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How to Choose the Best ADHD Medication for Adults With Anxiety and Depression If a person suffers from both ADHD and depression or anxiety, treating one condition often improves the other. Mental health professionals prescribe antidepressants, stimulants for depression or antidepressants in conjunction with ADHD medication. Wellbutrin (bupropion), and Effexor, (venlafaxine), are the two most common antidepressants that are prescribed for ADHD “off-label”. These medications increase levels of the neurotransmitters norepinephrine and dopamine. They also aid in improving concentration. 1. Methylphenidate Methylphenidate, also known by the brand name Ritalin is the most popular medication to treat adults with ADHD and depression or anxiety. It is part of a class called central nervous stimulants. It is a medication that alters the amount of certain natural substances in your brain. It can be taken in the form of a tablet, liquid chewable tablets, extended-release capsules. It can be administered through the skin. It is not uncommon for those with ADHD to also suffer from mood disorders, such as anxiety or depression. It is crucial to inform your doctor if you have anxiety or depression because certain medications, including stimulants can cause them to worsen. In certain instances it is possible to take both an anti-anxiety medication and a stimulant medication. Methylphenidate may cause adverse effects, such as headaches and stomachaches. It can also increase heart rate and blood pressure which is why you should make regular visits to your physician to examine these. It may also cause facial tics (quick uncontrollable movements on your face). People suffering from phenylketonuria (a genetic condition) who have difficulty metabolizing the chemical phenylalanine shouldn't take it. It is also dangerous to take during pregnancy or nursing. You should tell your doctor if you plan to get pregnant. You must not operate or drive machinery while taking methylphenidate. It can cause dizziness and blurred vision. It is vital to drink plenty of fluids when you are taking it. Ask your doctor if you are having difficulty swallowing tablets. Do not crush or chew these medicines. If you have difficulty eating solid foods, ask your doctor about liquid medications that can be mixed into soft food or drinks like applesauce, yogurt, or pudding. 2. Lisdexamfetamine Lisdexamfetamine (LDX) is an antidepressant that is part of the family of central nervous system stimulants. It works by changing the amount of certain natural substances in the brain. It is used to treat of attention deficit hyperactivity disorder (ADHD) in adults as well as children aged 6 years and older. It can also be used to treat binge-eating disorders in adults. Adults with ADHD often have comorbid depression and anxiety disorders. It is essential to treat these conditions in order to be more comfortable and perform at their best, both at work and at home. Certain medications used to treat mental disorders may interfere negatively with ADHD medication. It is essential to be honest about any other medical issues. Depression and anxiety are both complicated disorders, because they are characterized by many symptoms. Certain antidepressants, like Wellbutrin (bupropion) or Effexor (venlafaxine), are often prescribed to treat these conditions, and they can enhance focus and concentration for people suffering from ADHD or ADHD. They usually work by increasing the quantity of certain neurotransmitters in the brain. They have a low potential for misuse and abuse. The drug showed promising results in studies conducted with people suffering from ADHD, anxiety or depression. It decreased the symptoms of anxiety and depression and also improved ADHD ratings and executive function measures. It was also safe to use. It is essential to inform your doctor if taking any other medications, including MAO inhibitors such as isocarboxazid (Marplan) and linezolid (Zyvox) as well as methylene blue, Phenelzine (Nardil) selegiline (Eldepryl, Emsam, Zelapar) and the tranylcypromine (Parnate). These medications should not be taken within 14 days after lisdexamfetamine. Tell your doctor that you are allergic to lisdexamfetamine, or any 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 the reuptake of norepinephrine, a neurotransmitter. By boosting levels of this chemical in the brain, the drug increases alertness and reduces anxiety and depression symptoms. This medication is not to be used as a sole treatment for anxiety disorders. Instead, it is recommended that a person receives treatment from a certified psychiatrist and/or therapist. There have been a variety of studies that have been conducted to examine the effects of atomoxetine on patients with ADHD and anxiety disorders. These studies include nine controlled trials that were randomized as well as two post-hoc analyses of subgroups. In the majority of cases the results showed that atomoxetine was superior to placebo on both measures of symptom improvement and cognitive function. However it is important to note that the overall size of the study was small. The medication is also known to cause a few side effects, such as abdominal pain as well as a high heart rate. These side effects are usually mild and don't affect all people who take this medication. In some instances, people who take atomoxetine experience thoughts of suicide. These thoughts were reported during short-term clinical studies on children and adolescents who took the drug. However, suicides didn't occur in these trials. Like stimulants, atomoxetine can also be effective in treating comorbid ADHD and anxiety. In fact the results of an investigation of adults with ADHD and social anxiety disorder, atomoxetine was found to outperform an placebo. This is an encouraging result which suggests that this drug could be effective for treating ADHD and anxiety when used with other treatments. More research is needed to determine if Atomoxetine is also a treatment effectively for other forms of comorbid anxiety disorders. 4. Bupropion Bupropion, a nonstimulant drug increases the amount of noradrenaline that is found in the brain. This chemical is responsible for transmitting messages between brain cells. Its increase can assist with concentration and impulse control. This drug is usually prescribed in capsule form and taken once or twice daily by your physician. There are also some serious side effects, such as suicidal thoughts or liver damage. Anxiety is a condition that causes extreme fear and restlessness. It can trigger symptoms like stomachaches, headaches, breathlessness, and feelings of anxiety or dread. People suffering from anxiety disorders often struggle to control their symptoms, despite efforts to manage them. People with ADHD can sometimes develop anxiety, as well. The condition can cause issues with relationships and emotions and a loss of self-esteem. The symptoms of untreated ADHD — such as the inability to pay attention, forgetfulness, and impulsive behavior -can also cause feelings of anger or disappointment. Nonstimulants such as atomoxetine, Qelbree and Lisdexamfetamine (methylphenidate) can also help in easing anxiety symptoms. High blood pressure medication like Clonidine (Kapvay) and guanfacine (Intuniv or Tenex) can be used to treat ADHD in adults. However, these drugs are different from stimulants. While antidepressants aren't approved by the FDA to treat ADHD, your doctor may prescribe them as a single drug or together with a stimulant, but they are typically not prescribed to teenagers and children. Psychotherapy is another treatment option. Talking with a mental-health professional can be effective in treating both anxiety and ADHD. Changes in routine and lifestyle can also help in managing these conditions. For how to treat adhd without medication in adults , you can try practicing meditation or yoga as well as reducing stress and sleep habits, and incorporating physical activity in your daily routine. 5. Tricyclic antidepressants A mental health professional may recommend antidepressants as part of your treatment. They are not FDA approved to treat ADHD but they can reduce depression and anxiety symptoms if combined with stimulants. Antidepressants boost serotonin levels and norepinephrine production in the brain. They therefore can help to reduce anxiety and depressive symptoms. Selective serotonin reuptake inhibitorslike fluoxetine (Prozac), citalopram (Celexa) and escitalopram (Lexapro) -boost your levels of the neurotransmitter, serotonin, 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 were initially developed to treat schizophrenia, but they were later discovered to have powerful antidepressant effects. These medications include imipramine (Tofranil), amitriptyline (Elavil) and nortriptyline (Pamelor). Tricyclics can also lessen the sensitivity of people to noise, improve sleep quality and lower blood pressure. They can cause drowsiness, so people taking them should avoid driving or operating machinery that could be dangerous until they know how they'll react to the medication. Exercise and resting enough and eating a diet rich in vegetables, fruits and whole grains can all help improve ADHD and anxiety symptoms. Mindfulness-based practices and other types of therapy such as cognitive behavioral therapy can reduce stress and increase happiness. If you're struggling to manage your anxiety and ADHD, Klarity can connect you with licensed providers for easy, cost-free online mental health services. Find out more and schedule an appointment today.