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How to Choose the Best ADHD Medication for Adults With Anxiety and Depression
When a person suffers from both ADHD and anxiety or depression, treating the first can usually help the second. Mental health professionals typically prescribe antidepressants or a stimulant for depression in addition to an ADHD medication.
Wellbutrin (bupropion), and Effexor, (venlafaxine), are the two most commonly used antidepressants prescribed to treat ADHD "off-label". These drugs increase levels of neurotransmitters like norepinephrine and dopamine and help improve concentration.
1. Methylphenidate
Methylphenidate is also known under the brand name Ritalin is the first-choice medication to treat adults with ADHD and anxiety or depression. It's a part of a group of medications called central nervous system stimulants. It is a drug that alters the amount of certain natural substances within your brain. It is available as chewable tablets, liquids, or extended-release capsule. It is able to be administered via the skin.
It is not uncommon for people with ADHD also to suffer from mood disorders, such as anxiety or depression. It is crucial to inform your doctor if you have anxiety or depression because certain medications, particularly stimulants, can cause them to get worse. In some instances, you may require both an anti-anxiety medication and a stimulant drug.
Methylphenidate may cause adverse effects, such as headaches or stomachaches. It can also increase heart rate and blood pressure and therefore, you should schedule regular appointments with your doctor to examine these. It may also cause facial tics (quick uncontrollable movements on your face). It should not be taken by those suffering from a genetic disorder called phenylketonuria, which causes difficulty metabolizing the chemical phenylalanine. It is also risky to take during pregnancy or breastfeeding. It is important to inform your doctor that you intend to get pregnant.
You must not operate or drive machinery while taking methylphenidate. It may cause dizziness and blurred vision. It is vital to drink plenty of fluids when you take it. Ask your doctor if have difficulty swallowing tablets. You should not crush or chew these medications. If you're having trouble eating solid food, ask your doctor about liquid medicines that can be mixed into soft foods or drinks, such as applesauce yogurt, or pudding.
2. Lisdexamfetamine
Lisdexamfetamine is a medication that belongs to the central nervous system stimulant family. It works by altering the amount of certain natural substances in the brain. It is used in the treatment of attention deficit hyperactivity disorder (ADHD) in adults and children of 6 years and older. It is also used to treat binge eating disorder in adults.
Adults with ADHD are frequently afflicted with depression and anxiety disorders. It is important to treat these conditions so that they can feel better and perform their best, both at work and at home. Some medication used to treat mental conditions may interact negatively with ADHD medication. It is important to discuss any other medical issues.
Depression and anxiety can be complicated, as they both involve many symptoms. Certain antidepressants, like Wellbutrin (bupropion) or Effexor (venlafaxine) are frequently used to treat these ailments and can help enhance focus and concentration in people with ADHD or ADHD. They usually work by increasing the amount of certain neurotransmitters that are present in the brain, and they have a low risk of misuse and abuse.
In studies of LDX in adults suffering from ADHD and anxiety or depression, the medication showed promising results. It helped reduce the symptoms of anxiety and depression and improved ADHD ratings and executive function measurements. It was also safe to use.
It is essential to inform your doctor if you are taking any other medication that include MAO inhibitors like isocarboxazid (Marplan) and linezolid (Zyvox), the methylene blue, the phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar), and tranylcypromine (Parnate). These medicines should not be taken within 14 days of taking lisdexamfetamine. You should also let your doctor know if are allergic to lisdexamfetamine, or any other ingredients in the medication.
3. Atomoxetine
Atomoxetine (Strattera) is a nonstimulant ADHD medication that is also used to treat depression. It is believed to work by blocking reuptake neurotransmitter. The drug boosts levels of this chemical in the brain, which can increase alertness, reduce anxiety, and depressive symptoms. It is important to remember, however, that this medication is not intended to be used as a standalone treatment for anxiety disorders. It is recommended that the person seek treatment from a licensed therapist or psychiatrist.
There have been a myriad of studies conducted to evaluate the effects of atomoxetine on patients suffering from ADHD and anxiety disorders. These studies comprise 9 randomized controlled trials and two post-hoc subgroup studies. In most cases, atomoxetine outperformed placebo on both measures of improvement in symptom severity and cognitive function. However it is important to note that the overall sample size of these studies was limited.
This medication can also cause some adverse effects, including abdominal pain as well as a high heart rate. These side effects are usually minor and do not affect everyone who takes this medication. Some people who take atomoxetine have reported thoughts of suicide. These thoughts were observed in short-term clinical trials with children and adolescents taking the drug. These trials did not result in suicides.
Like stimulants, atomoxetine may be effective in treating comorbid ADHD and anxiety. In a recent study, atomoxetine proved to be more effective than placebo for adults suffering from social anxiety disorder and ADHD. This is a promising outcome that suggests that this medication could be effective in treating ADHD and anxiety when used with other treatments. Further research is needed to determine if atomoxetine can also be used effectively for other types of anxiety disorders that are comorbid.
4. Bupropion
Bupropion, a drug that is not stimulant, boosts the chemical noradrenaline within the brain. This chemical is responsible for sending messages between brain cells. The increase in it can aid in focusing and controlling impulses. This drug is usually prescribed in capsule form and taken at least twice a day by your doctor. There are also serious side effects such as suicidal thoughts or liver damage.
Anxiety is a condition that causes extreme fear and nervousness. It can cause symptoms such as stomachaches, headaches and breath shortness, and emotions like anxiety or dread. Many people suffering from anxiety disorders struggle with controlling their symptoms despite trying to lessen their symptoms.
Certain people with ADHD also develop anxiety. The condition can lead to problems with relationships and emotional issues and low self-esteem. The symptoms of untreated ADHD include forgetfulness, difficulty paying attention and impulsive behavior- can also lead to feelings of anger or disappointment.
medication for adult add as atomoxetine, Qelbree and Lisdexamfetamine (methylphenidate) can also assist to ease anxiety symptoms. High blood pressure medications like clonidine (Kapvay) and guanfacine (Intuniv, Tenex) may also be used for ADHD in adults, however these drugs work differently than stimulants.
Although antidepressants aren't endorsed by the FDA to treat ADHD Your doctor could prescribe them on their own or in conjunction along with a stimulant. However, they're not typically prescribed for children and teens. Psychotherapy is another treatment option. It involves speaking with an expert in mental health, and it's sometimes effective for treating anxiety and ADHD together. Lifestyle and routine changes can also help in managing these disorders. You could, for instance try meditating or practicing yoga, regulating your sleep and stress levels and incorporating exercise into your daily routine.
5. Tricyclic antidepressants
In certain situations, a mental health professional might recommend antidepressants as a part of your treatment plan. They are not FDA approved to treat ADHD but they can reduce anxiety and depression symptoms if combined together with stimulants. Antidepressants increase serotonin levels as well as norepinephrine production in the brain. They can therefore help to improve anxiety and depression symptoms. Selective serotonin reuptake inhibitors, such as fluoxetine(Prozac), citalopram(Celexa), and escitalopram(Lexapro) boost the levels of the neurotransmitter serotonin in your brain to improve your mood and reduce anxiety. Serotonin-norepinephrine reuptake inhibitors -- such as mirtazapine (Remeron) and nefazodone (Serzone) -- also lift your mood by increasing the amount of norepinephrine and serotonin that your brain's chemical messengers release. Tricyclic antidepressants are named after the three rings that make up their chemical structure, were originally designed as antipsychotics, and later found to have powerful antidepressant properties. These include amitriptyline imipramine and nortriptyline.
Tricyclics can also reduce a person's sensitivity to noise, increase sleep quality and lower blood pressure. They can cause drowsiness, therefore, those taking them should avoid driving or operating dangerous equipment until they are aware of how they will react to the medication.
A variety of lifestyle changes can improve your ADHD and anxiety symptoms, such as exercise, getting enough sleep and eating a balanced diet that is rich in whole grains, fruits and vegetables. Mindfulness-based practices as well as other forms of therapy like cognitive behavior therapy can also reduce stress and increase happiness. If medication for adult add struggling with managing your anxiety and ADHD, Klarity can connect you with licensed professionals for easy, cost-free online mental health services. Learn more about our services and make an appointment today.
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