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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 typically prescribe antidepressants or stimulants for depression along with an ADHD medication. Wellbutrin (bupropion), and Effexor, (venlafaxine), are the two most common antidepressants that are prescribed for ADHD “off-label”. These drugs 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's part of a class of drugs known as central nervous system stimulants. It is used to alter the levels of certain natural substances in your brain. It is available in the form of tablets that can be chewed, liquid or extended-release capsule. It is also available via the skin. It is not unusual for people with ADHD to have co-occurring mood disorders like depression or anxiety. You should inform your doctor about any anxiety or depression you might be suffering from. Certain medications, especially stimulants, can make these conditions worse. In some instances, you may require both a medication to treat anxiety and a stimulant drug. Methylphenidate may cause headaches and stomachaches. It can also increase 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 tics (quick, uncontrollable movements in your face). It should not be taken by people who have a genetic disorder called phenylketonuria, which causes difficulty in metabolizing the chemical phenylalanine. It is also not recommended to take during pregnancy or breastfeeding, so let your doctor know whether you are expecting or planning to become pregnant. You should not drive or operate machinery while taking methylphenidate. It may cause dizziness and blurred vision. It is essential to drink enough fluids when you are taking it. If you have problems swallowing tablets, consult your doctor about extended-release capsules or orally disintegrating tablets. It is not recommended to chew or crush these medications If you are having difficulties eating solid food, talk to your doctor about liquid medicines 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 family of central nerve system stimulants. It affects 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 can also be used to treat binge eating disorders in adults. Adults with ADHD are often affected by anxiety and depression disorders. It is essential to treat these issues 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 can interact with ADHD medication, which is why it is essential to be open about any other medical issues that you may have. Depression and anxiety are both complex conditions, as they involve various symptoms. Certain antidepressants, like Wellbutrin (bupropion) or Effexor (venlafaxine) are often prescribed to treat these ailments and can help enhance focus and concentration in people with ADHD or ADHD. They help by increasing certain neurotransmitters within the brain. They are low-risk for misuse and abuse. The drug showed promising results in studies involving adults suffering from ADHD and depression, as well as anxiety. It helped improve ADHD ratings, and executive function and ADHD ratings. It was also safe to use. Tell your doctor if any other medications are being taken for any reason, including MAO inhibitors, such as isocarboxazid, linezolid, Methylene blue (Nardil) and phenelzine. selegiline, Emsam (Zelapar), or tranylcypromine. These medications are not recommended to be taken within 14 days of lisdexamfetamine. Tell your doctor if you have an allergy to lisdexamfetamine, or any other ingredients in this medication. 3. Atomoxetine Atomoxetine, also referred to as Strattera, is a nonstimulant ADHD medication that is used to treat depression. It is thought to work by blocking the reuptake neurotransmitter. By boosting levels of this chemical in the brain, the drug increases alertness and reduces anxiety as well as depression symptoms. It is important to remember that this medication is not recommended as a treatment on its own for anxiety disorders. It is recommended that the person seek treatment from a licensed psychiatrist or therapist. There have been a myriad of studies conducted to evaluate the effects of atomoxetine on patients with ADHD and anxiety disorders. These studies include 9 randomized controlled trials and 2 post-hoc subgroup analysis. In most instances the results showed that atomoxetine was superior to placebo on both measures of improvement in symptoms and cognitive function. It is important to note that the sample size of these studies was very small. Some of the side effects associated with this medication include abdominal pain and rapid heart rate. These effects are typically minor and are not seen for everyone who takes the medication. In some instances, patients who take atomoxetine experience thoughts of suicide. These thoughts were observed in short-term clinical trials with children and adolescents taking the medication. These trials didn't result in suicides. Like stimulants, atomoxetine can be effective in treating co-occurring ADHD and anxiety. In check here of an investigation of adults with ADHD and social anxiety disorder, atomoxetine outperformed a placebo. This is a promising outcome which suggests that this drug could be effective for treating ADHD and anxiety when used with other treatments. It will require more studies to determine if atomoxetine may be effective in other forms of anxiety disorders that are comorbid. 4. Bupropion Bupropion is a nonstimulant medication that boosts the amount of a chemical found in the brain that is known as noradrenaline. This chemical passes messages between brain cells, and increasing it can aid concentration and control impulses. Your doctor might recommend the drug in capsules typically taken once or twice daily. It's also associated with some serious side effects, such as suicidal thoughts and liver damage. Anxiety is a condition that causes intense fear and anxiety and. It can cause symptoms like stomachaches, headaches and breath shortness, and emotions like dread or fear. Many people suffering from anxiety disorders struggle to manage their symptoms, despite trying to manage them. Certain people with ADHD may also experience anxiety. The condition can cause issues with emotions and relationships, as well as a lack of self-esteem. The symptoms of untreated ADHD — such as forgetfulness, difficulty paying attention and impulsive behaviorcan also cause feelings of disappointment or failure. 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, Tenex) may also be prescribed for ADHD in adults, however these drugs work differently than stimulants. Antidepressants are often prescribed by your physician to treat ADHD. They are prescribed either on their own or together with stimulants. However they aren't typically prescribed to teenagers and children. Psychotherapy is another treatment option. This involves talking to an expert in mental health, and is sometimes effective for treating anxiety and ADHD together. Lifestyle and routine changes can also be helpful for managing these disorders. For instance, you could try meditating or practicing yoga, managing your sleep and stress levels, and adding fitness into your routine. 5. Tricyclic antidepressants A mental health professional could suggest antidepressants as part of your treatment. These medications aren't FDA approved to treat ADHD but they can reduce depression and anxiety symptoms if taken with stimulants. Antidepressants work by increasing levels of serotonin as well as norepinephrine in your brain, and therefore can aid in reducing symptoms of depression and anxiety. Selective serotonin reuptake inhibiters, like fluoxetine(Prozac), citalopram(Celexa) and escitalopram(Lexapro) can increase the 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 to treat schizophrenia, but they were later discovered to have potent antidepressant effects. These medicines include imipramine (Tofranil) and amitriptyline (Elavil) and nortriptyline (Pamelor). Tricyclics also decrease the sensitivity of a person to noise, improve 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 sure of what reaction they'll have to the medication. Exercise taking enough rest and eating a diet that is rich in fruits, vegetables and whole grains could all help improve ADHD and anxiety symptoms. Mindfulness-based practices as well as other forms of therapy like cognitive behavior therapy can reduce stress and boost happiness. Klarity can help you find certified providers who can provide online mental health services that is affordable and easy to access. Find out more about it and schedule an appointment today.