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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 can usually help the second. Mental health professionals typically prescribe antidepressants or stimulants for depression in addition to an ADHD medication. Wellbutrin (bupropion) and Effexor (venlafaxine) are the most frequently prescribed antidepressants that are prescribed “off-label” for ADHD. These medications boost levels of neurotransmitters like norepinephrine and dopamine, which aid in improving concentration. 1. Methylphenidate Methylphenidate is also known under the brand name Ritalin is the first-choice treatment for adults suffering from 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 within your brain. It is available in the form of a liquid, chewable tablet, or extended-release capsule. It can also be given through the skin. It is not unusual for people with ADHD to have co-occurring mood disorders such as depression or anxiety. It is important to inform your doctor about any anxiety or depression you may be suffering from. Certain medications, especially stimulants, can make these conditions worse. In some instances, you may need both a anti-anxiety and a stimulant drug. Methylphenidate can have side effects, such as headaches and stomachaches. It can also increase your heart rate and blood pressure which is why you should maintain regular appointments with your physician to monitor these. It may also cause facial tics (quick uncontrollable movements on your face). It should not be taken by those with an inherited condition known as Phenylketonuria. These people have difficulty processing the chemical phenylalanine. It is also risky to use during pregnancy or while breastfeeding. You should tell your doctor if you plan to become pregnant. You must not operate or drive machinery while taking methylphenidate. It can cause dizziness, blurred vision and drowsiness. You should drink plenty of fluids while taking this medication. If you have problems taking tablets, ask your doctor about extended-release capsules or orally disintegrating tablets. You should not crush or chew these medicines, so if you have difficulties eating solid food discuss with your doctor about liquid medicines that can be mixed with soft foods or drinks like yogurt, applesauce, or pudding. 2. Lisdexamfetamine Lisdexamfetamine (LDX) is an antidepressant that is part of the class of central nervous system stimulants. It works by altering the quantity of certain natural substances within the brain. It is used in the treatment 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 often have comorbid depression and anxiety disorders. It is essential to treat these issues so that they can be more comfortable and perform at their best both at work and at home. Some medications used to treat mental conditions can interfere negatively with ADHD medication. It is essential to discuss any other medical concerns. Depression and anxiety are both complicated conditions, as they involve a variety of symptoms. Antidepressants such as Wellbutrin, Effexor, or Venlafaxine are often prescribed to treat these conditions. They can also improve focus and concentration for those with ADHD or ADHD. They usually work by increasing the amount of certain neurotransmitters that are present in the brain, and they have a low potential for misuse and abuse. The drug showed promising results in studies that involved adults with ADHD or depression, anxiety or ADHD. It improved ADHD ratings, and executive function and ADHD ratings. It was also safe to use. It is important to tell your doctor if you are taking any other medication such as MAO inhibitors such as isocarboxazid (Marplan) and linezolid (Zyvox) as well as Methylene blue, Phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar) and the tranylcypromine (Parnate). These medicines should not be consumed within 14 days of taking lisdexamfetamine. Inform your doctor that you are allergic to lisdexamfetamine, or any other ingredients in this medication. 3. Atomoxetine Atomoxetine (Strattera) is a nonstimulant ADHD medication that is also used to treat depression. It is believed to work by blocking the reuptake neurotransmitter. By increasing medication adhd adults of this chemical in the brain, the drug improves 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 treatment on its own for anxiety disorders. Instead it is recommended that an individual receives treatment from a certified psychotherapist or psychiatrist. There have been a myriad of studies that have been conducted to examine the effects of atomoxetine in patients with ADHD and anxiety disorders. These studies include 9 controlled studies that are randomized and 2 post hoc subgroup analyses. In the majority of cases, both improvement in symptom and cognition function were better measured with atomoxetine than placebo. It is important to remember that the sample size in these studies was very small. The medication can also cause some side effects, including abdominal pain as well as a high heart rate. These side effects are usually mild and don't affect everyone who takes this medication. In some instances, patients who take atomoxetine have thoughts of suicide. These thoughts were reported in short-term clinical trials involving children and adolescents taking the medication. These trials didn't result in suicides. As with stimulants, atomoxetine can also be effective in treating comorbid anxiety/ADHD. In a recent study atomoxetine was more effective than placebo for adults suffering from social anxiety disorder and ADHD. This is a promising outcome which suggests that this drug could be effective in treating ADHD and anxiety when used in conjunction with other treatments for both disorders. More research will be needed to determine if atomoxetine can also be used effectively for other types of anxiety disorders comorbid with each other. 4. Bupropion Bupropion is a nonstimulant medication that boosts a chemical in the brain known as noradrenaline. This chemical is responsible for transmitting messages between brain cells. Its increase can assist in focusing and controlling impulses. This drug is usually prescribed in capsule form and is taken every day, either once or twice by your physician. It's also associated with more serious side effects, like suicidal thoughts and liver damage. Anxiety is a disorder that causes persistent, intense anxiety and a sense of restlessness. It can trigger symptoms such as stomachaches, headaches and breath shortness, and feelings like anxiety or dread. Many people with anxiety disorders struggle with controlling their symptoms despite trying to lessen the severity of their symptoms. Certain people suffering from ADHD also develop anxiety. The condition can cause issues with relationships and emotions and a loss of self-esteem. If not treated, ADHD symptoms, like forgetfulness and impulsiveness, can cause feelings of frustration and inability. Non-stimulants like atomoxetine, Qelbree and lisdexamfetamine (methylphenidate) can also assist to ease anxiety symptoms. High blood pressure medications like Clonidine (Kapvay) and guanfacine (Intuniv, Tenex) may also be prescribed for ADHD in adults, although these drugs function differently than stimulants. While antidepressants aren't approved by the FDA to treat ADHD however, your doctor can prescribe them as a single drug or together with a stimulant, but they are typically not prescribed to adolescents or children. Psychotherapy is another treatment option. Talking with a mental-health professional can be beneficial in treating anxiety as well as ADHD. Lifestyle and routine changes can also be helpful for managing these disorders. For instance, you can try yoga or meditation as well as reducing sleep and stress and incorporating physical exercise into your daily life. 5. Tricyclic antidepressants In certain situations, a mental health professional may suggest antidepressants as part of your treatment plan. These drugs aren't approved by the FDA to treat ADHD however they can occasionally improve symptoms of depression and anxiety when used in conjunction with stimulants. Antidepressants increase serotonin levels and norepinephrine production in the brain. They therefore can help to reduce anxiety as well as depressive symptoms. Selective serotonin reuptake inhibitors, like fluoxetine(Prozac), citalopram(Celexa), and escitalopram(Lexapro) boost the levels of neurotransmitter Serotonin in your brain to improve 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 first came into use to treat schizophrenia, but they were later discovered to possess powerful antidepressant properties. These medications include imipramine (Tofranil) and amitriptyline (Elavil) and nortriptyline (Pamelor). Tricyclics also decrease the sensitivity of a person to noise, improve sleep quality and lower blood pressure. Tricyclics can cause an increase in drowsiness. Patients taking them shouldn't operate machinery or drive until they are certain of the reaction they will experience to the medication. Exercise and resting enough and eating a balanced diet high in vegetables, fruits and whole grains can all help improve ADHD and anxiety symptoms. Mindfulness-based practices as well as other forms of therapy such as cognitive behavioral therapy can reduce stress and increase happiness. Klarity can help you find certified providers who can provide online mental health care that is cost-free and convenient. Find out more about it and schedule an appointment today.