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How to Choose the Best ADHD Medication for Adults With Anxiety and Depression If someone suffers from both ADHD and depression or anxiety, treating the first condition can often improve the other. Mental health experts prescribe antidepressants and stimulants for depression or antidepressants in conjunction with ADHD medication. Wellbutrin (bupropion) and Effexor (venlafaxine) are the most commonly used antidepressants prescribed “off-label” for ADHD. These medications boost the levels of neurotransmitters dopamine and norepinephrine. They also improve concentration. 1. Methylphenidate Methylphenidate, also known by the brand name Ritalin is the first-choice treatment for adults suffering from ADHD and anxiety or depression. It is in a class of medicines known as central nervous system stimulants and is used to alter the levels of certain natural substances in your brain. It is available as tablets that can be chewed, liquid, or an extended-release capsule. It can be administered through the skin. It is not unusual for people who suffer from ADHD also to suffer from mood disorders, such as depression or anxiety. You should tell your doctor about any depression or anxiety you may be suffering from. Some medications, particularly stimulants can make these disorders worse. In some cases you may have to take both a stimulant and an anti-anxiety medication. Methylphenidate may cause headaches and stomachaches. It may also raise your heart rate and blood pressure which is why you should maintain regular appointments with your physician to monitor these. It can also cause facial ticks (uncontrollable, rapid movements of the face). It should not be taken by those suffering from a genetic condition called phenylketonuria, which causes difficulty processing the chemical phenylalanine. It is also dangerous to take during pregnancy and nursing, so let your doctor know if you are expecting or planning to become pregnant. You must not operate or drive machinery while taking methylphenidate. It can cause dizziness and blurred vision. You should drink plenty of fluids while taking this medication. If you are having difficulty swallowing tablets, ask your doctor about extended-release capsules, or orally disintegrating tablets. You should not crush or chew these medicines. If you have difficulty eating solid foods, ask your doctor about liquid medicines that can be added to soft food or drinks, such as applesauce pudding, or yogurt. 2. Lisdexamfetamine Lisdexamfetamine is a drug within the central nervous system stimulant family. It works by altering the amount of certain natural substances in the brain. It is used in the treatment of attention deficit hyperactivity disorder (ADHD) in adults as well as children aged six years and over. It is sometimes used to treat binge eating disorder in adults. Adults suffering from ADHD are often affected by depression and anxiety disorders. Treatment of these conditions is important to make people feel more relaxed and perform their best at work and at home. Certain medications commonly used to treat mental health issues can interact with ADHD medications, so it is essential to disclose any other medical issues you might have. Depression and anxiety are both complex conditions, as they involve various symptoms. Antidepressants such as Wellbutrin, Effexor, or Venlafaxine are frequently prescribed to treat these ailments. They can also help improve focus and concentration for those with ADHD/ADHD. They help by increasing the amount of neurotransmitters in 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 improved ADHD ratings as well as executive function and ADHD ratings. It was also safe for use. It is important to tell your doctor if you are taking any other medications, including MAO inhibitors like isocarboxazid (Marplan) and linezolid (Zyvox), Methylene blue, Phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar) and the tranylcypromine (Parnate). These medicines should not be used for 14 days following the use of lisdexamfetamine. It is also important to let your doctor know if are allergic to lisdexamfetamine, or any other ingredient in the medication. 3. Atomoxetine Atomoxetine, also known as Strattera is a non-stimulant ADHD medication that is 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 improve alertness, reduce anxiety and depression symptoms. It is important to remember, however, that this medication should not be used as a stand-alone treatment for anxiety disorders. Instead, it is recommended that a person receives treatment from a qualified psychiatrist and/or therapist. A number of studies have been conducted to assess the effects of atomoxetine in patients suffering from ADHD and comorbid anxiety disorders. These studies include nine randomized controlled trials and two post-hoc analyses of subgroups. In the majority of instances, both improvement in symptoms and cognition function were better assessed with atomoxetine than placebo. However, it is important to note that the overall size of the study was small. Some of the side effects associated with this medication include abdominal pain as well as rapid heart rate. These effects are typically minimal and aren't a problem for anyone who takes this medication. In some instances, patients who take atomoxetine experience thoughts of suicide. These thoughts were reported during short-term clinical studies of adolescents and children who took the drug. However, suicides did not occur in these trials. Like stimulants, atomoxetine can be effective in treating co-occurring ADHD and anxiety. In a recent study atomoxetine proved to be more effective than placebo for adults suffering from social anxiety disorder and ADHD. This is an encouraging result that suggests this medication may be effective in treating ADHD and anxiety when used in conjunction with other treatments for both disorders. It will take further studies to determine if atomoxetine can be effective in other forms of anxiety disorders that are comorbid. 4. Bupropion Bupropion is a non-stimulant drug that boosts a chemical in the brain called noradrenaline. This chemical is responsible for transmitting messages between brain cells. Increasing it can help with concentration and impulse control. This drug is usually prescribed in capsule form and taken every day, either once or twice by your physician. There are also serious side effects like suicidal thoughts or liver damage. Anxiety is a disorder that causes extreme fear and restlessness. It can trigger symptoms like stomachaches, headaches, shortness of breath, and anxiety or fear. Many people suffering from anxiety disorders struggle with controlling their symptoms despite trying to lessen them. Some people with ADHD also develop anxiety. The condition can lead to problems with relationships and emotional issues and low self-esteem. Signs of untreated ADHD like inattention deficit, forgetfulness and impulsive behaviorcan also result in feelings of anger or disappointment. Non-stimulants such as atomoxetine Qelbree and lisdexamfetamine (methylphenidate) can also assist to reduce anxiety symptoms. High blood pressure medications like Clonidine (Kapvay) and Guanfacine (Intuniv, Tenex) may also be used to treat ADHD in adults, but these drugs function differently than stimulants. Although antidepressants haven't been approved by the FDA to treat ADHD, your doctor may prescribe them as a single drug or with a stimulant, though they're not typically prescribed for children and teens. Psychotherapy is another treatment option. It involves speaking with an expert in mental health, and is sometimes effective for treating anxiety and ADHD together. Lifestyle and routine changes can also help in managing these disorders. You could, for instance try meditation or yoga, managing your insomnia and stress levels and including fitness into your routine. 5. Tricyclic antidepressants In some cases the mental health professional might recommend antidepressants as a part of your treatment plan. They are not FDA approved to treat ADHD however they can help improve depression and anxiety symptoms when used in conjunction along with stimulants. Antidepressants increase levels of serotonin as well as norepinephrine in your brain, which can aid in reducing symptoms of depression and anxiety. how to treat adhd without medication in adults (Prozac), citalopram (Celexa) and escitalopram (Lexapro) -boost your levels of the neurotransmitter serotonin, which can 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 for the three rings that make up their chemical structure, were first created as antipsychotics but were later found to have powerful antidepressant properties. These drugs 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. Tricyclics can cause an increase in drowsiness. The people who are taking them should not operate or drive on dangerous equipment until they are certain of what reaction they'll have to the medication. Exercise, getting enough rest and eating a diet rich in vegetables, fruits and whole grains can all aid in reducing ADHD and anxiety symptoms. Mindfulness-based practices and other types of therapy like cognitive behavioral therapy can also reduce stress and increase happiness. Klarity can help you find licensed providers who offer convenient online mental health services that is cost-free and convenient. Find out more and schedule an appointment today.