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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 condition 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 that are prescribed “off-label” for ADHD. These drugs increase levels of neurotransmitters like norepinephrine and dopamine, which aid in improving concentration. 1. Methylphenidate Methylphenidate is also known as the brand name Ritalin is the first-choice treatment for adults suffering from ADHD and anxiety or depression. It's a part of a group of medications called central nervous system stimulants and works by changing the amounts of certain natural substances in your brain. It is available as tablets, liquids chewable tablets, extended-release capsules. It is also available through the skin. It is not unusual for people with ADHD to have co-occurring mood disorders such as anxiety or depression. You should tell your doctor about any anxiety or depression you might be suffering from. Certain medications, specifically stimulants can make these conditions worse. In certain situations, you may need to take both an anti-anxiety medication and a stimulant medication. Methylphenidate may cause adverse effects, such as headaches or stomachaches. It may also raise blood pressure and heart rates, so you should make regular appointments with your physician to examine these. It can also cause facial ticks (uncontrollable, rapid movements of the face). People with phenylketonuria (a genetic disorder) who have trouble metabolizing the chemical phenylalanine shouldn't take it. It is also risky to take during pregnancy or breastfeeding. You should tell your doctor that you intend to get pregnant. When you are taking methylphenidate, it is recommended that you should not operate a vehicle or operate machinery. It may cause dizziness and blurred vision. It is important to drink enough fluids when you take it. If you have problems swallowing tablets, ask your physician about extended-release capsules or orally disintegrating tablets. It is not recommended to crush or chew these medications therefore, if you experience trouble eating solid food, talk to your doctor about liquid medicine that can be mixed with soft foods or drinks such as yogurt, applesauce or pudding. 2. Lisdexamfetamine Lisdexamfetamine (LDX) is an antidepressant that is part of the family of central nerve system stimulants. It works by changing the amount of certain natural substances within the brain. It is used in the treatment of attention deficit hyperactivity disorder (ADHD) in adults and children aged 6 years or older. It is also sometimes used to treat binge eating disorder for adults. Adults who suffer from ADHD typically suffer from comorbid anxiety and depression. It is important to treat these disorders so that they can be more comfortable and perform at their best, both at work and at home. Some medications that are typically used to treat mental health conditions may interact with ADHD medications, so it is essential to be honest about any other medical issues you might have. Depression and anxiety are both complicated conditions, since they can trigger many symptoms. Antidepressants such as Wellbutrin, Effexor, or Venlafaxine are frequently prescribed to treat these ailments. They can also improve focus and concentration for those with ADHD/ADHD. They help by increasing certain neurotransmitters within the brain. They are not at risk for abuse and misuse. In studies of LDX in adults with ADHD and anxiety or depression, the medication showed promising results. It decreased the symptoms of anxiety and depression, and it improved ADHD ratings and executive function measures. It was also safe to use. It is crucial to inform your doctor if you are taking any other medication that include MAO inhibitors such as isocarboxazid (Marplan), linezolid (Zyvox) and Methylene blue, the phenelzine (Nardil) selegiline (Eldepryl, Emsam, Zelapar) and the tranylcypromine (Parnate). medications for adhd should not be consumed within 14 days after lisdexamfetamine. Consult your physician if you have an allergy to lisdexamfetamine, or any of the other ingredients in this medication. 3. Atomoxetine Atomoxetine, also referred to as Strattera is a non-stimulant ADHD medication used to treat depression. It is believed to work by blocking neurotransmitter reuptake. By increasing levels of this chemical in the brain, the drug improves alertness and decreases anxiety and depression symptoms. This medication is not to be used on its own to treat anxiety disorders. Instead it is recommended that patients receives treatment from a certified psychiatrist and/or therapist. A number of studies have been conducted to examine the effects of atomoxetine on patients with ADHD and comorbid anxiety disorders. These studies comprise nine controlled studies that are randomized as well as two post-hoc analyses of subgroups. In the majority of cases, both symptom improvement and cognition function were more accurately measured with atomoxetine than placebo. However, it is important to note that the size of the study was limited. This medication can also cause some side effects, including abdominal pain and a fast heart rate. These side effects are usually minimal and are not observed for everyone who takes the medication. In some instances, people who take atomoxetine have thoughts of suicide. These thoughts were observed in short-term clinical trials with adolescents and children taking the drug. However, suicides did not occur in these trials. As with stimulants, atomoxetine could also be effective in treating the comorbidity of ADHD and anxiety. In fact the results of an earlier study of adults suffering from ADHD and social anxiety disorder, atomoxetine was found to outperform an placebo. This is an encouraging result which suggests that this drug could be effective in treating ADHD and anxiety when paired with other treatments. It will require more study to determine if atomoxetine may be also effective for other types of anxiety disorders that are comorbid. 4. Bupropion Bupropion is a non-stimulant drug that increases a chemical in the brain called noradrenaline. This chemical is responsible for transmitting messages between brain cells. Its increase can assist with concentration and impulse control. This medication is typically prescribed in capsule form and is taken once or twice daily by your doctor. There are also serious side effects, such as suicidal thoughts or liver damage. Anxiety is a condition that triggers extreme fear and restlessness. It can trigger symptoms such as headaches, stomachaches, shortness in breath, and emotions like anxiety or dread. People suffering from anxiety disorders often struggle to manage their symptoms, despite efforts to manage them. People suffering from ADHD can experience anxiety, and. The condition can cause problems with emotions and relationships, and a loss of self-esteem. The symptoms of untreated ADHD — such as the inability to pay attention, forgetfulness, and impulsive behavior — can also lead to feelings of anger or disappointment. Non-stimulants like atomoxetine, Qelbree and lisdexamfetamine (methylphenidate) can also assist to ease anxiety symptoms. High blood pressure medications such as clonidine (Kapvay) and guanfacine (Intuniv, Tenex) may also be used for ADHD in adults, but these drugs work differently than stimulants. Antidepressants may be prescribed by your physician to treat ADHD. They are prescribed either on their own or in conjunction with stimulants. However, they are not usually prescribed to teenagers and children. Psychotherapy is another treatment option. Consulting with a mental-health professional can be beneficial in treating anxiety as well as ADHD. Making changes to your routine and habits can help manage these conditions. For instance, you could, try meditating or doing yoga, regulating sleep and stress levels and incorporating exercise into your daily routine. 5. Tricyclic antidepressants In certain situations an expert in mental health may recommend antidepressants as part of your treatment plan. These drugs aren't approved by the FDA to treat ADHD, but they can occasionally improve symptoms of depression and anxiety when taken in conjunction with stimulants. Antidepressants boost levels of serotonin as well as norepinephrine in your brain, which can aid in reducing symptoms of depression as well as anxiety. Selective serotonin reuptake inhibiters, like fluoxetine(Prozac), citalopram(Celexa) and escitalopram(Lexapro), increase levels of neurotransmitter Serotonin in your brain 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 first came into use as antipsychotics, but later discovered to have potent antidepressant properties. These medicines include imipramine (Tofranil), amitriptyline (Elavil) and nortriptyline (Pamelor). Tricyclics can also reduce a person's sensitivity to noise, improve sleep and lower blood pressure. They can cause drowsiness, so people who are taking them should stay away from driving or operating equipment that is dangerous until they know how they'll react to the medication. Exercise, getting enough rest and eating a balanced diet that is rich in vegetables, fruits and whole grains can all help to improve ADHD and anxiety symptoms. Mindfulness practices and other forms of therapy such as cognitive behavioral therapy can also reduce stress and increase happiness. If you're struggling with managing your anxiety and ADHD, Klarity can connect you with licensed professionals for convenient, insurance-free online mental health care. Learn more about our services, and then make an appointment today.