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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 anxiety or depression, addressing the first condition can often improve the other. Mental health professionals usually prescribe antidepressants or stimulants for depression, along with an ADHD medication.
Wellbutrin (bupropion) and Effexor (venlafaxine) are the most frequently prescribed antidepressants prescribed "off-label" for ADHD. These drugs increase the levels of neurotransmitters dopamine as well as norepinephrine. They also help improve concentration.
1. Methylphenidate
Methylphenidate is the first choice medication for adults suffering from ADHD, anxiety, or depression. It is in a class of drugs known as central nervous system stimulants and is used to alter the levels of certain natural substances in your brain. It is available as a tablet, liquid chewable tablets, extended-release capsules. It is able to be administered via the skin.
It is not uncommon for people with ADHD to have co-occurring mood disorders like depression or anxiety. It is important that you inform your doctor if have anxiety or depression because certain medications, including stimulants can cause them worsen. In some instances, you may require both a medication to treat anxiety and a stimulant medication.
Methylphenidate can have side effects, including headaches and stomachaches. It can also raise blood pressure and heart rate and therefore, you should schedule regular appointments with your doctor to check these. It can also trigger facial tics (quick, uncontrollable movements in your face). People with phenylketonuria (a genetic disorder) who are unable to process the phenylalanine drug should not take it. It is also risky to use during pregnancy or while breastfeeding. You should tell your doctor if you are planning to get pregnant.
You should not drive or operate machinery while taking methylphenidate. It may cause blurred vision, dizziness and sleepiness. You should drink plenty of fluids while taking this medication. Ask your doctor if have trouble swallowing tablets. It is not recommended to chew or crush these medications therefore, if you experience trouble eating solid food discuss with your doctor about liquid medicine that can be mixed with soft foods or drinks, such as applesauce, yogurt or pudding.
2. Lisdexamfetamine
Lisdexamfetamine is a drug within the central nervous system stimulant family. It works by changing the amounts of certain natural substances in the brain. It is used to treat the condition of attention deficit hyperactivity disorder in adults and children six years old and older. It can also be used to treat binge eating disorders for adults.
Adults suffering from ADHD are often afflicted by depression and anxiety disorders. It is crucial to treat these issues in order to feel better and perform at their best adhd medication for women, both at work and at home. Certain medications commonly used to treat mental health issues can interact with adhd stimulant medication medication, which is why it is essential to be open about any other medical issues you may have.
Depression and anxiety can be complex because they both have various symptoms. Some antidepressants, such as Wellbutrin (bupropion) or Effexor (venlafaxine), are commonly used to treat these ailments, and they can improve concentration and focus in those suffering from ADHD/ADHD. They work by increasing certain neurotransmitters inside the brain. They are low-risk for abuse and misuse.
The medication produced promising results in studies conducted with people suffering from ADHD, anxiety or depression. It decreased the symptoms of anxiety and depression and also improved ADHD ratings and executive function tests. It was also safe for use.
Tell your doctor about any other medications are taking place for any reason, including MAO inhibitors, such as isocarboxazid and linezolid, methylene blue (Nardil) and phenelzine. selegiline, Emsam (Zelapar), or tranylcypromine. These medications should not be consumed for 14 days after the administration of lisdexamfetamine. Consult your physician whether you are allergic 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 blocking reuptake neurotransmitter. The drug raises levels of this chemical in the brain to increase alertness, decrease anxiety and depression symptoms. It is important to remember, however, that this medication is not intended to be used as a stand-alone treatment for anxiety disorders. Instead it is recommended that patients seek treatment from a licensed psychiatrist or therapist.
A variety of studies have been conducted to examine the effects of atomoxetine on patients suffering from ADHD and comorbid anxiety disorders. These studies include 9 controlled studies that are randomized and 2 post-hoc subgroup analysis. In most instances, both improvement in symptoms and cognition function were better assessed using atomoxetine compared to placebo. It is important to remember that the sample size of these studies was small.
Some of the side effects associated with this medication include abdominal pain as well as rapid heart rate. These effects are typically minor and are not seen in all people who take the medication. Some people who use Atomoxetine have expressed thoughts of suicide. These thoughts were reported in short-term clinical trials with adolescents and children who took 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, 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 medication may be effective in treating ADHD and anxiety when combined with other treatments. It will require more research to determine if atomoxetine may be also effective for other types of anxiety disorders that have a comorbidity.
4. Bupropion
Bupropion is a non-stimulant drug that increases a chemical in the brain that is known as noradrenaline. This chemical is responsible for transmitting messages between brain cells. The increase in it can aid with concentration and impulse control. Your doctor might recommend this medication in capsule form, usually taken once or twice a day. It's also associated with more serious side effects, including suicidal thoughts and liver damage.
Anxiety is a condition that triggers intense fear and restlessness. It can trigger symptoms such as headaches, stomachaches, shortness in breath, and feelings such as anxiety or dread. Many people with anxiety disorders struggle to control their symptoms, despite trying to reduce them.
Some people with ADHD can also experience anxiety. The condition can lead to problems with relationships and emotional issues and low self-esteem. The symptoms of untreated ADHD include inattention deficit, forgetfulness, and impulsive behavior -can also result in feelings of frustration or failure.
Non-stimulants like atomoxetine, Qelbree and lisdexamfetamine (methylphenidate) can also assist to reduce anxiety symptoms. High blood pressure medications such as clonidine (Kapvay) and guanfacine (Intuniv, Tenex) may also be prescribed for ADHD in adults, although these drugs function differently than stimulants.
Although antidepressants haven't been approved by the FDA to treat adhd without medication adults ADHD however, your doctor can prescribe them alone or along with a stimulant. However, they typically aren't used in teenagers and children. Psychotherapy is a second treatment option. Consulting with a mental-health professional can be beneficial in treating both anxiety and ADHD. Lifestyle and routine changes can also be helpful for managing these conditions. You could, for instance, try meditating or doing yoga, regulating your insomnia and stress levels and including fitness into your routine.
5. Tricyclic antidepressants
In certain situations the mental health professional may recommend antidepressants as part of your treatment program. These medications aren't FDA approved to treat ADHD but can improve depression and anxiety symptoms when combined together with stimulants. Antidepressants increase serotonin levels as well as norepinephrine production in the brain. They are therefore able to reduce anxiety and depression symptoms. Selective serotonin-reuptake inhibitors -like fluoxetine (Prozac), citalopram (Celexa) and escitalopram (Lexapro) -boost the levels of the neurotransmitter serotonin to improve your mood and reduce 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 of their chemical structure, were initially developed as antipsychotics and later found to have powerful antidepressant properties. These medicines include imipramine (Tofranil), amitriptyline (Elavil) and nortriptyline (Pamelor).
Tricyclics can also improve sleep, lower blood pressure and lower the person's sensitivity to sound. They can cause drowsiness, so those taking them should avoid driving or operating equipment that is dangerous until they know how they'll react to the medication.
Exercise and resting enough and eating a balanced diet that is rich in vegetables, fruits and whole grains could all aid in reducing ADHD and anxiety symptoms. Mindfulness practices and other forms of therapy like cognitive behavioral therapy can also reduce stress and increase happiness. Klarity can assist you in finding licensed providers who offer convenient online mental health services that is cost-free and convenient. Learn more about our services, and then make an appointment today.