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How to Choose the Best ADHD Medication for Adults With Anxiety and Depression
When a person suffers from both ADHD and anxiety or depression, treating the first condition can often improve the second. Mental health professionals prescribe antidepressants, stimulants for depression, or antidepressants in conjunction with ADHD medication.
Wellbutrin (bupropion) and Effexor (venlafaxine) are the most frequently used antidepressants prescribed "off-label" for ADHD. These medications increase the levels of neurotransmitters dopamine and norepinephrine. They also help improve concentration.
1. Methylphenidate
Methylphenidate is the most popular medication for adults suffering from ADHD, anxiety, or depression. It is part of a class called central nervous stimulants. It affects the quantity of certain natural substances inside your brain. It can be taken as a tablet, liquid chewable tablets, or extended-release capsules. It can also be administered through the skin.
It is not uncommon for people who suffer from ADHD also to be afflicted by mood disorders like depression or anxiety. You should inform your doctor about any depression or anxiety you might be suffering from. Some medications, particularly stimulants, can make these conditions worse. In certain situations it is possible to take an anti-anxiety medication and a stimulant medication.
Methylphenidate may cause adverse effects, such as headaches and stomachaches. It may also raise your blood pressure and heart rate and you should make regular appointments with your physician to monitor these. It can also cause facial ticks (uncontrollable rapid movements of the face). It should not be taken by those with a genetic condition called phenylketonuria, who have trouble processing the chemical phenylalanine. It is also dangerous to take during pregnancy or nursing. adhd medications for adults should tell your doctor if you are planning to get pregnant.
You shouldn't operate machinery while taking methylphenidate. It can cause blurred vision, dizziness and drowsiness. You should drink plenty of fluids when taking this medication. If you have problems taking tablets, ask your doctor about extended-release capsules, or orally disintegrating tablets. You should not crush or chew these medications. If you are having difficulty eating solid foods, consult your doctor about liquid medications that can be mixed into soft foods or drinks, such as applesauce pudding, or yogurt.
2. Lisdexamfetamine
Lisdexamfetamine (LDX) is an antidepressant that is part of the family of central nerve system stimulants. It affects the amount of certain natural substances in the brain. It is used to treat attention deficit hyperactivity disorder in adults and children six years old and older. It is also used to treat binge-eating disorder in adults.
Adults with ADHD often have comorbid depression and anxiety disorders. It is crucial to treat these conditions in order to feel better and perform at their best at work and at home. Some drugs used to treat mental conditions can affect ADHD medication. It is essential to be open about any other medical issues.
Depression and anxiety are both complex disorders, because they are characterized by many symptoms. Certain antidepressants, like Wellbutrin (bupropion) or Effexor (venlafaxine) are commonly used to treat these conditions, and they can enhance focus and concentration in people with ADHD/ADHD. They help by increasing certain neurotransmitters within the brain. They are not at risk for misuse and abuse.
The drug showed promising results in studies conducted with people suffering from ADHD and depression, as well as anxiety. It helped reduce the symptoms of anxiety and depression and also improved ADHD ratings and executive function measures. It was also safe to use.
Tell your doctor about any other medications are being used, such as MAO inhibitors, like isocarboxazid, linezolid, Methylene blue (Nardil) or phenelzine selegiline, Emsam (Zelapar), or tranylcypromine. These medicines should not be used for 14 days following lisdexamfetamine. You should also inform your doctor know if you are allergic to lisdexamfetamine or any other ingredients in the medication.
3. Atomoxetine
Atomoxetine (Strattera) is a nonstimulant ADHD medication that is also used to treat depression. It is believed to work by preventing reuptake of the neurotransmitter norepinephrine. The drug raises levels of this chemical in the brain to improve alertness, reduce anxiety, and depression symptoms. This medication is not to be used as a sole treatment for anxiety disorders. It is recommended that the person seeks treatment from a qualified therapist or psychiatrist.
A variety of studies have been conducted to examine the effects of atomoxetine patients with ADHD and comorbid anxiety disorders. These studies include nine controlled studies that are randomized and two post-hoc subgroup analyses. In the majority of instances, both improvement in symptoms and cognition function were more accurately measured using atomoxetine compared to placebo. However it is important to note that the size of the study was small.
The medication can also cause some adverse effects, including abdominal pain and a fast heart rate. These side effects are usually mild and do not occur in everyone who takes the medication. Some people who use Atomoxetine have expressed thoughts of suicide. These thoughts were observed in short-term clinical trials of adolescents and children who took the drug. However, suicides did not occur in these trials.
Like stimulants, atomoxetine may also be effective in treating co-occurring ADHD and anxiety. In a recent study, atomoxetine was more effective than a placebo for adults suffering from social anxiety disorder and ADHD. This is a promising result that suggests that this medication could be effective in treating ADHD and anxiety when combined with other treatments. It will take more study to determine if atomoxetine may be also effective for other types anxiety disorders that are comorbid.
4. Bupropion
Bupropion is a non-stimulant drug that increases a chemical in the brain known as noradrenaline. This chemical transmits messages between brain cells and increasing it can aid concentration and control impulses. Your doctor might recommend this drug in capsule form which is usually taken one or twice a day. There are some serious side effects such as suicidal thoughts or liver damage.
Anxiety is a disorder that causes intense fear and restlessness. It can trigger symptoms such as stomachaches, headaches and breath shortness, and feelings like dread or fear. People suffering from anxiety disorders frequently struggle to manage their symptoms, despite attempts to lessen them.
People with ADHD may experience anxiety, and. The condition can lead to emotional and relationship problems, as well as low self-esteem. If not treated, ADHD symptoms, like the tendency to forget and impulsiveness can lead to feelings of frustration and failure.
Non-stimulants such as atomoxetine Qelbree and Lisdexamfetamine (methylphenidate) can also assist to ease anxiety symptoms. High blood pressure medication like Clonidine (Kapvay), and guanfacine (Intuniv or Tenex) can also be used to treat ADHD in adults. However, these drugs work differently from stimulants.
Antidepressants may be prescribed by your physician to treat ADHD. They are prescribed either on their own or in combination with stimulants. However, they are not usually prescribed to teenagers and children. Psychotherapy is another treatment option. It involves speaking with a mental health professional, and it's sometimes effective for treating anxiety and ADHD together. Lifestyle and routine changes can also help in managing these disorders. For instance, you can try practicing meditation or yoga or managing stress and sleep habits and incorporating physical exercise into your daily life.
5. Tricyclic antidepressants
In some cases an expert in mental health might recommend antidepressants as a part of your treatment program. These drugs are not FDA approved to treat ADHD however they can help improve depression and anxiety symptoms if used in conjunction with stimulants. Antidepressants boost serotonin levels and norepinephrine production in the brain. They therefore can help to alleviate anxiety and depressive symptoms. Selective serotonin reuptake inhibitors like fluoxetine(Prozac), citalopram(Celexa) and escitalopram(Lexapro), increase levels of neurotransmitter Serotonin in 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, named after the three rings of their chemical structure, were initially created as antipsychotics but were later discovered to possess powerful antidepressant properties. These drugs include imipramine (Tofranil) as well as amitriptyline (Elavil) and nortriptyline (Pamelor).
Tricyclics also decrease the sensitivity of people to noise, increase sleep quality and lower blood pressure. They can cause drowsiness therefore, those who are taking them should stay away from driving or operating equipment that is dangerous until they are aware of how they will react to the medication.
Exercise, getting enough rest and eating a diet rich in fruits, vegetables and whole grains can all help improve ADHD and anxiety symptoms. Mindfulness and other forms of therapy like cognitive behavioral therapy, can also reduce stress. And, if you're struggling to manage your anxiety and ADHD, Klarity can connect you with licensed professionals for affordable, insurance-free online mental health care. Learn more about our services, and then make an appointment today.
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