Regulatory status of methylphenidate for adults with ADHD across Europe
June 29, 2024
Regulatory status of methylphenidate for adults with ADHD across Europe
https://i.redd.it/eirgs8z2dg9d1.jpeg
by BlitzOrion
33 comments
Ritalin/Concerta.
Why would certain countries not prescribe to adults? Is it due to addiction?
Not true. I take Ritalin and live in France I’m 44.
Some people would argue that the pendulum is swung the other way in America when it comes to ADHD medications being prescribed.
I live in Ireland and it’s a pain in the ass to get any meds. Psychiatrists will most likely misdiagnose you with depression and put you on antidepressants. You have to fork out around €600+ to get a private diagnosis.
Italians self medicate with coffee
This is not accurate, ritalin is now allowed for adults in Italy since October of last year. It’s totally absurd that it took so long but that’s a whole other story.
Why would some country not allow a medication, unless you start since when you were a kid? That makes no sense
Why does Serbia own montenegro
It is correct for Slovenia, but in the past years, methylphenidate is being prescribed to adults as well. It is considered off-label but with appropriate argument can be prescribed nonetheless.
Map is wrong on Estonia.
I got my ritalin above 18 in Slovenia lol this is outdated asf
In fact I now have access to elvanse* and will probably switch so yeah
edit: I may have access to it, according to the central drug database it is coming soon, might switch soon as it is longer lasting and works better for my adhd from my experience
Hungary: Only some doctor can prescribe that for an adult, you have to wait 1-2 years to visit one. General psychiatrist can say only say “it seems adhd” and prescribe atomoxetine only. It is not bad medicine but there is a shortage.
In France, approval for adults has changed in October 2022.
There is no adhd in Italy.
In Romania, I got it prescribed in 2022 as an adult, it’s just less common.
Not true for Greece. I got diagnosed and medicated as an adult (ritalin/concerta)
Not true, I got prescribed ritalin when I was 28 and never had methylphenidate before (France)
“Not approveda!”
– Lionfeld
You definitely can get ritalin as an adult here.
Greatest map ever. Third Yugoslavia ftw!
Map’s wrong for Malta/Cyprus. They should both be green, though Cyprus only allowed Concerta (at least up until I left it 2021).
The most frustrating part is when you travel between those countries. Even if they are green, you still need te have a official statement and sometimes even official permission form the country you are visiting.
Moldova is green now 😃
Methylphenidate, Methylphenidate Methylphenidate, próspero año y felicidad.
Map is wrong for Yugoslavia
Serbia has reconquered Montenegro and Kosovo, it seems
But Russia has been split into two new states, which is fun
What are you talking about? I’m in Romania. Got diagnosed and prescribed concerta 2 months ago, at 34.
Is this like a map from 15 years ago or something?
This is not true in France.
Source: I take it, and am older than 18.
What is that line on the map which goes from Finland’s eastern border to southeast across Russia?
I’m mid thirties and last year I finally got diagnosed with inattentive adhd after me complaining/explaining to my parents and doctors since my teens I couldn’t concentrate on my studies and they were like “oh but you’re not hyperactive, you can sit still, it’s not adhd”. Started with methylphenidate for 4 months and didn’t help, started yesterday with Elvanse 50mg and it’s amazing, i can finally function.
Pharmacist in Bulgaria. I got a warning from authorities after filling a Concerta for an adult diagnosed in the US. Since the adult dosage is registered but on permanent backorder the prescriber just used the commonly used children’s dosage and doubled it to adapt it for the patient.
Therapeutically that’s totally fine. According to authorities I should have rejected it. Only thing that saved me from getting a hefty fine was that the woman called and asked them beforehand and someone in there said it’s not a problem.
On another note, I spoke with a psychiatrist who specialises in ADHD. According to him it’s impossible for adults to have it. That’s also how it’s written in our guidelines.
Why no Montenegro?
This map from 2006 or before? Look at Serbia and Montenegro/Federal Republic of Yugoslavia.
33 comments
Ritalin/Concerta.
Why would certain countries not prescribe to adults? Is it due to addiction?
Not true. I take Ritalin and live in France I’m 44.
Some people would argue that the pendulum is swung the other way in America when it comes to ADHD medications being prescribed.
I live in Ireland and it’s a pain in the ass to get any meds. Psychiatrists will most likely misdiagnose you with depression and put you on antidepressants. You have to fork out around €600+ to get a private diagnosis.
Italians self medicate with coffee
This is not accurate, ritalin is now allowed for adults in Italy since October of last year. It’s totally absurd that it took so long but that’s a whole other story.
Why would some country not allow a medication, unless you start since when you were a kid? That makes no sense
Why does Serbia own montenegro
It is correct for Slovenia, but in the past years, methylphenidate is being prescribed to adults as well. It is considered off-label but with appropriate argument can be prescribed nonetheless.
Map is wrong on Estonia.
I got my ritalin above 18 in Slovenia lol this is outdated asf
In fact I now have access to elvanse* and will probably switch so yeah
edit: I may have access to it, according to the central drug database it is coming soon, might switch soon as it is longer lasting and works better for my adhd from my experience
Hungary: Only some doctor can prescribe that for an adult, you have to wait 1-2 years to visit one. General psychiatrist can say only say “it seems adhd” and prescribe atomoxetine only. It is not bad medicine but there is a shortage.
In France, approval for adults has changed in October 2022.
There is no adhd in Italy.
In Romania, I got it prescribed in 2022 as an adult, it’s just less common.
Not true for Greece. I got diagnosed and medicated as an adult (ritalin/concerta)
Not true, I got prescribed ritalin when I was 28 and never had methylphenidate before (France)
“Not approveda!”
– Lionfeld
You definitely can get ritalin as an adult here.
Greatest map ever. Third Yugoslavia ftw!
Map’s wrong for Malta/Cyprus. They should both be green, though Cyprus only allowed Concerta (at least up until I left it 2021).
The most frustrating part is when you travel between those countries. Even if they are green, you still need te have a official statement and sometimes even official permission form the country you are visiting.
Moldova is green now 😃
Methylphenidate, Methylphenidate
Methylphenidate, próspero año y felicidad.
Map is wrong for Yugoslavia
Serbia has reconquered Montenegro and Kosovo, it seems
But Russia has been split into two new states, which is fun
What are you talking about? I’m in Romania. Got diagnosed and prescribed concerta 2 months ago, at 34.
Is this like a map from 15 years ago or something?
This is not true in France.
Source: I take it, and am older than 18.
What is that line on the map which goes from Finland’s eastern border to southeast across Russia?
I’m mid thirties and last year I finally got diagnosed with inattentive adhd after me complaining/explaining to my parents and doctors since my teens I couldn’t concentrate on my studies and they were like “oh but you’re not hyperactive, you can sit still, it’s not adhd”. Started with methylphenidate for 4 months and didn’t help, started yesterday with Elvanse 50mg and it’s amazing, i can finally function.
Pharmacist in Bulgaria. I got a warning from authorities after filling a Concerta for an adult diagnosed in the US. Since the adult dosage is registered but on permanent backorder the prescriber just used the commonly used children’s dosage and doubled it to adapt it for the patient.
Therapeutically that’s totally fine. According to authorities I should have rejected it. Only thing that saved me from getting a hefty fine was that the woman called and asked them beforehand and someone in there said it’s not a problem.
On another note, I spoke with a psychiatrist who specialises in ADHD. According to him it’s impossible for adults to have it. That’s also how it’s written in our guidelines.
Why no Montenegro?
This map from 2006 or before? Look at Serbia and Montenegro/Federal Republic of Yugoslavia.