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ADHD Stimulant Medication
Stimulants are medications that help people with ADHD focus and manage their impulsive behavior. They can be short-acting or long-acting, and are prescribed by neurologists, paediatricians, or psychiatrists (and in some cases GPs).
Stimulants affect dopamine and norepinephrine levels in the brain. They are strictly controlled and only approved by a doctor.
Methylphenidate
Methylphenidate belongs to the stimulant family and increases brain activity. It boosts levels of certain chemicals, such as dopamine and noradrenaline, which aid in controlling attention and behavior. Methylphenidate may be used to treat ADHD, narcolepsy and other disorders. It is also prescribed for depression in adults. However, it is not approved or regulated by the Food and Drug Administration. Methylphenidate is absorbed by the gut into the bloodstream quickly and can be used within a few hours. It is available as a chewable tablet or an immediate-release tablet. The doctor will prescribe a formula that is most appropriate for the patient's symptoms and side effects.
The effects of methylphenidate are usually minimal and fade over time, as the body adjusts to the drug. If they continue to bother you, talk to the doctor who can lower the dosage or recommend a different medicine. It is crucial to take the medication exactly according to the prescription. Don't overdose the dosage recommended. This will reduce the risk of addiction or abuse. Methylphenidate is categorized as a Schedule II drug by the US Drug Enforcement Administration, which means it has a significant risk of abuse. Stimulants have the potential to cause withdrawal and dependence if not taken as prescribed.
Tell your doctor if your child is suffering from heart issues. This could include an irregular heartbeat or a history of heart attack. Methylphenidate increases heart rate. The doctor will therefore test their blood pressure prior to beginning treatment. It's also important to tell the doctor whether your child is taking any other medicines, such as herbal remedies, vitamins or supplements.
The doctor will give you instructions on how much and how often to take the medication, as well as any other precautions. Methylphenidate is recommended to be taken twice a day, in conjunction with meals. Certain brands of methylphenidate with long-acting tablets (Quillichew ER; Cotempla XR ODT; and Adhansia XR), contain aspartame. Aspartame is a major source of phenylalanine and should not by taken by those with phenylketonuria.
It is important to stay clear of alcohol and other drugs while taking this medication. Some people might notice their appetite diminishes when taking methylphenidate. If your child is losing weight, you should encourage them to eat regular meals and snacks. You may have to encourage them to drink plenty of water or squash to ensure they are hydrated.
Lisdexamfetamine
Lisdexamfetamine, sold under the brand name Vyvanse, is a stimulant for the central nervous system that affects the chemical activity of the brain and nerves. It enhances concentration and impulse control in adolescents, children, and adults with ADHD. It treats binge-eating disorder (BED) in addition to increasing levels of norepinephrine and dopamine in the brain. This reduces uncontrolled eating.
Lisdexamfetamine belongs to the prodrug class which is a modified drug that is inactive until it's metabolized in the body. It has demonstrated efficacy and safety in both stimulant naive patients as well as patients exposed to stimulants with ADHD. It is also believed to have a greater lasting effect than other stimulants, and may have less rebound symptoms.
Adler et al27 reported that the ADHD-RS-IV scores significantly improved in a 12-week controlled trial. They also reported that the majority of patients who switched to a placebo experienced a relapse within two weeks.28 Brams et al29, on the other hand employed a unique method in a randomized withdrawal trial where they monitored 116 adults for 12 weeks after the discontinuation of the drug lisdexamfetamine. They discovered that a majority of those who relapsed had not been exposed to any other stimulants during the two weeks prior to their relapse.
Tell your doctor if you have any allergies you may have to this medication or to any other medication. Tell your doctor if you suffer from high blood pressure, heart issues or other heart-related conditions. The use of stimulants can increase the risk of heart attacks, or sudden deaths among people suffering from these conditions.
Lisdexamfetamine can pass into breast milk and harm a nursing infant. It is not recommended to breastfeed while taking this medication. This medication may cause shakiness, dizziness, or stomach upset in certain individuals. Lisdexamfetamine is not recommended for use by children less than 6 years old. Lisdexamfetamine is also not approved for use by women who are pregnant or breastfeeding. Even if you're feeling better, do not stop taking the medicine unless your doctor tells you to. Your doctor may want to keep an eye on your blood pressure and heart rate while you're taking this medicine.
Atomoxetine
Atomoxetine (Strattera) is a non-stimulant that acts by blocking the presynaptic norepinephrine-transporter. It has high specificity for this transporter and minimal affinity for other neurotransmitter transporters and receptors [115, 136]. In multiple placebo-controlled studies, it improved the inhibitory control of ADHD patients by reducing the overactivation on the right inferior cortex (Chamberlain and coworkers 2009). It was also shown to increase working memory and attention span in children suffering from ADHD. It can take as long as 12 weeks before you can see the full effects. The dosage is based on weight and should be gradually increased. A daily dose of once is common. The drug's poor metabolizers the cytochrome P450 2D6 (CYP2D6) have greater exposure and a slower elimination of atomoxetine, so it is recommended to conduct a pharmacogenetic test prior to prescribing atomoxetine for these people.
In a number of controlled studies, it has been shown that it can be effective in reducing symptoms of ADHD. It is often used as the first-line treatment. It is generally safe and well tolerated, and doesn't increase the risk of suicidal behaviour. It isn't as efficient in reducing anxiety and tics as stimulants, and does not seem reduce sleep disorders. However it has been found to increase aggression in some children. Atomoxetine is also more likely to interact with antidepressant fluoxetine, so it is not recommended to take them together [115, 137).
Clonidine (Catapres) and Guanfacine are two additional medications that are available as treatments of first-line for ADHD. These drugs were originally created to lower blood pressure in adults. These drugs are known as alpha agonists. how does medication for adhd work work by stimulating receptors in the brain to release norepinephrine neurotransmitter which can reduce the amount of impulsivity and hyperactivity. These drugs have a long time to begin their action, and many children will require two to four weeks before they see any benefit from them. They are not recommended to be used in conjunction with MAOIs (e.g. e.g. Phenelzine is not recommended due to the possibility of serious and possibly fatal adverse reactions, including severe hypothermia and rigidity, myoclonus and autonomic instabilities.
Other Stimulants
Stimulants are substances that boost activity in the central nervous system. They are a variety of drugs that are legal and illegal. types of adhd medication can be used to enhance performance, stay awake or alert and treat certain medical conditions like ADHD and narcolepsy as well as depression. Some examples of prescribed stimulants include amphetamines and methylphenidate. The term"stimulant" can also be used to describe nonprescription medications like diet pills and caffeine. These are often used for various reasons, but they can also be dangerous when taken together with certain medications or foods.
Stimulants can cause adverse effects, even if they do not cause addictive at the doses prescribed for treating ADHD. Some people may feel jittery or shakey. They can increase blood pressure and heart rate and cause stomach upset and cause sleep problems.
Children and teens who take stimulants may be prone to antics, or repetitive sounds or movements, such as eye blinking and throat clearing. They could also have some minor delays in growth.
A doctor will determine the most effective stimulant for you or your children. They will take into consideration other aspects, like age, weight and whether you or your child suffer from any allergies. They will then prescribe the medication. Always follow the directions of your physician. You should always review the Medication Guide that is included with your medication.
The use of medication isn't the only method to treat symptoms of ADHD However, they're typically the first treatment option. Psychosocial interventions, such as behavior modification and family therapy are also available to assist people of all ages who suffer from ADHD.
Patients who are taking prescription ADHD medication should be assessed for the risk of abuse and misuse, and counseled to avoid sharing their medication with anyone else. They should also be encouraged to keep their medication locked away and properly disposed of. Health professionals should also regularly assess patients and monitor them for signs of misuse, abuse or addiction. The FDA has demanded that more consistent information be provided on the labeling of drugs in order to educate patients and families about these serious dangers.