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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 typically 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 and dopamine and help improve concentration. 1. Methylphenidate Methylphenidate, also known by the brand name Ritalin is the first-choice medication to treat adults with ADHD and depression as well as anxiety. It is part of a class known as central nervous stimulants. It works by altering the amount of certain natural substances inside your brain. It can be taken as a tablet, liquid, chewable tablets or extended-release capsules. It is able to be administered via the skin. It is not uncommon for people with ADHD also to be afflicted by mood disorders, such as anxiety or depression. You should inform your doctor about any anxiety or depression you may be suffering from. Some medications, particularly stimulants can make these disorders worse. In some instances, you may require both an anti-anxiety medication and a stimulant drug. Methylphenidate can have side effects, such as headaches and stomachaches. It can also increase your heart rate and blood pressure and you should make regular appointments with your physician to monitor these. It may also trigger facial ticks (uncontrollable, rapid movements of the face). People suffering from phenylketonuria (a genetic disorder) who have trouble metabolizing phenylalanine should not take it. It is also dangerous to take during pregnancy or breastfeeding. You should inform your doctor that you intend to become pregnant. You must not operate or drive machinery while taking methylphenidate. It may cause dizziness and blurred vision. You should drink plenty of fluids while taking this medication. If you experience difficulty swallowing tablets, ask your doctor about extended-release capsules, or orally disintegrating tablets. It is not recommended to crush or chew these medicines, so if you have difficulty eating solid foods, talk to your doctor about liquid medicine that can be mixed with soft foods or drinks such as applesauce, yogurt or pudding. 2. Lisdexamfetamine Lisdexamfetamine is a drug in the central nervous system stimulant family. It works by changing the amount of certain natural substances within the brain. It is used to treat the condition of attention deficit hyperactivity disorder in children and adults 6 years of age and up. It can also be used to treat binge eating disorder in adults. Adults suffering from ADHD are often affected by depression and anxiety disorders. The treatment of these conditions is crucial to make people feel more relaxed and perform their best at work and home. adhd anxiety medication that treat mental illnesses may interact negatively with ADHD medication. It is crucial to be honest about any other medical concerns. Depression and anxiety can be complex due to the fact that both can trigger many symptoms. Certain antidepressants, like Wellbutrin (bupropion) or Effexor (venlafaxine) are frequently used to treat these conditions, and they can enhance focus and concentration in those suffering from ADHD or ADHD. They help by increasing the amount of neurotransmitters in 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 had promising results. It improved ADHD ratings as well as executive function and ADHD ratings. It was also safe to use. Tell your doctor if any other medications are taking place, such as MAO inhibitors, like isocarboxazid and linezolid, Methylene blue (Nardil) and phenelzine. selegiline, Emsam (Zelapar), or tranylcypromine. These medicines should not be consumed within 14 days of lisdexamfetamine. You should also let your doctor know if you are allergic to lisdexamfetamine or any other ingredient in the medication. 3. Atomoxetine Atomoxetine (Strattera) is a non-stimulant 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 within the brain to increase alertness, decrease anxiety and depression symptoms. It is important to keep in mind that this medication is not intended to be used as a stand-alone treatment for anxiety disorders. It is recommended that the patient seek treatment from a licensed therapist or psychiatrist. There have been a number of studies conducted to evaluate the effects of atomoxetine on patients suffering from ADHD and anxiety disorders. These studies include 9 controlled studies that are randomized and two post-hoc subgroup studies. 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 remember that the overall size of the study was limited. Some side effects of this medication include abdominal pain as well as rapid heart rate. These effects are typically minimal and aren't a problem for everyone who takes this medication. Some people who use atomoxetine have reported thoughts of suicide. best adhd medication were observed during short-term clinical studies of children and adolescents who took the drug. However, suicides didn't occur in these trials. Like stimulants, atomoxetine can be effective in treating the comorbidity of 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 a promising outcome that suggests that this medication could be effective for treating ADHD and anxiety when used with other treatments. More research will be needed to determine whether the atomoxetine medication can be used effectively for other forms 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 is responsible for transmitting messages between brain cells. The increase in it can aid in focusing and controlling impulses. This medication is typically prescribed in capsule form and is taken once or twice daily by your doctor. It's also linked to some serious side effects, like suicidal thoughts and liver damage. Anxiety is a condition that causes persistent, intense fear and anxiety. It can cause symptoms such as stomachaches, headaches shortness of breath, and feelings of dread or panic. Many people with anxiety disorders struggle to manage their symptoms, despite efforts to reduce their symptoms. Some people with ADHD may also experience anxiety. The condition can cause problems with relationships and emotional issues, as well as low self-esteem. If not treated, ADHD symptoms, like inattention and impulsiveness, could lead to feelings of frustration and inability. Stimulants such as lisdexamfetamine and methylphenidate can help ease anxiety symptoms, and so can non-stimulant drugs like Atomoxetine (Strattera) and viloxazine (Qelbree). High blood pressure medications such as Clonidine (Kapvay), and guanfacine (Intuniv or Tenex) can be used to treat ADHD in adults. However, these drugs work differently from stimulants. Antidepressants can be prescribed by your doctor to treat ADHD. They can be prescribed alone or together with stimulants. However, they are not usually prescribed to children and teenagers. Psychotherapy is a third treatment option. It involves speaking with a mental health professional, and is sometimes effective for treating anxiety and ADHD together. Lifestyle and routine changes can also help in managing these disorders. For instance, you can consider practicing yoga or meditation as well as reducing sleep and stress, and incorporating physical activity in your daily routine. 5. Tricyclic antidepressants In some cases, a mental health professional may suggest antidepressants as part of your treatment plan. These drugs aren't approved by the FDA to treat ADHD but they may sometimes help alleviate symptoms of anxiety and depression if taken alongside stimulants. Antidepressants boost serotonin levels and norepinephrine production in the brain. They can therefore help to improve anxiety and depressive symptoms. Selective serotonin reuptake inhibitors- such as fluoxetine (Prozac), citalopram (Celexa) and escitalopram (Lexapro) -boost your levels of the neurotransmitter, serotonin, to lift your mood and decrease 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, so named after the three rings in their chemical structure, were first designed as antipsychotics, and later discovered to possess powerful antidepressant properties. These medicines include imipramine (Tofranil) and amitriptyline (Elavil) and nortriptyline (Pamelor). Tricyclics can also reduce the sensitivity of people to noise, enhance sleep and lower blood pressure. They can cause drowsiness, so those taking them should refrain from driving or operating machinery that could be dangerous until they are aware of how they will react to the medication. Many lifestyle changes can help improve your ADHD and anxiety symptoms, including taking exercise, sleeping enough and eating a balanced diet that is rich in whole fruits, grains and vegetables. Mindfulness and other forms of therapy, such as cognitive behavioral therapy, can also 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 services. Learn more about our services, and then make an appointment today.