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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 anxiety or depression, addressing the first disorder can help the second. Mental health experts prescribe antidepressants and stimulants for depression, or antidepressants along with ADHD medication. Wellbutrin (bupropion) and Effexor (venlafaxine) are the most frequently used antidepressants that are prescribed “off-label” for ADHD. These drugs increase levels of the neurotransmitters norepinephrine as well as dopamine, which 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 depression or anxiety. It belongs to a class called central nervous stimulants. It affects the quantity of certain natural substances inside your brain. It is available as a tablet, liquid chewable tablets, extended-release capsules. It can be administered through the skin. It is not unusual for people who suffer from ADHD also to suffer from mood disorders like anxiety or depression. It is important that you inform your doctor if you suffer from depression or anxiety because some medications, especially stimulants can cause them get worse. In some instances, you may require both a medication to treat anxiety and a stimulant drug. Methylphenidate can cause side effects, including headaches and stomachaches. It may also raise blood pressure and heart rates which is why you should make regular appointments with your doctor to check these. It may also trigger facial ticks (uncontrollable rapid movements of the face). People with phenylketonuria (a genetic condition) who have trouble metabolizing the chemical phenylalanine shouldn't take it. It can be dangerous to take during pregnancy or nursing. It is important to inform your doctor if you plan to become pregnant. You must not operate or drive machinery while taking methylphenidate. It can cause dizziness and blurred vision. It is essential to drink plenty of fluids when you take it. Ask your doctor if have trouble swallowing tablets. It is not recommended to crush or chew on these medications. If you have difficulty eating solid foods, ask your doctor about liquid medicines that can be added to soft food or drinks such as applesauce, yogurt, or pudding. 2. Lisdexamfetamine Lisdexamfetamine is a drug in the central nervous system stimulant family. It affects the amount of certain natural substances in the brain. It is used to treat of attention deficit hyperactivity disorder (ADHD) in adults and children of 6 years and older. It can also be used to treat binge eating disorder in adults. Adults with ADHD typically suffer from comorbid anxiety and depression. The treatment of these conditions is important to help people feel better and perform at their best at work and home. Certain medications that are commonly used to treat mental health issues can interact with ADHD medication, so it is essential to be open about any other medical issues you may have. Depression and anxiety can be a tangled mess due to the fact that both can trigger many symptoms. Some antidepressants, such as Wellbutrin (bupropion) or Effexor (venlafaxine), are frequently used to treat these disorders and may increase focus and concentration in people with ADHD/ADHD. They help by increasing the amount of neurotransmitters in the brain. They are safe for abuse and misuse. In studies of LDX in adults with ADHD and depression The medication had promising results. It helped reduce the symptoms of depression and anxiety and also improved ADHD ratings and executive function measurements. It was also safe to use. Tell your doctor if any other medications are being taken for example, MAO inhibitors, such as isocarboxazid, linezolid, Methylene blue (Nardil) or phenelzine selegiline, Emsam (Zelapar), or tranylcypromine. These medications should not be consumed for 14 days after the use of lisdexamfetamine. It is also important to let your doctor know if are allergic to lisdexamfetamine or any other ingredients in the medication. 3. Atomoxetine Atomoxetine (Strattera) is a non-stimulant 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 decreases anxiety and depression symptoms. This medication is not recommended to be used on its own to treat anxiety disorders. It is recommended that the person seeks help from a qualified therapist or psychiatrist. 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 9 controlled trials that were randomized and 2 post hoc subgroup studies. In the majority of cases, both symptom improvement and cognition function were better measured with atomoxetine than the placebo. However it is important to remember that the number of participants in these studies was limited. Some of the side effects of this medication include abdominal pain as well as rapid heart rate. These side effects are usually minimal and aren't a problem for all people who take this medication. In some cases, people who take atomoxetine have thoughts of suicide. These thoughts were reported during short-term clinical studies on adolescents and children who were taking the medication. However, suicides didn't occur in these trials. Like stimulants, atomoxetine can also be effective in treating comorbid anxiety/ADHD. In a recent research study, atomoxetine proved to be more effective than a placebo when treating adults suffering from social anxiety disorder and ADHD. This is a promising outcome that suggests this medication may be effective in treating ADHD and anxiety when used in conjunction with other treatments for both disorders. More research will be required to determine if Atomoxetine is also a treatment effectively for other forms of anxiety disorders comorbid with each other. 4. Bupropion Bupropion is a non-stimulant drug that increases a chemical in the brain known as noradrenaline. This chemical passes messages between brain cells and increasing it can aid concentration and control impulses. This drug is usually prescribed in capsule form and is taken at least twice a day by your doctor. It's also linked to more serious side effects, like suicidal thoughts and liver damage. Anxiety is a condition that triggers intense fear and restlessness. most effective adhd medication for adults can cause symptoms such as headaches, stomachaches, shortness in breath, and emotions like fear or dread. Many people with anxiety disorders struggle to manage their symptoms, despite trying to lessen the severity of their symptoms. best adhd medication for adults uk with ADHD can develop anxiety, as well. The condition can cause issues with relationships and emotions as well as a lack of self-esteem. The symptoms of untreated ADHD include the inability to pay attention, forgetfulness, and impulsive behavior — can also lead to feelings of frustration or failure. Non-stimulants like atomoxetine, Qelbree and lisdexamfetamine (methylphenidate) can also assist in easing anxiety symptoms. High blood pressure medications like Clonidine (Kapvay) and guanfacine (Intuniv or Tenex) can be used to treat ADHD in adults. However, these medications work differently from stimulants. Antidepressants may be prescribed by your physician to treat ADHD. They may be prescribed on their own or in combination with stimulants. However they are rarely prescribed to adolescents and children. Psychotherapy is another treatment option. This involves talking to an expert in mental health, and it's sometimes effective for treating anxiety and ADHD together. Changes in routine and lifestyle can also help in managing these conditions. You can, for example try meditating or practicing yoga, managing your sleep and stress levels and including exercise into your daily routine. 5. Tricyclic antidepressants In certain situations 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 occasionally improve symptoms of anxiety and depression when taken in conjunction with stimulants. Antidepressants boost serotonin levels and norepinephrine production in the brain. They therefore can help to alleviate anxiety and depressive symptoms. Selective serotonin reuptake inhibitors such as fluoxetine(Prozac), citalopram(Celexa) and escitalopram(Lexapro) boost the levels of the neurotransmitter Serotonin within 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 first came into use to treat schizophrenia, but they were later discovered to have powerful antidepressant effects. These drugs include imipramine (Tofranil) and amitriptyline (Elavil) and nortriptyline (Pamelor). Tricyclics can also improve sleep, reduce blood pressure and reduce a person’s sensitivity to sound. They can cause drowsiness so people who are taking them should stay away from driving or operating dangerous equipment until they are aware of how they will react to the medication. A variety of lifestyle changes can improve your ADHD and anxiety symptoms, including taking exercise, sleeping enough and eating a balanced diet that is rich in whole grains, fruits and vegetables. Mindfulness and other forms of therapy like cognitive behavior therapy, can also reduce stress. Klarity can help you find licensed providers who offer convenient online mental health services that is cost-free and convenient. Learn more about our services and book an appointment today.