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How to Choose the Best ADHD Medication for Adults With Anxiety and Depression When a person has both ADHD and anxiety or depression treating one of the conditions often improves 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 boost the levels of neurotransmitters dopamine and norepinephrine. They also improve concentration. 1. Methylphenidate Methylphenidate is also known under the brand name Ritalin is the first-choice medication to treat adults with ADHD and depression or anxiety. It's part of a class of medicines known as central nervous system stimulants. It works by changing the amounts of certain natural substances in your brain. It can be taken in the form of a tablet, liquid chewable tablets, or extended-release capsules. 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 depression or anxiety. You should tell your doctor about any depression or anxiety you may be suffering from. Certain medications, specifically stimulants can make these conditions worse. In adult adhd treatments , you may require both an anti-anxiety medication and a stimulant medication. Methylphenidate may cause headaches and stomachaches. It may also raise blood pressure and heart rates which is why you should make regular appointments with your physician to monitor these. It can also cause facial ticks (uncontrollable rapid movements of the face). People with phenylketonuria (a genetic disorder) who have trouble metabolizing the phenylalanine drug should not take it. It is also dangerous to take during pregnancy or nursing. adult adhd treatments should inform your doctor if you are planning to get pregnant. You must not operate or drive machinery while taking methylphenidate. It may cause blurred vision, dizziness and drowsiness. Drink plenty of fluids while taking this medication. If you have problems taking tablets, ask your doctor about extended-release capsules or oral disintegrating tablets. You should not crush or chew these medications therefore, if you experience difficulties 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 (LDX) is an antidepressant that is part of the class of central nervous system stimulants. It affects the amount of certain natural substances in the brain. It is used to treat the condition of attention deficit hyperactivity disorder in children and adults who are six years old and up. It can also be used to treat binge eating disorder in adults. Adults suffering from ADHD typically suffer from comorbid depression and anxiety disorders. It is important to treat these disorders so that they can be more comfortable and perform at their best at work and at home. Some medication used to treat mental disorders can interfere negatively with ADHD medication. It is important to be open about any other medical concerns. Depression and anxiety are both complicated conditions, since they can trigger many symptoms. Antidepressants like Wellbutrin, Effexor, or Venlafaxine are frequently prescribed to treat these ailments. They can also improve focus and concentration for those with ADHD or ADHD. They help by increasing certain neurotransmitters inside the brain. They are safe for abuse and misuse. The medication produced promising results in studies conducted with adults suffering from ADHD and depression, as well as anxiety. It reduced the symptoms of anxiety and depression, and it improved ADHD ratings and executive function measurements. It was also safe to use. Inform your doctor if other medications are being used for example, MAO inhibitors, such as isocarboxazid and linezolid, methylene blue (Nardil), phenelzine, selegiline, Emsam (Zelapar), or tranylcypromine. These medications should not be consumed for 14 days after the use of lisdexamfetamine. Inform your doctor if you have an allergy to lisdexamfetamine, or any other ingredients in this medication. 3. Atomoxetine Atomoxetine (Strattera) is a nonstimulant ADHD medication that is also 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 improves alertness and reduces anxiety as well as depression symptoms. This medication is not to be used alone to treat anxiety disorders. Instead, it is recommended that patients receives treatment from a certified psychiatrist and/or therapist. A number of studies have been conducted to assess the effects of atomoxetine on patients suffering from ADHD and other anxiety disorders that are comorbid. These studies comprise 9 controlled trials that were randomized and two post-hoc subgroup analyses. In most cases, atomoxetine outperformed placebo on both measures of improvement in symptom severity and cognitive function. However it is important to remember that the overall size of the study was limited. This medication can cause a few side effects, such as abdominal pain as well as a high heart rate. These side effects are usually minimal and are not observed in all people who take the medication. In some instances, patients who take atomoxetine report thoughts of suicide. These thoughts were observed in short-term clinical trials involving children and adolescents taking the medication. However, adult adhd treatments did not occur in these trials. As with stimulants, atomoxetine can also be effective in treating comorbid ADHD/anxiety. In a recent study, the atomoxetine medication was more effective than a placebo for adults suffering from social anxiety disorder and ADHD. This is an encouraging result that suggests that this medication could be effective for treating ADHD and anxiety when combined with other treatments. Further research is required to determine if atomoxetine can also be used effectively to treat other forms of anxiety disorders comorbid with each other. 4. Bupropion Bupropion, a drug that is not stimulant, increases the chemical noradrenaline in the brain. This chemical passes messages between brain cells, and boosting it can help concentration and control of impulses. This drug is usually prescribed in capsule form and is taken every day, either once or twice by your doctor. There are also some serious side effects like suicidal thoughts or liver damage. Anxiety is a disorder that causes constant, intense fear and anxiety. It can cause symptoms like stomachaches, headaches as well as breathlessness and emotions like fear or dread. People with anxiety disorders often struggle to manage their symptoms, despite attempts to reduce their symptoms. People with ADHD can suffer from anxiety, too. The condition can lead to issues with relationships and emotions and low self-esteem. The symptoms of untreated ADHD like inattention deficit, forgetfulness and impulsive behaviorcan also result in feelings of frustration or failure. Stimulants like lisdexamfetamine and methylphenidate can help reduce anxiety symptoms, as do non-stimulant drugs like Atomoxetine (Strattera) and viloxazine (Qelbree). High blood pressure medication like clonidine, (Kapvay), and guanfacine (Intuniv or Tenex) can also 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 rarely prescribed to adolescents and children. Psychotherapy is a third treatment option. This involves talking with a mental health professional, and is sometimes effective for treating anxiety and ADHD together. Changes in routine and lifestyle can also help in managing these conditions. For instance, you can try practicing meditation or yoga as well as reducing stress and sleep habits, and incorporating physical activity into your daily life. 5. Tricyclic antidepressants A mental health professional could suggest antidepressants as part of your treatment. They are not FDA approved to treat ADHD however they can help improve depression and anxiety symptoms when used in conjunction with stimulants. Antidepressants boost levels of serotonin and norepinephrine within your brain, and therefore can improve symptoms of depression and anxiety. Selective serotonin reuptake inhibitors, such as fluoxetine(Prozac), citalopram(Celexa), and escitalopram(Lexapro) can increase the levels of neurotransmitter Serotonin in your brain to improve 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 first came into use as antipsychotics, but later discovered to possess powerful antidepressant effects. These medicines include imipramine (Tofranil) as well as amitriptyline (Elavil) and nortriptyline (Pamelor). Tricyclics also decrease the sensitivity of people to noise, improve sleep and lower blood pressure. Tricyclics can cause sleepiness. The people taking them shouldn't operate machinery or drive until they are certain of what reaction they'll have to the medication. A variety of lifestyle changes can improve your ADHD and anxiety symptoms, including exercise, getting enough sleep and eating a balanced diet high in whole grains, fruits and vegetables. Mindfulness and other forms of therapy, such as cognitive behavioral therapy, can also reduce stress. And, 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. Learn more about our services and book an appointment today.