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How Does Medication For ADHD Work?
Stimulants increase levels of norepinephrine and dopamine in your brain, which can improve the ability to focus and control impulses. They come in immediate-release (short-acting) and extended-release tablets that are taken every day, typically in the morning.
Nonstimulant medications can help improve the ability to control impulses and attention however, they are more difficult to use. Atomoxetine (Strattera) and guanfacine (Viloxazine) are part of the antidepressant class and boost levels of norepinephrine.
Stimulants
The most frequently used ADHD medications are stimulants such as dexamphetamine (Dexedrine) and methylphenidate (Ritalin) and Lisdexamfetamine (Focalin). These drugs increase the levels of norepinephrine as well as dopamine in the brain. These neurotransmitters help the prefrontal cortex, which is responsible planning and organizing tasks. The stimulants help reduce ADHD symptoms in around 70% to 80% of children and adults who take them. These symptoms include fidgeting and talking over others. They also include inability to finish or completing tasks, as well as difficulty in completing tasks. The medications can also reduce social issues like not being able to listen to others and having trouble keeping promises.
The effects of medications begin when they cross the blood-brain barrier, which takes 45 to 60 minutes. This explains why people often notice changes in their brains right away. For children, a physician may use the "start low and go slow" approach by increasing the dosage gradually over a period of three or four weeks. During this period teachers and parents are able to give feedback on whether the medication helps. Doctors can also observe the effects using scales like the Connor global index score, which compares a child with other children of the same gender and age who don't have ADHD.
The doctor will discuss with the patient's family and friends about the benefits as well as the risks and side effects of different medications. It is crucial to speak the truth, especially if you don't see any improvement with your medication. The GP will then suggest another treatment option.
Non-stimulant drugs
A variety of other medications are also used to treat ADHD. Bupropion (Wellbutrin), an antidepressant that boosts the neurotransmitters dopamine and norepinephrine, is one of these medications. Other older medications, like tricyclics, are also utilized. These drugs are less likely than stimulants to cause negative side effects, however they do take some time to begin working.
Disorders of the psychiatric spectrum
Disorders of the mind such as depression and anxiety can coexist with ADHD and can make it difficult for patients to get the best results possible from their medication. In many instances, a doctor will treat the mood disorder, and then reassess their patient.
Abuse
Particularly among adolescents and teens who take stimulant medications for their energy-boosting or weight-loss effects, these drugs are a source of abuse. They also are prone to abuse in those with an alcohol or drug abuse, or a family or personal history of mental health issues like bipolar disorder.
It can be disappointing to not notice immediate results from ADHD medication. However, it is important to keep in mind that the majority of patients will have to try various types of medications before they find one that gives relief from their symptoms. It's also important to stick to the medication for as long as possible, and keep up regular visits to your GP to track progress and watch for side effects. The GP can then determine whether it's necessary to increase the dosage or if it's time to change medications. GPs can help identify changes in lifestyle and behavior that could enhance the effect of medication.
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