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How to Choose the Best ADHD Medication for Adults With Anxiety and Depression If someone has ADHD and depression or anxiety treating one of the conditions often improves the other. Mental health professionals typically prescribe antidepressants or stimulants for depression in addition to an ADHD medication. Wellbutrin (bupropion) and Effexor (venlafaxine) are the most frequently prescribed antidepressants prescribed “off-label” for ADHD. These medications increase levels of the neurotransmitters norepinephrine and dopamine and help improve concentration. 1. Methylphenidate Methylphenidate is the first choice medication for adults suffering from ADHD or anxiety depression. It belongs to a class called central nervous stimulants. It affects the quantity of certain natural substances inside your brain. It is available as tablets, liquids chewable tablets, extended-release capsules. It can also be given through the skin. It is not unusual for people with ADHD to suffer from co-occurring mood disorders, such as depression or anxiety. It is essential to inform your doctor if suffer from depression or anxiety because certain medications, particularly stimulants can cause them worsen. In some cases you may require both an anti-anxiety medication and a stimulant medication. Methylphenidate may cause headaches and stomachaches. It can also increase heart rate and blood pressure which is why you should make regular appointments with your physician to examine these. It can also cause facial ticks (uncontrollable, rapid movements of the face). It should not be taken by those with an inherited condition known as phenylketonuria, who have trouble processing the chemical phenylalanine. It is also risky to take during pregnancy or nursing. It is important to inform your doctor that you intend to become pregnant. While taking methylphenidate, you should not drive a vehicle or operate machinery. It may cause blurred vision, dizziness and drowsiness. It is important to drink enough fluids while you take it. If you have problems swallowing tablets, consult your physician about extended-release capsules or oral disintegrating tablets. It is not recommended to crush or chew these medications. If you're having trouble eating solid foods, consult your doctor about liquid medicines that can be mixed into soft foods or drinks, such as applesauce yogurt, or pudding. 2. Lisdexamfetamine Lisdexamfetamine (LDX) is a medication that belongs to the family of central nervous system stimulants. 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 and children aged 6 years or older. It is also used to treat binge eating disorders in adults. Adults suffering from ADHD frequently suffer from anxiety and depression. Treatment for these disorders is essential to make people feel more relaxed and perform their best at work and at home. I Am Psychiatry used to treat mental health issues may interact with ADHD medications, so it is crucial to disclose any other medical issues you may have. Depression and anxiety can be complicated, as they both involve a wide range of symptoms. Antidepressants like Wellbutrin, Effexor, or Venlafaxine are often prescribed to treat these conditions. They also can improve concentration and focus in people with ADHD or ADHD. They typically improve the quantity of certain neurotransmitters in the brain, and have a low risk of misuse and abuse. The drug showed promising results in studies that involved adults with ADHD or depression, anxiety or ADHD. It helped reduce the symptoms of anxiety and depression and also improved ADHD ratings and executive function measures. It was also safe to use. It is important to tell your doctor if you're taking any other medications, including MAO inhibitors such as isocarboxazid (Marplan) and linezolid (Zyvox) and the methylene blue, Phenelzine (Nardil) selegiline (Eldepryl, Emsam, Zelapar) and the tranylcypromine (Parnate). These medications are not recommended to be taken within 14 days of taking lisdexamfetamine. Tell your doctor whether you are allergic to lisdexamfetamine or any of the other ingredients in this medication. 3. Atomoxetine Atomoxetine (Strattera) is a nonstimulant ADHD medication that is also used to treat depression. It is believed to work by blocking reuptake of the neurotransmitter norepinephrine. The drug boosts levels of this chemical in the brain, which can increase alertness, reduce anxiety and depression symptoms. It is important to note, however, that this medication is not recommended as a stand-alone treatment for anxiety disorders. Instead it is recommended that an individual seek treatment from a licensed psychiatrist or therapist. A number of studies have been conducted to evaluate the effects of atomoxetine in patients suffering from ADHD and other anxiety disorders that are comorbid. These studies comprise 9 randomized controlled trials and 2 post-hoc subgroup analyses. In the majority of cases, both improvement in symptom and cognition function were better assessed with atomoxetine than placebo. It is important to note that the sample size of these studies was small. Some of the side effects associated with this medication include abdominal pain and rapid heart rate. These side effects are usually mild and don't affect anyone who takes this medication. Some people who take Atomoxetine have expressed thoughts of suicide. These thoughts were observed in short-term clinical studies of adolescents and children who were taking the drug. These trials did not lead to suicides. As with stimulants, atomoxetine could also 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 was found to outperform an 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 take further research to determine if atomoxetine may be also effective for other types of comorbid anxiety disorders. 4. Bupropion Bupropion is a nonstimulant medication 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. Your doctor may offer you the drug in capsules typically taken once or twice daily. It's also linked to some more serious side effects, including suicidal thoughts and liver damage. Anxiety is a disorder that causes intense, persistent anxiety and a sense of restlessness. It can trigger symptoms such as headaches, stomachaches and breath shortness, and emotions like fear or dread. Many people with anxiety disorders struggle to manage their symptoms, despite trying to manage the severity of their symptoms. Certain people with ADHD may also experience anxiety. The condition can lead to issues with relationships and emotions and low self-esteem. Symptoms of untreated ADHD include inattention deficit, forgetfulness and impulsive behavior- can also lead to feelings of frustration or failure. Nonstimulants such as 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 used for ADHD in adults, but these drugs work differently than stimulants. Antidepressants are often prescribed by your physician to treat ADHD. They can be prescribed alone or together with stimulants. However, they are not usually prescribed to adolescents and children. Psychotherapy is another treatment option. Talking to a mental health professional can be beneficial in treating both anxiety and ADHD. Changing your routine and lifestyle can help manage these disorders. For instance, you could consider practicing yoga or meditation as well as reducing insomnia and stress and incorporating exercise in your daily routine. 5. Tricyclic antidepressants In certain situations the mental health professional might recommend antidepressants as a part of your treatment plan. These drugs are not FDA approved to treat ADHD but they can reduce anxiety and depression symptoms if taken along with stimulants. Antidepressants increase serotonin levels and norepinephrine production in the brain. They therefore can help to improve anxiety and depressive symptoms. Selective serotonin reuptake inhibitors like fluoxetine(Prozac), citalopram(Celexa), and escitalopram(Lexapro), increase levels of the neurotransmitter serotonin in your brain to improve 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 are named after the three rings that make up their chemical structure, were first developed as antipsychotics and later discovered to possess powerful antidepressant properties. These drugs include imipramine (Tofranil), amitriptyline (Elavil) and nortriptyline (Pamelor). Tricyclics can also improve sleep, lower blood pressure and reduce the person's sensitivity to sounds. They can cause drowsiness, so those taking them should avoid driving or operating machinery that could be dangerous until they are aware of how they will react to the medication. Exercise, getting enough rest and eating a diet high in fruits, vegetables and whole grains can all help improve ADHD and anxiety symptoms. Mindfulness and other forms of therapy, such as cognitive behavioral therapy, can also help to reduce stress. Klarity can assist you in finding licensed professionals who provide convenient online mental health services that is cost-free and convenient. Find out more about it and schedule an appointment today.