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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 depression or anxiety, treating the first disorder can help the second. Mental health specialists prescribe antidepressants, stimulants for depression or antidepressants, along with ADHD medication. Wellbutrin (bupropion) and Effexor (venlafaxine) are the most frequently used antidepressants that are prescribed “off-label” for ADHD. These drugs increase the levels of neurotransmitters dopamine and norepinephrine. They also help improve concentration. 1. Methylphenidate Methylphenidate is the top choice treatment for adults suffering from ADHD, anxiety, or depression. It's part of a group known as central nervous stimulants. It is a medication that alters the amount of certain natural substances in your brain. It is available as a tablet, liquid chewable tablets, or extended-release capsules. It can also be given via the skin. It is not uncommon for people with ADHD to suffer from co-occurring mood disorders like anxiety or depression. You should tell your doctor about any depression or anxiety you may be suffering from. Certain medications, especially stimulants can make these disorders worse. In some cases you may require both a medication to treat anxiety and a stimulant medication. Methylphenidate can cause headaches and stomachaches. It may also raise your blood pressure and heart rate, so you should keep regular appointments with your doctor to check these. It may also trigger facial ticks (uncontrollable, rapid movements of the face). It should not be taken by those with a genetic disorder called Phenylketonuria. These people have difficulty processing the chemical phenylalanine. It is also unsafe to take during pregnancy or nursing, so let your doctor know whether you are pregnant or planning to become pregnant. You should not drive or operate machinery while taking methylphenidate. It may cause blurred vision, dizziness and sleepiness. It is important to drink enough fluids while you take it. Consult your physician if you have trouble swallowing tablets. You should not crush or chew these medications. If you're having trouble eating solid food, ask your doctor about liquid medications that can be mixed into soft foods or drinks, such as applesauce pudding, or yogurt. 2. Lisdexamfetamine Lisdexamfetamine is a medicine within the central nervous system stimulant family. It affects the amount of certain natural substances inside the brain. It is used to treat the condition of attention deficit hyperactivity disorder in children and adults six years old and older. It is sometimes used to treat binge-eating disorders in adults. Adults suffering from ADHD often have comorbid depression and anxiety disorders. It is crucial to treat these conditions to help them be more comfortable and perform at their best, both at work and at home. Certain medication used to treat mental conditions can affect ADHD medication. It is essential to be open about any other medical issues. Depression and anxiety are both complicated conditions, as they involve various symptoms. Certain antidepressants, including Wellbutrin (bupropion) or Effexor (venlafaxine) are often prescribed to treat these disorders and can help enhance focus and concentration for people suffering from ADHD/ADHD. They usually work by increasing the quantity of neurotransmitters within the brain. They have a low risk of misuse and abuse. The drug showed promising results in studies that involved people suffering from ADHD and depression, as well as anxiety. It improved ADHD ratings and executive function and ADHD ratings. It was also safe to use. It is crucial to inform your doctor if you are taking any other medication such as MAO inhibitors like isocarboxazid (Marplan), linezolid (Zyvox) as well as the methylene blue, Phenelzine (Nardil) selegiline (Eldepryl, Emsam, Zelapar) and tranylcypromine (Parnate). adhd medication side effects IamPsychiatry should not be taken within 14 days of lisdexamfetamine. You should also let your doctor know if are allergic to lisdexamfetamine, or any other ingredients in the medication. 3. Atomoxetine Atomoxetine (Strattera) is a non-stimulant ADHD medication that is also used to treat depression. It is thought to work by blocking the reuptake neurotransmitter. By increasing the levels of this chemical in the brain, the drug enhances alertness and decreases anxiety and depression symptoms. It is important to remember that this medication should not be used as a standalone treatment for anxiety disorders. It is recommended that the patient seeks treatment from a qualified therapist or psychiatrist. There have been a myriad of studies that have been conducted to examine the effects of atomoxetine on patients with ADHD and anxiety disorders. These studies include 9 randomized controlled trials and 2 post hoc subgroup studies. In the majority of cases, both symptom improvement and cognition function were better assessed using atomoxetine compared to placebo. It is important to remember that the sample size in these studies was very small. The medication is also known to cause a few side effects, including abdominal pain as well as a high heart rate. These side effects are usually minimal and aren't a problem for anyone who takes this medication. Some people who use atomoxetine have reported thoughts of suicide. These thoughts were observed in short-term clinical trials involving adolescents and children taking the drug. 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 a recent study of people suffering from ADHD and social anxiety disorder, atomoxetine outperformed a placebo. 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. It will require more study to determine if atomoxetine can be also effective for other types of anxiety disorders that have a comorbidity. 4. Bupropion Bupropion is a non-stimulant drug that increases a chemical in the brain that is known as noradrenaline. This chemical is responsible for sending messages between brain cells. Increasing it can help in focusing and controlling impulses. Your doctor may recommend this drug in capsule form which is usually taken one or twice a day. There are also serious side effects like suicidal thoughts or liver damage. Anxiety is a condition that triggers extreme fear and nervousness. It can cause symptoms like stomachaches, headaches and breath shortness, and feelings like fear or dread. Many people with anxiety disorders struggle to manage their symptoms, despite efforts to manage their symptoms. Some people with ADHD may also experience anxiety. The condition can lead to emotional and relationship problems and low self-esteem. Untreated ADHD symptoms, such as the tendency to forget and impulsiveness can result in feelings of anger and inability. Non-stimulants like atomoxetine, Qelbree and lisdexamfetamine (methylphenidate) can also help to ease anxiety symptoms. High blood pressure medications such as Clonidine (Kapvay), and guanfacine, (Intuniv or Tenex) can also be used to treat ADHD in adults. However, these drugs are different from stimulants. While antidepressants aren't approved by the FDA to treat ADHD however, your doctor can prescribe them on their own or in conjunction together with a stimulant, but they are typically not prescribed to adolescents or children. Psychotherapy is another treatment option. It involves speaking with a mental health professional and can be effective in treating anxiety and ADHD together. Changing your routine and lifestyle can help you manage these issues. You could, for instance try meditation or yoga, regulating your sleep and stress levels, and incorporating fitness into your routine. 5. Tricyclic antidepressants A mental health professional might recommend antidepressants to you as part of your treatment. They are not FDA approved to treat ADHD but they can reduce anxiety and depression symptoms if used in conjunction together with stimulants. Antidepressants increase serotonin levels as well as norepinephrine production in the brain. They can therefore help to alleviate anxiety and depressive symptoms. Selective serotonin reuptake inhibitors like fluoxetine(Prozac), citalopram(Celexa), and escitalopram(Lexapro) boost the levels of the neurotransmitter serotonin in your brain to improve 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, named for the three rings of their chemical structure, were originally developed as antipsychotics and later discovered to have potent antidepressant properties. These medications include imipramine (Tofranil) and amitriptyline (Elavil) and nortriptyline (Pamelor). Tricyclics can also reduce the sensitivity of a person to noise, increase sleep and lower blood pressure. Tricyclics can cause sleepiness. Patients who are taking them should not drive or operate dangerous equipment until they are certain of the reaction they will experience to the medication. Exercise taking enough rest and eating a diet rich in fruits, vegetables, and whole grains can all help improve ADHD and anxiety symptoms. Mindfulness-based practices and other types of therapy like cognitive behavior therapy can also reduce stress and increase happiness. If you're struggling with managing your anxiety and ADHD, Klarity can connect you with licensed providers for convenient, insurance-free online mental health care. Learn more about our services and book an appointment now.