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How to Choose the Best ADHD Medication for Adults With Anxiety and Depression

When a person suffers from both ADHD and depression or anxiety, treating the first disorder can improve the other. Mental health experts prescribe antidepressants and stimulants for depression, or antidepressants in conjunction with ADHD medication.

Wellbutrin (bupropion) and Effexor (venlafaxine) are the most frequently prescribed antidepressants that are prescribed "off-label" for ADHD. These medications increase the levels of neurotransmitters dopamine as well as norepinephrine. They also improve concentration.

1. Methylphenidate

Methylphenidate, also known by the brand name Ritalin is the first-choice treatment for adults suffering from ADHD and anxiety or depression. It's part of a class of drugs known as central nervous system stimulants and is a drug 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 is able to be administered via the skin.

It is not unusual for people who suffer from adhd medication guide to also suffer from mood disorders such as anxiety or depression. You should inform your doctor about any anxiety or depression you may be suffering from. Certain medications, especially stimulants can make these disorders worse. In some instances, you may need both a anti-anxiety and a stimulant drug.

Methylphenidate may cause adverse effects, including headaches and stomachaches. It may also raise blood pressure and heart rates which is why you should make regular appointments with your physician to examine these. It can also cause facial tics (quick uncontrollable movements on your face). People suffering from phenylketonuria (a genetic disorder) who are unable to process the chemical phenylalanine shouldn't take it. It is also not recommended to take during pregnancy and breastfeeding, so you should let your doctor know whether you are pregnant or planning to become pregnant.

When you are taking methylphenidate, it is recommended that you should not operate a vehicle or operate machinery. It may cause dizziness and blurred vision. It is important to drink plenty of fluids when you take it. Consult your physician if you have difficulty swallowing tablets. It is not recommended to crush or chew these medicines. If you are having difficulty eating solid foods, consult your physician about liquid medicines that can be added to soft food or drinks like applesauce, yogurt, or pudding.

2. Lisdexamfetamine

Lisdexamfetamine (LDX) is an antidepressant that is part of the family of central nerve system stimulants. It works by altering the quantity of certain natural substances in the brain. It is used to treat attention deficit hyperactivity disorder in adults and children aged 6 years and older. It is also used to treat binge-eating disorders in adults.

Adults with ADHD often have comorbid anxiety and depression. Treatment of these conditions is crucial to aid people in feeling more relaxed and perform their best at work and home. Some medications that are typically used to treat mental health problems may interact with ADHD medication, so it is important to disclose any other medical issues that you may have.

Depression and anxiety are both complicated conditions, as they involve many symptoms. Certain antidepressants, like Wellbutrin (bupropion) or Effexor (venlafaxine), are frequently used to treat these disorders and can help enhance focus and concentration in people with ADHD/ADHD. They help by increasing certain neurotransmitters within the brain. They are low-risk for misuse and abuse.

The drug showed promising results in studies that involved adults with ADHD or depression, anxiety or ADHD. It helped reduce the symptoms of anxiety and depression and also improved ADHD ratings and executive function measures. It was also safe to use.

It is crucial to inform your doctor if you're taking any other medications that include MAO inhibitors like isocarboxazid (Marplan), linezolid (Zyvox), Methylene blue, the phenelzine (Nardil) selegiline (Eldepryl, Emsam, Zelapar), and the tranylcypromine (Parnate). These medications should not be taken within 14 days of lisdexamfetamine. You should also let your doctor know if are allergic to lisdexamfetamine or any other ingredients in the medication.

3. Atomoxetine

Atomoxetine (Strattera) is a nonstimulant ADHD medication that is also used to treat depression. It is believed to work by preventing the reuptake of norepinephrine, a neurotransmitter. By boosting levels of this chemical in the brain, the drug enhances alertness and reduces anxiety as well as depression 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 a person seek treatment from a licensed psychiatrist or therapist.

There have been a myriad of studies conducted to assess the effects of atomoxetine in patients suffering from ADHD and anxiety disorders. These studies include nine controlled studies that are randomized and two post-hoc analyses of subgroups. In most cases, both improvement in symptom and cognition function were better assessed with atomoxetine than the placebo. It is important to note that the sample size in these studies was small.

Some of the side effects of this medication for adhd and odd include abdominal pain as well as rapid heart rate. These effects are usually minimal and are not observed for everyone who takes the medication. In some instances, patients who take atomoxetine experience thoughts of suicide. These thoughts were reported during short-term clinical studies with adolescents and children who prescribes medication for adhd were taking the medication. However, suicides did not occur in these trials.

Like stimulants, atomoxetine is effective in treating anxiety and ADHD that are comorbid. In fact the results of a recent study of people suffering from ADHD and social anxiety disorder, atomoxetine outperformed an placebo. This is a promising result that suggests that this medication could be effective in treating ADHD and anxiety when used in conjunction with other treatments for both disorders. It will take further studies to determine if atomoxetine is also effective for other types comorbid anxiety disorders.

4. Bupropion

Bupropion, a non-stimulant drug boosts the chemical noradrenaline within 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 this drug in capsule form typically taken once or twice a day. It's also linked to more serious side effects, like suicidal thoughts and liver damage.

Anxiety is a condition that causes persistent, intense fear and anxiety. It can cause symptoms such as headaches, stomachaches, shortness in breath, and feelings such as dread or fear. People with anxiety disorders often struggle to control their symptoms, despite efforts to manage them.

People suffering from ADHD may develop anxiety, as well. The condition can cause issues with relationships and emotions and a loss of self-esteem. The symptoms of untreated ADHD include the inability to pay attention, forgetfulness, and impulsive behavior -can also result in feelings of disappointment or failure.

Stimulants like lisdexamfetamine and methylphenidate can ease anxiety symptoms, as can non-stimulant medications like atomoxetine (Strattera) and viloxazine (Qelbree). High blood pressure medications such as clonidine (Kapvay) and Guanfacine (Intuniv, Tenex) may also be used to treat ADHD in adults, although these drugs work differently than stimulants.

Although antidepressants aren't endorsed by the FDA to treat ADHD, your doctor may prescribe them as a single drug or together with a stimulant, but they typically aren't used in adolescents or children. Psychotherapy is a second option for treatment. Talking with a mental-health professional can be beneficial in treating anxiety as well as ADHD. Making changes to your routine and habits can help you manage these issues. You can, for example, try meditating or doing yoga, regulating your stress and sleep patterns and including exercises into your daily routine.

5. Tricyclic antidepressants

In some cases, a mental health professional may recommend antidepressants as part of your treatment plan. They are not FDA approved to treat adhd medications however they can help improve anxiety and depression symptoms if combined along with stimulants. Antidepressants increase levels of serotonin and norepinephrine in your brain, which can help improve depressive symptoms as well as anxiety. Selective serotonin reuptake inhibitors like fluoxetine(Prozac), citalopram(Celexa) and escitalopram(Lexapro) can increase the levels of the neurotransmitter Serotonin within your brain to boost 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 after the three rings in their chemical structure, were initially designed as antipsychotics, and later discovered to possess powerful antidepressant properties. These medications include imipramine (Tofranil) and amitriptyline (Elavil) and nortriptyline (Pamelor).

Tricyclics can also help sleep, lower blood pressure and reduce a person’s sensitivity to sounds. Tricyclics can cause an increase in drowsiness. Patients taking them should not operate machinery or drive until they are sure of the reaction they will experience to the medication.

Exercise, getting enough rest and eating a diet high in fruits, vegetables and whole grains could all help improve ADHD and anxiety symptoms. Mindfulness practices and other forms of therapy like cognitive behavior therapy can reduce stress and increase happiness. If you're struggling with managing your anxiety and ADHD, Klarity can connect you with licensed providers for affordable, insurance-free online mental health care. Learn more about our services bipolar and adhd medication book an appointment today.