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Clarification: NPs prescribing medications to treat ADHD


Jan 24, 2019

BCCNP has received numerous queries from nurse practitioners seeking clarification on their prescribing authority for medications used to treat Attention Deficit Hyperactivity Disorder (ADHD). This notice confirms it is within the scope of practice for NPs to prescribe most medications used to treat ADHD in both adults and children. Prescribing includes both initiation and continuation of a prescription. See table below for further details.

DrugIs it within scope of practice for NPs to prescribe?Comments

Methyphenidate

(such as Ritalin, Concerta, Biphentin, Fosquest)

Yes for both children and adults

 

 

Dextroamphetamine (such as Dexedrine)

Yes for both children and adults

 

Atomoxetine (such as Straterra)

Yes for both children and adults

 

Guanfacine (such as Intuniv)

Yes for both children and adults

 

Mixed Amphetamine and Dextroamphetamine (such as Adderall)

Yes for children.

No for Adults.

There is a Federal restriction on prescribing amphetamines for adults with ADHD.

BCCNP is seeking clarification to determine how the current Federal restriction on amphetamines applies to this drug. Please contact practice@bccnp.ca for further information.

Lisdexamfetamine Dimesylate (such as Vyvanse)

Yes for both children and adults

 

 

NPs only prescribe drugs that they are authorized and competent to prescribe. NPs consult and refer as appropriate.

Please note

Before prescribing ADHD medications, NPs must have met the standards, limits and conditions for prescribing controlled drugs and substances.

For more information about the BCCNP Standards, Limits and Conditions for prescribing and other applicable standards see Scope of Practice for Nurse Practitioners.

Questions?

If you have questions or need further clarification, please contact practice@bccnp.ca.

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