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ADHD Treatment Medication
Stimulants, the most commonly prescribed treatment for ADHD are believed to regulate brain chemicals and boost their levels. However, they do not solve the problem and will only aid in managing symptoms so long as they are used regularly.
The adverse effects of ADHD medications can include changes in blood pressure, heart rate, anxiety and tics. Some children and teens who are taking stimulant medication experience a slight reduction in their growth.
Methylphenidate
Methylphenidate, a central nervous stimulant, is the most common drug used to treat ADHD. It comes in a variety of forms, including a chewable tablet that is liquid as well as a long-acting oral disintegrating tablet, and an extended-release pill. The drug works by increasing the levels of dopamine and norepinephrine in the brain, which helps to improve focus. It can also help reduce symptoms of anxiety and depression. When coupled with other treatments, like behavioral therapy, methylphenidate could be a successful treatment for ADHD.
Methylphenidate works by blocking the transporters that are normally responsible for removing these neurotransmitters from the brain. The drug can cause an increase in blood pressure or heart rate. People with diabetes should also be aware of this medication since it can cause rapid increases in blood sugar. If you encounter any of these side effects, talk to your doctor. Methylphenidate may also cause Raynaud’s phenomenon that causes numbness in the feet and fingers. This is a rare but serious side effect. It is important to inform your doctor if any of these symptoms occur.
There is some concerns that methylphenidate may slow the growth of children, but this hasn't been proved to be the case. If you have a child being treated with methylphenidate, ensure that you monitor his or her weight and height carefully. If your child is taking a methylphenidate tablet and phenylalanine is present, it could pose a risk for children suffering from Phenylketonuria. Ask your doctor about an alternative methylphenidate formulation if you have PKU.
Some people have difficulty with stimulants which are the most popular choice of medication for treating ADHD. In these instances doctors might prescribe other medications that work in a similar way. There are other stimulants, like dexamfetamine and lisdexamfetamine, in addition to methylphenidate. These substances can last longer and are more potent than methylphenidate. These drugs are typically taken at least three times a day However, some people might be able take them more frequently. There are also psychological treatments for ADHD, but these are not as effective as stimulants.
Atomoxetine
Atomoxetine is also known as Strattera and is a nonstimulant ADHD drug that boosts concentration while reducing hyperactivity and impulsiveness. It belongs to a category known as selective norepinephrine-reuptake inhibitors. It works by increasing levels of norepinephrine and dopamine two chemical messengers that control the brain activity. It is a favorite option for adults and children who prefer a different kind of medication than stimulants such as Adderall and Vyvanse.
It is important to know that atomoxetine doesn't work instantly. It could take up to six weeks before the effects of this medication become apparent. In addition, you may experience side-effects such as reduced appetite, drowsiness and upset stomach. For most patients the advantages of taking atomoxetine far outweigh any risk.
In a double-blind placebo controlled study conducted on 297 ADHD patients aged 12 to 18 years old, the efficacy of atomoxetine has been verified. Participants were randomly assigned to receive atomoxetine, a daily dose of 0.6 mg per kilogram or 1.2 mg/kg or a placebo for 9 weeks. In buy adhd medication uk and placebo groups depression symptoms were reduced. The atomoxetine group experienced more improvement in ADHD symptoms than the placebo group. However the improvement was only modest (Michelson and co. 2001).
In a second open study in a second open trial, 10 ADHD patients who did not respond to stimulants were given an atomoxetine treatment over 8 weeks. The atomoxetine treatment group showed improvements in ADHD symptoms in comparison to placebo, with scores on the Conners Adult ADHD Scale Investigator Screening version rated and Clinical Global Impression of Severity scales gaining significant. One patient however, experienced an allergic reaction and was removed from the study. Three patients also reported temporary gastrointestinal symptoms, and one complained of increased fatigue.
Before you begin treatment with atomoxetine, talk with your physician about your health history and any other medications or supplements that you're taking. This includes herbal remedies as well as over the counter medicines. Discuss with your doctor when any of the following conditions exist such as narrow-angle glaucoma, a thyroid or adrenal gland tumor or a high blood pressure heart disease or sudden death. Also, avoid atomoxetine if taken an MAO inhibitor, such as isocarboxazid, linezolid, methylene blue injection rasagiline, phenelzine or tranylcypromine, in the past 14 days.
Bupropion
Bupropion is a nonstimulant that can help improve symptoms of ADHD. It also helps reduce impulsivity and improve focus, although it does not affect the brain in the same way that stimulants do. It's available by prescription only. Your doctor will determine the best dosage for you. Bupropion is available as capsules and tablets. It is important to take the medication exactly as instructed. You might experience withdrawal symptoms if you stop suddenly.
The most common dosage is two or three doses per day divided by 4 to 6 hours. The dosage can range between 100mg and three times per day up to 150mg four or three times daily. The drug is absorbed in the digestive tract, and then excreted into urine, meaning it isn't able to enter breast milk. However, it can enter the bloodstream and impact other organs. Bupropion increases blood pressure. It's important to keep it in check frequently.
Bupropion, in addition to improving ADHD symptoms it can also help reduce depression. It is also used to treat bipolar disorder. It is accomplished by blocking dopamine receptors in your brain. Dopamine, a neurotransmitter, is blocked from reaching your brain, which helps stabilize your mood.
Bupropion may interact with other drugs. Tell your doctor if you're taking any other medications. It's important to let your doctor know if you suffer from any allergies. It is also important to stay clear of caffeine and other stimulants that can make the side effects more severe.
Numerous studies have compared bupropion to placebos in adults with ADHD. The results of these studies were mixed and the majority of studies were not conducted properly. Furthermore, many of them did not include participants with psychiatric disorders. Nevertheless, the data suggest that bupropion can have a slight impact on ADHD. However, more research is needed to identify positive outcomes for patients such as improvements in quality of life. Additionally, a more precise understanding of the molecular subtypes of ADHD is required before effective treatment can be developed. This includes a better understanding of the connection between the various molecular pathways. It's also important to understand how anti-ADHD drugs work in conjunction with psychotherapy.
Tricyclic antidepressants
If the stimulants prescribed to children with ADHD aren't effective or cause troublesome side effects, doctors may look to antidepressants for treatment. These medications, such as imipramine and Nortriptyline, (Aventyl and Pamelor), increase the neurotransmitters norepinephrine and dopamine in the brain, which helps people focus. These older drugs can have severe side negative effects. They are typically employed when other drugs are not working.
The first choice of antidepressant for depression is usually a selective serotonin reuptake inhibitor (SSRI) like fluoxetine, sertraline, citalopram and escitalopram. However, tricyclic antidepressants which have been around for a long time, can be utilized in certain instances. These medications are effective in treating neuropathic pain and other conditions, but their antidepressant effect is not the same. They enhance the noradrenephrine receptor by blocking its reuptake, and they also act as descending moderators for pain pathways within the spinal cord.
SSRIs have less risk of toxicity, and less serious side effects than tricyclic antidepressants. They are also safer during pregnancy and do not appear to be teratogenic to animals or humans. But they can have significant withdrawal symptoms if they are stopped abruptly. To reduce the risk of these side effects, your doctor may suggest reducing the dose gradually over several weeks.
Bupropion, a popular antidepressant prescribed off-label to treat ADHD but isn't FDA approved as a drug for adhd. It is believed to be effective by increasing the neurotransmitters norepinephrine and dopamine and acetylcholine within the brain, which improves concentration. It also helps reduce anxiety and stress. It can be paired with stimulants for faster and longer-lasting results.
There are no FDA-approved non-stimulant ADHD medications, but many people experience relief from herbal remedies and supplements to their diets. A diet low on fat and sugar can help reduce ADHD symptoms. Similarly, eliminating caffeine can also be helpful to some people. It's important to tell your doctor about all the medications that you or your child uses, including prescription drugs and herbal remedies. This will avoid interactions and minimize unwanted side effects. ADHD medications can affect everyone differently, so it's sometimes an exercise of trial and error to discover the appropriate dosage and medication for your child or you.
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