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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 specialists prescribe antidepressants, stimulants for depression or antidepressants along with ADHD medication. adhd medication for adults (bupropion) and Effexor (venlafaxine) are the most commonly used antidepressants that are prescribed “off-label” for ADHD. These drugs increase the levels of neurotransmitters dopamine as well as norepinephrine. They also improve concentration. 1. Methylphenidate Methylphenidate, also known by the brand name Ritalin is the most popular medication to treat adults with ADHD and anxiety or depression. It is in a class of medications called central nervous system stimulants. It is used to alter the levels of certain natural substances in your brain. It is available as chewable tablets, liquids, or an 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 such as anxiety or depression. It is important that you inform your doctor if you have anxiety or depression because certain medications, including stimulants can cause them get worse. In certain instances, you may need to take both a stimulant and an anti-anxiety medication. Methylphenidate can cause side effects, such as headaches or stomachaches. It may also raise blood pressure and heart rates, so you should make regular visits to your physician to monitor these. It may also trigger facial ticks (uncontrollable, rapid movements of the face). People suffering from phenylketonuria (a genetic condition) who have trouble metabolizing the phenylalanine drug should not take it. It is also unsafe to take during pregnancy or nursing, so inform your doctor whether you are pregnant or planning to become pregnant. You should not drive or operate machinery while taking methylphenidate. It can cause dizziness as well as blurred vision. It is important 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 medicines. If you have difficulty eating solid food, ask your physician about liquid medicines that can be added to soft food or drinks like applesauce, yogurt, or pudding. 2. Lisdexamfetamine Lisdexamfetamine (LDX) is an antidepressant that is part of the family of central nervous system stimulants. 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 six years and over. It is also sometimes used to treat binge eating disorders in adults. Adults who suffer from ADHD often have comorbid anxiety and depression. It is important to treat these disorders to help them feel better and perform their best, both at work and at home. Certain medications that are commonly used to treat mental health problems may interact with ADHD medication, which is why it is crucial to disclose any other medical issues you may have. Depression and anxiety can be complex due to the fact that both can trigger a wide range of symptoms. Antidepressants like Wellbutrin, Effexor, or Venlafaxine are frequently prescribed to treat these disorders. They also can improve focus and concentration for those with ADHD/ADHD. They help by increasing the amount of neurotransmitters in the brain. They are safe 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 as well as executive function and ADHD ratings. It was also safe to use. Tell your doctor about any other medications are being taken, such as MAO inhibitors, such as isocarboxazid and linezolid, Methylene blue (Nardil) or phenelzine selegiline, Emsam (Zelapar), or tranylcypromine. These medications should not be consumed for 14 days following the use of the use of lisdexamfetamine. Consult your physician that you are allergic to lisdexamfetamine or any other ingredients in this medication. 3. Atomoxetine Atomoxetine, also known as Strattera, is a nonstimulant ADHD drug that is used to treat depression. It is thought to work by blocking the reuptake neurotransmitter. The drug boosts levels of this chemical within the brain to increase alertness, reduce anxiety and depression symptoms. It is important to keep in mind, however, that this medication should not be used as a treatment on its own for anxiety disorders. It is recommended that the person seeks treatment from a qualified psychiatrist or therapist. There have been a myriad of studies conducted to assess the effects of atomoxetine on patients suffering from ADHD and anxiety disorders. These studies comprise 9 controlled studies that are randomized and 2 post hoc subgroup analysis. In most instances the results showed that atomoxetine was superior to placebo on both measures of improvement in symptoms and cognitive function. It is important to remember that the sample size in these studies was small. The medication can cause some side effects, including abdominal pain and a rapid heart rate. These effects are typically mild and do not occur in everyone who takes the medication. Certain people who take atomoxetine have reported thoughts of suicide. These thoughts were reported in short-term clinical trials with adolescents and children taking the medication. These trials did not lead to suicides. Like stimulants, atomoxetine may also be effective in treating co-occurring ADHD and anxiety. In fact the results of a recent study of adults with ADHD and social anxiety disorder, atomoxetine performed better than a placebo. This is an encouraging result that suggests that this medication could be effective in treating ADHD and anxiety when used with other treatments. More research will be needed to determine if the atomoxetine medication can be used effectively 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 by increasing it, it helps concentration and control impulses. Your doctor may recommend this drug in capsule form, usually taken once or twice daily. There are some serious side effects, such as suicidal thoughts or liver damage. Anxiety is a disorder that causes intense, persistent fear and anxiety. It can trigger symptoms such as headaches, stomachaches as well as breathlessness and feelings like dread or fear. People suffering from anxiety disorders often struggle to manage their symptoms, despite attempts to manage them. People suffering from ADHD can sometimes experience anxiety, and. The condition can cause problems with relationships and emotional issues and low self-esteem. Signs of untreated ADHD — such as the inability to pay attention, forgetfulness and impulsive behaviorcan also result in feelings of anger or disappointment. Stimulants like methylphenidate and lisdexamfetamine can help ease anxiety symptoms, as can non-stimulant drugs like atomoxetine (Strattera) and viloxazine (Qelbree). High blood pressure medications such as Clonidine (Kapvay) and guanfacine (Intuniv, Tenex) may also be used to treat ADHD in adults, although these drugs function differently than stimulants. While antidepressants aren't approved by the FDA to treat ADHD however, your doctor can prescribe them as a single drug or together with a stimulant, but they typically aren't used in adolescents or children. Psychotherapy is a second option for treatment. It involves speaking with an expert in mental health, and it's sometimes effective for treating anxiety and ADHD together. Changes in your lifestyle and routine can help manage these disorders. For instance, you could consider practicing yoga or meditation or managing insomnia and stress, and incorporating physical activity into your daily life. 5. Tricyclic antidepressants In some cases, a mental health professional might recommend antidepressants as a part of your treatment program. These drugs aren't approved by the FDA to treat ADHD, but they can sometimes improve symptoms of anxiety and depression when used in conjunction with stimulants. Antidepressants increase serotonin levels as well as norepinephrine production in the brain. They therefore can help to alleviate anxiety and depression symptoms. Selective serotonin-reuptake inhibitors -like fluoxetine (Prozac), citalopram (Celexa) and escitalopram (Lexapro) — increase your levels of the neurotransmitter serotonin, which can 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 are named for the three rings that make up their chemical structure, were first developed as antipsychotics and later found to have powerful antidepressant properties. These medications include amitriptyline, imipramine, and nortriptyline. Tricyclics also decrease the sensitivity of a person to noise, improve sleep quality and lower blood pressure. Tricyclics can cause an increase in drowsiness. People taking them shouldn't drive or operate dangerous equipment until they are certain of the reaction they will experience to the medication. Numerous lifestyle changes can improve your ADHD and anxiety symptoms, including taking exercise, sleeping enough and eating a healthy diet rich in whole grains, fruits and vegetables. Mindfulness and other forms of therapy, such as cognitive behavioral therapy, can help reduce stress. If you're struggling to manage your anxiety and ADHD, Klarity can connect you with licensed providers for affordable, insurance-free online mental health services. Find out more about our services and book an appointment today.