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How to Choose the Best ADHD Medication for Adults With Anxiety and Depression If someone has ADHD and depression or anxiety treating one of the conditions often improves the other. Mental health professionals usually prescribe antidepressants or stimulants for depression in addition to an ADHD medication. Wellbutrin (bupropion) and Effexor (venlafaxine) are the most commonly used antidepressants that are prescribed “off-label” for ADHD. These drugs increase the levels of neurotransmitters dopamine and norepinephrine. They also help improve concentration. 1. Methylphenidate Methylphenidate is also known under the brand name Ritalin is the most popular medication to treat adults with ADHD and depression as well as anxiety. It is in a class of drugs known as central nervous system stimulants. It works by changing the amounts of certain natural substances in your brain. It is available as tablets that can be chewed, liquid or an extended-release capsule. It can also be administered via the skin. It is not unusual for people with ADHD also to suffer from mood disorders like anxiety or depression. visit your url is important that you tell your doctor if you suffer from depression or anxiety because certain medications, particularly stimulants can cause them worsen. In certain situations, you might need both a anti-anxiety and a stimulant medication. Methylphenidate can cause headaches and stomachaches. It may also raise your blood pressure and heart rate which is why you should maintain regular appointments with your physician to monitor these. It can also cause facial ticks (uncontrollable, rapid movements of the face). People suffering from phenylketonuria (a genetic condition) who have trouble metabolizing phenylalanine should not take it. It is also unsafe to take during pregnancy or breastfeeding, so inform your doctor if you are pregnant or planning to become pregnant. You should not drive or operate machinery while taking methylphenidate. It can cause blurred vision, dizziness and somnolence. You should drink plenty of fluids while taking this medication. Ask your doctor if are having difficulty swallowing tablets. Do not crush or chew these medications. If you're having trouble eating solid foods, consult your physician about liquid medicines that can be added to soft food or drinks, such as applesauce pudding, or yogurt. 2. Lisdexamfetamine Lisdexamfetamine is a medication within the central nervous system stimulant family. 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 who are six years old and older. It is also used to treat binge eating disorder in adults. Adults suffering from ADHD are often afflicted by anxiety and depression disorders. It is essential to treat these issues so that they can feel better and perform their best at work and at home. Certain medications used to treat mental disorders may affect ADHD medication. It is important to be honest about any other medical concerns. Depression and anxiety are both complex disorders, because they are characterized by many symptoms. Antidepressants like Wellbutrin, Effexor, or Venlafaxine are commonly prescribed to treat these conditions. They also can improve concentration and focus for people with ADHD/ADHD. They typically improve the amount of neurotransmitters within the brain, and they have a low potential for misuse and abuse. In studies of LDX in adults with ADHD and depression or anxiety The medication had promising results. It helped improve ADHD ratings and executive function and ADHD ratings. It was also safe for use. Inform your doctor if other medications are being taken for any reason, including MAO inhibitors, such as isocarboxazid and linezolid, methylene blue (Nardil) and phenelzine. selegiline, Emsam (Zelapar), or tranylcypromine. These medicines are not recommended to be taken within 14 days of lisdexamfetamine. You should also inform your doctor know if you are allergic to lisdexamfetamine or any other ingredient in the medication. 3. Atomoxetine Atomoxetine, also called Strattera is a non-stimulant ADHD medication that is used to treat depression. It is believed to work by blocking neurotransmitter reuptake. By increasing levels of this chemical in the brain, the drug increases alertness and reduces anxiety as well as depression symptoms. It is important to note that this medication is not intended to be used as a stand-alone treatment for anxiety disorders. It is recommended that the patient seek treatment from a licensed therapist or psychiatrist. There have been a number of studies that have been conducted to examine the effects of atomoxetine in patients with ADHD and anxiety disorders. These studies comprise 9 controlled trials that were randomized and 2 post hoc subgroup analyses. In most instances the results showed that atomoxetine was superior to placebo on both measures of symptom improvement and cognitive function. It is important to note that the sample size of these studies was very small. The medication can also cause some adverse effects, such as abdominal pain and a fast heart rate. These effects are typically mild and do not occur in everyone who takes the medication. Some people who take Atomoxetine have had thoughts of suicide. These thoughts were observed in short-term clinical studies with adolescents and children who took the drug. However, suicides did not occur in these trials. Like stimulants, atomoxetine is effective in treating anxiety and ADHD that are comorbid. In a recent research study, atomoxetine proved to be more effective than a placebo in treating adults with social anxiety disorder and ADHD. This is a promising result that suggests that this drug could be effective for treating ADHD and anxiety when used with other treatments. It will take further study to determine if atomoxetine is also effective for other types anxiety disorders that are comorbid. 4. Bupropion Bupropion, a drug that is not stimulant, boosts the chemical noradrenaline within the brain. This chemical is responsible for transmitting messages between brain cells. Its increase can assist with concentration and impulse control. Your doctor may offer you this medication in capsule form, usually taken once or twice daily. There are some serious side effects, such as suicidal thoughts or liver damage. Anxiety is a condition that causes intense fear and nervousness. It can cause symptoms such as headaches, stomachaches and breath shortness, and feelings like anxiety or dread. Many people suffering from anxiety disorders struggle to manage their symptoms, despite trying to reduce the severity of their symptoms. People suffering from ADHD may suffer from anxiety, too. The condition can cause issues with relationships and emotions, and also a loss of self-esteem. Signs of untreated ADHD like the inability to pay attention, forgetfulness and impulsive behaviorcan also cause feelings of anger or disappointment. Non-stimulants like atomoxetine, Qelbree and Lisdexamfetamine (methylphenidate) can also assist to reduce anxiety symptoms. High blood pressure medications like Clonidine (Kapvay) and guanfacine (Intuniv, Tenex) may also be used for ADHD in adults, but these drugs function differently than stimulants. Antidepressants can be prescribed by your physician to treat ADHD. They can be prescribed alone or in conjunction with stimulants. However they aren't typically prescribed to teenagers and children. Psychotherapy is another treatment option. Talking with a mental-health professional can be beneficial in treating anxiety as well as ADHD. Changes in your lifestyle and routine can help manage these disorders. For instance, you can consider practicing yoga or meditation, managing stress and sleep habits and incorporating exercise in your daily routine. 5. Tricyclic antidepressants In certain situations the mental health professional may suggest antidepressants as part of your treatment program. These drugs aren't approved by the FDA to treat ADHD however they can occasionally improve symptoms of anxiety and depression when used in conjunction with stimulants. Antidepressants boost levels of serotonin and norepinephrine in your brain, so they can improve symptoms of depression as well as anxiety. Selective serotonin reuptake inhibiters, like fluoxetine(Prozac), citalopram(Celexa) and escitalopram(Lexapro) boost the 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 after the three rings that make up their chemical structure, were originally created as antipsychotics but were later discovered to have potent antidepressant properties. These medications include amitriptyline, imipramine, and nortriptyline. Tricyclics also decrease the sensitivity of people to noise, enhance sleep and lower blood pressure. Tricyclics can cause sleepiness. People who are taking them should not drive or operate dangerous equipment until they know what reaction they'll have 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 fruits, grains and vegetables. Mindfulness practices and other forms of therapy like cognitive behavior therapy can help reduce stress and increase happiness. If you're struggling to manage your anxiety and ADHD, Klarity can connect you with licensed providers for convenient, insurance-free online mental health care. Find out more about our services and make an appointment today.