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How to Choose the Best ADHD Medication for Adults With Anxiety and Depression If a person is suffering from both ADHD and anxiety or depression, treating the first disorder can improve the second. Mental health professionals typically prescribe antidepressants or stimulants for depression, along with an ADHD medication. Wellbutrin (bupropion), and Effexor, (venlafaxine), are the two most commonly used antidepressants that are prescribed for ADHD “off-label”. These drugs increase levels of the neurotransmitters norepinephrine as well as dopamine, which aid in improving concentration. 1. Methylphenidate Methylphenidate, also known by the brand name Ritalin is the most popular treatment for adults suffering from ADHD and depression or anxiety. It's part of a group known as central nervous stimulants. It works by altering the amount of certain natural substances inside your brain. It is available in the form of a liquid, chewable tablet, or an extended-release capsule. It is able to be administered via the skin. It is not unusual for people with ADHD to have co-occurring mood disorders, such as anxiety or depression. It is essential to tell your doctor if you are suffering from depression or anxiety as some medications, especially stimulants can cause them to worsen. In certain situations, you may need to take stimulants and anti-anxiety medication. Methylphenidate may cause headaches and stomachaches. It can also increase your heart rate and blood pressure, so you should keep regular appointments with your physician to monitor these. It may also trigger facial ticks (uncontrollable rapid movements of the face). People with phenylketonuria (a genetic disorder) who have trouble metabolizing the chemical phenylalanine shouldn't take it. It is also unsafe to take during pregnancy and breastfeeding, so you should inform your doctor whether you are pregnant or planning to become pregnant. You must not operate or drive machinery while taking methylphenidate. It may cause dizziness and blurred vision. It is vital to drink enough fluids when you take it. Ask your doctor if you are having difficulty swallowing 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 food or drinks such as applesauce, yogurt, or pudding. 2. Lisdexamfetamine Lisdexamfetamine (LDX) is a medication that belongs to the family of central nerve system stimulants. It affects the levels of certain natural substances in the brain. It is used to treat the condition of attention deficit hyperactivity disorder in adults and children aged 6 years and over. It can also be used to treat binge eating disorder in adults. Adults who suffer from ADHD often have comorbid depression and anxiety disorders. It is important to treat these conditions to help them feel better and perform their best at work and at home. Some drugs used to treat mental conditions may interfere negatively with ADHD medication. It is essential to be open about any other medical issues. Depression and anxiety are both complex conditions, since they can trigger many symptoms. Certain antidepressants, including Wellbutrin (bupropion) or Effexor (venlafaxine), are commonly used to treat these disorders and may enhance focus and concentration for people suffering from ADHD/ADHD. They help by increasing the amount of neurotransmitters in the brain. They are safe for misuse and abuse. In studies of LDX in adults suffering from ADHD and depression, the medication showed promising results. It helped improve ADHD ratings, and executive function and ADHD ratings. It was also safe for use. Inform your doctor if other medications are taking place for any reason, including MAO inhibitors, such as isocarboxazid and linezolid, Methylene blue (Nardil) or phenelzine selegiline, Emsam (Zelapar), or tranylcypromine. These medicines should not be used for 14 days following the administration of lisdexamfetamine. It is also important to let your doctor know if are allergic to lisdexamfetamine or any other ingredients in the medication. 3. Atomoxetine Atomoxetine, also called Strattera, is a nonstimulant ADHD medication used to treat depression. It is believed to work by blocking reuptake neurotransmitter. The drug increases levels of this chemical within the brain, which can increase alertness, decrease anxiety and depressive symptoms. This medication is not to be used as a sole treatment for anxiety disorders. It is recommended that the patient seeks treatment from a qualified psychiatrist or therapist. A variety of studies have been conducted to examine the effects of atomoxetine in patients with ADHD and comorbid anxiety disorders. These studies include 9 randomized controlled trials and two post-hoc subgroup studies. In the majority of cases the atomoxetine treatment outperformed placebo in both measures of symptom improvement and cognitive function. It is important to keep in mind that the sample size in these studies was small. Some side effects of this medication include abdominal pain as well as rapid heart rate. These side effects are usually mild and do not occur for everyone who takes the medication. In some instances, patients who take atomoxetine report thoughts of suicide. These thoughts were reported in short-term clinical trials involving adolescents and children who took the medication. These trials did not result in suicides. Like stimulants, atomoxetine can also be effective in treating co-occurring ADHD and anxiety. In a recent study the atomoxetine medication was more effective than placebo in treating adults with social anxiety disorder and ADHD. This is a promising result that suggests that this drug could be effective in treating ADHD and anxiety when paired with other treatments. It will require more study to determine if atomoxetine is also effective for other types of anxiety disorders that have a comorbidity. 4. Bupropion Bupropion is a nonstimulant medication that boosts a chemical in the brain that is known as noradrenaline. This chemical is responsible for sending messages between brain cells. Increasing it can help in focusing and controlling impulses. Your doctor may offer you this drug in capsule form typically taken once or twice a day. There are also serious side effects like suicidal thoughts or liver damage. Anxiety is a condition that can cause an intense fear and a sense of nervousness. It can trigger symptoms like stomachaches, headaches breathlessness, and anxiety or fear. Many people with anxiety disorders struggle to control their symptoms, despite trying to lessen the severity of their symptoms. Some people with ADHD also develop anxiety. The condition can cause problems with relationships and emotions, and a loss of self-esteem. The symptoms of untreated ADHD like inattention deficit, forgetfulness, and impulsive behavior -can also result in feelings of disappointment or failure. Non-stimulants 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 prescribed for ADHD in adults, although these drugs function differently than stimulants. Although antidepressants aren't endorsed by the FDA to treat ADHD however, your doctor can prescribe them as a single drug or with a stimulant, though they're not typically prescribed for teenagers and children. Psychotherapy is a third treatment option. Talking with a mental-health professional can be beneficial in treating anxiety as well as ADHD. Changes in routine and lifestyle can be beneficial in managing these disorders. For instance, you can try yoga or meditation or managing sleep and stress and incorporating physical exercise in 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 occasionally improve symptoms of anxiety and depression if taken alongside stimulants. Antidepressants boost levels of serotonin and norepinephrine within your brain, and therefore can improve symptoms of depression as well as anxiety. Selective serotonin reuptake inhibiters, like fluoxetine(Prozac), citalopram(Celexa) and escitalopram(Lexapro), increase levels of 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. adhd medication online were initially developed to treat schizophrenia, but they were later discovered to have potent antidepressant properties. These medications include amitriptyline, imipramine and nortriptyline. Tricyclics can also improve sleep, reduce blood pressure and reduce a person’s sensitivity to sound. They can cause drowsiness, so those taking them should refrain from driving or operating dangerous equipment until they know how they'll react to the medication. Numerous lifestyle changes can improve your ADHD and anxiety symptoms, such as exercising, getting enough sleep and eating a nutritious diet rich in whole grains, fruits and vegetables. Mindfulness practices and other forms 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 professionals for affordable, insurance-free online mental health care. Learn more about our services and book an appointment today.