How to Choose the Best ADHD Medication for Adults With Anxiety and Depression
If a person suffers from both ADHD and depression or anxiety treating one of the conditions often improves the other. Mental health professionals typically prescribe antidepressants or stimulants for depression, along with an ADHD medication.
Wellbutrin (bupropion), and Effexor, (venlafaxine), are two of the most popular antidepressants prescribed to treat ADHD "off-label". These medications boost the levels of neurotransmitters dopamine and norepinephrine. They also help improve concentration.
1. Methylphenidate
Methylphenidate is also known under the brand name Ritalin, is the first-choice treatment for adults suffering from ADHD and depression or anxiety. It belongs to a class known as central nervous stimulants. It is a medication that alters the amount of certain natural substances within your brain. It is available as tablets that can be chewed, liquid or an extended-release capsule. 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 depression or anxiety you may have. Certain medications, especially stimulants, can make these conditions worse. In certain instances you may have to take both stimulants and anti-anxiety medication.
Methylphenidate can cause side effects, such as headaches and stomachaches. It can also raise heart rate and blood pressure which is why you should make regular visits to your physician to check these. It can also cause facial ticks (uncontrollable rapid movements of the face). It is not recommended by people who have a genetic condition called Phenylketonuria. These people have difficulty in metabolizing the chemical phenylalanine. It is also risky to take during pregnancy or breastfeeding. It is important to inform your doctor if you are planning to get pregnant.
While taking methylphenidate, you should not operate a vehicle or operate machinery. It can cause dizziness and blurred vision. Drink plenty of fluids while taking this medication. If you have problems swallowing tablets, ask your physician about extended-release capsules or orally disintegrating tablets. It is not recommended to crush or chew these medications. If you have difficulty eating solid foods, consult your physician about liquid medicines that can be mixed into soft food or drinks like applesauce, pudding, or yogurt.
2. Lisdexamfetamine
Lisdexamfetamine (LDX) is an anthelminthic medication that belongs to the family of central nerve system stimulants. It affects the amounts of certain natural substances within the brain. It is used to treat ADHD in children and adults who are aged 6 years and up. It is also used to treat binge eating disorder in adults.
Adults with ADHD typically suffer from comorbid depression and anxiety disorders. It is essential to treat these issues in order to be more comfortable and perform at their best both at work and at home. Some medications that are typically used to treat mental health conditions may interact with ADHD medication, which is why it is crucial to disclose any other medical issues that you may have.
Depression and anxiety are both complex disorders, because they are characterized by a variety of symptoms. Antidepressants such as Wellbutrin, Effexor, or Venlafaxine are commonly prescribed to treat these ailments. They also can improve concentration and focus for people who suffer from ADHD or ADHD. They usually work by increasing the amount of certain neurotransmitters in the brain. They have a low risk of misuse and abuse.
The drug showed promising results in studies conducted with adults with ADHD and depression, as well as anxiety. It reduced the symptoms of anxiety and depression and improved ADHD ratings and executive function measures. It was also safe to use.
Inform your doctor if other medications are being used for example, MAO inhibitors, such as isocarboxazid and linezolid, Methylene blue (Nardil), phenelzine, selegiline, Emsam (Zelapar), or tranylcypromine. These medications should not be consumed for 14 days following the use 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 non-stimulant ADHD medication that is also used to treat depression. It is thought to work by blocking neurotransmitter reuptake. The drug raises levels of this chemical in 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. It is recommended that the person seek treatment from a licensed therapist or psychiatrist.
Numerous studies have been conducted to evaluate the effects of atomoxetine on patients suffering from ADHD and other anxiety disorders that are comorbid. These studies include nine randomized controlled trials as well as two post-hoc subgroup analyses. In the majority of cases, both symptom improvement and cognition function were better assessed with atomoxetine than the placebo. However, it is important to keep in mind that the overall number of participants in these studies was small.
Some side effects of this medication include abdominal pain as well as rapid heart rate. These side effects are usually minimal and aren't a problem for everyone who takes this medication. In some instances, people who take atomoxetine experience thoughts of suicide. These thoughts check here were reported in short-term clinical trials of adolescents and children taking the medication. These trials did not result in suicides.
Like stimulants, atomoxetine can also be effective in treating the comorbidity of ADHD and anxiety. In a recent study atomoxetine proved to be more effective than a placebo in treating adults with social anxiety disorder and ADHD. This is an encouraging result that suggests that this medication could be effective in treating ADHD and anxiety when combined with other treatments for both disorders. 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 medication that does not stimulate that boosts the amount of a chemical found in the brain that is known as noradrenaline. The chemical is responsible for transmitting messages between brain cells and by increasing it, it helps concentration and control impulses. Your doctor may offer you this medication in capsule form typically taken once or twice daily. It's also associated with more serious side effects, including suicidal thoughts and liver damage.
Anxiety is a condition that triggers extreme fear and anxiety and. It can cause symptoms like headaches, stomachaches and breath shortness, and feelings like dread or fear. People suffering from anxiety disorders often struggle to manage their symptoms, despite attempts to lessen them.
Certain people with ADHD can also experience anxiety. The condition can lead to problems with relationships and emotional issues and low self-esteem. Untreated ADHD symptoms, such as inattention and impulsiveness, could lead to feelings of frustration and failure.
Non-stimulants such as atomoxetine Qelbree and lisdexamfetamine (methylphenidate) can also assist to reduce anxiety symptoms. High blood pressure medications like clonidine, (Kapvay) and guanfacine, (Intuniv or Tenex) can be used to treat ADHD in adults. However, these drugs are different from stimulants.
Antidepressants are often prescribed by your physician to treat ADHD. They are prescribed either on their own or together with stimulants. However they aren't typically prescribed to children and teenagers. Psychotherapy is another treatment option. This involves talking to a mental health professional, and is sometimes effective for treating anxiety and ADHD together. Lifestyle and routine changes can be beneficial in managing these conditions. For instance, you can try practicing meditation or yoga as well as reducing sleep and stress, and incorporating physical activity in your daily routine.
5. Tricyclic antidepressants
In some instances, a mental health professional might recommend antidepressants as a part of your treatment plan. They aren't approved by the FDA to treat ADHD, but they can sometimes improve symptoms of anxiety and depression when used in conjunction with stimulants. Antidepressants increase levels of serotonin as well as norepinephrine in your brain, which can help improve depressive symptoms as well as anxiety. Selective serotonin reuptake inhibitors -- such as fluoxetine (Prozac), citalopram (Celexa) and escitalopram (Lexapro) -boost your levels of the neurotransmitter, serotonin, to boost your mood and reduce 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 were later discovered to have potent antidepressant effects. These medications include imipramine (Tofranil) as well as amitriptyline (Elavil) and nortriptyline (Pamelor).
Tricyclics also decrease a person's sensitivity to noise, enhance sleep quality and lower blood pressure. Tricyclics can cause an increase in drowsiness. The people taking them shouldn't operate machinery or drive until they are certain of what reaction they'll have to the medication.
Many lifestyle changes can help improve your ADHD and anxiety symptoms, including exercise, getting enough sleep and eating a balanced diet rich in whole grains, fruits and vegetables. Mindfulness and other forms of therapy like cognitive behavior therapy, can also reduce stress. Klarity can assist you in finding licensed professionals who provide convenient online mental health services that is affordable and easy to access. Learn more about our services and book an appointment today.
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