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How to Choose the Best ADHD Medication for Adults With Anxiety and Depression
If a person suffers from both ADHD and depression or anxiety, treating one condition often improves the other. Mental health professionals prescribe antidepressants, stimulants for depression or antidepressants along with ADHD medication.
Wellbutrin (bupropion) and Effexor, (venlafaxine), are the two most common antidepressants prescribed to treat ADHD "off-label". These medications boost levels of the neurotransmitters norepinephrine as well as dopamine, which aid in improving concentration.
1. Methylphenidate
Methylphenidate is the most common adhd medications popular medication for adults suffering from ADHD or anxiety depression. It's part of a group known as central nervous stimulants. It affects the quantity of certain natural substances inside your brain. It can be taken in the form of a tablet, liquid, chewable tablets or extended-release capsules. It can be administered through the skin.
It is not uncommon for people with ADHD to have co-occurring mood disorders like anxiety or depression. It is important that you inform your doctor if you have anxiety or depression because certain medications, including stimulants can cause them to worsen. In certain situations you may have to take both stimulants and anti-anxiety medication.
Methylphenidate may cause headaches and stomachaches. It may also raise your heart rate and blood pressure, so you should keep regular appointments with your physician to monitor these. It may also trigger facial ticks (uncontrollable, rapid movements of the face). People suffering from phenylketonuria (a genetic condition) who have trouble metabolizing the chemical phenylalanine shouldn't take it. It is also dangerous to take during pregnancy or nursing, so inform your doctor whether you are pregnant or plan to become pregnant.
When taking methylphenidate, you should not operate a vehicle or operate machinery. It can cause dizziness as well as blurred vision. Drink plenty of fluids when taking this medication. If you are having difficulty swallowing tablets, consult your physician about extended-release capsules, or orally disintegrating tablets. It is not recommended to crush or chew these medicines, so if you have difficulty eating solid foods, talk to your doctor about liquid medications that can be mixed with soft foods or drinks, such as yogurt, applesauce or pudding.
2. Lisdexamfetamine
Lisdexamfetamine (LDX) is a medication that belongs to the family of central nervous system stimulants. It affects the amount of certain natural substances within the brain. It is used to treat the condition of attention deficit hyperactivity disorder in adults and children aged 6 years and over. It can also be used to treat binge-eating disorder in adults.
Adults with ADHD often have comorbid anxiety and depression. It is important to treat these issues in order to be more comfortable and perform at their best, both at work and at home. Certain medications that are commonly used to treat mental health issues may interact with ADHD medication, so it is important to disclose any other medical issues you may have.
Depression and anxiety are both complicated disorders, because they are characterized by many symptoms. Some antidepressants, such as Wellbutrin (bupropion) or Effexor (venlafaxine) are frequently used to treat these conditions and can help enhance focus and concentration in those suffering from ADHD/ADHD. They usually work by increasing the amount of neurotransmitters within the brain, and have a low risk of misuse and abuse.
In studies of LDX in adults with ADHD and depression or anxiety, the medication showed promising results. It decreased the symptoms of depression and anxiety and also improved ADHD ratings and executive function measurements. It was also safe to use.
It is important to tell your doctor if you are taking any other medication, including MAO inhibitors such as isocarboxazid (Marplan) and linezolid (Zyvox) as well as the methylene blue, the phenelzine (Nardil) selegiline (Eldepryl, Emsam, Zelapar), and tranylcypromine (Parnate). These medications should not be taken for 14 days after the use of lisdexamfetamine. You should also let your doctor know if are allergic to lisdexamfetamine, or any other ingredients in the medication.
3. Atomoxetine
Atomoxetine (Strattera) is a non-stimulant ADHD medication that is also used to treat depression. It is thought to work by blocking the reuptake neurotransmitter. The drug increases levels of this chemical in the brain, which can increase alertness, reduce anxiety, and depressive symptoms. This medication should not, however, be used on its own to treat anxiety disorders. Instead it is recommended that a person receives treatment from a certified psychiatrist or therapist.
A number of studies have been conducted to evaluate the effects of atomoxetine on patients suffering from ADHD and other anxiety disorders that are comorbid. These studies include nine controlled trials that were randomized as well as two post-hoc analyses of subgroups. In the majority of cases, both improvement in symptom and cognition function were better measured with atomoxetine than placebo. It is important to remember that the sample size in these studies was small.
Some of the side effects associated with this medication include abdominal pain as well as rapid heart rate. These side effects are usually minimal and aren't a problem for all people who take this medication. In some instances, people who take atomoxetine experience thoughts of suicide. These thoughts were observed in short-term clinical trials involving children and adolescents taking the medication. These trials did not lead to suicides.
Like stimulants, atomoxetine can be effective in treating the comorbidity of ADHD and anxiety. In a recent study atomoxetine was more effective than a placebo when treating adults suffering from social anxiety disorder and getting adhd medication uk. This is a promising result that suggests that this medication could be effective in treating ADHD and anxiety when combined with other treatments for both disorders. It will take more studies to determine if atomoxetine may be effective in other forms of anxiety disorders that are comorbid.
4. Bupropion
Bupropion, a nonstimulant drug increases the amount of noradrenaline that is found in the brain. This chemical is responsible for transmitting messages between brain cells. Its increase can assist in focusing and controlling impulses. Your doctor might recommend the drug in capsules, usually taken once or twice a day. There are also some serious side effects like suicidal thoughts or liver damage.
Anxiety is a disorder that causes intense, persistent fear and anxiety. It can cause symptoms such as headaches, stomachaches and breath shortness, and feelings such as anxiety or dread. People suffering from anxiety disorders frequently struggle to manage their symptoms, despite attempts to reduce their symptoms.
Some people suffering from ADHD also develop anxiety. The condition can cause emotional and relationship problems, as well as low self-esteem. Untreated ADHD symptoms, like forgetfulness and impulsiveness, can lead to feelings of frustration and inability.
Stimulants like lisdexamfetamine and methylphenidate can help ease anxiety symptoms, as can non-stimulant drugs like atomoxetine (Strattera) and viloxazine (Qelbree). High blood pressure medications such as clonidine (Kapvay) and guanfacine (Intuniv, Tenex) may also be used to treat ADHD in adults, but these medications work differently than stimulants.
While antidepressants aren't approved by the FDA to treat ADHD, your doctor may prescribe them as a single drug or together with a stimulant, but they typically aren't used in teenagers and children. Psychotherapy is a different treatment option. This involves talking to an expert in mental health, and can be effective in treating anxiety and ADHD together. Changing your routine and lifestyle can help manage these disorders. You can, for example try meditation or yoga, managing your sleep and stress levels and adding exercises into your daily routine.
5. Tricyclic antidepressants
A mental health professional might recommend antidepressants as part of your treatment. They aren't approved by the FDA to treat ADHD however they can sometimes improve symptoms of anxiety and depression when used in conjunction with stimulants. Antidepressants boost levels of serotonin as well as norepinephrine in your brain, which can help improve depressive symptoms and anxiety. Selective serotonin reuptake inhibitors such as fluoxetine(Prozac), citalopram(Celexa) and escitalopram(Lexapro), increase levels of the neurotransmitter Serotonin within your brain to boost your mood and decrease anxiety. Serotonin-norepinephrine reuptake inhibitors -- such as mirtazapine (Remeron) and nefazodone (Serzone) -- also lift your mood by increasing the amount of norepinephrine and serotonin that your brain's chemical messengers release. Tricyclic antidepressants were originally developed to treat schizophrenia, but they were later discovered to have powerful antidepressant properties. These medicines include imipramine (Tofranil) and amitriptyline (Elavil) and nortriptyline (Pamelor).
Tricyclics can also help sleep, lower blood pressure and lower the sensitivity of a person to sound. They can cause drowsiness so people who are taking them should stay away from driving or operating machinery that could be dangerous until they are aware of how they will react to the medication.
Exercise taking enough rest and eating a diet rich in fruits, vegetables and whole grains could all aid in reducing adhd medication for adults uk and anxiety symptoms. Mindfulness practices and other forms of therapy like cognitive behavioral therapy can also reduce stress and increase happiness. And, if you're struggling with managing your anxiety and adhd medication and pregnancy, Klarity can connect you with licensed professionals for easy, cost-free online mental health services. Find out more about it and schedule an appointment today.