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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 improve the second. Mental health professionals usually prescribe antidepressants or a stimulant 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, and improve concentration.
1. Methylphenidate
Methylphenidate is the top choice treatment for adults suffering from ADHD or anxiety depression. It's a part of a group of medicines known as central nervous system stimulants and is used to alter the levels of certain natural substances in your brain. It is available as chewable tablets, liquids or extended-release capsule. It can also be administered via the skin.
It is not unusual for people with ADHD to also suffer from mood disorders such as anxiety or depression. It is important to inform your doctor about any depression or anxiety you may be suffering from. Certain medications, specifically stimulants, can make these conditions worse. In certain situations you may have to take an anti-anxiety medication and a stimulant medication.
Methylphenidate may cause headaches and stomachaches. It can also increase blood pressure and heart rates which is why you should make regular appointments with your doctor to check these. It may also cause facial tics (quick uncontrollable movements of your face). It should not be taken by those with a genetic condition called phenylketonuria, who have trouble processing the chemical phenylalanine. It is also dangerous to take during pregnancy or breastfeeding, so let your doctor know whether you are pregnant or planning to become pregnant.
While taking methylphenidate, you should not drive a vehicle or operate machinery. It may cause dizziness, blurred vision and drowsiness. You should drink plenty of fluids when taking this medication. If you experience difficulty swallowing tablets, consult your doctor about extended-release capsules or orally disintegrating tablets. It is not recommended to crush or chew these medicines therefore, if you experience trouble eating solid food discuss with your doctor about liquid medicines that can be mixed with soft foods or drinks, such as yogurt, applesauce or pudding.
2. Lisdexamfetamine
Lisdexamfetamine is a medicine that belongs to the central nervous system stimulant family. It works by changing the amounts of certain natural substances within the brain. It is used to treat the condition of attention deficit hyperactivity disorder in children and adults 6 years of age and older. It can also be used to treat binge eating disorder in adults.
Adults who suffer from ADHD often have comorbid depression and anxiety disorders. Treatment for these disorders is important to make people feel more relaxed and perform their best at work and home. Certain medications commonly used to treat mental health problems can interact with ADHD medications, so it is important to disclose any other medical issues you might have.
Depression and anxiety are both complex conditions, since they can trigger various symptoms. Antidepressants like Wellbutrin, Effexor, or Venlafaxine are commonly prescribed to treat these conditions. They can also help improve concentration and focus in people who suffer from ADHD or ADHD. They help by increasing certain neurotransmitters within the brain. They are safe for misuse and abuse.
In studies of LDX in adults with ADHD and depression The medication produced promising results. It helped improve ADHD ratings, as well as executive function and ADHD ratings. It was also safe to use.
Inform your doctor if other medications are taking place for example, MAO inhibitors, like isocarboxazid and linezolid, methylene blue (Nardil), phenelzine, selegiline, Emsam (Zelapar), or tranylcypromine. These medications are not recommended to be taken within 14 days of taking lisdexamfetamine. Inform your doctor if you have an allergy to lisdexamfetamine, or any other ingredients in this medication.
3. Atomoxetine
Atomoxetine, also known as Strattera is a non-stimulant ADHD medication used to treat depression. It is believed to work by preventing reuptake of the neurotransmitter norepinephrine. By increasing levels of this chemical in the brain, the drug increases alertness and reduces anxiety as well as depression symptoms. This medication is not to be used alone to treat anxiety disorders. It is recommended that the patient seeks help from a qualified psychiatrist or therapist.
A number of studies have been conducted to evaluate the effects of atomoxetine on patients with ADHD and comorbid anxiety disorders. These studies comprise 9 controlled trials that were randomized and two post-hoc subgroup studies. In most instances, both improvement in symptoms and cognition function were more accurately measured with atomoxetine than the placebo. It is important to remember that the sample size of these studies was very small.
This medication is also known to cause some adverse effects, such as abdominal pain and a rapid heart rate. These effects are usually minimal and are not observed in everyone who takes the medication. In some instances, people who take atomoxetine experience thoughts of suicide. These thoughts were observed in short-term clinical trials involving children and adolescents taking the drug. These trials did not result in suicides.
As with stimulants, atomoxetine is effective in treating anxiety and ADHD that are comorbid. In a recent research study, atomoxetine was more effective than a placebo for adults suffering from social anxiety disorder and ADHD. This is an encouraging result which suggests that this drug could be effective in treating ADHD and anxiety in combination with other treatments for both disorders. Further research is required to determine if Atomoxetine is also a treatment effectively for other forms of comorbid anxiety disorders.
4. Bupropion
Bupropion, a nonstimulant drug, increases the chemical noradrenaline in the brain. This chemical is responsible for sending messages between brain cells. Increasing it can help in focusing and controlling impulses. Your doctor may recommend the drug in capsules, usually taken once or twice daily. There are also some serious side effects such as suicidal thoughts or liver damage.
Anxiety is a condition that causes intense, persistent fear and anxiety. It can trigger symptoms such as stomachaches, headaches shortness of breath, as well as anxiety or fear. Many people suffering from anxiety disorders struggle with controlling their symptoms, despite trying to manage them.
People with ADHD can suffer from anxiety, too. The condition can cause issues with relationships and emotions and low self-esteem. Untreated ADHD symptoms, such as inattention and impulsiveness, could result in feelings of anger and failure.
Non-stimulants such as atomoxetine Qelbree and Lisdexamfetamine (methylphenidate) can also assist in easing anxiety symptoms. High blood pressure medications like Clonidine (Kapvay) and Guanfacine (Intuniv, Tenex) may also be used to treat ADHD in adults, although these drugs function differently than stimulants.
Although antidepressants aren't endorsed by the FDA to treat ADHD, your doctor may prescribe them on their own or in conjunction along with a stimulant. However, they typically aren't used in children and teens. Psychotherapy is another treatment option. Talking to a mental health professional can be beneficial in treating both anxiety and ADHD. Lifestyle and routine changes can also help in managing these disorders. For instance, you could try practicing meditation or yoga, managing sleep and stress and incorporating exercise in your daily routine.
5. Tricyclic antidepressants
In some instances, a mental health professional may recommend antidepressants as part of your treatment program. adhd and depression medication approved by the FDA to treat ADHD however they can sometimes help alleviate symptoms of depression and anxiety when used in conjunction with stimulants. Antidepressants boost serotonin levels and norepinephrine production in the brain. They therefore can help to improve anxiety and depressive symptoms. Selective serotonin-reuptake inhibitors -like fluoxetine (Prozac), citalopram (Celexa) and escitalopram (Lexapro) -boost your levels of the neurotransmitter, serotonin, to improve 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 are named after the three rings that make up their chemical structure, were first developed as antipsychotics and later found to have powerful antidepressant properties. These include amitriptyline imipramine, and nortriptyline.
Tricyclics can also help sleep, lower blood pressure and lower a person’s sensitivity to sounds. They can cause drowsiness so those taking them should refrain from driving or operating equipment that is dangerous until they are aware of how they will react to the medication.
A variety of lifestyle changes can improve your ADHD and anxiety symptoms, such as taking exercise, sleeping enough and eating a balanced diet rich in whole fruits, grains and vegetables. Mindfulness and other forms therapy, such as cognitive behavioral therapy, can also reduce stress. Klarity can help you find licensed providers who offer convenient online mental health care that is affordable and easy to access. Find out more information and make an appointment today.