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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 can usually help the second. Mental health professionals prescribe antidepressants, stimulants for depression, or antidepressants in conjunction with ADHD medication.
Wellbutrin (bupropion) and Effexor (venlafaxine) are the most frequently prescribed antidepressants that are prescribed "off-label" for ADHD. These medications increase the levels of neurotransmitters dopamine as well as 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 depression as well as anxiety. It's part of a class of medications called central nervous system stimulants and is used to alter the levels of certain natural substances within your brain. It can be taken as tablets, liquids, chewable tablets or extended-release capsules. It can also be given via the skin.
It is not uncommon for those who suffer from ADHD also to be afflicted by mood disorders like depression or anxiety. You should tell your doctor about any anxiety or depression you may have. Certain medications, specifically stimulants can make these conditions worse. In certain instances, you may need to take an anti-anxiety medication and a stimulant medication.
Methylphenidate can have side effects, such as headaches or stomachaches. It may also raise blood pressure and heart rate which is why you should make regular appointments with your doctor to examine these. It can also cause facial ticks (uncontrollable rapid movements of the face). People with phenylketonuria (a genetic disorder) who have trouble metabolizing phenylalanine should not take it. It is also risky to use during pregnancy or while breastfeeding. You should tell your doctor that you intend to become pregnant.
You must not operate or drive machinery while taking methylphenidate. It can cause dizziness, blurred vision and drowsiness. You should drink plenty of fluids when taking this medication. If you are having difficulty swallowing tablets, consult your physician about extended-release capsules or oral disintegrating tablets. It is not recommended to crush or chew these medicines therefore, if you experience difficulties eating solid food, 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 within the central nervous system stimulant family. It affects the amount of certain natural substances in the brain. It is used to treat attention deficit hyperactivity disorder in children and adults who are six years old and over. It is also sometimes used to treat binge eating disorder in adults.
Adults with ADHD are frequently afflicted with depression and anxiety disorders. It is crucial to treat these disorders in order to be more comfortable and perform at their best adhd medication for adults with anxiety and depression, both at work and at home. Some medication used to treat mental disorders may interfere negatively with ADHD medication. It is essential to discuss any other medical concerns.
Depression and anxiety can be a tangled mess, as they both involve a wide range of symptoms. Antidepressants like Wellbutrin, Effexor, or Venlafaxine are often prescribed to treat these disorders. They can also improve concentration and focus for people with ADHD/ADHD. They help by increasing certain neurotransmitters inside the brain. They are safe for abuse and misuse.
In studies of LDX in adults with ADHD and anxiety or depression The medication had promising results. It improved ADHD ratings as well as executive function and adhd medication names for adults ratings. It was also safe to use.
Tell your doctor if any other medications are taking place for example, MAO inhibitors, like isocarboxazid and linezolid, Methylene blue (Nardil) or phenelzine selegiline, Emsam (Zelapar), or tranylcypromine. These medicines should not be consumed within 14 days of lisdexamfetamine. You should also inform your doctor know if you are allergic to lisdexamfetamine or any other ingredients in the medication.
3. Atomoxetine
Atomoxetine, also called Strattera is a non-stimulant ADHD medication used to treat depression. It is believed to work by preventing the reuptake of norepinephrine, a neurotransmitter. By increasing levels of this chemical in the brain, the drug enhances alertness and reduces anxiety and depression symptoms. It is important to remember 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 psychiatrist and/or therapist.
There have been a variety of studies that have been conducted to examine the effects of atomoxetine on patients with ADHD and anxiety disorders. These studies include 9 controlled trials that were randomized and 2 post hoc subgroup studies. In most cases, both symptom improvement and cognition function were more accurately measured with atomoxetine than placebo. It is important to keep in mind that the sample size of these studies was small.
The medication can also cause a few side effects, including abdominal pain and a fast heart rate. These effects are usually minor and are not seen in all people who take the medication. Certain people who take Atomoxetine have had thoughts of suicide. These thoughts were observed in short-term clinical trials of adolescents and children taking the medication. However, suicides didn't occur in these trials.
As with stimulants, atomoxetine could be effective in treating comorbid ADHD and anxiety. In fact in a recent study of adults suffering from ADHD and social anxiety disorder, atomoxetine performed better than a placebo. This is an encouraging result that suggests that this drug may be effective in treating ADHD and anxiety when combined with other treatments. It will require more studies to determine if atomoxetine is also effective for other types of anxiety disorders that are comorbid.
4. Bupropion
Bupropion is a non-stimulant drug that boosts the amount of a chemical found in the brain known as noradrenaline. This chemical is responsible for sending messages between brain cells. The increase in it can aid in focusing and controlling impulses. Your doctor may recommend this medication in capsule form which is usually taken one or twice a day. There are some serious side effects such as suicidal thoughts or liver damage.
Anxiety is a disorder that causes intense, persistent fear and restlessness. It can cause symptoms such as stomachaches, headaches and breath shortness, and feelings like fear or dread. Many people with anxiety disorders struggle with controlling their symptoms, despite trying to manage the severity of their symptoms.
People suffering from ADHD can suffer from anxiety, too. The condition can cause problems with relationships and emotions, as well as a lack of self-esteem. If not treated, ADHD symptoms, such as forgetfulness and impulsiveness, can result in feelings of anger and inability.
Stimulants such as lisdexamfetamine and methylphenidate can help reduce anxiety symptoms, as can nonstimulant drugs such as Atomoxetine (Strattera) and viloxazine (Qelbree). High blood pressure medications such as Clonidine (Kapvay) and Guanfacine (Intuniv, Tenex) may also be prescribed for ADHD in adults, but these medications work differently than stimulants.
While antidepressants aren't approved by the FDA to treat adhd medications for adults however, your doctor can prescribe them on their own or in conjunction with a stimulant, though they are typically not prescribed to children and teens. Psychotherapy is another treatment option. Consulting with a mental-health professional can be beneficial in treating both anxiety and ADHD. Changes in your lifestyle and routine can help manage these disorders. You can, for example, try meditating or doing yoga, regulating sleep and stress levels and adding exercise into your daily routine.
5. Tricyclic antidepressants
In certain situations, a mental health professional may recommend antidepressants as part of your treatment plan. They're not approved by the FDA to treat ADHD however they can occasionally improve symptoms of depression and anxiety if taken alongside stimulants. Antidepressants boost serotonin levels and norepinephrine production in the brain. They can therefore help to alleviate anxiety as well as depressive symptoms. Selective serotonin reuptake inhibitorslike fluoxetine (Prozac), citalopram (Celexa) and escitalopram (Lexapro) -boost your levels of the neurotransmitter serotonin to 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 originally developed to treat schizophrenia, but they were later discovered to possess powerful antidepressant properties. These drugs include imipramine (Tofranil) and amitriptyline (Elavil) and nortriptyline (Pamelor).
Tricyclics can also help sleep, reduce blood pressure and lower a person’s sensitivity to sound. They can cause drowsiness, so those taking them should avoid driving or operating machinery that could be dangerous until they know how they'll react to the medication.
Exercise taking enough rest and eating a diet high in fruits, vegetables and whole grains could all help improve ADHD and anxiety symptoms. Mindfulness practices and other forms of therapy like cognitive behavioral therapy can also reduce stress and boost happiness. Klarity can assist you in finding licensed providers who offer convenient online mental health care that is insurance-free and convenient. Find out more and schedule an appointment today.