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ADHD Treatment Medication
Stimulants are among the most frequently prescribed medication for ADHD and can increase and regulate levels of brain chemicals. However, they don't cure the condition and can only help manage symptoms as long as they're taken regularly.
The adverse effects of ADHD medication may include changes in blood pressure and heart rate as well as upset stomach as well as anxiety and tics. Some children and teens who take stimulant medications notice a slight slowing in their growth.
Methylphenidate
Methylphenidate is a central nervous stimulant, is the most common medication used to treat ADHD. It is available in many forms such as a liquid, chewable tablet as well as a long-acting oral disintegrating tablet and an extended-release pill. The drug increases the levels of dopamine and norepinephrine in the brain. This helps to improve concentration. It can also help reduce symptoms of anxiety and depression. When used in conjunction with other treatments such as behavioral therapy, methylphenidate may be a very effective treatment for ADHD.
Methylphenidate blocks transporters that remove these neurotransmitters from the brain. The drug can cause a small increase in heart rate and blood pressure. It may also trigger an abrupt change in blood sugar levels, which is why those with diabetes must be cautious when taking this medication. If you encounter any of these side effects, speak with your doctor. Methylphenidate may also cause Raynaud’s phenomenon, which causes numbness of the fingers and feet. This is a rare but serious side effect. It is important to inform your doctor if these symptoms occur.
Some people are concerned that methylphenidate could slow children's growth. However this hasn't been proved. If your child is taking methylphenidate, make sure you keep an eye on their weight and height. If your child is on chewable tablets of methylphenidate that contains phenylalanine which is a risk for children with the genetic disorder phenylketonuria (PKU). Ask your doctor about a different methylphenidate formula when you suffer from PKU.
Some people have difficulty with stimulants, which are the first choice of medication for treating ADHD. In these cases, doctors may prescribe other medications that work in a similar way. There are other stimulants, such as dexamfetamine and lisdexamfetamine, in addition to methylphenidate. These drugs are a little stronger than methylphenidate and can last longer. They are typically taken twice to three times a day however some people may take them more frequently. There are also psychological treatments for ADHD however, they are less effective than stimulants.
Atomoxetine
Atomoxetine is also known as the brand name Strattera, is a non-stimulant ADHD medication that increases concentration and reduces hyperactivity as well as impulsiveness. It's part of a class of medications known as selective norepinephrine receptor inhibitors. It increases levels of norepinephrine and dopamine, two chemical messengers that control the brain's activity. It is a preferred choice for both adults and children who want a different type of medication than stimulants like Adderall and Vyvanse.
It is crucial to keep in mind that atomoxetine does not work instantly, and it can take up to six weeks for the effects of the medication to become apparent. You may also experience adverse effects like nausea and drowsiness. However the benefits of atomoxetine far surpass the risks for many patients.
In a double-blind, placebo controlled study that was conducted on 297 ADHD patients aged between 12 and 18 years old, the efficacy of atomoxetine is confirmed. Participants were randomly assigned to receive either the daily dose of atomoxetine 0.6 mg/kg or 1.2 mg/kg or a placebo for 9 weeks. In both the atomoxetine and placebo groups, symptoms of depression were reduced. The atomoxetine group saw more improvements in ADHD symptoms than the placebo group. However, the improvement was modest (Michelson and co. 2001).
In a second open trial, 10 ADHD patients who were not responding to stimulants received atomoxetine treatment for 8 weeks. The atomoxetine treatment group showed improvements in ADHD symptoms when compared to placebo with scores on the Conners Adult ADHD Scale Investigator Rated screening version and the Clinical Global Impression Severity scales gaining significant. One patient however, experienced a rash and withdrew from the study. Three patients reported transient gastrointestinal disturbances and one patient reported fatigue that was more severe (Kratochvil et al 2005).
Before you begin treatment with atomoxetine, talk with your physician about your medical history as well as any other supplements or medications that you're taking. This includes herbal remedies and over-the-counter medications. Inform your doctor if any of the following conditions are present for narrow-angle glaucoma thyroid or adrenal gland tumour; high blood pressure; heart disease or sudden death. You should avoid atomoxetine as well when you've been taking an MAO-inhibitor such as isocarboxazid and linezolid in the past 14 days, or rasagiline, Methylene Blue Injection, phenelzine, or tranylcypromine.
Bupropion
Bupropion is a non-stimulant drug that can aid in reducing symptoms of ADHD. It also helps to reduce impulsivity and increase focus, though it does not affect the brain in the same way as stimulants do. Only prescriptions are accepted. Your doctor will determine the right dosage for you. Bupropion comes in tablets and extended-release capsules. It is important to take the medication exactly as instructed. If you stop taking it suddenly you could experience withdrawal symptoms.
The most common dosage is two or three doses daily separated by four to six hours. The dosage can range from 100 mg twice or three times a day up to 150 mg three or four times daily. The drug is taken up by the digestive system, and excreted through urine. It is not able to enter breast milk. However, it can get into the bloodstream and cause harm to other organs. Bupropion can increase your blood pressure, which is why it's important to monitor it frequently.
Bupropion is a great drug that, in addition to reducing ADHD symptoms and reducing depression, also helps to reduce the symptoms of ADHD. It can also be used to treat bipolar disorder. It works by blocking dopamine receptors in your brain. This blocks the neurotransmitter, dopamine, from reaching your brain. This helps stabilize your mood.
Bupropion can interact with other drugs. Tell your doctor if taking any other medication. It is important to inform your doctor know if have any allergies. Avoid caffeine and other stimulants since they can cause side effects to become worse.
In a variety of studies the bupropion drug was compared with placebos for adults with ADHD. The results of these studies were mixed and most studies were not well-designed. Additionally, many excluded participants with psychiatric comorbidity. The data indicate that bupropion does have an impact on ADHD. Further research is needed to determine the positive effects for patients, including an improvement in quality of living. Furthermore, a better understanding of the molecular subtypes of ADHD is needed before effective treatment can be created. This requires a deeper understanding of the interplay between the molecular pathways. Additionally, it's important to understand how different anti-ADHD drugs work with psychotherapy.
Tricyclic antidepressants
Antidepressants may be prescribed by doctors if stimulants prescribed for children with ADHD don't work or cause side adverse effects. These drugs, which include imipramine and nortriptyline (Aventyl, Pamelor), help by increasing the neurotransmitters dopamine and norepinephrine in the brain to help people focus. These are older medications that may have a number of adverse reactions, and are usually only used after other medications have failed.
The first choice of antidepressant for depression is typically a selective serotonin receptor inhibitor (SSRI) like fluoxetine sertraline, citalopram or escitalopram. Tricyclic antidepressants are still used in certain cases despite their long history. They are effective in treating pain caused by neuropathic or other, but their antidepressant effect is not the identical. They increase the potency of noradrenephrine by reducing its reuptake. They also function as lower modulators of pain pathways within the spinal cord.
SSRIs have lower risks of toxicity and less serious adverse effects than tricyclic antidepressants. They're also safer in the womb and do not appear to cause teratogenicity in animals or humans. If abruptly stopped, they could cause withdrawal symptoms that are severe. Your doctor may recommend slowly lowering the dose over several weeks to lessen the negative effects.
While not officially approved by the FDA as a medication for adhd , bupropion is a commonly prescribed antidepressant off-label for ADHD. It's believed to work by increasing the neurotransmitters dopamine, norepinephrine and acetylcholine within the brain to increase concentration. It also has been proven to reduce anxiety, and it can be used in conjunction with stimulants to get faster and lasting results.
There are no FDA-approved nonstimulant ADHD medication, however many people find relief from dietary supplements and herbal remedies. A diet low in sugar and fat can aid in reducing ADHD symptoms. Certain people can also benefit by abstaining from caffeine. Inform your doctor about all medications that you or your child take such as herbal remedies and prescription drugs. This will help prevent interactions and reduce unwanted adverse effects. ADHD medication can affect each person differently, so it's sometimes a trial and error to find the appropriate dosage and medication for you or your child.
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