
Post-pandemic surge in prescriptions for ADHD meds costs €30 million
The number of people receiving medication for ADHD under free or subsidised drug schemes has surged by 150% since the beginning of the Covid-19 pandemic, costing more than €30 million in the past five years
A total of 25,715 patients were prescribed medication for the neurodevelopmental disorder on the medical card or other public health schemes last year, compared to 10,327 in 2020.
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The annual cost of the medication, which is most often a stimulant called methylphenidate, also more than doubled during that period, rising from €4.1 million in 2020 to €9.3 million last year.
Last year, 11,357 patients were prescribed drugs for ADHD on the medical card, while 12,105 patients who were medicated for the disorder received reimbursements under the Drugs Payment Scheme (DPS).
A further 2,253 people received medication for ADHD under the Long-Term Illness (LTI) scheme.
Galway was the Local Health Office (LHO) area with the highest number of patients who were prescribed ADHD drugs under the medical card scheme last year, with 833. This was followed by Laois-Offaly, where 557 medical-card holders received the medication.
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The LHO area with the highest number of patients who received reimbursements for ADHD medication under the DPS in 2024 was Dublin South East, with 1,261, followed by Dun Laoghaire with 818.
Earlier this year, researchers at the University of Huddersfield and Aston University attributed a reported rise in ADHD diagnoses since the pandemic to increased awareness of the disorder via social media.
They also said there was a 'strong association' between the impact of the pandemic and the worsening of ADHD symptoms, which include inattention, hyperactivity, and emotional dysregulation.
Drugs used to treat the disorder include methylphenidate, which is better known by the brand names Ritalin, Concerta and Delmosart, as well as two other stimulants: dexamfetamine and lisdexamfetamine.
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In April, Government Chief Whip Mary Butler, the minister of state with responsibility for mental health, suggested that a surge in young children with ADHD was driving waiting lists for CAMHS.
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Records released under freedom of information laws show that the number of patients prescribed medication for ADHD on the medical card scheme has increased by 69 per cent since 2020.
The number of people prescribed ADHD on the DPS increased by 655 per cent from 1,604 to 12,105 during the same period, while the number of patients receiving ADHD drugs on the LTI scheme increased by 12 per cent.
The LHO area with the lowest number of patients prescribed medication for ADHD under the medical card scheme last year was West Cork, with 79. It was also the lowest LHO area under the LTI scheme, with seven.
A total of 80 patients on the DPS were prescribed ADHD drugs in Roscommon in 2024, according to the records released by the Health Service Executive (HSE).
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Six ways to improve your grip, by physiotherapist Sarah Milner At home Push-ups These come in many variations, so if they seem intimidating, you can adjust the difficulty by changing the angle, the position of your hands and the distribution of your weight. Start standing with your hands on the wall for a simple push exercise and progress this to the classic horizontal version on the floor. You can make this more challenging by playing with the position of your hands (wider, more narrow) and where your weight goes through (fists, just fingertips). Wet towel wrings Soak a towel in water, then grip and twist it to wring it out. Use both hands, and twist in both directions to improve the strength of your forearm and hand flexor muscles. Pinch grip holds Find the heaviest book in your house and take it between your fingers and thumb in a classic 'pinch grip' position. See how long you can hold it. You can play with the position of your arm (by your side, out in front of your body, above your head) and how bent or straight your elbow joint is. In the gym Dead hangs Try to hold on to a bar as long as your grip will allow you. You can change your hand position to challenge different hand and forearm muscles (neutral, supinated or pronated). This is a great exercise that helps activate your shoulder muscles, which are so important for grip strength. (Confused about those hand positions? If you stand with your arms by your sides, thumbs facing forwards is neutral. Palms facing forwards is supinated. And palms facing back is pronated.) Barbell bent-over rows This is a great multi-muscle exercise; the heavier you go, the harder your arm muscles, shoulders, shoulder blades and core have to work. Make sure you progress the weight steadily, and get a professional to guide you if you're concerned about your form. You can use either a pronated or a supinated grip. Reverse kettlebell above-head shoulder press. Hold on to the handle of an upside-down kettlebell (the ball part should be at the top and handle at the bottom). Try to keep your wrist in a neutral position (and straight) as you complete a strict above-head shoulder press. Try to move slowly and avoid the kettle collapsing down. This will challenge all of your arm and hand muscles as well as improving joint control and stability through the shoulder, elbow and wrist.