulations, methylphenidate, and amphetamine. Methylphenidate is available in 2 different isomer formulations (50% dex-, 50% levo-methylphenidate; 100% dexmethylphenidate), and amphetamine in 3 formulations (50% dextro-, 50% levo-amphetamine; 75%​​ dextro-, 25% levo-amphetamine; 100% dextroamphetamine). Generally, conversions are considered more precise if the new medication that a patient switches to has the same formulation of isomers as the old one. For instance, Adderall, Adderall XR, Adzenys XR-orally disintegrating tablet (ODT), Dyanavel XR liquid, and Mydayis are listed as 75%​​ dextro-, 25% levo-amphetamine formulation. Given the various duration of action with each agent, the dose may need to be increased if a patient is switched to a stimulant with a longer duration of action; as such, the dose will be spread out over a longer period of time. The author proposed that to convert to a new duration with the same formulation, multiply the old dose by the ratio of (new duration)/(old duration). This will increase the dose if the new duration is longer, and lower the dose if the new duration is shorter. The adjustment ensures that the new medication will deliver the same mg/hour, yet it is only a rough guide. When the stimulant has a range of durations, as with methylphenidate (3-5 hours), the new dose will fall in a range. In this case, clinical judgment will guide a starting dose. [5]

After adjustments for the duration, adjusting for absorption, isomer, and between amphetamine and methylphenidate may still be warranted for certain products. As ODTs generally exhibit different absorption and bioavailability from traditional methylphenidate or amphetamine, a dose conversion from Adderall x 0.63 is suggested when switched to Adzenys ODT. Additionally, conversions among different isomer mixes are all approximate. For amphetamines, despite the fact that the dextro- isomer is more potent, both dextro- and levo- isomers confer therapeutic activity. Therefore, switching among different mixtures of amphetamines is inexact and will need to be personalized for each patient. Rough conversions for switching from an Adderall type (75% dextro) to Evekeo (50% dextro) or Dexedrine/Vyvanse (100%) utilized conversion factors of Adderall x 1.3, Adderall x 0.83, and Adderall x 2.6, respectively. Using proposed converting factors, clinicians may switch Adderall XR 20 mg QAM to Evekeo 26 mg, Dexedrine 16 mg, or Vyvance 52 mg QAM. Notably, the presented conversions are approximations, derived from the potency of their dopaminergic effects and head-to-head studies comparing the stimulants when applicable. [5], [6]

Based on the author's knowledge, switching between the 2 main stimulants, amphetamine, and methylphenidate, remains the most difficult. With a general rule that Adderall is twice as potent as Ritalin, regimens need to be tailored to specific patient needs. Starting the new stimulant at a lower dose and titrating as needed is recommended, especially when the converted doses exceed the maximum recommended dose for ADHD. As the presentation provided conversion factors and switching strategies based on expert opinions and limited supporting literature, use in clinical settings requires close monitoring. [4], [5]

References:

[1] American Society of Health-System Pharmacists (ASHP). Current Drug Shortages. Amphetamine Mixed Salts, Extended-Release Capsules. Updated December 22, 2022. Accessed December 27, 2022. https://www.ashp.org/drug-shortages/current-shortages/drug-shortage-detail.aspx?id=863
[2] ASHP. Current Drug Shortages. Current Drug Shortages. Amphetamine Mixed Salts, Immediate-Release Tablets. Updated December 14, 2022. Accessed December 27, 2022. https://www.ashp.org/drug-shortages/current-shortages/drug-shortage-detail.aspx?id=857
[3] Steingard R, Taskiran S, Connor DF, Markowitz JS, Stein MA. New Formulations of Stimulants: An Update for Clinicians [published correction appears in J Child Adolesc Psychopharmacol. 2020 Apr;30(3):202]. J Child Adolesc Psychopharmacol. 2019;29(5):324-339. doi:10.1089/cap.2019.0043
[4] Hodgkins P, Shaw M, Coghill D, Hechtman L. Amfetamine and methylphenidate medications for attention-deficit/hyperactivity disorder: complementary treatment options. Eur Child Adolesc Psychiatry. 2012;21(9):477-492. doi:10.1007/s00787-012-0286-5
[5] Chris Aiken. How to Switch Stimulants: A Dosing Guide for ADHD. Psychiatric Times. Updated March 8, 2021. Accessed December 27, 2022. https://www.psychiatrictimes.com/view/how-to-switch-stimulants-dosing-guide-for-adhd
[6] Biederman J, Boellner SW, Childress A, Lopez FA, Krishnan S, Zhang Y. Lisdexamfetamine dimesylate and mixed amphetamine salts extended-release in children with ADHD: a double-blind, placebo-controlled, crossover analog classroom study. Biol Psychiatry. 2007;62(9):970-976. doi:10.1016/j.biopsych.2007.04.015
[4] Hodgkins P, Shaw M, Coghill D, Hechtman L. Amfetamine and methylphenidate medications for attention-deficit/hyperactivity disorder: complementary treatment options. Eur Child Adolesc Psychiatry. 2012;21(9):477-492. doi:10.1007/s00787-012-0286-5

Literature Review

A search of the published medical literature revealed 1 study investigating the researchable question:

Are there any recommendations for switching between stimulants with the Adderall shortage?

Level of evidence

D - Case reports or unreliable data  Read more→



Please see Table 1 for your response.


 

Randomized clinical studies comparing treatment outcomes of methylphenidate and amfetamine formulations in ADHD
Reference Study design Population (n) Dosea Efficacy Tolerability Response rate, n (%)
MPH AMF
Winsberg et al. Crossover 18

Adjusted daily doses:

MPH, ≤40 mg

d-AMF, ≤60 mg

No difference in behavioral ratings between MPH and d-AMF 

Insomnia and appetite loss

No difference between treatments

NR NR
Arnold et al. Crossover 29

Adjusted mean daily doses:

MPH, 1.25 mg/kg

d-AMF, 0.63 mg/kg

Caffeine, 12.1 mg/kg

Both MPH and d-AMF superior to placebo

Non-significant trend for AMF to be superior to MPH in all measures

Appetite loss for both drugs

Stomach aches reduced in d-AMF vs. placebo

19/29 (66) 19/29 (66) 
Borcherding et al. Crossover 18

Fixed escalating doses:

MPH, 25–90 mg/day

d-AMF, 10–45 mg/day

MPH produced greater lowering of motor activity than d-AMF  --  14/18 (78) 6/18 (33)
Pelham et al. Crossover 22

Fixed daily doses:

MPH, 20 mg

Ritalin SR-20®, 20 mg

Dexedrine Spansule®, 10 mg

Pemoline, 56.25 mg

In the context of an intensive summer treatment program, Dexedrine spansule and pemoline consistently had the most beneficial effects

Treatment recommendations: Dexedrine Spansule®, 2/22; pemoline, 4/22; Ritalin SR-20, 4/22; MPH, 1/22; no medication (i.e. intense behavioural therapy) 7/22

Slightly more adverse events for Dexedrine Spansule® than MPH or Ritalin SR-20® NR NR
Elia et al. Crossover 48

Fixed escalating doses:

MPH, 25–90 mg/day

d-AMF, 10–45 mg/day

MPH produced greater reductions in motor activity than d-AMF

Considerable individual differences in responses between the drugs observed

Insomnia and appetite disturbance were common for both drugs

Both drugs were significantly worse than placebo for overly meticulous behavior

Nervous habits and mannerisms significantly worse than placebo for MPH only

38/48 (79) 42/48 (88)
Elia et al. Crossover 33

Fixed escalating doses:

MPH, 25–90 mg/day

d-AMF, 10–45 mg/day

Patients attempted more mathematics and reading tasks on either drug

Percent correct for mathematics tasks improved for d-AMF only

Moderate, transient adverse events, including appetite suppression and insomnia, were common for both drugs NR NR
Efron et al. Crossover 125

Fixed daily dose:

MPH, 0.6 mg/kg

d-AMF, 0.3 mg/kg

On Conners’ Teacher Rating Scale, response was superior for MPH for conduct problems and hyperactivity factors

On parent-rating scale, MPH was superior for anxiety; 46% chose MPH as the preferred drug, 37% chose d-AMF as the preferred drug

Only one non-responder to both drugs by three outcome measures

d-AMF caused appetite loss

Insomnia and negative emotional symptoms worse for AMF than MPH

90/125 (72) 85/125 (68)
Pelham, Aronoff et al. Crossover 25

Fixed daily doses:

Ritalin®, 10, 17.5 mg

Adderall®, 7.5, 12.5 mg

In the context of an intensive summer treatment program, the tested doses of Adderall® produced greater improvement than those of Ritalin® on many measures of behavior in social and classroom settings

The lower dose of Adderall® was comparable with the higher dose of Ritalin®

Treatment recommendations: Adderall®, 7.5 mg, 11/25; 15 mg, 2/25; Adderall® 7.5 mg or Ritalin® 10 mg, 3/25; Ritalin®, 17.5 mg, 4/25, neither (i.e. intensive behavioural therapy only)

Averaged across all medication days, more evidence of loss of appetite and trouble sleeping for the high-dose Adderall® treatment  16/25b (64)  7/25b (28)
Pelham, Gnagy, et al. Crossover 21

Fixed daily doses:

MPH, 0.9, 0.75, 0.3 mg/kg

Adderall®, 0.6, 0.45, 0.3 mg/kg

In the context of an intensive summer treatment program, total daily dose of 0.3 mg/kg/day Adderall® equivalent to 0.6 mg/kg/day MPH in daily rates of behaviors in classroom and social settings. Treatment recommendations: MPH, 4/21, Adderall®, 6/21, 6/21 either drug, 5/21 neither (i.e. intensive behavioural therapy only) Reports of appetite loss and trouble sleeping for both drugs when administered in the afternoon  10/21b (48) 12/21b (57)
Castellanos et al. Crossover 45

Fixed escalating daily doses:

MPH, 25–90 mg

d-AMF, 10–45 mg

MPH and d-AMF produced similar improvements in continuous performance test omission and commission errors -- NR NR
Sharp et al. Crossover 42

Adjusted daily doses:

MPH, 10–70 mg

d-AMF, 5–30 mg

Mean beneficial effects of MPH and d-AMF similar for all ratings

Mean adverse effects of MPH and d-AMF similar

Loss of weight significantly greater for d-AMF than MPH

26/32 (81)  27/32 (84)
Pliszka et al. Parallel group 58

Adjusted mean daily doses:

MPH, 25.2 mg

Adderall®, 12.5 mg

Classroom inattentive and oppositional symptoms and CGI-I: both MPH and AMF superior to placebo

Adderall® significantly superior to MPH in teacher ratings and CGI-I

Beneficial effects of Adderall® persisted longer than MPH

Neither drug affected weight

Greater number of patients on Adderall® reporting stomach ache or sadness/tearfulness not significant after correction for multiple tests

13/20 (65) 18/20 (90)
Wilson et al. Crossover 35

Fixed daily doses:

Concerta®, 72 mg

Adderall XR®, 30 mg

Functional impairment composite score: Concerta® and Adderall XR® better than placebo; no difference between Concerta® and Adderall XR®

Visual impairment and response inhibition: Concerta® only better than placebo, no difference between Concerta® and Adderall XR®

 
--  NR NR

ADHD, attention-deficit/hyperactivity disorder; CGI-I, Clinical Global Impressions-Improvements; d-AMF, dexamfetamine; MPH, methylphenidate; NR, not reported

aDose was either fixed as a single dose, dose by body weight or dose escalation, or optimized based on efficacy and the emergence of adverse events

bBased on treatment recommendations at the end of the study

 

References:

Adapted from:
Hodgkins P, Shaw M, Coghill D, Hechtman L. Amfetamine and methylphenidate medications for attention-deficit/hyperactivity disorder: complementary treatment options. Eur Child Adolesc Psychiatry. 2012;21(9):477-492. doi:10.1007/s00787-012-0286-5