No. We never prescribe stimulant medication remotely, without exception. That covers methylphenidate, lisdexamfetamine and dexamfetamine, and it applies whether or not you already have a diagnosis and whether or not you have taken them before.
These are controlled drugs. Starting and titrating them requires baseline cardiovascular assessment, in-person monitoring and shared-care arrangements that a remote private service is not the right setting for. Any service offering them on a first remote appointment is cutting a corner that exists for a reason.
What we can do
- Discuss whether ADHD is a reasonable explanation for what you are experiencing, and what else might be — thyroid disease, iron deficiency, sleep apnoea, anxiety and perimenopause all produce overlapping symptoms and are all checkable
- Arrange the blood tests that exclude those, which is genuinely worth doing before a long assessment wait
- Write a referral letter for a formal ADHD assessment, privately or to support a request to your NHS GP
- Discuss non-stimulant options and practical strategies while you wait
If you are already diagnosed
We cannot take over your stimulant prescribing. That has to stay with the service that holds your shared-care agreement. We can help with everything around it — other health problems, letters, and coordination.