How to Choose the Best ADHD Medication for Adults With Anxiety and Depression

If a person is suffering from both ADHD and anxiety or depression, addressing the first can usually help the second. Mental health professionals usually prescribe antidepressants or stimulants for depression in addition to an ADHD medication.

Wellbutrin (bupropion) and Effexor, (venlafaxine), are the two most commonly used antidepressants that are prescribed for ADHD "off-label". These medications increase the levels of neurotransmitters dopamine as well as norepinephrine. They also help improve concentration.

1. Methylphenidate

Methylphenidate is also known under the brand name Ritalin is the most popular treatment for adults suffering from ADHD and depression or anxiety. It's part of a group called central nervous stimulants. It is a medication that alters the amount of certain natural substances within your brain. It can be taken in the form of a tablet, liquid, chewable tablets or extended-release capsules. It is also available through the skin.

It is not uncommon for those with ADHD also to suffer from mood disorders, such as depression or anxiety. It is essential to inform your doctor if you have anxiety or depression because some medications, especially stimulants can cause them worsen. In certain instances it is possible to take both an anti-anxiety medication and a stimulant medication.

Methylphenidate can cause headaches as well as stomachaches. It can also increase heart rate and blood pressure and therefore, you should schedule regular visits to your physician to examine these. It can also cause facial tics (quick uncontrollable movements on your face). It is not recommended by people who have a genetic condition called phenylketonuria, which causes difficulty processing the chemical phenylalanine. It is also unsafe to take during pregnancy and nursing, so inform your doctor if you are pregnant or planning to become pregnant.

When taking methylphenidate, you should not drive a vehicle or operate machinery. It can cause dizziness as well as blurred vision. You should drink plenty of fluids when taking this medication. If you are having difficulty taking tablets, ask your physician about extended-release capsules or oral disintegrating tablets. You should not chew or crush 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 yogurt, applesauce or pudding.

2. Lisdexamfetamine

Lisdexamfetamine is a medicine that belongs to the central nervous system stimulant family. It affects the amount of certain natural substances in the brain. It is used to treat attention deficit hyperactivity disorder in children and adults aged 6 years and up. It can also be used to treat binge eating disorder in adults.

Adults with ADHD frequently suffer from anxiety and depression. It is crucial to treat these issues so that they can be more comfortable and perform at their best at work and at home. Certain drugs that treat mental illnesses may interfere negatively with ADHD medication for adhd and anxiety in adults. It is important to be open about any other medical concerns.

Depression and anxiety can be a tangled mess due to the fact that both can trigger a wide range of symptoms. Certain antidepressants, like Wellbutrin (bupropion) or Effexor (venlafaxine) are often prescribed to treat these ailments, and they can increase focus and concentration in people with ADHD or ADHD. They typically work by increasing the amount of certain neurotransmitters that are present in the brain. They are not likely to cause misuse and abuse.

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Inform your doctor if other medications are being taken for any reason, including MAO inhibitors, such as isocarboxazid or linezolid, as well as methylene blue (Nardil) or phenelzine selegiline, Emsam (Zelapar), or tranylcypromine. These medications should not be consumed within 14 days after lisdexamfetamine. You should also inform your doctor know if you 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 believed to work by blocking reuptake of the neurotransmitter norepinephrine. The drug increases levels of this chemical within the brain to improve alertness, reduce anxiety, and depression symptoms. It is important to note that this medication is not intended to be used as a stand-alone treatment for anxiety disorders. Instead it is recommended that patients receives treatment from a qualified psychotherapist or psychiatrist.

There have been a myriad of studies conducted to assess the effects of atomoxetine on patients suffering from ADHD and anxiety disorders. These studies comprise 9 randomized controlled trials and 2 post-hoc subgroup studies. In most cases, atomoxetine outperformed placebo on both measures of symptom improvement and cognitive function. However, it is important to note that the sample size of these studies was small.

Some side effects of this medication include abdominal pain and rapid heart rate. These effects are usually mild and do not occur in all people who take the medication. In some instances, people who take atomoxetine have thoughts of suicide. These thoughts were reported in short-term clinical trials with adolescents and children taking the drug. However, suicides did not occur in these trials.

As with stimulants, atomoxetine could also be effective in treating the comorbidity of ADHD and anxiety. In fact in an investigation of adults with ADHD and social anxiety disorder, atomoxetine performed better than an placebo. This is a promising result that suggests that this drug could be effective in treating ADHD and anxiety when paired with other treatments. It will require more studies to determine if atomoxetine is also effective for other types anxiety disorders that have a comorbidity.

4. Bupropion

Bupropion, a drug that is not stimulant increases the chemical noradrenaline in the brain. This chemical transmits messages between brain cells, and by increasing it, it helps concentration and control impulses. Your doctor may offer you the drug in capsules which is usually taken one or twice a day. It's also linked to some more serious side effects, like suicidal thoughts and liver damage.

Anxiety is a condition that causes an intense fear and a sense of restlessness. It can cause symptoms such as stomachaches, headaches, shortness in breath, and feelings such as anxiety or dread. People suffering from anxiety disorders frequently struggle to manage their symptoms, despite attempts to reduce their symptoms.

Some people with ADHD may also experience anxiety. The condition can cause problems with relationships and emotions and a loss of self-esteem. Untreated ADHD symptoms, like the tendency to forget and impulsiveness can result in feelings of anger and feeling of failure.

Non-stimulants like atomoxetine, Qelbree and Lisdexamfetamine (methylphenidate) can also assist in easing anxiety symptoms. High blood pressure medications such as Clonidine (Kapvay) and Guanfacine (Intuniv, Tenex) may also be used for ADHD in adults, however these medications work differently than stimulants.

Antidepressants can be prescribed by your physician to treat ADHD. They can be prescribed alone or in combination with stimulants. However, they are not usually prescribed to children and teenagers. Psychotherapy is a second option for treatment. This involves talking with an expert in mental health, and is sometimes effective for treating anxiety and ADHD together. Changing your routine and lifestyle can help you manage these issues. You could, for instance try meditating or practicing yoga, managing your insomnia and stress levels and adding fitness into your routine.

5. Tricyclic antidepressants

In some cases, a mental health professional may recommend antidepressants as part of your treatment program. These drugs are not FDA approved to treat ADHD but can improve depression and anxiety symptoms when used in conjunction along with stimulants. Antidepressants work by increasing levels of serotonin and norepinephrine in your brain, and therefore can aid in reducing symptoms of depression as well as anxiety. Selective serotonin reuptake inhibitors, like fluoxetine(Prozac), citalopram(Celexa), and escitalopram(Lexapro), increase levels of the neurotransmitter Serotonin within your brain to boost 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 are named for the three rings that make up their chemical structure, were originally designed as antipsychotics, and later discovered to have potent antidepressant properties. These medications include amitriptyline, imipramine, and nortriptyline.

Tricyclics also improve sleep, lower blood pressure and reduce a person’s sensitivity to sounds. Tricyclics can cause sleepiness. People taking them should not drive or operate dangerous equipment until they know how they will react to the medication for inattentive adhd and anxiety.

Exercise and resting enough, and eating a diet that is rich in fruits, vegetables, and whole grains can all help to improve ADHD and anxiety symptoms. Mindfulness-based practices and other types of therapy like cognitive behavior therapy can also reduce stress and boost happiness. Klarity can assist you in finding certified providers who can provide online mental health care that is affordable and easy to access. Find out more and schedule an appointment today.