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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 condition can often help the second. Mental health professionals prescribe antidepressants, stimulants for depression, or antidepressants in conjunction with ADHD medication. Wellbutrin (bupropion) and Effexor (venlafaxine) are the most commonly used antidepressants prescribed “off-label” for ADHD. These drugs increase the levels of neurotransmitters dopamine and norepinephrine. They also improve concentration. 1. Methylphenidate Methylphenidate is also known as the brand name Ritalin is the first-choice treatment for adults suffering from ADHD and anxiety or depression. It's a part of a group of medicines known as central nervous system stimulants and is a drug that alters the amount of certain natural substances in your brain. It is available in the form of 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 also suffer from mood disorders such as anxiety or depression. It is important that you inform your doctor if have anxiety or depression because certain medications, particularly stimulants, can cause them to worsen. In certain situations it is possible to take both stimulants and anti-anxiety medication. Methylphenidate may cause adverse effects, such as headaches and stomachaches. It can also increase your heart rate and blood pressure which is why you should maintain regular appointments with your doctor to examine these. It may also cause facial tics (quick uncontrollable movements on your face). managing adhd without medication is not recommended by those with a genetic disorder called Phenylketonuria. These people have difficulty metabolizing the chemical phenylalanine. It is also unsafe to take during pregnancy and nursing, so let your doctor know whether you are pregnant or plan to become pregnant. When you are taking methylphenidate, it is recommended that you should not operate a vehicle or operate machinery. It can cause dizziness as well as blurred vision. You should drink plenty of fluids while taking this medication. If you have problems taking tablets, ask your doctor about extended-release capsules or oral disintegrating tablets. It is not recommended to crush or chew these medications If you are having difficulties eating solid food consult your physician about liquid medicine that can be mixed with soft foods or drinks such as yogurt, applesauce, or pudding. 2. Lisdexamfetamine Lisdexamfetamine (LDX) is an antidepressant that is part of the class of central nervous system stimulants. It works by changing the levels 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 or older. It is sometimes used to treat binge eating disorder in adults. Adults suffering from ADHD are often afflicted by anxiety and depression disorders. It is important to treat these issues so that they can be more comfortable and perform at their best, both at work and at home. Some medications that are typically used to treat mental health conditions may interact with ADHD medication, so it is important to be open about any other medical issues you might have. Depression and anxiety are both complicated conditions, since they can trigger various symptoms. Certain antidepressants, like Wellbutrin (bupropion) or Effexor (venlafaxine) are often prescribed to treat these disorders and may improve concentration and focus in those suffering from ADHD/ADHD. They help by increasing certain neurotransmitters inside the brain. They are low-risk for abuse and misuse. In studies of LDX in adults with ADHD and depression or anxiety The medication had promising results. It improved ADHD ratings, as well as executive function and ADHD ratings. It was also safe to use. It is crucial to inform your doctor if you're taking any other medications, including 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. You should also inform your doctor know if you are allergic to lisdexamfetamine, or any other ingredients in the 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 reuptake neurotransmitter. By increasing the levels of this chemical in the brain, the drug enhances alertness and reduces anxiety and depressive symptoms. It is important to keep in mind that this medication is not recommended as a standalone treatment for anxiety disorders. Instead it is recommended that patients receives treatment from a qualified psychiatrist or therapist. Numerous studies have been conducted to assess the effects of atomoxetine patients with ADHD and other anxiety disorders that are comorbid. These studies comprise nine controlled studies that are randomized as well as two post-hoc analyses of subgroups. In the majority of instances, both improvement in symptoms and cognition function were more accurately measured using atomoxetine compared to placebo. It is important to keep in mind that the sample size in these studies was very small. The medication can also cause a few side effects, such as abdominal pain and a rapid heart rate. These effects are typically mild and don't affect anyone who takes this medication. In some instances, patients who take atomoxetine have thoughts of suicide. These thoughts were reported during short-term clinical studies with adolescents and children who were taking the drug. However, suicides did not occur in these trials. As with stimulants, atomoxetine could be effective in treating comorbid ADHD and anxiety. In a recent research study, atomoxetine was more effective than a placebo for adults suffering from social anxiety disorder and ADHD. This is a promising result that suggests that this drug may be effective in treating ADHD and anxiety when paired with other treatments. It will take further research to determine if atomoxetine is effective in other forms of comorbid anxiety disorders. 4. Bupropion Bupropion is a non-stimulant drug that boosts a chemical in the brain called noradrenaline. This chemical is responsible for transmitting messages between brain cells. Its increase can assist with concentration and impulse control. Your doctor may recommend this drug in capsule form, usually taken once or twice daily. There are also serious side effects like suicidal thoughts or liver damage. Anxiety is a condition that triggers extreme fear and anxiety and. It can cause symptoms like headaches, stomachaches, shortness in breath, and emotions like anxiety or dread. Many people suffering from anxiety disorders struggle to manage their symptoms, despite efforts to reduce the severity of their symptoms. People with ADHD may develop anxiety, as well. The condition can cause issues with relationships and emotions, and also a loss of self-esteem. If not treated, ADHD symptoms, such as forgetfulness and impulsiveness, can result in feelings of anger and failure. Non-stimulants like atomoxetine, Qelbree and Lisdexamfetamine (methylphenidate) can also help to ease anxiety symptoms. High blood pressure medications like clonidine (Kapvay) and Guanfacine (Intuniv, Tenex) may also be prescribed for ADHD in adults, but 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 along with a stimulant. However, they typically aren't used in teenagers and children. Psychotherapy is another treatment option. Talking with a mental-health professional can be beneficial in treating anxiety as well as ADHD. Lifestyle and routine changes can also be helpful for managing these conditions. You could, for instance try meditating or practicing yoga, managing your insomnia and stress levels and incorporating exercises into your daily routine. 5. Tricyclic antidepressants A mental health professional may recommend antidepressants as part of your treatment. They aren't approved by the FDA to treat ADHD, but they can occasionally improve symptoms of depression and anxiety if taken alongside stimulants. Antidepressants increase serotonin levels as well as norepinephrine production in the brain. They can therefore help to reduce anxiety and depression symptoms. Selective serotonin reuptake inhibitors — such as fluoxetine (Prozac), citalopram (Celexa) and escitalopram (Lexapro) -boost the levels of the neurotransmitter serotonin to boost your mood and reduce your 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, so named for the three rings that make up their chemical structure, were first created as antipsychotics but were later discovered to possess powerful antidepressant properties. These drugs include amitriptyline imipramine, and nortriptyline. Tricyclics can also improve sleep, lower blood pressure and reduce a person’s sensitivity to sound. Tricyclics can cause sleepiness. Patients taking them should not drive or operate dangerous equipment until they know the reaction they will experience to the medication. Numerous lifestyle changes can improve your ADHD and anxiety symptoms, such as exercise, getting enough sleep and eating a healthy diet that is rich in whole grains, fruits and vegetables. Mindfulness-based practices and other types of therapy like cognitive behavioral therapy can reduce stress and increase happiness. If you're struggling with managing your anxiety and ADHD, Klarity can connect you with licensed professionals for convenient, insurance-free online mental health services. Learn more about our services and make an appointment today.