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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 professionals prescribe antidepressants, stimulants for depression or antidepressants along with ADHD medication. Wellbutrin (bupropion), and Effexor, (venlafaxine), are the two most common antidepressants that are prescribed for ADHD “off-label”. These drugs increase 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 anxiety or depression. It is in a class of medications called central nervous system stimulants. It is a drug that alters the amount of certain natural substances in your brain. It can be taken in the form of tablets, liquids chewable tablets, or extended-release capsules. medication for adhd adults can be administered through the skin. It is not uncommon for people with ADHD to have co-occurring mood disorders like anxiety or depression. It is essential to tell your doctor if you have anxiety or depression because certain medications, including stimulants can cause them to get worse. In certain situations it is possible to take both an anti-anxiety medication and a stimulant medication. Methylphenidate can cause side effects, including headaches and stomachaches. It can also increase your heart rate and blood pressure which is why you should maintain regular appointments with your doctor to examine these. It may also cause facial tics (quick uncontrollable movements on your face). It should not be taken by those with a genetic condition called Phenylketonuria. These people have difficulty in metabolizing the chemical phenylalanine. It is also unsafe to take during pregnancy and breastfeeding, so inform your doctor if you are pregnant or plan to become pregnant. While taking methylphenidate, you should not operate a vehicle or operate machinery. It may cause dizziness and blurred vision. You should drink plenty of fluids while taking this medication. Ask your doctor if you have trouble swallowing tablets. It is not recommended to crush or chew these medicines. If you have difficulty eating solid food, ask your doctor about liquid medicines that can be mixed into soft food or drinks such as applesauce, yogurt, or pudding. 2. Lisdexamfetamine Lisdexamfetamine (LDX) is a medication that belongs to the family of central nervous system stimulants. It works by altering the amount of certain natural substances within the brain. It is used to treat the condition of attention deficit hyperactivity disorder in children and adults six years old and up. It is also used to treat binge eating disorders in adults. Adults who suffer from ADHD frequently suffer from anxiety and depression. Treatment of these conditions is essential to make people feel better and do their best at work and home. Certain medications that are commonly used to treat mental health conditions may interact with ADHD medications, so it is essential to disclose any other medical issues you might have. Depression and anxiety can be a tangled mess because they both have many symptoms. Antidepressants such as Wellbutrin, Effexor, or Venlafaxine are commonly prescribed to treat these ailments. They also can improve focus and concentration for those who suffer from ADHD or ADHD. They typically improve the quantity of neurotransmitters within the brain. They have a low potential for misuse and abuse. In studies of LDX in adults suffering from ADHD and anxiety or depression The medication produced promising results. It decreased the symptoms of anxiety and depression and improved ADHD ratings and executive function measurements. It was also safe to use. Tell your doctor if any other medications are taking place for any reason, including MAO inhibitors, like isocarboxazid and linezolid, Methylene blue (Nardil) and phenelzine. selegiline, Emsam (Zelapar), or tranylcypromine. These medications should not be taken for 14 days after the use of lisdexamfetamine. You should also let your doctor know if are allergic to lisdexamfetamine, or any other ingredient in the medication. 3. Atomoxetine Atomoxetine (Strattera) is a nonstimulant ADHD medication that is also used to treat depression. It is thought to work by blocking neurotransmitter reuptake. The drug boosts levels of this chemical within the brain to increase alertness, reduce anxiety and depression symptoms. This medication should not, however, be used as a sole treatment for anxiety disorders. Instead, it is recommended that an individual seek treatment from a licensed psychiatrist and/or therapist. Numerous studies have been conducted to assess the effects of atomoxetine in patients with ADHD and comorbid anxiety disorders. These studies comprise 9 randomized controlled trials and 2 post-hoc subgroup studies. In the majority of instances, both improvement in symptoms and cognition function were more accurately measured 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 include abdominal pain as well as rapid heart rate. These effects are typically minor and are not seen for everyone who takes the medication. Some people who take Atomoxetine have had thoughts of suicide. These thoughts were reported in short-term clinical trials of adolescents and children who took the medication. However, suicides did not occur in these trials. Like stimulants, atomoxetine may also be effective in treating comorbid ADHD and anxiety. In fact the results of an earlier study of adults suffering from ADHD and social anxiety disorder, atomoxetine was found to outperform a placebo. This is a promising result that suggests that this drug may be effective in treating ADHD and anxiety when used with other treatments. It will take further research to determine if atomoxetine can be effective in other forms of comorbid anxiety disorders. 4. Bupropion Bupropion, a drug that is not stimulant, increases the chemical noradrenaline in the brain. This chemical transmits messages between brain cells and increasing it can aid concentration and control impulses. This drug is usually prescribed in capsule form and is taken once or twice daily by your physician. There are also some serious side effects, such as suicidal thoughts or liver damage. Anxiety is a condition that triggers extreme fear and restlessness. It can trigger symptoms such as stomachaches, headaches, shortness in breath, and feelings like dread or fear. Many people with anxiety disorders struggle to control their symptoms, despite efforts to lessen the severity of their symptoms. Certain people with ADHD can also experience anxiety. The condition can cause problems with relationships and emotions, and a loss of self-esteem. Symptoms of untreated ADHD — such as the inability to pay attention, forgetfulness and impulsive behaviorcan also result in feelings of anger or disappointment. Nonstimulants such as atomoxetine, Qelbree and lisdexamfetamine (methylphenidate) can also help to reduce anxiety symptoms. High blood pressure medications such as clonidine, (Kapvay) and guanfacine, (Intuniv or Tenex) can also be used to treat ADHD in adults. However, these medications are different from stimulants. Although antidepressants aren't endorsed by the FDA to treat ADHD however, your doctor can prescribe them alone or along with a stimulant. However, they are typically not prescribed to teenagers and children. Psychotherapy is another treatment option. It involves speaking with a mental health professional, and it's sometimes effective for treating anxiety and ADHD together. Making changes to your routine and habits can help you manage these issues. You can, for example try meditation or yoga, regulating insomnia and stress levels, and adding exercises into your daily routine. 5. Tricyclic antidepressants A mental health professional might recommend antidepressants as part of your treatment. They're not approved by the FDA to treat ADHD, but they can sometimes help alleviate symptoms of anxiety and depression when used in conjunction with stimulants. Antidepressants increase serotonin levels as well as norepinephrine production in the brain. They can therefore help to alleviate anxiety and depressive symptoms. Selective serotonin reuptake inhibiters, like fluoxetine(Prozac), citalopram(Celexa), and escitalopram(Lexapro), increase levels of neurotransmitter Serotonin in your brain to improve 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, named for the three rings in their chemical structure, were originally 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 reduce the person's sensitivity to sound. Tricyclics can cause drowsiness. People taking them shouldn't operate or drive on dangerous equipment until they are sure of the reaction they will experience to the medication. Exercise and resting enough and eating a balanced diet rich in fruits, vegetables and whole grains could all help improve ADHD and anxiety symptoms. Mindfulness-based practices as well as other forms of therapy like cognitive behavior therapy can also reduce stress and increase happiness. Klarity can help you find licensed providers who offer convenient online mental health services that is affordable and easy to access. Find out more about our services and make an appointment now.