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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 anxiety or depression, addressing the first condition can often help 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 prescribed to treat ADHD “off-label”. These drugs increase levels of neurotransmitters like norepinephrine and dopamine. They also aid in improving concentration. 1. Methylphenidate Methylphenidate is the top choice medication for adults with ADHD or anxiety depression. It's part of a group called central nervous stimulants. It works by altering the amount of certain natural substances in your brain. It is available as chewable tablets, liquids or an extended-release capsule. It can also be given through the skin. It is not uncommon for people with ADHD to have co-occurring mood disorders, such as anxiety or depression. You should inform your doctor about any anxiety or depression you may be suffering from. Some medications, particularly stimulants can make these conditions worse. In some cases you may require both an anti-anxiety medication and a stimulant drug. Methylphenidate can cause headaches as well as stomachaches. It can also raise blood pressure and heart rate, so you should make regular visits to your physician to examine these. It can also cause facial ticks (uncontrollable, rapid movements of the face). It is not recommended by people who have a genetic disorder called Phenylketonuria. These people have difficulty metabolizing the chemical phenylalanine. It is also risky to use during pregnancy or while breastfeeding. You should tell your doctor if you plan to become pregnant. You must not operate or drive machinery while taking methylphenidate. It may cause dizziness and blurred vision. It is important to drink plenty of fluids when you are taking it. If you are having difficulty taking tablets, ask your physician about extended-release capsules or orally disintegrating tablets. You should not crush or chew these medications. If you are having difficulty eating solid foods, consult your doctor about liquid medications that can be mixed into soft foods or drinks, such as applesauce yogurt, or pudding. 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 to treat of attention deficit hyperactivity disorder (ADHD) in adults and children aged 6 years and older. It is also used to treat binge eating disorders for adults. Adults with ADHD are frequently afflicted with depression and anxiety disorders. It is important to treat these issues to help them be more comfortable and perform at their best both at work and at home. Certain medications commonly used to treat mental health issues may interact with ADHD medications, so it is crucial to disclose any other medical issues you might have. Depression and anxiety are both complicated disorders, because they are characterized by a variety of symptoms. Antidepressants like Wellbutrin, Effexor, or Venlafaxine are commonly prescribed to treat these ailments. They also can improve focus and concentration for those with ADHD or ADHD. They are effective by increasing the amount of neurotransmitters in the brain. They are safe for abuse and misuse. In studies of LDX in adults suffering from ADHD and anxiety or depression The medication had promising results. 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, like isocarboxazid and linezolid, Methylene blue (Nardil) or phenelzine selegiline, Emsam (Zelapar), or tranylcypromine. These medications should not be taken for 14 days after the administration of lisdexamfetamine. Tell your doctor that you are allergic to lisdexamfetamine, or any of the other ingredients in this medication. 3. Atomoxetine Atomoxetine (Strattera) is a non-stimulant ADHD medication that is also used to treat depression. It is believed to work by blocking the neurotransmitter reuptake. The drug boosts levels of this chemical within the brain to increase alertness, reduce anxiety, and depressive symptoms. It is important to remember that this medication is not intended to be used as a stand-alone treatment for anxiety disorders. It is recommended that the patient seeks help from a qualified psychiatrist or therapist. There have been a myriad of studies conducted to evaluate the effects of atomoxetine on patients suffering from ADHD and anxiety disorders. These studies include nine randomized controlled trials and two post-hoc subgroup analyses. In most cases, atomoxetine outperformed placebo on both measures of improvement in symptoms and cognitive function. It is important to remember that the sample size of these studies was small. Some side effects of this medication include abdominal pain and rapid heart rate. These side effects are usually mild and do not occur in everyone who takes the medication. Some people who take Atomoxetine have had thoughts of suicide. These thoughts were observed in short-term clinical trials involving adolescents and children taking the medication. 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 the atomoxetine medication was more effective than placebo for adults suffering from social anxiety disorder and ADHD. This is a promising outcome that suggests that this medication may be effective in treating ADHD and anxiety when used with other treatments. It will take further studies to determine if atomoxetine is also effective for other types anxiety disorders that are comorbid. 4. Bupropion Bupropion is a nonstimulant medication that increases a chemical in the brain known as noradrenaline. This chemical is responsible for sending messages between brain cells. The increase in it can aid with concentration and impulse control. This medication is typically prescribed in capsule form and is taken once or twice daily by your physician. It's also associated with some more serious side effects, such as suicidal thoughts and liver damage. Anxiety is a disorder that causes intense fear and restlessness. It can cause symptoms such as headaches, stomachaches, shortness in breath, and emotions like fear or dread. Many people with anxiety disorders struggle to manage their symptoms, despite trying to manage them. Certain people suffering from ADHD may also experience anxiety. The condition can cause problems with emotions and relationships, as well as a lack of self-esteem. If not treated, ADHD symptoms, like forgetfulness and impulsiveness, can cause feelings of frustration and failure. add medication adults -stimulants like atomoxetine, Qelbree and Lisdexamfetamine (methylphenidate) can also help in easing anxiety symptoms. High blood pressure medications such as Clonidine (Kapvay), and guanfacine, (Intuniv or Tenex) can be used to treat ADHD in adults. However, these medications work differently from stimulants. Antidepressants can be prescribed by your doctor to treat ADHD. They may be prescribed on their own or in combination with stimulants. However they are rarely prescribed to teenagers and children. Psychotherapy is a different treatment option. Consulting with a mental-health professional can be beneficial in treating both anxiety and ADHD. Lifestyle and routine changes can also help in managing these conditions. For instance, you could try meditation or yoga, regulating your insomnia and stress levels, and incorporating fitness into your routine. 5. Tricyclic antidepressants In some cases an expert in mental health may suggest antidepressants as part of your treatment program. They are not FDA approved to treat ADHD but can improve depression and anxiety symptoms when taken with stimulants. Antidepressants boost levels of serotonin and norepinephrine in your brain, so they can help improve depressive symptoms as well as anxiety. Selective serotonin reuptake inhibitors, like fluoxetine(Prozac), citalopram(Celexa), and escitalopram(Lexapro) can increase 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 were initially developed to treat schizophrenia, but they were later discovered to have powerful antidepressant properties. These medications include imipramine (Tofranil) as well as amitriptyline (Elavil) and nortriptyline (Pamelor). Tricyclics also decrease the sensitivity of people to noise, improve sleep and lower blood pressure. Tricyclics can cause drowsiness. Patients who are taking them should not operate or drive on dangerous equipment until they are sure of the reaction they will experience to the medication. A variety of lifestyle changes can improve your ADHD and anxiety symptoms, such as taking exercise, sleeping enough and eating a nutritious diet rich in whole grains, fruits and vegetables. Mindfulness-based practices and other types of therapy like cognitive behavioral therapy can reduce stress and boost happiness. If you're struggling to manage your anxiety and ADHD, Klarity can connect you with licensed professionals for convenient, insurance-free online mental health services. Find out more and schedule an appointment today.