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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 of the conditions often improves the other. Mental health experts prescribe antidepressants and stimulants for depression, or antidepressants, along with ADHD medication. Wellbutrin (bupropion) and Effexor (venlafaxine) are the most frequently prescribed antidepressants prescribed “off-label” for ADHD. These medications boost levels of the neurotransmitters norepinephrine and dopamine, which aid in improving concentration. 1. Methylphenidate Methylphenidate is the top choice medication for adults suffering from ADHD, anxiety, or depression. It's part of a class of drugs known as central nervous system stimulants. It is a drug that alters the amount of certain natural substances in your brain. It is available in the form of tablets that can be chewed, liquid or extended-release capsule. It is able to be administered via the skin. It is not unusual for people with ADHD to suffer from co-occurring mood disorders like anxiety or depression. You should tell your doctor about any depression or anxiety you may have. Some medications, particularly stimulants, can make these conditions worse. In certain situations, you might require both a medication to treat anxiety and a stimulant drug. Methylphenidate may cause adverse effects, including headaches and stomachaches. It may also raise your blood pressure and heart rate and you should make regular appointments with your doctor to check these. It may also trigger facial ticks (uncontrollable rapid movements of the face). It is not recommended by people who have a genetic condition called Phenylketonuria. These people have difficulty in metabolizing the chemical phenylalanine. It is also dangerous to use during pregnancy or while breastfeeding. You should inform your doctor that you intend to get pregnant. When taking methylphenidate, you should not operate a vehicle or operate machinery. It may cause dizziness, blurred vision and sleepiness. Drink plenty of fluids when taking this medication. Ask your doctor if have trouble swallowing tablets. You should not crush or chew these medications. If you are having difficulty eating solid foods, consult your doctor about liquid medications that can be mixed into soft foods or drinks, such as applesauce pudding, or yogurt. 2. Lisdexamfetamine Lisdexamfetamine is a medication in the central nervous system stimulant family. It works by altering the amounts of certain natural substances in the brain. It is used in the treatment of attention deficit hyperactivity disorder (ADHD) in adults and children of 6 years or older. It can also be used to treat binge eating disorders for adults. Adults with ADHD typically suffer from comorbid anxiety and depression. It is essential to treat these conditions to help them feel better and perform at their best, both at work and at home. Certain medications that are commonly used to treat mental health issues can interact with ADHD medications, so it is crucial to be honest about any other medical issues you may have. Depression and anxiety are both complex conditions, since they can trigger many symptoms. Some antidepressants, such as Wellbutrin (bupropion) or Effexor (venlafaxine), are often prescribed to treat these disorders and may improve concentration and focus in those suffering from ADHD or ADHD. They work by increasing certain neurotransmitters within the brain. They are low-risk for misuse and abuse. In studies of LDX in adults with ADHD and anxiety or depression, the medication showed promising results. It improved ADHD ratings and executive function and ADHD ratings. It was also safe to use. Inform your doctor if other medications are taking place for example, MAO inhibitors, like isocarboxazid or linezolid, as well as Methylene blue (Nardil), phenelzine, selegiline, Emsam (Zelapar), or tranylcypromine. These medications should not be consumed for 14 days after the administration of 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 nonstimulant ADHD medication used to treat depression. It is believed to work by blocking reuptake of the neurotransmitter norepinephrine. By increasing the levels of this chemical in the brain, the drug improves alertness and reduces anxiety and depressive symptoms. This medication should not, however, be used on its own to treat anxiety disorders. Instead, it is recommended that patients receives treatment from a qualified psychiatrist or therapist. There have been a variety of studies conducted to assess the effects of atomoxetine on patients suffering from ADHD and anxiety disorders. These studies comprise 9 randomized controlled trials and 2 post-hoc subgroup analysis. In the majority of cases, both symptom improvement and cognition function were better assessed with atomoxetine than the placebo. However, it is important to remember that the overall size of the study was small. Some side effects of this medication include abdominal pain as well as rapid heart rate. These effects are typically minor and do not affect anyone who takes this medication. In some cases, people who take atomoxetine report thoughts of suicide. These thoughts were observed in short-term clinical studies with children and adolescents who took the medication. However, suicides didn't occur in these trials. Like stimulants, atomoxetine may be effective in treating co-occurring ADHD and anxiety. In fact, in an investigation of adults suffering from ADHD and social anxiety disorder, atomoxetine was found to outperform an placebo. This is a promising result which suggests that this drug could be effective in treating ADHD and anxiety when combined with other treatments for both disorders. More research is needed to determine whether Atomoxetine is also a treatment effectively to treat other forms of comorbid anxiety disorders. 4. Bupropion Bupropion, a drug that is not stimulant, boosts the chemical noradrenaline within the brain. The chemical is responsible for transmitting messages between brain cells, and by increasing it, it helps concentration and control of impulses. Your doctor might recommend the drug in capsules typically taken once or twice daily. It's also been linked to some serious side effects, including suicidal thoughts and liver damage. Anxiety is a disorder that causes intense fear and nervousness. It can cause symptoms like stomachaches, headaches as well as breathlessness and feelings such as fear or dread. Many people with anxiety disorders struggle with controlling their symptoms, despite efforts to lessen the severity of their symptoms. Some people suffering from ADHD can also experience anxiety. The condition can cause problems with emotions and relationships, as well as a lack of self-esteem. The symptoms of untreated ADHD like forgetfulness, difficulty paying attention and impulsive behavior- can also lead to feelings of anger or disappointment. Non-stimulants such as atomoxetine Qelbree and lisdexamfetamine (methylphenidate) can also assist to ease anxiety symptoms. High blood pressure medications such as clonidine (Kapvay) and Guanfacine (Intuniv, Tenex) may also be prescribed for ADHD in adults, however these medications work differently than stimulants. Antidepressants may be prescribed by your physician to treat ADHD. They may be prescribed on their own or in conjunction with stimulants. However, they are not usually prescribed to adolescents and children. Psychotherapy is a third treatment option. This involves talking with a mental health professional and is sometimes effective for treating anxiety and ADHD together. Lifestyle and routine changes can also be helpful for managing these conditions. You could, for instance try meditation or yoga, regulating sleep and stress levels and including exercises into your daily routine. 5. Tricyclic antidepressants In certain situations an expert in mental health may suggest antidepressants as part of your treatment program. These drugs aren't approved by the FDA to treat ADHD, but they can occasionally improve symptoms of anxiety and depression when taken in conjunction with stimulants. Antidepressants increase serotonin levels and norepinephrine production in the brain. watch this video can therefore help to reduce anxiety as well as depressive symptoms. Selective serotonin reuptake inhibitors like fluoxetine(Prozac), citalopram(Celexa) and escitalopram(Lexapro), increase levels of the neurotransmitter serotonin in your brain to improve your mood and decrease 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 are named for the three rings of their chemical structure, were initially designed as antipsychotics, and later found to have powerful antidepressant properties. These drugs include imipramine (Tofranil) and amitriptyline (Elavil) and nortriptyline (Pamelor). Tricyclics also decrease the sensitivity of a person to noise, increase sleep and lower blood pressure. Tricyclics can cause an increase in drowsiness. Patients taking them should not operate or drive on dangerous equipment until they know how they will react to the medication. A variety of lifestyle changes can improve your ADHD and anxiety symptoms, such as exercising, getting enough sleep and eating a nutritious diet rich in whole fruits, grains and vegetables. Mindfulness and other forms therapy like cognitive behavioral therapy, can help reduce stress. If you're struggling with managing your anxiety and ADHD, Klarity can connect you with licensed providers for easy, cost-free online mental health services. Learn more about our services and book an appointment now.