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ADHD and Anxiety Medication
The effects of stimulants can be exacerbated by anxiety for many people suffering from ADHD. Non-stimulant medications such as atomoxetine, (Strattera), and viloxazine (Qelbree), can help alleviate anxiety as well as ADHD symptoms.
Antidepressants can also reduce anxiety, specifically selective serotonin-reuptake inhibitors such as citalopram (Celexa) and escitalopram (Lexapro). Doctors may also prescribe beta-blockers like propranolol or atenolol. treating adhd without medication can be prescribed either as a first-line treatment or to complement other medication.
Stimulants
Stimulants are drugs that stimulate the central nervous system. They are typically prescribed for ADHD to help those with limited attention spans focus and control their behavior. They can also treat anxiety. They can trigger adverse effects that make them less effective in treating anxiety. It is crucial to discuss this with your doctor before starting medication.
Medications that are considered stimulants include Adderall, Ritalin, and Dexydrine All of which are FDA-approved to treat ADHD. Amphetamines are also in this category, along with pseudoephedrine and methylphenidate. Illicit stimulants are methamphetamine, cocaine, bath salts and MDMA (a synthetic cathinone).
A 2015 meta-analysis found that taking ADHD medications did not worsen anxiety symptoms in children with ADHD and anxiety disorder. This finding was based on several studies that utilized validated scales and prospective methods. It is important to note that these studies were based on open-label studies however, and did not compare the results with a placebo group. Therefore types of adhd medication should be viewed cautiously until more research is conducted with controlled, randomized studies.
In general, stimulants can cause many adverse side effects that may be uncomfortable or potentially dangerous. Some common ones include:
Upset stomach, including nausea and vomiting
Sometimes, stimulants can result in an increased blood pressure or heart rate that could be risky for those with an underlying history of heart disease. They can also reduce appetite, which may cause weight loss. Children and adolescents may also experience a slowing of growth when taking stimulant medications. This effect is usually mild and doesn't affect the final height of a person.
Non-stimulant ADHD medication is prescribed when stimulants do not assist or cause unacceptable adverse consequences. These medications aren't as effective as stimulants, but can be extremely beneficial. They act more gradually, prolonging the activity of brain receptors that are involved in the regulation of behavior and emotions. Atomoxetine is a well-known non-stimulant medication for ADHD, and it has a low chance of addiction or abuse. It is a cautionary drug that it can cause suicidal thoughts in a small proportion of people.
Antidepressants aren't approved by the FDA to treat ADHD however some mental health professionals prescribe them to patients suffering from both ADHD and anxiety. These medications act on the neurotransmitter norepinephrine in order to reduce anxiety, and they can also aid in the treatment of ADHD symptoms like hyperactivity and impulsivity. Antidepressants, such as fluoxetine and paroxetine are commonly used to treat anxiety and ADHD.
Other medications that are employed "off-label" to treat ADHD and anxiety include clonidine which acts on the vagus nerve and guanfacine, which works on a specific brain chemical called norepinephrine.
The use of behavioral therapy can be beneficial for those suffering from ADHD or anxiety, in addition to medication. Cognitive-behavioral (CBT) focuses primarily on teaching techniques to help overcome anxiety and improve functioning. It also assists people in learning to recognize and change unhelpful habits of thinking that contribute to the anxiety.
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