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How to Choose the Best ADHD Medication for Adults With Anxiety and Depression When a person has both ADHD and depression or anxiety treating one of the conditions often improves the other. Mental health professionals often prescribe antidepressants or stimulants for depression along with an ADHD medication. Wellbutrin (bupropion) and Effexor (venlafaxine) are the most frequently prescribed antidepressants prescribed “off-label” for ADHD. These drugs increase levels of the neurotransmitters norepinephrine and dopamine and help improve concentration. 1. Methylphenidate Methylphenidate is also known as the brand name Ritalin is the most popular medication to treat adults with ADHD and anxiety or depression. It belongs to a class known as central nervous stimulants. It is a medication that alters the amount of certain natural substances inside 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 uncommon for people with ADHD to suffer from co-occurring mood disorders like anxiety or depression. You should inform your doctor about any anxiety or depression you may have. Some medications, particularly stimulants, can make these conditions worse. In certain instances, you may need to take a stimulant and an anti-anxiety medication. Methylphenidate can cause headaches as well as stomachaches. It may also raise heart rate and blood pressure which is why you should make regular visits to your physician to check these. It may also trigger facial ticks (uncontrollable rapid movements of the face). adult attention deficit hyperactivity disorder medication with phenylketonuria (a genetic disorder) who have difficulty metabolizing phenylalanine should not take it. It is also risky to use during pregnancy or while breastfeeding. You should inform your doctor if you plan to become pregnant. You should not drive or operate machinery while taking methylphenidate. It can cause dizziness and blurred vision. Drink plenty of fluids while taking this medication. If you experience difficulty taking tablets, ask your physician about extended-release capsules or oral disintegrating tablets. It is not recommended to crush or chew on these medications. If you are having difficulty eating solid foods, consult your physician about liquid medicines that can be mixed into soft food or drinks like applesauce, yogurt, or pudding. 2. Lisdexamfetamine Lisdexamfetamine (LDX) is a medication that belongs to the family of central nerve system stimulants. It affects the quantity 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 6 years of age and older. It is sometimes used to treat binge-eating disorders in adults. Adults with ADHD are often affected by anxiety and depression disorders. It is important to treat these disorders so that they can feel better and perform at their best both at work and at home. Certain medications that treat mental illnesses may interfere negatively with ADHD medication. It is essential to discuss any other medical issues. Depression and anxiety can be complicated, as they both involve many symptoms. Certain antidepressants, including Wellbutrin (bupropion) or Effexor (venlafaxine) are commonly used to treat these conditions and may increase focus and concentration in those suffering from ADHD/ADHD. They help by increasing certain neurotransmitters within the brain. They are not at risk for misuse and abuse. The medication produced promising results in studies involving people suffering from ADHD, anxiety or depression. It decreased the symptoms of depression and anxiety and improved ADHD ratings and executive function measures. It was also safe to use. Tell your doctor about any other medications are being taken for any reason, including MAO inhibitors, such as isocarboxazid and linezolid, methylene blue (Nardil) or phenelzine selegiline, Emsam (Zelapar), or tranylcypromine. These medications should not be consumed for 14 days following lisdexamfetamine. Inform your doctor whether you are allergic to lisdexamfetamine, or any other ingredients in this 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 of norepinephrine, a neurotransmitter. The drug increases levels of this chemical in the brain, which can increase alertness, reduce anxiety, and depression symptoms. This medication should not, however, be used on its own to treat anxiety disorders. Instead, it is recommended that an individual receives treatment from a qualified psychiatrist and/or therapist. Numerous studies have been conducted to assess the effects of atomoxetine on patients suffering from ADHD and comorbid anxiety disorders. These studies comprise 9 controlled trials that were randomized and 2 post-hoc subgroup analysis. In the majority of cases the results showed that atomoxetine was superior to placebo on both measures of improvement in symptom severity and cognitive function. It is important to note that the sample size in these studies was small. Some side effects of this medication include abdominal pain as well as rapid heart rate. These effects are usually minimal and are not observed in everyone who takes the medication. In some cases, people who take atomoxetine experience thoughts of suicide. These thoughts were observed in short-term clinical trials with adolescents and children who took the medication. These trials did not lead to suicides. Like stimulants, atomoxetine may be effective in treating co-occurring ADHD and anxiety. In a recent study atomoxetine proved to be more effective than a placebo for adults suffering from social anxiety disorder and ADHD. This is an encouraging result that suggests this medication may be effective in treating ADHD and anxiety when combined with other treatments for both disorders. More research is needed to determine if atomoxetine can also be used effectively for other forms of comorbid anxiety disorders. 4. Bupropion Bupropion, a non-stimulant drug, boosts the chemical noradrenaline within the brain. This chemical passes messages between brain cells and boosting it can help concentration and control of impulses. This drug is usually prescribed in capsule form and taken every day, either once or twice by your doctor. There are also serious side effects like suicidal thoughts or liver damage. Anxiety is a condition that can cause intense fear and anxiety and. It can cause symptoms like stomachaches, headaches, shortness of breath, as well as anxiety or fear. People suffering from anxiety disorders often struggle to manage their symptoms, despite attempts to lessen them. People with ADHD can experience anxiety, and. The condition can cause emotional and relationship problems, as well as low self-esteem. If not treated, ADHD symptoms, like inattention and impulsiveness, could result in feelings of anger and inability. Stimulants like methylphenidate and lisdexamfetamine can ease anxiety symptoms, and so can non-stimulant medications like atomoxetine (Strattera) and viloxazine (Qelbree). High blood pressure medications like clonidine, (Kapvay), and guanfacine (Intuniv or Tenex) can be used to treat ADHD in adults. However, these drugs differ from stimulants. Although antidepressants aren't endorsed by the FDA to treat ADHD however, your doctor can prescribe them alone or with a stimulant, though they're not typically prescribed for children and teens. Psychotherapy is a third treatment option. It involves speaking with an expert in mental health, and it's sometimes effective for treating anxiety and ADHD together. Lifestyle and routine changes can also help in managing these conditions. For instance, you could, try meditating or doing yoga, regulating your stress and sleep patterns and including exercises into your daily routine. 5. Tricyclic antidepressants In some cases the mental health professional may suggest antidepressants as part of your treatment plan. They are not FDA approved to treat ADHD but can improve depression and anxiety symptoms when combined together with stimulants. Antidepressants increase serotonin levels and norepinephrine production in the brain. They are therefore able to improve anxiety and depressive symptoms. Selective serotonin reuptake inhibitorslike fluoxetine (Prozac), citalopram (Celexa) and escitalopram (Lexapro) -boost your levels of the neurotransmitter serotonin, which can boost your mood and reduce your 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 were originally developed as antipsychotics, but later discovered to have potent antidepressant effects. These medicines include imipramine (Tofranil) and amitriptyline (Elavil) and nortriptyline (Pamelor). Tricyclics can also improve sleep, reduce blood pressure, and decrease the person's sensitivity to sound. Tricyclics can cause sleepiness. Patients taking them shouldn't operate machinery or drive until they are sure of how they will react to the medication. Many lifestyle changes can help improve your ADHD and anxiety symptoms, including exercising, getting enough sleep and eating a healthy diet high in whole fruits, grains and vegetables. Mindfulness and other forms of therapy, such as cognitive behavioral therapy, can help reduce stress. If you're struggling with managing your anxiety and ADHD, Klarity can connect you with licensed professionals for easy, cost-free online mental health care. Find out more about our services, and then make an appointment today.