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How to Choose the Best ADHD Medication for Adults With Anxiety and Depression When a person has both ADHD and depression or anxiety treating one of the conditions often improves the other. Mental health professionals often prescribe antidepressants or stimulants for depression, along with an ADHD medication. Wellbutrin (bupropion) and Effexor, (venlafaxine), are the two most common antidepressants that are prescribed for ADHD “off-label”. These drugs increase levels of the neurotransmitters norepinephrine as well as dopamine. They also aid in improving 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 medications called central nervous system stimulants. It is used to alter the levels of certain natural substances in your brain. It is available in the form of chewable tablets, liquids, or an extended-release capsule. It can also be administered via the skin. It is not uncommon for people with ADHD to have co-occurring mood disorders like anxiety or depression. It is important that you tell your doctor if you are suffering from depression or anxiety as certain medications, including stimulants, can cause them to get worse. In some cases you may need both a anti-anxiety and a stimulant drug. Methylphenidate may cause headaches and stomachaches. It may also raise heart rate and blood pressure, so you should make regular appointments with your doctor to examine these. It can also cause facial ticks (uncontrollable, rapid movements of the face). It should not be taken by those with a genetic disorder called phenylketonuria, who have trouble metabolizing the chemical phenylalanine. It can be dangerous to take during pregnancy or nursing. You should tell your doctor if you plan to get pregnant. You should not drive or operate machinery while taking methylphenidate. It may cause blurred vision, dizziness and somnolence. You should drink plenty of fluids while taking this medication. If you experience difficulty swallowing tablets, ask your physician about extended-release capsules or oral disintegrating tablets. You should not crush or chew these medications. If you have difficulty eating solid foods, consult your doctor about liquid medicines that can be added to soft food or drinks, such as applesauce yogurt, or pudding. 2. Lisdexamfetamine Lisdexamfetamine (LDX) is a medication that belongs to the family of central nerve system stimulants. It works by changing the levels of certain natural substances in the brain. It is used to treat of attention deficit hyperactivity disorder (ADHD) in adults as well as children aged six years and over. It is sometimes used to treat binge eating disorder in adults. Adults who suffer from ADHD often have comorbid anxiety and depression. It is crucial to treat these issues so that they can feel better and perform their best at work and at home. Some medications that are typically used to treat mental health issues may interact with ADHD medication, which is why it is essential to disclose any other medical issues that you may have. Depression and anxiety are both complex conditions, as they involve a variety of symptoms. Some antidepressants, such as Wellbutrin (bupropion) or Effexor (venlafaxine), are commonly used to treat these conditions, and they can improve concentration and focus for people suffering from ADHD or ADHD. They typically work by increasing the quantity of certain neurotransmitters in the brain, and they have a low risk of misuse and abuse. The medication produced promising results in studies that involved adults suffering from ADHD or depression, anxiety or ADHD. It helped improve ADHD ratings, as well as executive function and ADHD ratings. 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) and linezolid (Zyvox) as well as methylene blue, the phenelzine (Nardil) selegiline (Eldepryl, Emsam, Zelapar), and tranylcypromine (Parnate). These medicines should not be used for 14 days following lisdexamfetamine. Inform your doctor if you have an allergy 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. By increasing levels of this chemical in the brain, the drug improves alertness and reduces anxiety as well as depressive symptoms. This medication should not, however, be used on its own to treat anxiety disorders. Instead it is recommended that an individual seek treatment from a licensed psychiatrist or therapist. A number of studies have been conducted to examine the effects of atomoxetine on patients with ADHD and comorbid anxiety disorders. These studies comprise 9 randomized controlled trials and 2 post-hoc subgroup analyses. In the majority of cases, atomoxetine outperformed placebo on both measures of symptom improvement and cognitive function. It is important to note that the sample size of these studies was very small. Some of the side effects associated with this medication include abdominal pain as well as rapid heart rate. These effects are typically minor and are not seen in everyone who takes the medication. Some people who take Atomoxetine have expressed thoughts of suicide. best adhd medication for adults uk were observed in short-term clinical studies with adolescents and children who were taking the medication. These trials didn't result in suicides. Like stimulants, atomoxetine is also effective in treating anxiety and ADHD that are comorbid. In a recent study, atomoxetine was more effective than a placebo in treating adults with social anxiety disorder and ADHD. This is a promising outcome that suggests that this medication could be effective in treating ADHD and anxiety when combined with other treatments for both disorders. It will take more study 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 a chemical in the brain called noradrenaline. This chemical is responsible for transmitting messages between brain cells. Increasing it can help in focusing and controlling impulses. Your doctor may offer you this medication in capsule form, usually taken once or twice daily. It's also associated with more serious side effects, including suicidal thoughts and liver damage. Anxiety is a disorder that triggers an intense fear and a sense of restlessness. It can cause symptoms like headaches, stomachaches as well as breathlessness and emotions like fear or dread. People suffering from anxiety disorders often struggle to manage their symptoms, despite efforts to manage them. People suffering from ADHD can sometimes develop anxiety, as well. The condition can cause problems with emotions and relationships, and also a loss of self-esteem. The symptoms of untreated ADHD include the inability to pay attention, forgetfulness, and impulsive behavior -can also cause feelings of disappointment or failure. Non-stimulants like atomoxetine, Qelbree and lisdexamfetamine (methylphenidate) can also assist to reduce anxiety symptoms. High blood pressure medications such as clonidine, (Kapvay), and guanfacine, (Intuniv or Tenex) can be used to treat ADHD in adults. However, these drugs work differently from stimulants. Antidepressants can be prescribed by your physician to treat ADHD. They are prescribed either on their own or together with stimulants. However, they are not usually prescribed to teenagers and children. Psychotherapy is another treatment option. Talking with a mental-health professional can be effective in treating anxiety as well as ADHD. Changes in routine and lifestyle can also help in managing these disorders. For instance, you can try yoga or meditation, managing stress and sleep habits and incorporating exercise into your daily routine. 5. Tricyclic antidepressants In some instances the mental health professional may recommend antidepressants as part of your treatment plan. They aren't approved by the FDA to treat ADHD, but they can sometimes improve symptoms of depression and anxiety when used in conjunction with stimulants. Antidepressants increase levels of serotonin and norepinephrine in your brain, so they can help improve depressive symptoms as well as anxiety. Selective serotonin reuptake inhibitors- such as fluoxetine (Prozac), citalopram (Celexa) and escitalopram (Lexapro) -boost the 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 first came into use to treat schizophrenia, but they were later discovered to have powerful antidepressant effects. These medicines include imipramine (Tofranil) as well as amitriptyline (Elavil) and nortriptyline (Pamelor). Tricyclics can also reduce the sensitivity of a person to noise, enhance sleep and lower blood pressure. They can cause drowsiness, so people who are taking them should stay away from driving or operating dangerous equipment until they know how they'll react to the medication. Numerous lifestyle changes can improve your ADHD and anxiety symptoms, such as taking exercise, sleeping enough and eating a healthy diet high in whole grains, fruits and vegetables. Mindfulness-based practices and other types of therapy such as cognitive behavioral therapy can reduce stress and increase happiness. And, if you're struggling with managing your anxiety and ADHD, Klarity can connect you with licensed providers for convenient, insurance-free online mental health services. Find out more about it and schedule an appointment today.