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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 condition usually improves the other. Mental health experts prescribe antidepressants and stimulants for depression or antidepressants in conjunction with ADHD medication. Wellbutrin (bupropion) and Effexor (venlafaxine) are the most commonly used antidepressants that are prescribed “off-label” for ADHD. These drugs increase levels of the neurotransmitters norepinephrine as well as dopamine, which aid in improving concentration. 1. Methylphenidate Methylphenidate is also known under the brand name Ritalin, is the first-choice treatment for adults suffering from ADHD and depression or anxiety. It is part of a class known as central nervous stimulants. It is a medication that alters the amount of certain natural substances in your brain. It can be taken as a tablet, liquid, chewable tablets or extended-release capsules. It is also available through the skin. It is not uncommon for people with ADHD to suffer from co-occurring mood disorders such as anxiety or depression. You should inform your doctor about any depression or anxiety you might be suffering from. Certain medications, specifically stimulants can make these disorders worse. In certain instances, you may need to take both an anti-anxiety medication and a stimulant medication. Methylphenidate may cause adverse effects, such as headaches or stomachaches. It can also increase your blood pressure and heart rate and you should make regular appointments with your physician to monitor these. It may also trigger facial ticks (uncontrollable rapid movements of the face). It should not be taken by people who have a genetic condition called phenylketonuria, who have trouble metabolizing the chemical phenylalanine. It is also dangerous to take during pregnancy and nursing, so let your doctor know if you are pregnant or plan to become pregnant. While taking methylphenidate, you should not drive a vehicle or operate machinery. It can cause blurred vision, dizziness and drowsiness. You should drink plenty of fluids while taking this medication. If you experience difficulty swallowing tablets, consult your doctor about extended-release capsules, or orally disintegrating tablets. Do not crush or chew on these medications. If you're having trouble eating solid foods, ask your doctor about liquid medications that can be mixed into soft food or drinks such as applesauce, yogurt, or pudding. 2. Lisdexamfetamine Lisdexamfetamine (LDX) is an antidepressant that is part of the class of central nervous system stimulants. It affects the amount of certain natural substances in the brain. It is used to treat ADHD in adults and children aged 6 years and older. It is also used to treat binge eating disorders for adults. Adults with ADHD are often afflicted by anxiety and depression disorders. It is important to treat these issues in order to be more comfortable and perform at their best both at work and at home. Certain drugs used to treat mental disorders can affect ADHD medication. It is essential to be open about any other medical issues. Depression and anxiety are both complicated conditions, since they can trigger many symptoms. Antidepressants like Wellbutrin, Effexor, or Venlafaxine are commonly prescribed to treat these ailments. They can also help improve concentration and focus in people with ADHD/ADHD. They work by increasing certain neurotransmitters inside the brain. They are low-risk for misuse and abuse. In studies of LDX in adults suffering from ADHD and depression or anxiety, the medication showed promising results. It decreased the symptoms of depression and anxiety and also improved ADHD ratings and executive function measurements. It was also safe to use. It is essential to inform your doctor if you are taking any other medication, including MAO inhibitors like isocarboxazid (Marplan) or linezolid (Zyvox) as well as Methylene blue, Phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar), and the tranylcypromine (Parnate). These medications are not recommended to be taken within 14 days of taking 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 (Strattera) is a non-stimulant ADHD medication that is also used to treat depression. It is believed to work by preventing the reuptake process of the neurotransmitter norepinephrine. By boosting 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 should not be used as a stand-alone treatment for anxiety disorders. Instead, it is recommended that a person receives treatment from a certified psychotherapist or psychiatrist. A number of studies have been conducted to assess the effects of atomoxetine patients suffering from ADHD and comorbid anxiety disorders. These studies include 9 controlled studies that are randomized and 2 post hoc subgroup analyses. In most cases the results showed that atomoxetine was superior to placebo on both measures of improvement in symptoms and cognitive function. It is important to note that the sample size of these studies was very small. The medication can cause a few side effects, such as abdominal pain as well as a high heart rate. These effects are typically minimal and aren't a problem for all people who take this medication. Some people who use atomoxetine have reported thoughts of suicide. These thoughts were observed in short-term clinical trials with children and adolescents taking the drug. These trials did not lead to suicides. Like stimulants, atomoxetine can also be effective in treating comorbid ADHD/anxiety. In fact the results of a recent study of people suffering from ADHD and social anxiety disorder, atomoxetine was found to outperform a placebo. This is a promising result that suggests that this medication could be effective in treating ADHD and anxiety when used in conjunction with other treatments for both disorders. It will require more study to determine if atomoxetine is also effective for other types of anxiety disorders that are comorbid. 4. Bupropion Bupropion, a drug that is not stimulant boosts the chemical noradrenaline within the brain. This chemical transmits messages between brain cells and increasing it can aid concentration and control of impulses. This medication is typically prescribed in capsule form and is taken every day, either once or twice by your physician. There are also serious side effects such as suicidal thoughts or liver damage. Anxiety is a condition that causes intense fear and anxiety and. It can cause symptoms like headaches, stomachaches, shortness in breath, and feelings such as fear or dread. Many people suffering from anxiety disorders struggle to manage their symptoms, despite trying to lessen their symptoms. People suffering from ADHD can sometimes suffer from anxiety, too. The condition can lead to emotional and relationship problems and low self-esteem. If not treated, ADHD symptoms, like inattention and impulsiveness, could lead to feelings of frustration and failure. Non-stimulants such as atomoxetine Qelbree and Lisdexamfetamine (methylphenidate) can also assist in easing anxiety symptoms. High blood pressure medications like clonidine (Kapvay) and guanfacine (Intuniv, Tenex) may also be prescribed for ADHD in adults, although these drugs function differently than stimulants. Antidepressants are often prescribed by your physician to treat ADHD. They may be prescribed on their own or in conjunction with stimulants. However, IamPsychiatry are not usually prescribed to adolescents and children. Psychotherapy is a different treatment option. Consulting with a mental-health professional can be beneficial in treating both anxiety and ADHD. Changes in routine and lifestyle can also help in managing these conditions. For instance, you could try yoga or meditation, managing sleep and stress, and incorporating physical activity in your daily routine. 5. Tricyclic antidepressants A mental health professional could recommend antidepressants to you as part of your treatment. They're not approved by the FDA to treat ADHD however they can sometimes improve symptoms of depression and anxiety when taken in conjunction with stimulants. Antidepressants work by increasing levels of serotonin as well as norepinephrine in your brain, which can improve symptoms of depression and anxiety. Selective serotonin reuptake inhibitorslike fluoxetine (Prozac), citalopram (Celexa) and escitalopram (Lexapro) -boost your levels of the neurotransmitter serotonin to improve 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 originally developed as antipsychotics and later found to have powerful antidepressant properties. These medicines include imipramine (Tofranil), amitriptyline (Elavil) and nortriptyline (Pamelor). Tricyclics can also lessen a person's sensitivity to noise, improve sleep and lower blood pressure. Tricyclics can cause drowsiness. Patients who are taking them should not operate machinery or drive until they are sure of what reaction they'll have to the medication. Many lifestyle changes can help improve your ADHD and anxiety symptoms, including exercising, getting enough sleep and eating a healthy diet that is rich in whole grains, fruits and vegetables. Mindfulness and other forms of therapy, such as cognitive behavioral therapy, can also reduce stress. Klarity can help you find licensed professionals who provide convenient online mental health care that is affordable and easy to access. Find out more about it and schedule an appointment today.