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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, addressing the first condition can often improve the other. Mental health professionals often prescribe antidepressants or a stimulant for depression along with an ADHD medication. Wellbutrin (bupropion) and Effexor (venlafaxine) are the most commonly used antidepressants prescribed “off-label” for ADHD. These medications boost the levels of neurotransmitters dopamine as well as norepinephrine. add in adults medication improve concentration. 1. Methylphenidate Methylphenidate is also known as the brand name Ritalin is the most popular medication to treat adults with ADHD and depression as well as anxiety. It's part of a group called central nervous stimulants. It is a medication that alters the amount of certain natural substances within your brain. It is available as tablets that can be chewed, liquid, or extended-release capsule. It can be administered through the skin. It is not uncommon for people with ADHD to suffer from co-occurring mood disorders, such as anxiety or depression. It is important that you inform your doctor if have anxiety or depression because some medications, especially stimulants can cause them to get worse. In certain situations, you might require both an anti-anxiety medication and a stimulant drug. Methylphenidate may cause headaches and stomachaches. It can also raise blood pressure and heart rates which is why you should make regular visits to your physician to examine these. It can also cause facial tics (quick uncontrollable movements of your face). People with phenylketonuria (a genetic disorder) who have trouble metabolizing the chemical phenylalanine shouldn't take it. It is also not recommended to take during pregnancy and nursing, so let your doctor know if you are pregnant or planning to become pregnant. When you are taking methylphenidate, it is recommended that you should not drive a vehicle or operate machinery. It can cause blurred vision, dizziness and somnolence. It is essential to drink enough fluids when you are taking it. Ask your doctor if you have difficulty swallowing tablets. You should not crush or chew these medications therefore, if you experience trouble eating solid food consult your physician about liquid medications that can be mixed with soft foods or drinks such as yogurt, applesauce, or pudding. 2. Lisdexamfetamine Lisdexamfetamine is a drug within the central nervous system stimulant family. It affects the amount of certain natural substances within the brain. It is used in the treatment of attention deficit hyperactivity disorder (ADHD) in adults and children of 6 years and older. It is also used to treat binge eating disorder in adults. Adults suffering from ADHD are often afflicted by depression and anxiety disorders. The treatment of these conditions is crucial to help people feel more relaxed and perform their best at work and at home. Certain drugs that treat mental illnesses may affect ADHD medication. It is essential to discuss any other medical issues. Depression and anxiety can be complicated, as they both involve a wide range of symptoms. Some antidepressants, such as Wellbutrin (bupropion) or Effexor (venlafaxine), are often prescribed to treat these disorders and can help improve concentration and focus in people with ADHD or ADHD. They help by increasing the amount of neurotransmitters in the brain. They are low-risk for misuse and abuse. The drug showed promising results in studies involving adults suffering from ADHD or depression, anxiety or ADHD. It reduced the symptoms of anxiety and depression and improved ADHD ratings and executive function measures. It was also safe to use. It is essential to inform your doctor if you're taking any other medications that include MAO inhibitors like isocarboxazid (Marplan), linezolid (Zyvox) as well as Methylene blue, phenelzine (Nardil) selegiline (Eldepryl, Emsam, Zelapar), and tranylcypromine (Parnate). These medicines should not be consumed within 14 days of lisdexamfetamine. Tell your doctor that you are allergic to lisdexamfetamine, or any other ingredients in this medication. 3. Atomoxetine Atomoxetine, also referred to as Strattera, is a nonstimulant ADHD medication used to treat depression. It is believed to work by blocking neurotransmitter reuptake. By increasing levels of this chemical in the brain, the drug improves alertness and reduces anxiety and depressive symptoms. It is important to remember, however, that this medication is not recommended as a treatment on its own for anxiety disorders. It is recommended that the patient seek treatment from a licensed therapist or psychiatrist. A variety of studies have been conducted to evaluate the effects of atomoxetine on patients with ADHD and comorbid anxiety disorders. These studies comprise 9 randomized controlled trials and two post-hoc subgroup analysis. In the majority of cases, both symptom improvement and cognition function were better assessed using atomoxetine compared to placebo. It is important to keep in mind that the sample size in these studies was very small. Some side effects of this medication include abdominal pain as well as rapid heart rate. These effects are typically mild and do not occur in all people who take the medication. In some instances, people who take atomoxetine report thoughts of suicide. These thoughts were observed during short-term clinical studies of children and adolescents who took the drug. These trials did not lead to suicides. Like stimulants, atomoxetine can also be effective in treating comorbid anxiety/ADHD. In fact the results of an earlier study of adults suffering from ADHD and social anxiety disorder, atomoxetine was found to outperform a placebo. This is an encouraging result which suggests that this drug could be effective in treating ADHD and anxiety in combination with other treatments for both disorders. More research will be needed to determine if the atomoxetine medication can be used effectively to treat other forms of anxiety disorders comorbid with each other. 4. Bupropion Bupropion, a nonstimulant drug, increases the amount of noradrenaline that is found in the brain. The chemical is responsible for transmitting messages between brain cells, and boosting it can help concentration and control of impulses. This drug is usually prescribed in capsule form and taken at least twice a day by your doctor. It's also associated with some more serious side effects, like suicidal thoughts and liver damage. Anxiety is a disorder that causes persistent, intense anxiety and a sense of restlessness. It can cause symptoms such as headaches, stomachaches as well as breathlessness and emotions like fear or dread. Many people suffering from anxiety disorders struggle to control their symptoms, despite efforts to manage their symptoms. Some people suffering from ADHD can also experience anxiety. The condition can cause problems with relationships and emotions, as well as a lack of self-esteem. Signs of untreated ADHD — such as the inability to pay attention, forgetfulness and impulsive behaviorcan also cause feelings of frustration or failure. Stimulants such as lisdexamfetamine and methylphenidate can ease anxiety symptoms, as can nonstimulant drugs such as atomoxetine (Strattera) and viloxazine (Qelbree). High blood pressure medications like Clonidine (Kapvay) and Guanfacine (Intuniv, Tenex) may also be used for ADHD in adults, however these drugs work differently than stimulants. Antidepressants are often prescribed by your doctor to treat ADHD. They may be prescribed on their own or together with stimulants. However they are rarely prescribed to children and teenagers. Psychotherapy is another treatment option. It involves speaking with an expert in mental health, and is sometimes effective for treating anxiety and ADHD together. Changes in your lifestyle and routine can help manage these conditions. You could, for instance, try meditating or doing yoga, regulating your insomnia and stress levels and adding exercises into your daily routine. 5. Tricyclic antidepressants A mental health professional could recommend antidepressants as part of your treatment. They are not FDA approved to treat ADHD however they can help improve depression and anxiety symptoms when combined along with stimulants. Antidepressants increase levels of serotonin and norepinephrine within your brain, and therefore can help improve depressive symptoms as well as anxiety. Selective serotonin reuptake inhibiters, such as fluoxetine(Prozac), citalopram(Celexa), and escitalopram(Lexapro) can increase the levels of the neurotransmitter Serotonin within your brain to boost 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 first came into use to treat schizophrenia, but they were later discovered to have powerful antidepressant effects. These medications include imipramine (Tofranil) as well as amitriptyline (Elavil) and nortriptyline (Pamelor). Tricyclics also decrease the sensitivity of a person to noise, enhance sleep and lower blood pressure. They can cause drowsiness, therefore, 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 rich in vegetables, fruits and whole grains can all help to improve ADHD and anxiety symptoms. Mindfulness and other forms of therapy, such as cognitive behavioral therapy, can also help to reduce stress. And, 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. Find out more about our services and book an appointment today.