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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, treating the first can usually improve the second. Mental health professionals prescribe antidepressants, stimulants for depression, or antidepressants along with ADHD medication. Wellbutrin (bupropion), and Effexor, (venlafaxine), are two of the most popular antidepressants prescribed for ADHD “off-label”. These drugs increase levels of neurotransmitters like norepinephrine and dopamine and help improve concentration. 1. Methylphenidate Methylphenidate is the first choice medication for adults with ADHD, anxiety, or depression. It's a part of a group of medicines 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 be administered through the skin. It is not unusual for people with ADHD to suffer from co-occurring mood disorders like depression or anxiety. It is crucial to inform your doctor if you are suffering from depression or anxiety as some medications, especially stimulants, can cause them to get worse. In certain situations it is possible to take stimulants and anti-anxiety medication. Methylphenidate can cause headaches and stomachaches. It can also increase blood pressure and heart rates, so you should make regular visits to your physician to check these. It can also cause facial ticks (uncontrollable, rapid movements of the face). It is not recommended by those with a genetic condition called Phenylketonuria. These people have difficulty metabolizing the chemical phenylalanine. It is also dangerous to take during pregnancy and nursing, so inform your doctor if you are pregnant or plan to become pregnant. When you are taking methylphenidate, it is recommended that you should not operate a vehicle or operate machinery. It can cause dizziness and blurred vision. You should drink plenty of fluids when taking this medication. If you experience difficulty swallowing tablets, consult your physician about extended-release capsules or oral disintegrating tablets. You should not chew or crush these medications therefore, if you experience difficulties eating solid food discuss with your doctor about liquid medicines that can be mixed with soft foods or drinks such as yogurt, applesauce or pudding. 2. Lisdexamfetamine Lisdexamfetamine is a medication within the central nervous system stimulant family. It affects the amount of certain natural substances in the brain. It is used to treat the condition of attention deficit hyperactivity disorder in children and adults who are aged 6 years and older. It can also be used to treat binge-eating disorders in adults. Adults who suffer from ADHD often have comorbid anxiety and depression. Treatment for these disorders is crucial to make people feel better and do their best at work and home. Some medications that are typically used to treat mental health conditions can interact with ADHD medications, so it is important to be open about any other medical issues you might have. Depression and anxiety are both complex disorders, because they are characterized by a variety of symptoms. Antidepressants such as Wellbutrin, Effexor, or Venlafaxine are frequently prescribed to treat these conditions. They can also help improve concentration and focus for people with ADHD/ADHD. They help by increasing certain neurotransmitters inside 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 helped improve ADHD ratings, as well as executive function and ADHD ratings. It was also safe to use. It is important to tell your doctor if you're taking any other medication, including MAO inhibitors like isocarboxazid (Marplan) or linezolid (Zyvox), the methylene blue, Phenelzine (Nardil) selegiline (Eldepryl, Emsam, Zelapar) and tranylcypromine (Parnate). These medicines should not be consumed within 14 days of lisdexamfetamine. It is also important to let your doctor know if you are allergic to lisdexamfetamine, or any other ingredient in the medication. 3. Atomoxetine Atomoxetine, also referred to as Strattera, is a nonstimulant ADHD medication used to treat depression. It is believed to work by blocking the reuptake process of the neurotransmitter norepinephrine. The drug increases levels of this chemical within the brain, which can increase alertness, reduce anxiety, and depression symptoms. This medication is not to be used on its own to treat anxiety disorders. It is recommended that the person seeks treatment from a qualified psychiatrist or therapist. There have been a myriad of studies that have been conducted to examine the effects of atomoxetine in patients suffering from ADHD and anxiety disorders. These studies include nine randomized controlled trials and two post-hoc subgroup analyses. In most cases, both symptom improvement and cognition function were better measured using atomoxetine compared to placebo. It is important to keep in mind that the sample size in these studies was very small. Some side effects of this medication include abdominal pain and rapid heart rate. These effects are typically minor and do not affect all people who take this medication. Some people who take atomoxetine have reported thoughts of suicide. These thoughts were reported in short-term clinical trials of children and adolescents taking the drug. However, suicides did not occur in these trials. As with stimulants, atomoxetine can also be effective in treating anxiety and ADHD that are comorbid. In fact, in an earlier study of people suffering from ADHD and social anxiety disorder, atomoxetine performed better than an placebo. This is an encouraging result that suggests this medication may be effective in treating ADHD and anxiety in combination with other treatments for both disorders. It will take further studies to determine if atomoxetine can be also effective for other types of anxiety disorders that are comorbid. 4. Bupropion Bupropion is a non-stimulant drug that boosts a chemical in the brain that is known as noradrenaline. This chemical passes messages between brain cells and boosting it can help concentration and control of impulses. This medication is typically prescribed in capsule form and taken at least twice a day by your physician. There are also serious side effects, such as suicidal thoughts or liver damage. Anxiety is a disorder that causes constant, intense fear and anxiety. It can trigger symptoms like stomachaches, headaches, shortness of breath, as well as feelings of anxiety or dread. Many people suffering from anxiety disorders struggle to control their symptoms despite trying to manage the severity of their symptoms. Some people with ADHD can also experience anxiety. The condition can cause problems with relationships and emotions, and a loss of self-esteem. Signs of untreated ADHD like 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, Tenex) may also be prescribed for ADHD in adults, but these drugs work differently than stimulants. While antidepressants aren't approved by the FDA to treat ADHD, your doctor may prescribe them on their own or in conjunction along with a stimulant. However, they're not typically prescribed for adolescents or children. Psychotherapy is a second option for treatment. This involves talking with a mental health professional, and it's sometimes effective for treating anxiety and ADHD together. Changes in your lifestyle and routine can help manage these disorders. For instance, you could try meditating or practicing yoga, regulating stress and sleep patterns, and adding exercises into your daily routine. 5. Tricyclic antidepressants In some instances, a mental health professional may recommend antidepressants as part of your treatment program. These drugs are not FDA approved to treat ADHD but they can reduce depression and anxiety symptoms if combined with stimulants. Antidepressants increase serotonin levels as well as norepinephrine production in the brain. They can therefore help to reduce anxiety as well as depressive symptoms. Selective serotonin reuptake inhibitorslike fluoxetine (Prozac), citalopram (Celexa) and escitalopram (Lexapro) — increase your levels of the neurotransmitter serotonin, which can 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. medication for adhd , so named for the three rings that make up their chemical structure, were first designed as antipsychotics, and later discovered to have potent antidepressant properties. These drugs include amitriptyline imipramine, and nortriptyline. Tricyclics can also lessen the sensitivity of people to noise, enhance sleep and lower blood pressure. Tricyclics can cause an increase in drowsiness. People who are taking them should not operate machinery or drive until they are certain 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 nutritious diet rich in whole grains, fruits and vegetables. Mindfulness and other forms therapy like cognitive behavior therapy, can also help to reduce stress. Klarity can help you find licensed professionals who provide convenient online mental health care that is cost-free and convenient. Learn more about our services, and then make an appointment today.