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ADHD Medications For Adults
If you're diagnosed with ADHD as an adult, the first treatment is likely to be medication. Stimulants help improve concentration and reduce the amount of impulsivity and hyperactivity.
Long-acting formulas should be considered, as they offer continuous relief and help prevent negative side effects (such ringing in the ears or changes in vision).
Psychotherapy can also help you manage symptoms. Therapy can help you develop new strategies to manage ADHD, improve your relationships and gain stability at work or in your personal life.
Long-acting stimulant formulations
The drugs in this class can improve focus and attention and reduce impulsivity through increasing the levels of two neurotransmitters: dopamine and norepinephrine. These are the two most important chemicals that regulate the pre-frontal cortex part of the brain which is often known as the "secretary" or "executive functioning" area. This is because this region controls how you plan, organize and carry out. It helps you organize your tasks, stay focused and keep your emotions in check.
Stimulants are the most commonly prescribed medications for ADHD and are available in a variety and forms. The medication your doctor prescribes is dependent on your symptoms, health history and other factors. Some of the more common long-acting stimulant formulations include methylphenidate/amphetamine (Concerta), methylphenidate/amphetamine/dextroamphetamine (Metabolite CD), methylphenidate/amphetamine/dextroamphetamine/dextromethorphan (Ritalin-LA) and methylphenidate/amphetamine/dextroamphetamine/dextroamphetamine/amiloride extended-release (Adderall XR).
The different time-action profiles of these long-acting stimulants allow physicians to select the most effective drug for the individual patient. For example, if a patient struggles in the morning, a long-acting methylphenidate/amphetamine/dextroamphetamine formulation may be beneficial because it provides an effect for up to 8 hours.
These formulations also have a lower risk of adverse reactions, such as sleepiness and stomach upset, than medications with a shorter time of action. They do not increase blood pressure or heart rate in the same way as stimulants that are fast acting and are beneficial for those with heart issues.
One other exception to the above is the AMP salts found in Adderall, which can increase heart rate and blood pressure a bit. Your doctor can monitor the levels to ensure they remain secure.
Clonidine and guanfacine are two other drugs that can treat ADHD without stimulating your nervous system. They are more difficult to use than stimulants, however they are less likely to be misused. They aren't as effective at improving focus and attention however, they can help reduce hyperactivity and impulsivity. They are available in a variety sizes and dosages, including extended-release capsules and tablets. Intuniv is a long-acting clonidine medicine that is used by adults. It can also be combined with other treatments, like behavioral therapy. It is important to remember that any medication you use is a tool that's only part of the process. Behavioral therapy can aid in managing your ADHD.
Guanfacine, or clonidine
Guanfacine and clonidine as well as other central alpha-2 receptor agonists are FDA-approved medicines for the treatment of high blood pressure. They are also used "off-label" to treat ADHD. They are able to stimulate alpha-2 adrenergic receptors that are preand post-synaptically. The medication blocks sympathetic nerve impulses from the vasomotor area to the heart and blood vessels and causes the heart to slow down and peripheral resistance. It can improve the core symptoms associated with ADHD including hyperactivity and impulsivity. It also helps reduce tics associated with Tourette syndrome and other tic disorders. It can be used as a standalone medication or in conjunction with stimulants. In a study on preschool-aged ADHD children 78% of those who took stimulants and guanfacine reported improvement in their symptoms.
These medications have a much longer half-life when compared to stimulants. This means they can stay in the body for up to 24 hours. They are less likely to cause sedation or insomnia. They are available as tablets, or as patches for the skin. Patches are an excellent option for those who fail to swallow their pills or have a problem taking them. It is crucial to take these medicines exactly according to the prescription. The medication will not be effective if the dosage is not sufficient. If the dosage is too high, it could lower your blood pressure too much. This can be dangerous for people with low blood pressure or heart disease.
Clonidine and guanfacine, both of which are more traditional medications that were created to treat hypertension. Both are approved for use by adults and can be taken as a single or together with stimulants. They can also be used to treat anxiety-related issues that can hinder the ability to focus in patients suffering from ADHD. Clonidine can be used to help improve sleep issues that are associated with ADHD. It does not affect the appetite which is a benefit for those struggling with weight problems.
Studies on guanfacine and clonidine have proven that both are effective in treating the main symptoms of ADHD. Iam Psychiatry can be used on their own or together with stimulants, and both are less likely to cause adverse effects than other drugs. Clonidine is particularly effective in reducing the tics caused by Tourette syndrome and other tic disorders. Clonidine isn't as effective at reducing the inattentive ADHD symptoms.
Ritalin
Methylphenidate (also called Ritalin) is a central nervous system stimulant. It is able to reduce a variety of the most frequent symptoms of ADHD. It can improve concentration, reduce fidgeting, and reduce impulse-driven behavior. It also helps people who aren't able to focus. It is usually prescribed alongside other treatments like behavioral therapy. Ritalin can cause a variety of side effects, but they tend to be mild and go away when your body is used to the medication.
It is available in tablets that are immediate-release (small doses that are taken 2 to 3 times a day) or extended-release capsules known as Focalin XR, which are taken every day in the morning, with the dose being released throughout the day. The extended-release capsules, called Focalin XR, are made up of only right-handed methylphenidate molecules. This minimizes the risk of side effects compared to other formulations.
Other methylphenidate medication options include short-acting tablets or chewable tablets, which are usually taken twice a day and last for approximately four hours, as well as the long-acting tablets or solution (Lisdexamfetamine). They are typically prescribed to teenagers and children over the age of 5 and adults who have not been able to respond to methylphenidate treatment within six weeks.
All forms of methylphenidate have been linked to serious heart problems for some people. Anyone who has a history of cardiovascular disease should avoid using methylphenidate. It can also affect the flow blood through your fingers and toes, and lead to a faster heart rate in some individuals. It can interact with other medications such as anticholinergics or blood thinners. It is important to share a full list of prescription and non-prescription medications you take with your physician. They can then look for any possible interactions. Strattera, a nonstimulant medication can also be prescribed for adults with ADHD. It regulates dopamine levels, and doesn't cause the same adverse effects as stimulant medications. It can take longer to work than other treatments, however it is thought to be a good choice for adults who do not want to take stimulant medication.
Adderall
Adderall is a stimulant drug that increases activity in certain brain regions. It helps people focus, control their behavior and manage hyperactivity. It also affects how the brain releases chemicals, including serotonin and dopamine, so it could improve mood. People who have ADHD tend to have lower levels of these substances, which contributes to their hyperactivity and inability to control their emotions. This is the reason why certain adults suffering from ADHD do not respond to medication.
If used as directed, Adderall is not considered to be a habit-forming drug and does not cause dependence. However there are risks with taking Adderall and it is possible to produce side effects that require medical attention. Talk to your doctor for any concerns or questions.
Symptoms of Adderall overdose include restlessness, muscle twitching, increased heart rate, hallucinations, confusion and anxiety. Get medical attention right away when you experience these symptoms:
It is not recommended to take Adderall together with other medications that affect your mood, such as antidepressants or depression medications. These medications may increase the risk for serious side effects, such as seizures or death. This medication is not recommended for children under 12 years old.
Stimulant medications can cause difficulty sleeping. You can minimize this side-effect by restricting your screen time and caffeine (e.g. TV or video games). You can also take a sleep aid like melatonin.
Another option is to shift to a more powerful formulation of the drug, like extended-release Adderall. This will help prevent "rebound" effects that occur in the evening or in the late afternoon as the medication wears down. Many people with ADHD take an immediate-release tablet in the morning to supplement the medication that has a long-acting effect.
Many people who don't have ADHD take stimulants such as Adderall to feel more alert and energetic. This can lead to magical beliefs about the drug and its abilities. Some of these beliefs may lead to an addiction. Adderall used for non-medical reasons can also increase the risk of having a positive test for amphetamine.
Read More: https://www.iampsychiatry.com/adult-adhd-medication
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