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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 can usually improve the other. Mental health professionals often prescribe antidepressants or a stimulant for depression, along with an ADHD medication. Wellbutrin (bupropion) and Effexor (venlafaxine) are the most frequently prescribed antidepressants prescribed “off-label” for ADHD. These medications boost the levels of neurotransmitters dopamine and norepinephrine, and improve concentration. 1. Methylphenidate Methylphenidate is the top choice treatment for adults suffering from ADHD or anxiety 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 can be taken as tablets, liquids, chewable tablets or extended-release capsules. It can also be administered through the skin. It is not unusual for people with ADHD also to suffer from mood disorders like anxiety or depression. It is important that you tell your doctor if you have anxiety or depression because some medications, especially stimulants, can cause them to get worse. In some instances, you may require both an anti-anxiety medication and a stimulant medication. Methylphenidate can cause headaches and stomachaches. It may also raise blood pressure and heart rates, so you should make regular visits to your physician to check these. It can also cause facial tics (quick, uncontrollable movements in your face). It is not recommended by people who have a genetic condition called phenylketonuria, who have trouble metabolizing the chemical phenylalanine. It is also dangerous to take during pregnancy and nursing, so let your doctor know whether you are expecting or planning to become pregnant. You shouldn't operate machinery while taking methylphenidate. It may cause blurred vision, dizziness and sleepiness. You should drink plenty of fluids when taking this medication. Ask your doctor if you have trouble swallowing tablets. It is not recommended to crush or chew these medications, so if you have difficulties eating solid food consult your physician about liquid medicine that can be mixed with soft foods or drinks such as applesauce, yogurt or pudding. 2. Lisdexamfetamine Lisdexamfetamine is a medicine in the central nervous system stimulant family. It works by changing the amount of certain natural substances in the brain. It is used to treat attention deficit hyperactivity disorder in children and adults six years old and over. It is also used to treat binge eating disorder in adults. Adults suffering from ADHD are frequently afflicted with anxiety and depression disorders. Treatment of these conditions is essential to aid people in feeling more relaxed and perform their best at work and at home. Certain medications commonly used to treat mental health issues can interact with ADHD medications, so it is essential to be honest about any other medical issues that you may have. Depression and anxiety can be complex, as they both involve a wide range of symptoms. Some antidepressants, such as Wellbutrin (bupropion) or Effexor (venlafaxine), are frequently used to treat these ailments and can help enhance focus and concentration in those suffering from ADHD/ADHD. They work by increasing the amount of neurotransmitters in the brain. They are not at risk for misuse and abuse. In studies of LDX in adults suffering from ADHD and depression or anxiety The medication had promising results. It decreased the symptoms of anxiety and depression, and it improved ADHD ratings and executive function measures. adhd uk medication was also safe for use. It is important to tell your doctor if you are taking any other medication such as MAO inhibitors such as isocarboxazid (Marplan), linezolid (Zyvox), Methylene blue, the phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar), and the tranylcypromine (Parnate). These medicines should not be used for 14 days following the use of lisdexamfetamine. Tell your doctor whether you are allergic to lisdexamfetamine, or any 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 the reuptake neurotransmitter. The drug increases levels of this chemical within the brain to increase alertness, decrease anxiety and depressive symptoms. This medication should not, however, be used as a sole treatment for anxiety disorders. Instead, it is recommended that patients receives treatment from a certified psychotherapist or psychiatrist. A number of studies have been conducted to evaluate 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 studies. In most instances the atomoxetine treatment outperformed placebo in both measures of improvement in symptoms and cognitive function. However, it is important to remember that the number of participants in these studies was limited. The medication is also known to cause a few side effects, such as abdominal pain and a rapid heart rate. These side effects are usually minimal and aren't a problem for anyone who takes this medication. Certain people who take atomoxetine have reported thoughts of suicide. These thoughts were reported in short-term clinical trials of adolescents and children who took the drug. However, suicides didn't occur in these trials. Like stimulants, atomoxetine can be effective in treating comorbid ADHD and anxiety. In fact in an investigation of people suffering from ADHD and social anxiety disorder, atomoxetine performed better than the placebo. This is a promising result that suggests this medication may be effective in treating ADHD and anxiety when used in conjunction with other treatments for both disorders. It will take further research to determine if atomoxetine is also effective for other types anxiety disorders that have a comorbidity. 4. Bupropion Bupropion, a non-stimulant drug increases the chemical noradrenaline in the brain. The chemical is responsible for transmitting messages between brain cells and boosting it can help concentration and control impulses. Your doctor might recommend this drug in capsule form which is usually taken one or twice daily. It's also linked to more serious side effects, including suicidal thoughts and liver damage. Anxiety is a disorder that causes intense, persistent fear and anxiety. It can cause symptoms such as headaches, stomachaches, shortness in breath, and feelings such as anxiety or dread. Many people with anxiety disorders struggle to manage their symptoms, despite trying to manage the severity of their symptoms. Certain people with ADHD also develop anxiety. The condition can cause problems with emotions and relationships, and a loss of self-esteem. If not treated, ADHD symptoms, such as the tendency to forget and impulsiveness can cause feelings of frustration and failure. Stimulants like methylphenidate and lisdexamfetamine can help reduce anxiety symptoms, as do non-stimulant drugs like Atomoxetine (Strattera) and viloxazine (Qelbree). High blood pressure medications like Clonidine (Kapvay) and Guanfacine (Intuniv, Tenex) may also be used for ADHD in adults, however these drugs work differently than stimulants. While antidepressants aren't approved by the FDA to treat ADHD, your doctor may prescribe them as a single drug or with a stimulant, though they typically aren't used in adolescents or children. Psychotherapy is a third treatment option. Consulting with a mental-health professional can be effective in treating both anxiety and ADHD. Changes in routine and lifestyle can also be helpful for managing these conditions. For instance, you can try practicing meditation or yoga, managing insomnia and stress and incorporating physical exercise into your daily life. 5. Tricyclic antidepressants A mental health professional may suggest antidepressants as part of your treatment. They aren't approved by the FDA to treat ADHD however they can sometimes improve symptoms of anxiety and depression if taken alongside stimulants. Antidepressants increase serotonin levels as well as norepinephrine production in the brain. They can therefore help to improve anxiety as well as depressive symptoms. Selective serotonin reuptake inhibitorslike fluoxetine (Prozac), citalopram (Celexa) and escitalopram (Lexapro) — increase your levels of the neurotransmitter serotonin 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, named for the three rings in their chemical structure, were first developed as antipsychotics and later found to have powerful antidepressant properties. These medications include imipramine (Tofranil) and amitriptyline (Elavil) and nortriptyline (Pamelor). Tricyclics also decrease a person's sensitivity to noise, enhance sleep quality and lower blood pressure. Tricyclics can cause sleepiness. Patients taking them shouldn't operate or drive on dangerous equipment until they know what reaction they'll have to the medication. Exercise and resting enough and eating a diet high in vegetables, fruits, and whole grains can all help to improve ADHD and anxiety symptoms. Mindfulness and other forms therapy, such as cognitive behavioral therapy, can help 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 services. Find out more about our services and book an appointment today.