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ADHD Stimulant Medication
Stimulants help people with ADHD control their impulsive behavior and focus. They can be short- or long-acting and are prescribed by paediatricians, psychiatrists or neurologists (and GPs in some circumstances).
Stimulants influence dopamine and norepinephrine within the brain. They are tightly controlled and only prescribed by a doctor.
Methylphenidate
Methylphenidate is a drug that belongs to the class of stimulants and stimulates the activity of certain regions of the brain. It increases the levels of certain chemicals, including dopamine and noradrenaline, which helps control the behavior and attention. Methylphenidate can be used to treat ADHD as well as narcolepsy and other conditions. It may also be prescribed to treat depression in adults, although this is not approved by the Food and Drug Administration (FDA). Methylphenidate gets absorbed from the gut into the bloodstream rapidly and can be used within a few hours. types of adhd medication is available as a chewable or immediate-release tablet. The doctor will recommend the most appropriate formulation based on the person's symptoms and the possibility of side effects.
The side effects of methylphenidate tend to be mild and will go away over time as the body becomes accustomed to the medication. If they continue to bother you, talk with your doctor, who can reduce the dosage or suggest an alternative medication. It is important to take the medication exactly as prescribed. Do not overdose the dosage recommended. This reduces the risk of dependence or abuse. The US Drug Enforcement Administration has classified methylphenidate as a Schedule II substance, which means it is extremely susceptible to abuse. These stimulants could cause dependency and withdrawal when not used as directed.
Tell your doctor if your child has heart issues. This could be due to irregular heartbeats, or a history of heart attack. Methylphenidate can increase heart rate, which is why the doctor will check their heart rate and blood pressure before they start treatment. Inform the doctor about any other medications your child is taking such as herbal remedies, vitamins and supplements.
The doctor will tell you how much medicine to take and how often, along with any other precautions. Methylphenidate is best taken twice daily in conjunction with meals. Certain brands of methylphenidate with long-acting tablets (Quillichew ER; Cotempla XR ODT; and Adhansia XR), contain aspartame. Aspartame is an ingredient that contains Phenylalanine and should not be consumed by people suffering from phenylketonuria.
It is essential to avoid the use of alcohol and other substances when taking this drug. Some people may experience a reduction in appetite while taking methylphenidate. If your child is losing weight, you should encourage them to eat regular meals and snacks. They may also need to drink lots of squash or water to stay well-hydrated.
Lisdexamfetamine
Lisdexamfetamine, available under the brand name Vyvanse, is a stimulant for the central nervous system that acts on chemicals in the brain and nerves. It helps improve impulse control and concentration in adolescents, children and adults suffering from ADHD. It also treats BED, also known as binge eating disorder (BED) by increasing levels of dopamine and norepinephrine in the brain, reducing instances of eating disorder that is uncontrolled.
Lisdexamfetamine is a member of the prodrug class of medicines, which are modified to render them inactive until metabolized by the body.27 It has been proven to be safe and well-tolerated in a variety of placebo controlled trials that have demonstrated its efficacy in both stimulant-naive as well as stimulant-exposed patients with ADHD. It is also believed to have a longer lasting effect than other stimulants and may have fewer rebound symptoms.
In a 12-week study that was placebo-controlled, Adler et al27 found significant improvements in the ADHD-RS-IV scores. They also found that the majority of patients who switched to placebo experienced a relapse within two weeks.28 Brams et al29, on the other hand utilized a new design in a random withdrawal trial where they observed 116 adults for 12 weeks following the discontinuation of lisdexamfetamine. They discovered that the majority of patients who relapsed were not exposed to any other stimulants over the two weeks preceding.
Tell your doctor if there are any allergies you may have to this medication or other medications. Inform your doctor if you suffer from high blood pressure, heart problems, or other heart conditions. The use of stimulants can increase the risk of having a stroke or heart attack as well as sudden death among people suffering from these conditions.
Lisdexamfetamine may pass into breastmilk and cause harm to nursing infants. You should not feed your baby while taking this medication. Some sufferers might experience dizziness, shakiness or stomach upset while taking this medication. Lisdexamfetamine is not recommended for use by children younger than 6 years old. Lisdexamfetamine cannot be used by women who are nursing or pregnant. Even if you feel better, you should not stop taking the medication unless your physician advises you. While you are taking this medication the doctor will monitor your pulse rate and blood pressure.
Atomoxetine
Atomoxetine, also called Strattera is a non-stimulant that works by blocking presynaptic transporters of norepinephrine. It is highly specific to this transporter and a weak affinity for other neurotransmitter transporters or receptors [115, 136]. In multiple placebo-controlled trials, it enhanced the inhibitory control of ADHD patients by inhibiting the overactivation on the right inferior cortex (Chamberlain and coworkers 2009). It was also shown to improve attention span and working memory in children with ADHD. It is slow in the onset of action, and may take up to 12 weeks for the full effects to be observed. The dosage is based on weight and should be gradually increased. A once-daily dosage is typical. People who are not metabolizers of the drug the cytochrome P450 2D6 (CYP2D6) have higher exposure and less efficient elimination of atomoxetine, so pharmacogenetic testing is recommended before prescribing atomoxetine to these individuals.
In several controlled studies it has been demonstrated that it can be effective in reducing symptoms of ADHD. over the counter adhd medication is frequently utilized as the first line treatment. It is generally well tolerated and is safe, and does not increase the likelihood of suicidal behavior. It isn't as effective as stimulants in reducing tics and anxiety, and it does not seem to decrease sleep issues, but it has been shown to decrease aggression in a few children. Atomoxetine is more akin to the antidepressant the fluoxetine. Therefore it is recommended that they not be taken at the same time.
Two other drugs that are frequently prescribed as a first-line treatment option for ADHD are Clonidine (Catapres, Kapvay) and Guanfacine (Tenex, Intuniv). These drugs were originally created to lower high pressure in adults. These are alpha agonists. They are able to stimulate receptors in the brain to release norepinephrine neurotransmitter, which can reduce hyperactivity and impulsivity. These drugs have a long onset of action, and most children will require between two and four weeks before they see any benefit from them. Additionally, they are not recommended for use with MAOIs (e.g. phenelzine) due to the risk of serious and potentially fatal adverse reactions, like severe hypothermia rigidity, myoclonus or autonomic instability, extreme agitation and confusion, and delirium.
Other Stimulants
Stimulants are drugs which increase activity in the nervous system. They are a variety of drugs including some that are legal, and others illegal. They are used to improve performance, keep you alert and alert, and treat certain medical conditions like ADHD or narcolepsy, as well as depression. Amphetamines, methylphenidate, and other prescription stimulants can be utilized. The term"stimulant" is also used to describe nonprescription medications like diet pills and caffeine. These are used for many reasons, but they can also be harmful when used in conjunction with certain foods or medications.
Stimulants can cause negative side effects, even though they are not habit-forming at the doses prescribed for treating ADHD. Some patients may feel jittery or unstable. They can cause a tense stomach and elevate blood pressure.
Some teenagers and children who take stimulants may experience tics or repetitive movements or noises, such as eye blinking or throat clearing. They could also have an insignificant delay in growth.
A doctor will determine the right stimulant for you or your children. They will take into consideration other factors, such as weight, age and whether you or your child has any allergies. They will then prescribe the medication. Always follow the instructions of your physician. Always review the Medication Guide that is included with your medication.
The first option for treating ADHD is typically medication. This isn't the only option, but it is the most commonly used. Everyone of any age are able to benefit from psychosocial interventions, such as family therapy and behavior modification.
Patients who are prescribed ADHD medication should have their risk of misuse and abuse evaluated and advised not to share their medication with others. Also they should be urged to store any medication they do not use in a secure location and dispose of them in a safe manner. Health professionals should regularly assess and monitor patients for signs of abuse, misuse, or addiction. The FDA is requiring more consistent information to be placed on drug labels to patients and their families be aware about the serious dangers.
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