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How to Choose the Best ADHD Medication for Adults With Anxiety and Depression When a person has both ADHD and anxiety or depression treating one of the conditions often improves the other. Mental health specialists 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 as well as norepinephrine. They also improve concentration. 1. Methylphenidate Methylphenidate is the most popular medication for adults with ADHD, anxiety, or depression. It's part of a group called central nervous stimulants. It is a medication that alters the amount of certain natural substances inside your brain. It is available as a liquid, chewable tablet or 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 like depression or anxiety. It is essential to inform your doctor if you suffer from depression or anxiety because some medications, especially stimulants can cause them worsen. In certain instances you may have to take both stimulants and anti-anxiety medication. Methylphenidate can cause headaches and stomachaches. It can also increase your heart rate and blood pressure and you should make regular appointments with your doctor to check these. It can also trigger facial tics (quick, uncontrollable movements in your face). People suffering from phenylketonuria (a genetic disorder) who are unable to process the chemical phenylalanine shouldn't take it. It is also dangerous to take during pregnancy or nursing, so inform your doctor if you are pregnant or planning to become pregnant. While taking methylphenidate, you should not drive a vehicle or operate machinery. It can cause dizziness as well as blurred vision. It is important to drink enough fluids when you take it. If you are having difficulty swallowing tablets, consult your physician about extended-release capsules or orally disintegrating tablets. You should not crush or chew these medicines, so if you have difficulty eating solid foods discuss with your doctor about liquid medications that can be mixed with soft foods or drinks like yogurt, applesauce, or pudding. 2. Lisdexamfetamine Lisdexamfetamine (LDX) is an anthelminthic medication that belongs to the class of central nervous system stimulants. It affects the levels of certain natural substances within the brain. It is used in the treatment of attention deficit hyperactivity disorder (ADHD) in adults as well as children aged six years and over. It is sometimes used to treat binge-eating disorders in adults. Adults who suffer from ADHD typically suffer from comorbid depression and anxiety disorders. medication for adult add of these conditions is essential to help people feel more relaxed and perform their best at work and home. Some medication that treat mental illnesses may interfere negatively with ADHD medication. It is essential to be open about any other medical issues. Depression and anxiety can be complicated due to the fact that both can trigger various symptoms. Antidepressants such as Wellbutrin, Effexor, or Venlafaxine are frequently prescribed to treat these conditions. They also can improve concentration and focus in people with ADHD/ADHD. They are effective by increasing certain neurotransmitters inside the brain. They are low-risk for abuse and misuse. In studies of LDX in adults suffering from ADHD and anxiety or depression, the medication showed promising results. It helped improve ADHD ratings and executive function and ADHD ratings. It was also safe for use. It is essential to inform your doctor if you are taking any other medication, including MAO inhibitors such as isocarboxazid (Marplan) and linezolid (Zyvox), the methylene blue, phenelzine (Nardil) selegiline (Eldepryl, Emsam, Zelapar) and tranylcypromine (Parnate). These medications should not be consumed within 14 days of taking lisdexamfetamine. You should also inform your doctor know if are allergic to lisdexamfetamine, or any other ingredient in the medication. 3. Atomoxetine Atomoxetine, also called Strattera is a non-stimulant ADHD drug that is used to treat depression. It is believed to work by blocking neurotransmitter reuptake. The drug raises levels of this chemical in the brain, which can increase alertness, decrease anxiety and depression symptoms. It is important to remember that this medication is not recommended as a treatment on its own for anxiety disorders. Instead, it is recommended that a person seek treatment from a licensed psychiatrist or therapist. There have been a myriad of studies conducted to assess the effects of atomoxetine on patients with ADHD and anxiety disorders. These studies include nine controlled studies that are randomized and two post-hoc subgroup analyses. In the majority of instances, both improvement in symptoms and cognition function were better assessed with atomoxetine than placebo. However, it is important to note that the overall size of the study was limited. The medication can cause some adverse effects, including abdominal pain as well as a high heart rate. These side effects are usually mild and do not occur for everyone who takes the medication. Certain people who take Atomoxetine have expressed thoughts of suicide. These thoughts were observed in short-term clinical studies on adolescents and children who were taking the drug. However, suicides did not occur in these trials. Like stimulants, atomoxetine is also effective in treating comorbid anxiety/ADHD. In fact the results of an investigation of people suffering from ADHD and social anxiety disorder, atomoxetine was found to outperform the 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. Further research is needed to determine if atomoxetine can also be used effectively for other types of anxiety disorders that are comorbid. 4. Bupropion Bupropion is a medication that does not stimulate that boosts the amount of a chemical found in the brain that is known as noradrenaline. This chemical passes messages between brain cells and increasing it can aid concentration and control impulses. This medication is typically prescribed in capsule form and taken every day, either once or twice by your doctor. There are also serious side effects, such as suicidal thoughts or liver damage. Anxiety is a condition that can cause an intense fear and a sense of nervousness. It can trigger symptoms such as stomachaches, headaches, shortness in breath, and feelings like anxiety or dread. People suffering from anxiety disorders frequently struggle to manage their symptoms, despite attempts to reduce their symptoms. People with ADHD may suffer from anxiety, too. The condition can lead to emotional and relationship problems and low self-esteem. Untreated ADHD symptoms, such as the tendency to forget and impulsiveness can lead to feelings of frustration and failure. Non-stimulants like atomoxetine, Qelbree and Lisdexamfetamine (methylphenidate) can also assist to reduce anxiety symptoms. High blood pressure medications such as Clonidine (Kapvay) and guanfacine, (Intuniv or Tenex) can also be used to treat ADHD in adults. However, these drugs work differently from stimulants. Antidepressants may be prescribed by your physician to treat ADHD. They are prescribed either on their own or in combination with stimulants. However they aren't typically prescribed to adolescents and children. Psychotherapy is a third treatment option. This involves talking to an expert in mental health, and is sometimes effective for treating anxiety and ADHD together. Changing your routine and lifestyle can help manage these disorders. For instance, you can consider practicing yoga or meditation or managing stress and sleep habits, and incorporating physical activity into your daily life. 5. Tricyclic antidepressants In some cases, a mental health professional may recommend antidepressants as part of your treatment plan. These medications aren't FDA approved to treat ADHD however they can help improve depression and anxiety symptoms when used in conjunction with stimulants. Antidepressants increase serotonin levels as well as norepinephrine production in the brain. They are therefore able to improve anxiety as well as depressive symptoms. Selective serotonin reuptake inhibitors, like fluoxetine(Prozac), citalopram(Celexa) and escitalopram(Lexapro), increase 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 as antipsychotics, but later discovered to possess powerful antidepressant properties. These medicines include imipramine (Tofranil), amitriptyline (Elavil) and nortriptyline (Pamelor). Tricyclics also decrease the sensitivity of a person to noise, increase sleep quality and lower blood pressure. Tricyclics can cause an increase in drowsiness. Patients who are taking them should not drive or operate dangerous equipment until they are certain of what reaction they'll have to the medication. Many lifestyle changes can help improve your ADHD and anxiety symptoms, including exercise, getting enough sleep and eating a balanced diet high in whole fruits, grains and vegetables. Mindfulness and other forms of therapy like cognitive behavioral therapy, can also help to reduce stress. 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. Find out more about our services and book an appointment now.