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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 condition can often help the second. Mental health professionals usually prescribe antidepressants or a stimulant for depression, along with an ADHD medication. Wellbutrin (bupropion) and Effexor (venlafaxine) are the most frequently prescribed antidepressants that are prescribed “off-label” for ADHD. These medications boost the levels of neurotransmitters dopamine and norepinephrine. They also help improve concentration. 1. Methylphenidate Methylphenidate is the most popular medication for adults with ADHD, anxiety, or depression. It's a part of a group of drugs known as central nervous system stimulants and 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 is able to be administered via the skin. It is not uncommon for people with ADHD also to suffer from mood disorders such as depression or anxiety. It is important that you inform your doctor if are suffering from depression or anxiety as certain medications, including stimulants, can cause them to worsen. In some cases you may need both a anti-anxiety and a stimulant drug. Methylphenidate may cause adverse effects, such as headaches or stomachaches. It can also increase your heart rate and blood pressure and you should make regular appointments with your doctor to examine these. It may also cause facial tics (quick uncontrollable movements of your face). People with phenylketonuria (a genetic condition) who are unable to process the phenylalanine drug should not take it. It is also unsafe to take during pregnancy and breastfeeding, so let your doctor know if you are expecting or planning to become pregnant. When taking methylphenidate, you should not drive a vehicle or operate machinery. It can cause dizziness, blurred vision and sleepiness. It is important to drink plenty of fluids when you take it. Ask your doctor if you have trouble swallowing tablets. It is not recommended to crush or chew on these medications. If you have difficulty eating solid foods, consult your doctor about liquid medications that can be added to soft food or drinks such as applesauce, pudding, or yogurt. 2. Lisdexamfetamine Lisdexamfetamine is a medication in 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 who are 6 years of age and older. It is also used to treat binge eating disorder in adults. Adults suffering from ADHD are often afflicted by depression and anxiety disorders. add in adults medication of these conditions is crucial to help people feel better and perform at their best at work and home. Some medications that treat mental illnesses may affect ADHD medication. It is crucial to be open about any other medical concerns. Depression and anxiety are both complicated disorders, because they are characterized by various symptoms. Certain antidepressants, like Wellbutrin (bupropion) or Effexor (venlafaxine) are commonly used to treat these disorders and can help increase focus and concentration in people with ADHD/ADHD. They help by increasing certain neurotransmitters inside the brain. They are safe for abuse and misuse. In studies of LDX in adults with 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. Inform your doctor if other medications are being taken for any reason, including MAO inhibitors, like isocarboxazid and linezolid, Methylene blue (Nardil) and phenelzine. selegiline, Emsam (Zelapar), or tranylcypromine. These medicines should not be used for 14 days following the use of the use of lisdexamfetamine. You should also let your doctor know if you are allergic to lisdexamfetamine or any other ingredients 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 preventing the reuptake process of the neurotransmitter norepinephrine. The drug boosts levels of this chemical in the brain, which can increase alertness, decrease anxiety and depressive symptoms. It is important to remember, however, that this medication is not recommended as a stand-alone treatment for anxiety disorders. It is recommended that the person seek treatment from a licensed therapist or psychiatrist. A variety of studies have been conducted to assess the effects of atomoxetine patients suffering from ADHD and other anxiety disorders that are comorbid. These studies include 9 controlled studies that are randomized and 2 post-hoc subgroup analysis. In the majority of cases, both symptom improvement and cognition function were better assessed with atomoxetine than placebo. It is important to note that the sample size in these studies was very small. Some of the side effects associated with this medication include abdominal pain and rapid heart rate. These effects are typically minor and do not affect all people who take this medication. In some cases, people who take atomoxetine have thoughts of suicide. These thoughts were observed in short-term clinical trials of children and adolescents taking the medication. However, suicides did not occur in these trials. As with stimulants, atomoxetine could be effective in treating the comorbidity of ADHD and anxiety. In fact in an investigation of adults with ADHD and social anxiety disorder, atomoxetine outperformed the placebo. This is a promising result that suggests that this medication could be effective in treating ADHD and anxiety when used in conjunction with other treatments for both disorders. More research is required to determine if Atomoxetine is also a treatment effectively for other types of anxiety disorders comorbid with each other. 4. Bupropion Bupropion, a drug that is not stimulant increases the chemical noradrenaline in the brain. This chemical passes messages between brain cells, and increasing it can aid concentration and control impulses. Your doctor might recommend this medication in capsule form typically taken once or twice a day. There are also serious side effects like suicidal thoughts or liver damage. Anxiety is a condition that causes extreme fear and nervousness. It can cause symptoms like stomachaches, headaches shortness of breath, as well as anxiety or fear. Many people with anxiety disorders struggle with controlling their symptoms, despite efforts to manage the severity of their symptoms. Certain people suffering from ADHD can also experience anxiety. The condition can cause problems with relationships and emotions, as well as a lack of self-esteem. If not treated, ADHD symptoms, like forgetfulness and impulsiveness, can lead to feelings of frustration and feeling of failure. Stimulants like methylphenidate and lisdexamfetamine can help ease anxiety symptoms, and so can nonstimulant drugs such as Atomoxetine (Strattera) and viloxazine (Qelbree). High blood pressure medications like clonidine (Kapvay) and guanfacine (Intuniv, Tenex) may also be used for ADHD in adults, although these drugs function differently than stimulants. Although antidepressants aren't endorsed by the FDA to treat ADHD however, your doctor can prescribe them as a single drug or along with a stimulant. However, they're not typically prescribed for adolescents or children. Psychotherapy is a third treatment option. Consulting 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 could try meditating or practicing yoga, regulating your sleep and stress levels, and incorporating exercise into your daily routine. 5. Tricyclic antidepressants A mental health professional might recommend antidepressants as part of your treatment. They aren't approved by the FDA to treat ADHD but they may occasionally improve symptoms of depression and anxiety if taken alongside stimulants. Antidepressants boost levels of serotonin and norepinephrine within your brain, so they can help improve depressive symptoms as well as anxiety. Selective serotonin reuptake inhibitorslike fluoxetine (Prozac), citalopram (Celexa) and escitalopram (Lexapro) -boost the levels of the neurotransmitter, serotonin, to 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. Tricyclic antidepressants were originally developed as antipsychotics, but later discovered to possess powerful antidepressant properties. These medicines include imipramine (Tofranil), amitriptyline (Elavil) and nortriptyline (Pamelor). Tricyclics also improve sleep, reduce blood pressure, and decrease the person's sensitivity to sounds. Tricyclics can cause sleepiness. The people taking them should not operate machinery or drive until they know the reaction they will experience to the medication. Many lifestyle changes can help improve your ADHD and anxiety symptoms, such as exercise, getting enough sleep and eating a nutritious diet high in whole grains, fruits and vegetables. Mindfulness-based practices as well as 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 professionals for convenient, insurance-free online mental health services. Find out more about it and schedule an appointment today.