In short: Children with ADHD may be prescribed methylphenidate (Ritalin, Concerta and generics), lisdexamfetamine (Vyvanse, for children aged 6+) or atomoxetine (Strattera). Medication is usually combined with behavioural and school support.
Educational content only. auDHD.co.za is written by members of the neurodivergent community, not medical professionals. We are not registered with the HPCSA. Nothing here is a diagnosis or medical advice — please speak to a registered psychologist, psychiatrist or doctor. Full disclaimer.
Deciding on ADHD medication for kids is a big decision. This guide helps you prepare questions for your child’s doctor — it does not replace their advice.
Who prescribes?
In South Africa, ADHD medication for children is usually started by a paediatrician or child psychiatrist. Stimulants are Schedule 6 and need a new prescription every 30 days.
Options
| Medicine | Type | Lasts |
|---|---|---|
| Ritalin and generics | Short-acting stimulant | 3–4 hours |
| Ritalin LA, Medikinet MR, Methycap LA | Modified-release stimulant | About 8 hours |
| Concerta, Meglarat PR | Extended-release stimulant | 10–12 hours |
| Vyvanse, Vyfocis | Stimulant prodrug (age 6+) | Up to 13 hours |
| Atomoxetine (Strattera and generics) | Non-stimulant | All day |
See current prices in the ADHD medication guide.
Side effects to watch for
- Reduced appetite — track weight and height
- Trouble falling asleep
- Stomach aches and headaches
- Irritability or tearfulness as the dose wears off
- With atomoxetine: mood changes — report them promptly
Questions to ask the doctor
- Which option suits my child’s school day?
- How will we monitor growth, heart rate and blood pressure?
- What should I do about weekends and holidays?
- Is a generic or formulary option suitable?
More for parents: Kids & Parents hub · Find a professional or school · Parents newsletter
Sources & further reading
- American Academy of Pediatrics — ADHD clinical practice guideline (2019)
- NICE NG87 — ADHD
- Medicine Price Registry via medicineprices.org.za
Last checked: 31 October 2026. If you spot something out of date, tell us.