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How to Choose the Best ADHD Medication for Adults With Anxiety and Depression
If a person is suffering from both ADHD and depression or anxiety, treating the first condition can often improve the other. Mental health specialists prescribe antidepressants, stimulants for depression, or antidepressants in conjunction with ADHD medication.
Wellbutrin (bupropion), and Effexor, (venlafaxine), are the two most commonly used antidepressants prescribed for ADHD "off-label". These drugs increase the levels of neurotransmitters dopamine and norepinephrine. They also help improve concentration.
1. Methylphenidate
Methylphenidate, also known by the brand name Ritalin, is the first-choice medication to treat adults with ADHD and anxiety or depression. It's part of a class of medicines known as central nervous system stimulants. It works by changing the amounts of certain natural substances within your brain. It is available as a tablet, liquid, chewable tablets or extended-release capsules. It can also be administered via the skin.
It is not uncommon for people with ADHD to suffer from co-occurring mood disorders, such as depression or anxiety. It is essential to inform your doctor if you have anxiety or depression because certain medications, particularly stimulants can cause them to get worse. In some cases you may require both an anti-anxiety medication and a stimulant drug.
Methylphenidate may cause adverse effects, including headaches and stomachaches. It can also increase blood pressure and heart rates which is why you should make regular visits to your physician to examine these. It can also cause facial ticks (uncontrollable, rapid movements of the face). People with phenylketonuria (a genetic disorder) who have difficulty metabolizing the chemical phenylalanine shouldn't take it. It is also risky to use during pregnancy or while 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 can cause dizziness as well as blurred vision. You should drink plenty of fluids when taking this medication. Consult your physician if you are having difficulty swallowing tablets. You should not crush or chew these medications therefore, if you experience trouble eating solid food discuss with your doctor about liquid medicine that can be mixed with soft food or drinks such as yogurt, applesauce or pudding.
2. Lisdexamfetamine
Lisdexamfetamine is a medication within the central nervous system stimulant family. It affects the amount of certain natural substances within the brain. It is used in the treatment of attention deficit hyperactivity disorder (ADHD) in adults and children aged six years and over. It can also be used to treat binge-eating disorders in adults.
Adults with ADHD are frequently afflicted with anxiety and depression disorders. It is crucial to treat these conditions in order to feel better and perform at their best, both at work and at home. Some medications used to treat mental disorders can affect ADHD medication. It is essential to discuss any other medical issues.
Depression and anxiety can be complex, as they both involve a wide range of symptoms. Some antidepressants, such as Wellbutrin (bupropion) or Effexor (venlafaxine) are commonly used to treat these disorders, and they can improve concentration and focus for people suffering from ADHD/ADHD. They typically work by increasing the amount of neurotransmitters within the brain, and they are not likely to cause misuse and abuse.
The drug showed promising results in studies involving people suffering from ADHD and depression, as well as anxiety. It decreased the symptoms of depression and anxiety, and it improved ADHD ratings and executive function measurements. It was also safe for use.
It is crucial to inform your doctor if you're taking any other medication that include MAO inhibitors like isocarboxazid (Marplan), linezolid (Zyvox) and the methylene blue, phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar) and tranylcypromine (Parnate). These medicines should not be taken within 14 days of taking lisdexamfetamine. Tell your doctor that you are allergic to lisdexamfetamine or any of the other ingredients in this medication.
3. Atomoxetine
Atomoxetine (Strattera) is a non-stimulant ADHD medication that is also used to treat depression. It is believed to work by blocking the reuptake of norepinephrine, a neurotransmitter. By increasing the levels of this chemical in the brain, the drug improves alertness and decreases anxiety and depressive symptoms. It is important to remember, however, that this medication should not be used as a stand-alone treatment for anxiety disorders. Instead it is recommended that a person seek treatment from a licensed psychotherapist or psychiatrist.
There have been a myriad of studies conducted to assess the effects of atomoxetine in patients with ADHD and anxiety disorders. These studies include 9 randomized controlled trials and two post-hoc subgroup studies. In most cases the atomoxetine treatment outperformed placebo in both measures of symptom improvement and cognitive function. However it is important to keep in mind that the overall number of participants in these studies was limited.
Some of the side effects of this medication include abdominal pain and rapid heart rate. These effects are usually mild and do not occur in all people who take the medication. In some instances, patients who take atomoxetine have thoughts of suicide. These thoughts were observed in short-term clinical trials with adolescents and children who took the medication. These trials did not lead to suicides.
Like stimulants, atomoxetine can also be effective in treating co-occurring ADHD and anxiety. In fact, in an earlier study of people suffering from ADHD and social anxiety disorder, atomoxetine was found to outperform an placebo. This is an encouraging result which suggests that this drug may be effective in treating ADHD and anxiety when used with other treatments. It will take further study to determine if atomoxetine can be also effective for other types comorbid anxiety disorders.
4. Bupropion
Bupropion is a nonstimulant medication that boosts the amount of a chemical found in the brain that is known as noradrenaline. This chemical is responsible for sending messages between brain cells. Increasing it can help in focusing and controlling impulses. Your doctor might recommend the drug in capsules which is usually taken one or twice a day. There are also some serious side effects, such as suicidal thoughts or liver damage.
Anxiety is a disorder that causes constant, intense fear and anxiety. It may cause symptoms such as headaches, stomach aches, breathlessness, and anxiety or fear. People suffering from anxiety disorders frequently struggle to manage their symptoms, despite efforts to reduce their symptoms.
People with ADHD may experience anxiety, and. The condition can lead to issues with relationships and emotions, as well as low self-esteem. Untreated ADHD symptoms, such as the tendency to forget and impulsiveness can lead to feelings of frustration and failure.
Nonstimulants such as atomoxetine, Qelbree and lisdexamfetamine (methylphenidate) can also assist in easing anxiety symptoms. High blood pressure medications such as clonidine (Kapvay) and guanfacine (Intuniv, Tenex) may also be prescribed for ADHD in adults, but these drugs function differently than stimulants.
While antidepressants aren't approved by the FDA to treat ADHD, your doctor may prescribe them as a single drug or together with a stimulant, but they typically aren't used in adolescents or children. Psychotherapy is a second option for treatment. Consulting with a mental-health professional can be effective in treating anxiety as well as ADHD. Changes in your lifestyle and routine can help you manage these issues. You could, for instance try meditation or yoga, regulating sleep and stress levels, and adding fitness into your routine.
5. Tricyclic antidepressants
A mental health professional may recommend antidepressants as part of your treatment. These medications aren't FDA approved to treat ADHD however they can help improve depression and anxiety symptoms if taken with stimulants. Antidepressants increase serotonin levels as well as norepinephrine production in the brain. They are therefore able to reduce anxiety as well as depressive symptoms. Selective serotonin reuptake inhibiters, like fluoxetine(Prozac), citalopram(Celexa) and escitalopram(Lexapro), increase levels of neurotransmitter Serotonin in your brain to improve your mood and decrease 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. adhd without medication , named for the three rings in their chemical structure, were first created as antipsychotics but were later discovered to possess powerful antidepressant properties. These drugs include amitriptyline nortriptyline and imipramine.
Tricyclics can also lessen the sensitivity of a person to noise, enhance sleep and lower blood pressure. Tricyclics can cause an increase in drowsiness. The people taking them should not operate machinery or drive until they know how they will react to the medication.
Many lifestyle changes can help improve your ADHD and anxiety symptoms, such as exercise, getting enough sleep and eating a healthy diet high in whole fruits, grains and vegetables. Mindfulness-based practices as well as other forms of therapy like cognitive behavior therapy can help reduce stress and increase happiness. If you're struggling to manage your anxiety and ADHD, Klarity can connect you with licensed professionals for easy, cost-free online mental health care. Find out more information and make an appointment today.
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