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How to Choose the Best ADHD Medication for Adults With Anxiety and Depression When a person has both ADHD and anxiety or depression treating one of the conditions often improves the other. 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 increase levels of the neurotransmitters norepinephrine as well as dopamine and help improve concentration. 1. Methylphenidate Methylphenidate is also known as the brand name Ritalin is the first-choice medication to treat adults with ADHD and depression or anxiety. It is in a class of medications called central nervous system stimulants. It is a drug that alters the amount of certain natural substances in your brain. It is available as tablets that can be chewed, liquid or extended-release capsule. It can also be administered through the skin. It is not uncommon for people with ADHD to suffer from co-occurring mood disorders such as anxiety or depression. add in adults medication is important that you tell your doctor if you are suffering from depression or anxiety as certain medications, particularly stimulants can cause them get worse. In some instances, you may need both a anti-anxiety and a stimulant drug. Methylphenidate may cause adverse effects, such as headaches or stomachaches. It may also raise your heart rate and blood pressure, so you should keep regular appointments with your doctor to check these. It can also cause facial ticks (uncontrollable rapid movements of the face). People suffering from phenylketonuria (a genetic condition) who have trouble metabolizing the phenylalanine drug should not take it. It is also not recommended to take during pregnancy or breastfeeding, so inform your doctor if you are expecting or planning to become pregnant. You must not operate or drive machinery while taking methylphenidate. It may cause dizziness, blurred vision and drowsiness. You should drink plenty of fluids while taking this medication. Ask your doctor if have difficulty swallowing tablets. You should not crush or chew these medicines, so if you have trouble eating solid food consult your physician about liquid medications 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 affects the quantity of certain natural substances inside the brain. It is used to treat ADHD in children and adults six years old and older. It is also sometimes used to treat binge eating disorder for adults. Adults with ADHD are often afflicted by depression and anxiety disorders. It is crucial to treat these disorders in order to feel better and perform at their best, both at work and at home. Some medications that are typically used to treat mental health conditions can interact with ADHD medication, which is why it is essential to disclose any other medical issues you might have. Depression and anxiety are both complicated conditions, as they involve a variety of symptoms. Antidepressants such as Wellbutrin, Effexor, or Venlafaxine are commonly prescribed to treat these disorders. They can also improve concentration and focus for people with ADHD/ADHD. They usually work by increasing the quantity of certain neurotransmitters that are present in the brain, and they are not likely to cause misuse and abuse. In studies of LDX in adults with ADHD and anxiety or depression The medication had promising results. It reduced the symptoms of anxiety and depression and improved ADHD ratings and executive function measures. It was also safe to use. Tell your doctor if any other medications are being used, such as MAO inhibitors, such as isocarboxazid, linezolid, methylene blue (Nardil) and phenelzine. selegiline, Emsam (Zelapar), or tranylcypromine. These medications should not be taken for 14 days following the use of the administration of lisdexamfetamine. Tell your doctor that 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 reuptake neurotransmitter. By increasing the levels of this chemical in the brain, the drug enhances alertness and decreases anxiety and depression symptoms. This medication should not, however, be used as a sole treatment for anxiety disorders. It is recommended that the person seeks help from a qualified therapist or psychiatrist. A number of studies have been conducted to examine the effects of atomoxetine on patients suffering from ADHD and comorbid anxiety disorders. These studies include 9 controlled trials that were randomized and 2 post-hoc subgroup analysis. In the majority of cases, both symptom improvement and cognition function were more accurately measured with atomoxetine than the placebo. However it is important to keep in mind that the number of participants in these studies was small. Some side effects of this medication include abdominal pain as well as rapid heart rate. These side effects are usually mild and don't affect all people who take this medication. In some cases, people who take atomoxetine have thoughts of suicide. These thoughts were observed during short-term clinical studies with adolescents and children who were taking the medication. However, suicides didn't occur in these trials. Like stimulants, atomoxetine can also be effective in treating comorbid anxiety/ADHD. In fact, in an investigation of people suffering from ADHD and social anxiety disorder, atomoxetine was found to outperform an placebo. This is an encouraging result that suggests that this drug could be effective for treating ADHD and anxiety when combined with other treatments. More research is required to determine if Atomoxetine is also a treatment effectively to treat other forms of anxiety disorders comorbid with each other. 4. Bupropion Bupropion, a nonstimulant 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. Your doctor might recommend the drug in capsules which is usually taken one or twice daily. There are also serious side effects like suicidal thoughts or liver damage. Anxiety is a disorder that causes intense, persistent fear and restlessness. It can cause symptoms like stomachaches, headaches and breath shortness, and feelings such as dread or fear. People suffering from anxiety disorders often struggle to manage their symptoms, despite attempts to manage their symptoms. Certain people with ADHD also develop anxiety. The condition can lead to problems with relationships and emotional issues and low self-esteem. If not treated, ADHD symptoms, like the tendency to forget and impulsiveness can lead to feelings of frustration and failure. Stimulants such as lisdexamfetamine and methylphenidate can ease anxiety symptoms, as can non-stimulant drugs like atomoxetine (Strattera) and viloxazine (Qelbree). High blood pressure medications such as clonidine (Kapvay) and guanfacine (Intuniv, Tenex) may also be used to treat ADHD in adults, however these drugs work differently than stimulants. Although antidepressants haven't been approved by the FDA to treat ADHD Your doctor could prescribe them on their own or in conjunction along with a stimulant. However, they are typically not prescribed to teenagers and children. Psychotherapy is a third treatment option. Talking with a mental-health professional can be effective in treating anxiety as well as ADHD. Making changes to your routine and habits can help you manage these issues. For instance, you can try practicing meditation or yoga or managing stress and sleep habits, and incorporating physical activity into your daily life. 5. Tricyclic antidepressants In certain situations an expert in mental health might recommend antidepressants as a part of your treatment plan. These drugs are not FDA approved to treat ADHD but they can reduce depression and anxiety symptoms when combined along with stimulants. Antidepressants increase levels of serotonin and norepinephrine within your brain, which can aid in reducing symptoms of depression as well as anxiety. Selective serotonin reuptake inhibitors — such as fluoxetine (Prozac), citalopram (Celexa) and escitalopram (Lexapro) — increase your levels of the neurotransmitter, serotonin, to lift your mood and decrease 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 initially developed as antipsychotics, but later discovered to have powerful antidepressant properties. These drugs include amitriptyline nortriptyline and imipramine. Tricyclics can also lessen the sensitivity of people to noise, enhance sleep quality and lower blood pressure. Tricyclics can cause drowsiness. Patients taking them shouldn't drive or operate dangerous equipment until they are certain of what reaction they'll have to the medication. Numerous lifestyle changes can improve your ADHD and anxiety symptoms, such as exercise, getting enough sleep and eating a balanced diet that is rich in whole fruits, grains and vegetables. Mindfulness and other forms therapy like cognitive behavioral therapy, can also help to reduce stress. Klarity can assist you in finding licensed providers who offer convenient online mental health care that is affordable and easy to access. Learn more about our services, and then make an appointment now.