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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 professionals often prescribe antidepressants or a stimulant for depression in addition to an ADHD medication. Wellbutrin (bupropion) and Effexor (venlafaxine) are the most commonly used antidepressants that are 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 the top choice treatment for adults suffering from ADHD, anxiety, or depression. It's a part of a group of medicines known as central nervous system stimulants and is a drug that alters the amount of certain natural substances in your brain. It is available in the form of a liquid, chewable tablet or extended-release capsule. It is able to be administered via the skin. It is not uncommon for people with ADHD to have co-occurring mood disorders such as anxiety or depression. It is important to inform your doctor about any depression or anxiety you may have. Certain medications, specifically stimulants can make these conditions worse. In some instances, you may require both an anti-anxiety medication and a stimulant medication. Methylphenidate can cause side effects, including headaches and stomachaches. It may also raise your blood pressure and heart rate which is why you should maintain regular appointments with your physician to monitor these. It can also cause facial tics (quick uncontrollable movements on your face). People with phenylketonuria (a genetic disorder) who are unable to process phenylalanine should not take it. It is also not recommended to take during pregnancy and breastfeeding, so you should let your doctor know whether you are expecting or planning to become pregnant. When taking methylphenidate, 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. If you experience difficulty swallowing tablets, ask your physician about extended-release capsules or orally disintegrating tablets. It is not recommended to crush or chew these medicines If you are having trouble eating solid food consult your physician about liquid medicine that can be mixed with soft foods or drinks such as yogurt, applesauce, or pudding. 2. Lisdexamfetamine Lisdexamfetamine (LDX) is an antidepressant that is part of the family of central nervous system stimulants. It works by altering the amount of certain natural substances in the brain. It is used to treat ADHD in children and adults who are six years old and older. It is also sometimes used to treat binge eating disorders in adults. Adults who suffer from ADHD typically suffer from comorbid depression and anxiety disorders. It is essential to treat these issues to help them be more comfortable and perform at their best both at work and at home. Certain medications that treat mental illnesses may affect ADHD medication. It is crucial to be honest about any other medical concerns. Depression and anxiety are both complicated conditions, since they can trigger a variety of symptoms. Antidepressants such as Wellbutrin, Effexor, or Venlafaxine are often prescribed to treat these ailments. They can also improve concentration and focus for people with ADHD/ADHD. They typically work by increasing the amount of neurotransmitters within the brain. They have a low risk of misuse and abuse. In studies of LDX in adults suffering from ADHD and depression or anxiety The medication produced promising results. It improved ADHD ratings as well as executive function and ADHD ratings. It was also safe to use. It is essential to inform your doctor if you're taking any other medications that include MAO inhibitors like isocarboxazid (Marplan), linezolid (Zyvox) as well as Methylene blue, phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar) and the tranylcypromine (Parnate). These medicines are not recommended to be taken within 14 days after lisdexamfetamine. You should also inform your doctor know if you are allergic to lisdexamfetamine, or any other ingredients in the medication. 3. Atomoxetine Atomoxetine, also referred to as Strattera, is a nonstimulant ADHD drug that is used to treat depression. It is believed to work by blocking the reuptake neurotransmitter. By increasing levels of this chemical in the brain, the drug enhances alertness and reduces anxiety and depressive symptoms. It is important to keep in mind that this medication is not intended to be used as a stand-alone treatment for anxiety disorders. Instead it is recommended that patients receives treatment from a certified psychotherapist or psychiatrist. A variety of studies have been conducted to evaluate the effects of atomoxetine on patients with ADHD and other anxiety disorders that are comorbid. These studies include nine controlled trials that were randomized and two post-hoc analyses of subgroups. In most cases the atomoxetine treatment outperformed placebo in both measures of improvement in symptom severity and cognitive function. However, it is important to note that the overall number of participants in these studies was small. Some of the side effects of this medication include abdominal pain and rapid heart rate. These effects are usually minimal and are not observed in everyone who takes the medication. In some instances, patients who take atomoxetine experience thoughts of suicide. These thoughts were observed in short-term clinical trials with children and adolescents taking the drug. These trials didn't result in suicides. As with stimulants, atomoxetine is effective in treating comorbid anxiety/ADHD. In a recent study atomoxetine proved to be more effective than 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. More research will be needed to determine if the atomoxetine medication can be used effectively for other forms of anxiety disorders that are comorbid. 4. Bupropion Bupropion, a non-stimulant drug, increases the chemical noradrenaline in the brain. best adhd medication is responsible for transmitting messages between brain cells. The increase in it can aid with concentration and impulse control. The drug is typically prescribed in capsule form and taken once or twice daily by your doctor. There are also some serious side effects such as suicidal thoughts or liver damage. Anxiety is a disorder that causes constant, intense fear and restlessness. It may cause symptoms such as stomachaches, headaches shortness of breath, and feelings of anxiety or dread. Many people with anxiety disorders struggle with controlling their symptoms, despite efforts to reduce the severity of their symptoms. People suffering from ADHD can sometimes develop anxiety, as well. The condition can lead to emotional and relationship problems, as well as low self-esteem. If not treated, ADHD symptoms, like the tendency to forget and impulsiveness can cause feelings of frustration and feeling of failure. Non-stimulants such as atomoxetine Qelbree and Lisdexamfetamine (methylphenidate) can also help in easing anxiety symptoms. High blood pressure medications such as Clonidine (Kapvay) and Guanfacine (Intuniv, Tenex) may also be used for ADHD in adults, although these drugs work differently than stimulants. Antidepressants are often prescribed by your doctor to treat ADHD. They are prescribed either on their own or together with stimulants. However, they are not usually prescribed to adolescents and children. Psychotherapy is a different treatment option. This involves talking with 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 doing yoga, regulating stress and sleep patterns and including fitness into your routine. 5. Tricyclic antidepressants A mental health professional could recommend antidepressants as part of your treatment. These drugs are not FDA approved to treat ADHD but can improve anxiety and depression symptoms if combined with stimulants. Antidepressants increase levels of serotonin and norepinephrine within your brain, which can aid in reducing symptoms of depression as well as anxiety. Selective serotonin reuptake inhibitorslike fluoxetine (Prozac), citalopram (Celexa) and escitalopram (Lexapro) -boost your levels of the neurotransmitter serotonin, which can lift 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 are named after the three rings in their chemical structure, were first created as antipsychotics but were later discovered to possess powerful antidepressant properties. These medications include imipramine (Tofranil), amitriptyline (Elavil) and nortriptyline (Pamelor). Tricyclics can also help sleep, lower blood pressure, and decrease the sensitivity of a person to sound. Tricyclics can cause sleepiness. People taking them shouldn't operate machinery or drive until they know what reaction they'll have to the medication. Exercise and resting enough, and eating a diet rich in vegetables, fruits and whole grains could all aid in reducing ADHD and anxiety symptoms. Mindfulness-based practices and other types of therapy such as cognitive behavioral therapy can also reduce stress and increase happiness. If you're struggling to manage your anxiety and ADHD, Klarity can connect you with licensed professionals for convenient, insurance-free online mental health care. Find out more about our services, and then make an appointment today.
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