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Finding the Best ADHD Medication For Adults
There are a myriad of ways to treat ADHD in adults. There are stimulants, nonstimulants, and blood pressure medications.
Stimulants are the most commonly prescribed medications for ADHD. They are effective and safe. They also pose a low risk for abuse if taken according to instructions.
It is generally recommended to choose stimulants that have an extended-acting effect. These are medicines like Xelstrym (dextroamphetamine/amphetamine patch) or Mydayis (lisdexamfetamine).
1. Stimulants
Stimulants are typically a doctor's first choice of treatment for ADHD. They boost the levels of certain brain chemicals and increase concentration and focus as well as impulse control. Doctors typically prescribe medications which contain methylphenidate or amphetamine. These medications are available in both immediate-release and longer-acting forms. The longer-acting drugs can aid in avoiding the "crash" of energy that occurs when short-acting stimulants are worn off. The type of medication an individual chooses is determined by their symptoms, the preference of the doctor and other health conditions. It is normal to test different medicines before settling on one that works for you.
A doctor will also take into consideration the family history of a patient as well as medical history. medication for adhd and anxiety can prescribe nonstimulant medication in the event of an addiction history or heart disease. They don't have the same potential for misuse as stimulants, however they take longer to work and do not reduce impulsiveness as effectively.
Certain medications can interact with other medicines which is why you should inform your doctor if you are taking any other medication. Antidepressants, such as Atomoxetine (Prozac) and bupropion (Wellbutrin Zyban) boost levels of the brain chemicals dopamine and norepinephrine and improve concentration and mood. Doctors prescribe these drugs to people with ADHD who also have anxiety or depression. Monoamine oxidase inhibitors such as phenelzine (Nardil) and tranylcypromine (Parnate) are not often used in combination with stimulants since they carry the potential for serious side effects when used together.
A doctor can help you learn coping strategies to manage your ADHD and other professionals can help you deal with the issues caused by your symptoms. For instance a psychiatrist or psychologist can help you understand the reasons you struggle at work and school and teach you how to deal with those challenges. Support groups can be helpful for adults with ADHD. Ask your doctor about local or online support groups.
2. Non-stimulants
Stimulants, the most studied ADHD medication, can help improve concentration and decrease impulsivity in many people. They're not the only choice. Some people may respond to nonstimulant medications. It's crucial to work closely with your doctor to determine the right medication and dosage for your child or yourself.
Nonstimulant medicines work by increasing and balancing brain chemicals known as neurotransmitters. They typically take longer to begin working than stimulants, however they can improve symptoms of hyperactivity and impulsivity for certain people. They're often prescribed in combination with stimulant medications to improve their effectiveness and minimize side effects.
Wellbutrin is also known as bupropion and Effexor (venlafaxine) are two popular antidepressants that are commonly prescribed for ADHD. Both of these drugs boost levels of the brain chemical norepinephrine, which can enhance concentration. They're also generally less habit-forming than stimulants and don't have the same potential for abuse. Your doctor may prescribe Strattera or atomoxetine to treat ADHD. Atomoxetine targets a different neurotransmitter inside the brain, and it's the first nonstimulant drug that has been approved by the FDA for treatment of ADHD in adults.
Guanfacine or Intuniv is another option. This blood pressure medication has a small tranquil effect and can increase concentration, however it's not as effective in controlling impulsivity or hyperactivity as lisdexamfetamine or methylphenidate.
Be aware that every individual's biochemistry is distinct and so are the medicines they use. The first medication you or your child tries might not be effective and the one that is effective for you or your child could cause unpleasant adverse effects. It takes experimentation and patience to find the right medication for your family.
3. Antidepressants
Although stimulants are among the most frequently used drugs for treating ADHD, they aren't suitable for everyone. Patients who have difficulty absorbing side effects or find the medication doesn't work for them could benefit from antidepressants. They can help to alleviate anxiety and other mood disorders.
Bupropion (also called Wellbutrin, Zyban) is an antidepressant atypical that has been proven to be effective in treating ADHD adults. It targets two neurotransmitters within the brain, namely norepinephrine and dopamine. It can also treat depression and anxiety. Your doctor may prescribe it in the event that your ADHD symptoms are moderate to mild, or if you have a chance of using stimulants.
Strattera (atomoxetine) is a prescription medication with an extended-acting effect, boosts the levels of norepinephrine in the brain. This improves concentration and focus and decrease the risk of impulsive behavior. It was the FDA's first nonstimulant approved drug to treat adult ADHD. It is generally believed to be more effective than methylphenidate or amphetamines.
You may also be prescribed clonidine, alprazolam or Guanfacine. These are all blood pressure medication which can slow down your heart rate and lower blood pressure by decreasing the activity of your sympathetic nervous system. This can be especially helpful for those who suffer from coexisting ADHD and anxiety.
Cognitive behavioral therapy (CBT) is another treatment option that a few people with ADHD find to be beneficial in managing their symptoms. CBT offers strategies to change the way you think and act. This kind of therapy is typically performed by an professional therapist. You may also consider supplements and diet however, you should consult your doctor first. In many cases, a combination between treatment and medication that includes skills training is the most effective in treating ADHD.
4. Blood pressure medications
Adults are often diagnosed with ADHD after having been diagnosed as children. Adults may be unable to manage their symptoms. This could affect their performance at work and social interactions. However, psychotherapy, medication and lifestyle changes can help people with ADHD to concentrate and feel more calm, as well as control the impulsive behavior.
Adults who are experiencing high blood pressure can consider taking a medication prescribed to treat the condition. These are referred to as alpha-2-agonists and include clonidine, (Kapvay), and guanfacine (Intuniv). They can boost mood and help with concentration and impulse control.
These medications can also help with anxiety, depression and feelings of aggression. Doctors have been prescribing these medications "off-label" for ADHD for a long time, but the drugs are now available in tablets with a long-acting mechanism that are FDA-approved for the condition. They can help alleviate symptoms for up to 12 hours.
Bupropion is a different medication that is prescribed for ADHD. It is also available under the brand names Wellbutrin or Zyban. It is an atypical antidepressant that works as a norepinephrine-dopamine reuptake inhibitor, increasing levels of these neurotransmitters in the brain. It has been demonstrated to decrease insomnia, agitation and bipolar disorder in people.
These non-stimulant ADHD medications have lower risks of addiction and abuse than stimulants but they don't work for all people. Some adults need to test different medications before they find the one that is most effective for them. The medication is not an effective cure, therefore the patient should continue to take them to avoid symptoms returning. Your GP will be able to monitor your symptoms and evaluate the effectiveness of the medication.
5. Other medicines
The medication used to treat ADHD can improve a person’s ability to focus, manage impulses and complete tasks. They are not a cure-all for all symptoms and could have side effects. Some of these side effects can be mild, but some can be more serious. Certain medications may cause loss of appetite as well as sleep issues and headaches. If the adverse reactions are severe, the doctor may increase or alter the dosage of a medication or suggest another.
Other medicines, such as viloxazine or atomoxetine are used to treat specific forms of ADHD. These are in the class of antidepressants known as selective norepinephrine reuptake inhibitors which differ from stimulants due to the fact that they do not alter dopamine, but instead boost norepinephrine. These drugs are more effective than stimulants at improving attention but not hyperactivity, however they can also cause a decrease in appetite and insomnia.
Monoamine oxidase inhibitors are a different type of medication that has been shown to be effective for some people with ADHD. These antidepressants inhibit the breakdown of dopamine and brain chemicals. Examples include the phenelzine (Nardil), tranylcypromine (Parnate) and Venlafaxine (Effexor XR). They are less likely than other antidepressants that can cause adverse effects like insomnia and appetite suppression.
Psychological counseling is also offered to people with ADHD. It is commonly called cognitive behavioral therapy or CBT which entails working with a trained therapist to acquire skills that help manage ADHD symptoms. It can also be beneficial for loved ones who struggle with the challenges of living with someone who has ADHD. Support groups for people suffering from ADHD are available on the Internet and within their communities. They can offer strategies for coping.
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