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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 of the conditions often improves the other. Mental health professionals often prescribe antidepressants or stimulants for depression along with an ADHD medication.
Wellbutrin (bupropion) and Effexor (venlafaxine) are the most commonly used antidepressants prescribed "off-label" for ADHD. These medications boost the levels of neurotransmitters dopamine as well as norepinephrine. They also improve concentration.
1. Methylphenidate
Methylphenidate is the top choice medication for adults with ADHD or anxiety depression. It is in a class of medicines known as central nervous system stimulants. It is a drug that alters the amount of certain natural substances in your brain. It is available in the form of a liquid, chewable tablet or an extended-release capsule. It is able to be administered via the skin.
It is not uncommon for people who suffer from ADHD also to suffer from mood disorders such as anxiety or depression. It is important to inform your doctor about any depression or anxiety you may have. Certain medications, specifically stimulants can make these disorders worse. In certain instances, you may need to take both a stimulant and an anti-anxiety medication.
Methylphenidate can cause 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 tics (quick, uncontrollable movements in your face). People suffering from phenylketonuria (a genetic condition) who have trouble metabolizing the chemical phenylalanine shouldn't take it. It is also dangerous to use during pregnancy or while breastfeeding. It is important to inform your doctor if you are planning to become pregnant.
You should not drive or operate machinery while taking methylphenidate. It can cause dizziness as well as blurred vision. It is important to drink plenty of fluids when you take it. If you experience difficulty taking tablets, ask your doctor about extended-release capsules or oral disintegrating tablets. Do not crush or chew these medications. If you're having trouble eating solid foods, ask your physician about liquid medicines that can be added to soft food or drinks, such as applesauce yogurt, or pudding.
2. Lisdexamfetamine
Lisdexamfetamine is a medication that belongs to the central nervous system stimulant family. It affects the levels of certain natural substances in the brain. It is used to treat the condition of attention deficit hyperactivity disorder in children and adults who are six years old and up. It can also be used to treat binge eating disorder in adults.
Adults suffering from ADHD are frequently afflicted with anxiety and depression disorders. It is important to treat these disorders to help them be more comfortable and perform at their best both at work and at home. Some drugs that treat mental illnesses may interfere negatively with ADHD medication. It is essential to be open about any other medical concerns.
Depression and anxiety can be complicated, as they both involve a wide range of symptoms. Some antidepressants, such as Wellbutrin (bupropion) or Effexor (venlafaxine), are frequently used to treat these disorders, and they can improve concentration and focus for people suffering from ADHD or ADHD. They are effective by increasing the amount of neurotransmitters in the brain. adhd depression medication are low-risk for abuse and misuse.
The medication produced promising results in studies conducted with people suffering from ADHD, anxiety or depression. It reduced the symptoms of depression and anxiety and also improved ADHD ratings and executive function measurements. It was also safe to use.
Tell your doctor about any other medications are being taken for example, MAO inhibitors, like isocarboxazid and linezolid, Methylene blue (Nardil) and phenelzine. selegiline, Emsam (Zelapar), or tranylcypromine. These medications should not be consumed for 14 days following 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, also called Strattera, is a nonstimulant ADHD medication used to treat depression. It is thought to work by blocking the reuptake neurotransmitter. The drug boosts levels of this chemical within the brain, which can increase alertness, decrease anxiety and depression symptoms. It is important to note that this medication should not be used as a treatment on its own for anxiety disorders. Instead it is recommended that patients seek treatment from a licensed psychiatrist and/or therapist.
There have been a variety of studies conducted to assess the effects of atomoxetine on patients with ADHD and anxiety disorders. These studies include nine randomized controlled trials as well as two post-hoc analyses of subgroups. In the majority of cases the results showed that atomoxetine was superior to placebo on both measures of improvement in symptom severity and cognitive function. However it is important to keep in mind that the overall number of participants in these studies was limited.
Some of the side effects associated with this medication include abdominal pain as well as rapid heart rate. These effects are usually minor and are not seen in everyone who takes the medication. In some cases, people who take atomoxetine experience thoughts of suicide. These thoughts were reported in short-term clinical trials of adolescents and children taking the medication. However, suicides did not occur in these trials.
As with stimulants, atomoxetine can also be effective in treating comorbid ADHD/anxiety. In fact the results of an investigation of adults with ADHD and social anxiety disorder, atomoxetine was found to outperform the placebo. This is a promising result which suggests that this drug may be effective in treating ADHD and anxiety when paired with other treatments. Further research is needed to determine whether the atomoxetine medication can be used effectively to treat other forms of comorbid anxiety disorders.
4. Bupropion
Bupropion, a non-stimulant drug, boosts the chemical noradrenaline within the brain. The chemical is responsible for transmitting messages between brain cells and increasing it can aid concentration and control impulses. This medication is typically prescribed in capsule form and is taken once or twice daily by your doctor. There are some serious side effects, such as suicidal thoughts or liver damage.
Anxiety is a disorder that can cause extreme fear and restlessness. It can cause symptoms like stomachaches, headaches shortness of breath, as well as feelings of dread or panic. Many people suffering from anxiety disorders struggle to manage their symptoms despite trying to lessen the severity of their symptoms.
People with ADHD may develop anxiety, as well. The condition can cause problems with relationships and emotions as well as a lack of self-esteem. The symptoms of untreated ADHD like inattention deficit, forgetfulness, and impulsive behavior -can also result in feelings of disappointment or failure.
Stimulants like lisdexamfetamine and methylphenidate can ease anxiety symptoms, as do non-stimulant medications like Atomoxetine (Strattera) and viloxazine (Qelbree). High blood pressure medications like clonidine (Kapvay) and Guanfacine (Intuniv, Tenex) may also be prescribed for ADHD in adults, but these medications work differently than stimulants.
Although antidepressants haven't been approved by the FDA to treat ADHD Your doctor could prescribe them alone or together with a stimulant, but they typically aren't used in adolescents or children. Psychotherapy is a third treatment option. It involves speaking with an expert in mental health, and can be effective in treating anxiety and ADHD together. Making changes to your routine and habits can help you manage these issues. You could, for instance, try meditating or doing yoga, regulating your sleep and stress levels and including exercises into your daily routine.
5. Tricyclic antidepressants
In some instances the mental health professional may suggest antidepressants as part of your treatment program. They're not approved by the FDA to treat ADHD but they may sometimes help alleviate symptoms of depression and anxiety if taken alongside stimulants. Antidepressants boost serotonin levels and norepinephrine production in the brain. They therefore can help to alleviate anxiety as well as depressive symptoms. Selective serotonin-reuptake inhibitors -like fluoxetine (Prozac), citalopram (Celexa) and escitalopram (Lexapro) -boost the levels of the neurotransmitter serotonin to boost your mood and reduce 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 initially developed as antipsychotics, but later discovered to have powerful antidepressant effects. These medicines include imipramine (Tofranil), amitriptyline (Elavil) and nortriptyline (Pamelor).
Tricyclics also decrease a person's sensitivity to noise, increase sleep quality and lower blood pressure. Tricyclics can cause sleepiness. Patients taking them shouldn't operate or drive on dangerous equipment until they are sure of what reaction they'll have to the medication.
Exercise, getting enough rest and eating a diet rich in vegetables, fruits and whole grains could all help improve ADHD and anxiety symptoms. Mindfulness-based practices and other types of therapy like cognitive behavior therapy can also reduce stress and increase happiness. If you're struggling with managing your anxiety and ADHD, Klarity can connect you with licensed professionals for easy, cost-free online mental health services. Find out more about our services and book an appointment today.
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