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How to Choose the Best ADHD Medication for Adults With Anxiety and Depression If someone suffers from both ADHD and anxiety or depression, treating the first disorder can improve the second. Mental health experts prescribe antidepressants and stimulants for depression, or antidepressants in conjunction with ADHD medication. Wellbutrin (bupropion) and Effexor, (venlafaxine), are the two most commonly used antidepressants that are prescribed for ADHD “off-label”. These medications boost levels of neurotransmitters like norepinephrine and dopamine. They also aid in improving concentration. 1. Methylphenidate Methylphenidate is the first choice medication for adults suffering from ADHD or anxiety 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 in the form of tablets that can be chewed, liquid, or an extended-release capsule. It can be administered through the skin. It is not uncommon for people with ADHD to have co-occurring mood disorders, such as depression or anxiety. It is important that you inform your doctor if suffer from depression or anxiety because some medications, especially stimulants can cause them get worse. In some cases you may have to take both stimulants and anti-anxiety medication. Methylphenidate can cause headaches and stomachaches. It can also raise blood pressure and heart rate which is why you should make regular appointments with your physician to check these. It may also cause facial tics (quick uncontrollable movements of your face). It is not recommended by those suffering from an inherited condition known as phenylketonuria, which causes difficulty in metabolizing the chemical phenylalanine. It is also risky to take during pregnancy or nursing. It is important to inform your doctor if you plan to become pregnant. You should not drive or operate machinery while taking methylphenidate. It may cause blurred vision, dizziness and somnolence. Drink plenty of fluids while taking this medication. Ask your doctor if have trouble swallowing tablets. It is not recommended to crush or chew on these medications. If you are having difficulty eating solid foods, ask your physician about liquid medicines that can be added to soft food or drinks, such as applesauce yogurt, or pudding. 2. Lisdexamfetamine Lisdexamfetamine is a drug in the central nervous system stimulant family. It works by altering the quantity of certain natural substances inside the brain. It is used to treat attention deficit hyperactivity disorder in children and adults 6 years of age and over. It can also be used to treat binge-eating disorders in adults. Adults suffering from ADHD are often afflicted by anxiety and depression disorders. It is important to treat these conditions in order to feel better and perform their best, both at work and at home. Some drugs used to treat mental disorders can affect ADHD medication. It is crucial to be open about any other medical issues. Depression and anxiety are both complex conditions, since they can trigger various symptoms. Antidepressants like Wellbutrin, Effexor, or Venlafaxine are frequently prescribed to treat these disorders. They can also improve concentration and focus in people who suffer from ADHD or ADHD. They help by increasing certain neurotransmitters inside the brain. They are safe for abuse and misuse. In studies of LDX in adults suffering from ADHD and depression The medication produced promising results. It helped improve ADHD ratings and executive function and ADHD ratings. It was also safe to use. It is important to tell your doctor if you're taking any other medication that include MAO inhibitors like isocarboxazid (Marplan) or linezolid (Zyvox), Methylene blue, phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar) and tranylcypromine (Parnate). These medications should not be consumed within 14 days after lisdexamfetamine. Tell your doctor if you have an allergy to lisdexamfetamine, or any other ingredients in this medication. 3. Atomoxetine Atomoxetine, also called Strattera, is a nonstimulant ADHD drug that is used to treat depression. It is believed to work by preventing reuptake of the neurotransmitter norepinephrine. The drug raises levels of this chemical within the brain to increase alertness, decrease anxiety and depressive symptoms. This medication should not, however, be used on its own to treat anxiety disorders. Instead, it is recommended that a person receives treatment from a certified psychiatrist and/or therapist. There have been a myriad of studies conducted to evaluate the effects of atomoxetine in patients with ADHD and anxiety disorders. These studies include nine randomized controlled trials as well as two post-hoc analyses of subgroups. In most cases the atomoxetine treatment outperformed placebo in both measures of improvement in symptom severity and cognitive function. It is important to note that the sample size of these studies was very small. The medication is also known to cause some adverse effects, including abdominal pain and a rapid heart rate. These side effects are usually minor and are not seen in everyone who takes the medication. Some people who use atomoxetine have reported thoughts of suicide. These thoughts were observed in short-term clinical trials with adolescents and children who took the drug. These trials did not result in suicides. As with stimulants, atomoxetine could be effective in treating comorbid ADHD and anxiety. In fact the results of a recent study of people suffering from ADHD and social anxiety disorder, atomoxetine outperformed the placebo. This is an encouraging result that suggests this medication may be effective in treating ADHD and anxiety in combination with other treatments for both disorders. More research is needed to determine whether the atomoxetine medication can be used effectively for other forms of comorbid anxiety disorders. 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 transmitting messages between brain cells. Increasing it can help in focusing and controlling impulses. This drug is usually prescribed in capsule form and taken every day, either once or twice by your doctor. It's also associated with more serious side effects, like suicidal thoughts and liver damage. Anxiety is a condition that causes constant, intense fear and anxiety. It can cause symptoms such as headaches, stomachaches, shortness in breath, and feelings such as fear or dread. People suffering from anxiety disorders often struggle to manage their symptoms, despite attempts to lessen their symptoms. People with ADHD may develop anxiety, as well. The condition can lead to problems with relationships and emotional issues, as well as low self-esteem. Untreated ADHD symptoms, like inattention and impulsiveness, could lead to feelings of frustration and feeling of failure. Stimulants like methylphenidate and lisdexamfetamine can help ease anxiety symptoms, as can nonstimulant drugs such as atomoxetine (Strattera) and viloxazine (Qelbree). medication for adhd like Clonidine (Kapvay) and guanfacine, (Intuniv or Tenex) can be used to treat ADHD in adults. However, these medications differ from stimulants. Antidepressants are often prescribed by your physician to treat ADHD. They may be prescribed on their own or in combination with stimulants. However they aren't typically prescribed to teenagers and children. Psychotherapy is a different treatment option. Talking with a mental-health professional can be effective in treating both anxiety and ADHD. Changing your routine and lifestyle can help manage these conditions. You can, for example try meditation or yoga, regulating your stress and sleep patterns, and incorporating exercises into your daily routine. 5. Tricyclic antidepressants A mental health professional could recommend antidepressants to you as part of your treatment. They aren't approved by the FDA to treat ADHD, but they can sometimes help alleviate symptoms of depression and anxiety if taken alongside stimulants. medication for adhd boost levels of serotonin and norepinephrine in your brain, and therefore can help improve depressive symptoms as well as anxiety. Selective serotonin reuptake inhibitorslike fluoxetine (Prozac), citalopram (Celexa) and escitalopram (Lexapro) -boost the 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, named after the three rings of their chemical structure, were originally developed as antipsychotics and later found to have powerful antidepressant properties. These medications include imipramine (Tofranil) as well as amitriptyline (Elavil) and nortriptyline (Pamelor). Tricyclics can also help sleep, reduce blood pressure, and decrease a person’s sensitivity to sound. They can cause drowsiness, so people taking them should avoid driving or operating dangerous equipment until they know how they'll react to the medication. Many lifestyle changes can help improve your ADHD and anxiety symptoms, including exercise, getting enough sleep and eating a healthy diet high in whole grains, fruits and vegetables. Mindfulness-based practices as well as other forms of therapy such as cognitive behavioral therapy can help reduce stress and boost happiness. If you're struggling to manage your anxiety and ADHD, Klarity can connect you with licensed professionals for easy, cost-free online mental health services. Find out more about our services and book an appointment today.