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Table 1 Treatment options for ADHD in children and adolescents in Germany (D) and the United Kingdom (UK): product availability and acquisition cost

From: Impact of Attention-Deficit/Hyperactivity Disorder (ADHD) on prescription dug spending for children and adolescents: increasing relevance of health economic evidence

Active compound

Formulation

Abbreviation

Trade name

Manufacturer

Authorization1

Cost per treatment day2

     

UK/D

UK

D

Assumption

Dexamphetamine sulphate

Tablets (5 mg)

DEX

DexedrineR

UCB (Celltech)

≤ 2000

£ 0.43

n.a.

20 mg/d

Methylphenidate hydrochloride

Immediate-release tablets (10 mg)

MPH-IR-o

RitalinR

UK: Cephalon; D: Novartis

≤ 2000

£ 0.56

€1.58

30 mg/d (DDD), divided in three daily doses

Methylphenidate hydrochloride

Immediate-release tablets (5, 10, 20 mg)

MPH-IR-b

Branded Generics: EquasymRMedikinetR

UCB (previously Celltech); Medice (D only)

≤ 2000

£ 0.52

€1.41

30 mg/d (DDD), divided in three daily doses

Methylphenidate hydrochloride

Immediate-release tablets (5, 10, 20 mg)

MPH-IR-g

Generics (misc. non-proprietary)

1A, TAD, et al.

 

£ 0.38

€1.13

30 mg/d (DDD), divided in three daily doses

Methylphenidate hydrochloride

Modified-release tablets (18, 36, 54 mg)

MPH-MR12

ConcertaR XL (OROS delivery system)

Janssen-Cilag

UK: 2002 (Feb., 19)

£ 1.23

€2.94

36 mg/d (administered once daily)

Methylphenidate hydrochloride

Modified-release capsules (10, 20, 30, 40 mg)

MPH-MR08 (note different formulations)

EquasymR XL (biphasic Diffucaps delivery system);

UCB (previously Celltech);

UK: 2005 (Feb., 11); D: mutual recognition May 2006

£ 1.17

 

30 mg/d (administered once daily)

   

MedikinetR retard

Medice (D only)

D: January 2005

 

€2.46

 

Atomoxetine hydrochloride

Hard capsules (10, 18, 25, 40, 60 mg)

ATX

StratteraR

Eli Lilly

UK: 2004 (May, 27);

D: May 2005

£ 1.95

£ 3.80

€3.88

€7.76

(once daily. administration)

(administration divided in two daily doses)

  1. 1First authorization in UK, from electronic Medicines Compendium, available online at http://emc.medicines.org.uk, accessed August 12, 2005.
  2. 2NHS acquisition costs (not accounting for negotiated procurement discounts in some settings), taken from British National Formulary 51, March 2006 [75]; note that individual doses and thus costs may vary. German data retrieved from "Gelbe Liste", July 2006 [76]. Note that, at the time of printing this paper, in Germany reference prices have been proposed for products containing methylphenidate as the active ingredient.