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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 depression or anxiety, treating the first can usually improve the other. Mental health experts prescribe antidepressants and stimulants for depression or antidepressants, along with ADHD medication.
Wellbutrin (bupropion) and Effexor (venlafaxine) are the most frequently prescribed antidepressants that are prescribed "off-label" for ADHD. These medications increase levels of the neurotransmitters norepinephrine and dopamine, which aid in improving concentration.
1. Methylphenidate
Methylphenidate is the first choice medication for adults suffering from ADHD or anxiety depression. It's a part of a group of drugs known as central nervous system stimulants and works by changing the amounts of certain natural substances in your brain. It is available as a tablet, liquid, chewable tablets or extended-release capsules. It is able to be administered via the skin.
It is not unusual for people with ADHD to suffer from co-occurring mood disorders, such as depression or anxiety. It is essential to tell your doctor if you have anxiety or depression because certain medications, particularly stimulants can cause them get worse. In some instances, you may require both a medication to treat anxiety and a stimulant medication.
Methylphenidate may cause headaches and stomachaches. It can also increase blood pressure and heart rates and therefore, you should schedule regular visits to your physician to examine these. It can also trigger facial tics (quick uncontrollable movements of your face). People with phenylketonuria (a genetic disorder) who are unable to process phenylalanine should not take it. It can be dangerous to take during pregnancy or nursing. You should inform your doctor that you intend to become pregnant.
You must not operate or drive machinery while taking methylphenidate. It can cause dizziness and blurred vision. It is essential to drink plenty of fluids when you take it. Ask your doctor if are having difficulty swallowing tablets. It is not recommended to chew or crush these medications, so if you have difficulty eating solid foods, talk to your doctor about liquid medications that can be mixed with soft foods or drinks such as yogurt, applesauce, or pudding.
2. Lisdexamfetamine
Lisdexamfetamine is a medicine that belongs to the central nervous system stimulant family. It works by altering the quantity of certain natural substances inside the brain. It is used to treat of attention deficit hyperactivity disorder (ADHD) in adults and children of 6 years and older. It is also used to treat binge eating disorders in adults.
Adults who suffer from ADHD often have comorbid depression and anxiety disorders. It is important to treat these issues in order to feel better and perform their best, both at work and at home. Some drugs used to treat mental disorders may interact negatively with ADHD medication. It is important to discuss any other medical concerns.
Depression and anxiety can be complicated, as they both involve various symptoms. Certain antidepressants, including Wellbutrin (bupropion) or Effexor (venlafaxine) are commonly used to treat these conditions, and they can enhance focus and concentration for people suffering from ADHD or ADHD. They help by increasing certain neurotransmitters within the brain. They are not at risk for abuse and misuse.
The medication produced promising results in studies conducted with adults with ADHD or depression, anxiety or ADHD. It helped improve ADHD ratings, as well as executive function and ADHD ratings. It was also safe for use.
It is crucial to inform your doctor if you are taking any other medication that include MAO inhibitors such as isocarboxazid (Marplan) and linezolid (Zyvox) as well as Methylene blue, phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar) and the tranylcypromine (Parnate). These medications are not recommended to be taken within 14 days after lisdexamfetamine. Tell your doctor if you have an allergy to lisdexamfetamine, or any of the other ingredients in this medication.
3. Atomoxetine
Atomoxetine (Strattera) is a nonstimulant ADHD medication that is also used to treat depression. It is believed to work by preventing reuptake of the neurotransmitter norepinephrine. The drug raises levels of this chemical within the brain to increase alertness, reduce anxiety and depressive symptoms. This medication is not recommended to be used as a sole treatment for anxiety disorders. Instead, it is recommended that an individual receives treatment from a certified psychiatrist and/or therapist.
There have been a variety of studies that have been conducted to examine the effects of atomoxetine in patients suffering from ADHD and anxiety disorders. These studies comprise 9 randomized controlled trials and two post-hoc subgroup analysis. In most instances, atomoxetine outperformed placebo on both measures of improvement in symptoms and cognitive function. However it is important to keep in mind that the overall number of participants in these studies was limited.
This medication is also known to cause some side effects, including abdominal pain and a fast heart rate. These effects are usually minimal and are not observed in everyone who takes the medication. Some people who use atomoxetine have reported thoughts of suicide. These thoughts were reported during short-term clinical studies of adolescents and children who were taking the medication. However, suicides did not occur in these trials.
Like stimulants, atomoxetine can be effective in treating co-occurring ADHD and anxiety. In a recent study, atomoxetine was more effective than placebo in treating adults with social anxiety disorder and ADHD. This is an encouraging result that suggests this medication may be effective in treating ADHD and anxiety in combination with other treatments for both disorders. It will take further studies to determine if atomoxetine can be also effective for other types of comorbid anxiety disorders.
4. Bupropion
Bupropion is a non-stimulant drug that boosts a chemical in the brain known as noradrenaline. This chemical passes messages between brain cells, and boosting it can help concentration and control impulses. Your doctor might recommend this drug in capsule form typically taken once or twice a day. It's also linked to some more serious side effects, such as suicidal thoughts and liver damage.
Anxiety is a disorder that causes an intense fear and a sense of nervousness. It can cause symptoms such as headaches, stomachaches as well as breathlessness and emotions like fear or dread. medication for adhd suffering from anxiety disorders struggle to manage their symptoms, despite trying to manage their symptoms.
People with ADHD may develop anxiety, as well. The condition can cause problems with relationships and emotions and a loss of self-esteem. Untreated ADHD symptoms, such as the tendency to forget and impulsiveness can result in feelings of anger and inability.
Stimulants like methylphenidate and lisdexamfetamine can help ease anxiety symptoms, and so can nonstimulant drugs such as atomoxetine (Strattera) and viloxazine (Qelbree). High blood pressure medications like clonidine (Kapvay) and Guanfacine (Intuniv, Tenex) may also be used for ADHD in adults, however these medications work differently than stimulants.
Although antidepressants aren't endorsed by the FDA to treat ADHD however, your doctor can prescribe them as a single drug or together with a stimulant, but they're not typically prescribed for children and teens. Psychotherapy is a third treatment option. Talking with a mental-health professional can be effective in treating anxiety as well as ADHD. Lifestyle and routine changes can also help in managing these conditions. For instance, you could, try meditating or doing yoga, regulating sleep and stress levels and including fitness into your routine.
5. Tricyclic antidepressants
A mental health professional might suggest antidepressants as part of your treatment. These medications aren't FDA approved to treat ADHD but they can reduce anxiety and depression symptoms if taken together with stimulants. Antidepressants increase serotonin levels and norepinephrine production in the brain. They therefore can help to alleviate anxiety and depressive symptoms. Selective serotonin-reuptake inhibitors -like fluoxetine (Prozac), citalopram (Celexa) and escitalopram (Lexapro) -boost the levels of the neurotransmitter serotonin, which can lift your mood and decrease your 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 were initially developed as antipsychotics, but later discovered to have potent antidepressant properties. These drugs include imipramine (Tofranil), amitriptyline (Elavil) and nortriptyline (Pamelor).
Tricyclics can also improve sleep, lower blood pressure and reduce a person’s sensitivity to sounds. They can cause drowsiness, so those who are taking them should stay away from driving or operating machinery that could be dangerous until they know how they'll react to the medication.
Many lifestyle changes can help improve your ADHD and anxiety symptoms, including exercising, getting enough sleep and eating a healthy diet rich in whole grains, fruits and vegetables. Mindfulness and other forms therapy like cognitive behavioral therapy, can also help to reduce stress. And, if you're struggling to manage your anxiety and ADHD, Klarity can connect you with licensed professionals for convenient, insurance-free online mental health services. Find out more about our services, and then make an appointment today.
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