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How to Choose the Best ADHD Medication for Adults With Anxiety and Depression
If someone suffers from both ADHD and anxiety or depression, addressing 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 prescribed "off-label" for ADHD. These medications increase levels of the neurotransmitters norepinephrine as well as dopamine, which aid in improving concentration.
1. Methylphenidate
Methylphenidate is also known as the brand name Ritalin is the first-choice medication to treat adults with ADHD and anxiety or depression. It belongs to a class known as central nervous stimulants. It is a medication that alters the amount of certain natural substances in your brain. It can be taken in the form of tablets, liquids chewable tablets, or extended-release capsules. It can also be administered through the skin.
It is not uncommon for those with ADHD to also suffer from mood disorders like anxiety or depression. You should inform your doctor about any anxiety or depression you might be suffering from. Some medications, particularly stimulants can make these conditions worse. In certain instances you may have to take both stimulants and anti-anxiety medication.
Methylphenidate may cause adverse effects, such as headaches bipolar and adhd medication stomachaches. It can also raise heart rate and blood pressure and therefore, you should schedule regular appointments with your doctor to check these. It can also cause facial ticks (uncontrollable, rapid movements of the face). People with phenylketonuria (a genetic disorder) who are unable to process phenylalanine should not take it. It is also dangerous to take during pregnancy or nursing, so inform your doctor if you are pregnant or plan to become pregnant.
When you are taking methylphenidate, it is recommended that you should not drive a vehicle or operate machinery. It may cause dizziness and blurred vision. You should drink plenty of fluids while taking this medication. Ask your doctor if have trouble swallowing tablets. You should not crush or chew these medicines. If you have difficulty eating solid foods, ask your doctor about liquid medications that can be added to soft food or drinks such as applesauce, yogurt, or pudding.
2. Lisdexamfetamine
Lisdexamfetamine is a medication within the central nervous system stimulant family. It works by altering the quantity of certain natural substances within the brain. It is used to treat ADHD in children and adults who are six years old and over. It is also used to treat binge eating disorder in adults.
Adults suffering from ADHD often have comorbid anxiety and depression. It is important to treat these issues in order to be more comfortable and perform at their best, both at work and at home. Some drugs that treat mental illnesses can interact negatively with ADHD medication. It is essential to be open about any other medical concerns.
Depression and anxiety are both complicated disorders, because they are characterized by various symptoms. Antidepressants such as Wellbutrin, Effexor, or Venlafaxine are commonly prescribed to treat these ailments. They can also help improve concentration and focus for people with ADHD or ADHD. They typically work by increasing the quantity of neurotransmitters within the brain. They have a low potential for misuse and abuse.
In studies of LDX in adults with ADHD and anxiety or depression, the medication showed promising results. It improved ADHD ratings, as well as executive function and ADHD ratings. It was also safe to use.
It is important to tell your doctor if you are taking any other medications that include MAO inhibitors such as isocarboxazid (Marplan) and linezolid (Zyvox) and Methylene blue, the phenelzine (Nardil) selegiline (Eldepryl, Emsam, Zelapar) and the tranylcypromine (Parnate). These medicines should not be used for 14 days following the use of the administration of lisdexamfetamine. Tell your doctor if you have an allergy to lisdexamfetamine, or any 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 preventing reuptake of the neurotransmitter norepinephrine. The drug raises levels of this chemical within the brain to increase alertness, reduce anxiety, and depression symptoms. This medication should not, however, be used on its own to treat anxiety disorders. Instead, it is recommended that a person receives treatment from a qualified psychotherapist or psychiatrist.
There have been a variety of studies that have been conducted to examine the effects of atomoxetine on patients suffering from common adhd medications and anxiety disorders. These studies include 9 controlled trials that were randomized and 2 post-hoc subgroup studies. In the majority of instances, both improvement in symptoms and cognition function were more accurately measured with atomoxetine than the placebo. However it is important to remember that the overall size of the study was small.
Some of the side effects of this medication include abdominal pain as well as rapid heart rate. These side effects are usually mild and do not occur for everyone who takes the medication. Some people who take Atomoxetine have had thoughts of suicide. These thoughts were reported during short-term clinical studies of children and adolescents who took the medication. However, suicides did not occur in these trials.
Like stimulants, atomoxetine is effective in treating anxiety and ADHD that are comorbid. In a recent research study, the atomoxetine medication was more effective than a placebo for adults suffering from social anxiety disorder and ADHD. This is a promising outcome that suggests that this drug could be effective in treating ADHD and anxiety when paired with other treatments. More research will be needed to determine whether the atomoxetine medication can be used effectively for other types of comorbid anxiety disorders.
4. Bupropion
Bupropion, a non-stimulant drug increases the amount of noradrenaline that is found in the brain. The chemical is responsible for transmitting messages between brain cells, and by increasing it, it helps concentration and control impulses. Your doctor may recommend this drug in capsule form typically taken once or twice a day. There are some serious side effects, such as suicidal thoughts or liver damage.
Anxiety is a condition that causes intense, persistent anxiety and a sense of restlessness. It can cause symptoms such as headaches, stomachaches and breath shortness, and feelings such as fear or dread. People with anxiety disorders often struggle to control their symptoms, despite efforts to manage them.
Some people with ADHD may also experience anxiety. The condition can cause problems with emotions and relationships, as well as a lack of self-esteem. Symptoms of untreated ADHD like forgetfulness, difficulty paying attention, and impulsive behavior -can also result in feelings of frustration or failure.
Stimulants such as lisdexamfetamine and methylphenidate can ease anxiety symptoms, as can non-stimulant medications like atomoxetine (Strattera) and viloxazine (Qelbree). High blood pressure medications such as Clonidine (Kapvay) and Guanfacine (Intuniv, Tenex) may also be used to treat ADHD in adults, but these medications work differently than stimulants.
While antidepressants aren't approved by the FDA to treat ADHD however, your doctor can prescribe them as a single drug or along with a stimulant. However, they are typically not prescribed to children and teens. Psychotherapy is a second option for treatment. This involves talking to a mental health professional, and can be effective in treating anxiety and ADHD together. Changing your routine and lifestyle can help manage these conditions. You can, for example try meditating or practicing yoga, managing your stress and sleep patterns, and adding fitness into your routine.
5. Tricyclic antidepressants
A mental health professional could suggest antidepressants as part of your treatment. They aren't approved by the FDA to treat ADHD but they may sometimes improve symptoms of anxiety and depression if taken alongside stimulants. Antidepressants boost levels of serotonin and norepinephrine within your brain, which can improve symptoms of depression as well as anxiety. Selective serotonin reuptake inhibitors, like fluoxetine(Prozac), citalopram(Celexa), and escitalopram(Lexapro) boost the levels of neurotransmitter Serotonin in your brain to boost 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. Tricyclic antidepressants, so named for the three rings that make up their chemical structure, were originally developed as antipsychotics and later found to have powerful antidepressant properties. These include amitriptyline nortriptyline and imipramine.
Tricyclics also decrease the sensitivity of people to noise, improve sleep quality and lower blood pressure. They can cause drowsiness, therefore, those taking them should avoid driving or operating equipment that is dangerous until they are aware of how adhd medication works they will react to the medication.
Exercise and resting enough, and eating a diet high in fruits, vegetables, and whole grains can all help to improve adhd medication intuniv and anxiety symptoms. Mindfulness and other forms therapy, such as cognitive behavioral therapy, can also reduce stress. And, if you're struggling with managing your anxiety and ADHD, Klarity can general practitioners prescribe adhd medication connect you with licensed professionals for convenient, insurance-free online mental health care. Find out more and schedule an appointment today.