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How to Choose the Best ADHD Medication for Adults With Anxiety and Depression When a person has both ADHD and depression or anxiety, treating one condition 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 two of the most popular antidepressants prescribed to treat ADHD “off-label”. These medications increase levels of the neurotransmitters norepinephrine as well as dopamine and help improve concentration. 1. Methylphenidate Methylphenidate is the top choice medication for adults suffering from ADHD, anxiety, or depression. It's a part of a group of drugs known as central nervous system stimulants and works by changing the amounts of certain natural substances in your brain. It is available as tablets that can be chewed, liquid or extended-release capsule. It is also available via the skin. It is not uncommon for people with ADHD to have co-occurring mood disorders, such as depression or anxiety. It is important to inform your doctor about any depression or anxiety you might be suffering from. Certain medications, specifically stimulants, can make these conditions worse. In some instances, you may require both a medication to treat anxiety and a stimulant drug. Methylphenidate can cause headaches and stomachaches. It may also raise heart rate and blood pressure which is why you should make regular visits to your physician to check these. It can also cause facial tics (quick, uncontrollable movements in your face). It should not be taken by those suffering from an inherited condition known as phenylketonuria, who have trouble metabolizing the chemical phenylalanine. It is also not recommended to take during pregnancy and nursing, so let your doctor know if you are expecting or planning to become pregnant. You shouldn't operate machinery while taking methylphenidate. It can cause dizziness as well as blurred vision. Drink plenty of fluids while taking this medication. Ask your doctor if are having difficulty swallowing tablets. Do not crush or chew these medicines. If you are having difficulty eating solid food, ask your doctor about liquid medications that can be added to soft food or drinks such as applesauce, pudding, or yogurt. 2. Lisdexamfetamine Lisdexamfetamine is a medication in the central nervous system stimulant family. It affects the amount of certain natural substances in the brain. It is used in the treatment of attention deficit hyperactivity disorder (ADHD) in adults and children aged 6 years and older. It can also be used to treat binge eating disorder in adults. Adults suffering from ADHD are frequently afflicted with depression and anxiety disorders. It is important to treat these disorders in order to feel better and perform their best, both at work and at home. Some medication that treat mental illnesses may affect ADHD medication. It is essential to be open about any other medical issues. Depression and anxiety can be a tangled mess, as they both involve a wide range of symptoms. Certain antidepressants, like Wellbutrin (bupropion) or Effexor (venlafaxine), are often prescribed to treat these disorders and can help increase focus and concentration in people with ADHD/ADHD. They are effective by increasing certain neurotransmitters inside the brain. They are safe for abuse and misuse. The medication showed promising results in studies involving people suffering from ADHD or depression, anxiety or ADHD. It decreased the symptoms of depression and anxiety and also improved ADHD ratings and executive function tests. It was also safe for use. It is crucial to inform your doctor if you're taking any other medications that include MAO inhibitors such as isocarboxazid (Marplan) or linezolid (Zyvox), Methylene blue, phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar), and the tranylcypromine (Parnate). These medicines should not be used for 14 days following the use of the use of lisdexamfetamine. Consult your physician whether you are allergic to lisdexamfetamine or any of the other ingredients in this medication. 3. Atomoxetine Atomoxetine, also referred to as Strattera is a non-stimulant ADHD drug that is used to treat depression. medication for adhd in adults is believed to work by blocking reuptake neurotransmitter. By boosting levels of this chemical in the brain, the drug enhances alertness and reduces anxiety and depression symptoms. It is important to remember, however, that this medication is not intended to be used as a treatment on its own for anxiety disorders. Instead, it is recommended that an individual receives treatment from a certified psychiatrist and/or therapist. There have been a number of studies that have been conducted to examine the effects of atomoxetine on patients with ADHD and anxiety disorders. These studies comprise 9 randomized controlled trials and 2 post hoc subgroup studies. In most cases, atomoxetine outperformed placebo on both measures of improvement in symptoms and cognitive function. It is important to note that the sample size in these studies was very small. The medication can also cause some side effects, including abdominal pain as well as a high heart rate. These effects are typically minimal and are not observed in all people who take the medication. Some people who take Atomoxetine have had thoughts of suicide. These thoughts were observed during short-term clinical studies of adolescents and children who were taking the drug. However, suicides didn't occur in these trials. Like stimulants, atomoxetine may also be effective in treating the comorbidity of 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 that suggests this medication may be effective in treating ADHD and anxiety when used in conjunction with other treatments for both disorders. It will require more studies to determine if atomoxetine is also effective for other types comorbid anxiety disorders. 4. Bupropion Bupropion is a non-stimulant drug that boosts a chemical in the brain known as noradrenaline. This chemical is responsible for sending messages between brain cells. The increase in it can aid with concentration and impulse control. Your doctor may offer you the drug in capsules, usually taken once or twice daily. It's also associated with more serious side effects, like suicidal thoughts and liver damage. Anxiety is a condition that causes constant, intense fear and anxiety. It can cause symptoms such as headaches, stomach aches, breathlessness, and anxiety or fear. People with anxiety disorders often struggle to manage their symptoms, despite attempts to reduce their symptoms. People suffering from ADHD may develop anxiety, as well. The condition can cause issues with relationships and emotions and a loss of self-esteem. Untreated ADHD symptoms, like forgetfulness and impulsiveness, can cause feelings of frustration and failure. Stimulants such as lisdexamfetamine and methylphenidate can help ease anxiety symptoms, as do nonstimulant drugs such as Atomoxetine (Strattera) and viloxazine (Qelbree). High blood pressure medications like clonidine (Kapvay) and guanfacine (Intuniv, Tenex) may also be used for ADHD in adults, however these drugs function differently than stimulants. Antidepressants may be prescribed by your doctor to treat ADHD. They may be prescribed on their own or together with stimulants. However they aren't typically prescribed to teenagers and children. Psychotherapy is another treatment option. Consulting with a mental-health professional can be beneficial in treating anxiety as well as ADHD. Changing your routine and lifestyle can help manage these conditions. For instance, you could try yoga or meditation as well as reducing stress and sleep habits and incorporating exercise in your daily routine. 5. Tricyclic antidepressants In some cases the mental health professional may suggest antidepressants as part of your treatment plan. They are not FDA approved to treat ADHD however they can help improve depression and anxiety symptoms when combined together with stimulants. Antidepressants boost levels of serotonin as well as norepinephrine in your brain, so they can improve symptoms of depression as well as anxiety. Selective serotonin reuptake inhibitors such as fluoxetine(Prozac), citalopram(Celexa), and escitalopram(Lexapro) boost the levels of the neurotransmitter serotonin in your brain to improve 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 were initially developed to treat schizophrenia, but they were later discovered to possess powerful antidepressant properties. These medications include amitriptyline, imipramine and nortriptyline. Tricyclics can also help sleep, lower blood pressure, and decrease the sensitivity of a person to sound. Tricyclics can cause an increase in drowsiness. People taking them should not operate or drive on dangerous equipment until they know the reaction they will experience to the medication. Numerous lifestyle changes can 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-based practices and other types of therapy like cognitive behavioral therapy can help reduce stress and boost happiness. If you're struggling with managing your anxiety and ADHD, Klarity can connect you with licensed providers for affordable, insurance-free online mental health services. Learn more about our services, and then make an appointment today.