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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 can usually improve the other. Mental health professionals prescribe antidepressants, stimulants for depression, or antidepressants along with ADHD medication. Wellbutrin (bupropion) and Effexor (venlafaxine) are the most frequently used antidepressants that are prescribed “off-label” for ADHD. These drugs increase the levels of neurotransmitters dopamine and norepinephrine, and improve concentration. 1. Methylphenidate Methylphenidate, also known by the brand name Ritalin is the most popular treatment for adults suffering from ADHD and depression or anxiety. It is in a class of medications called central nervous system stimulants and is a drug that alters the amount of certain natural substances within 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 uncommon for those with ADHD also to be afflicted by mood disorders such as anxiety or depression. You should inform your doctor about any depression or anxiety you may have. Certain medications, especially stimulants can make these conditions worse. In some cases it is possible to take a stimulant and an anti-anxiety medication. Methylphenidate can cause headaches as well as stomachaches. It can also raise blood pressure and heart rates and therefore, you should schedule regular visits to your physician to monitor these. It may also cause facial tics (quick uncontrollable movements of your face). People suffering from phenylketonuria (a genetic disorder) who are unable to process the chemical phenylalanine shouldn't take it. It is also unsafe to take during pregnancy and nursing, so inform your doctor if you are pregnant or plan to become pregnant. While taking methylphenidate, you should not drive a vehicle or operate machinery. It may cause blurred vision, dizziness and sleepiness. You should drink plenty of fluids when taking this medication. Ask your doctor if you have trouble swallowing tablets. You should not chew or crush these medications therefore, if you experience difficulties eating solid food consult your physician about liquid medicines that can be mixed with soft foods or drinks like yogurt, applesauce or pudding. 2. Lisdexamfetamine Lisdexamfetamine (LDX) is a medication that belongs to the class of central nervous system stimulants. It affects the quantity of certain natural substances inside the brain. It is used to treat ADHD in adults and children 6 years of age and older. It is sometimes used to treat binge eating disorder in adults. Adults suffering from ADHD frequently suffer from anxiety and depression. Treatment for these disorders is essential to make people feel better and perform at their best at work and home. Some medications that are typically used to treat mental health issues can interact with ADHD medication, which is why it is essential to disclose any other medical issues that you may have. Depression and anxiety are both complicated disorders, because they are characterized by a variety of symptoms. Antidepressants like Wellbutrin, Effexor, or Venlafaxine are commonly prescribed to treat these ailments. They can also improve focus and concentration for those with ADHD/ADHD. They work by increasing the amount of neurotransmitters in the brain. They are not at risk for misuse and abuse. The drug showed promising results in studies conducted with adults suffering from ADHD, anxiety or depression. It helped improve ADHD ratings, as well as executive function and ADHD ratings. It was also safe for use. It is crucial to inform your doctor if you are taking any other medications such as MAO inhibitors such as isocarboxazid (Marplan) or linezolid (Zyvox), the methylene blue, Phenelzine (Nardil) selegiline (Eldepryl, Emsam, Zelapar) and the tranylcypromine (Parnate). These medications are not recommended to be taken within 14 days after lisdexamfetamine. Consult your physician that you are allergic to lisdexamfetamine, or any of the other ingredients in this medication. 3. Atomoxetine Atomoxetine (Strattera) is a non-stimulant ADHD medication that is also used to treat depression. It is believed to work by blocking reuptake of the neurotransmitter norepinephrine. The drug increases levels of this chemical in the brain to improve alertness, reduce anxiety and depression symptoms. It is important to note, however, that this medication should not be used as a stand-alone treatment for anxiety disorders. Instead it is recommended that patients receives treatment from a qualified psychiatrist or therapist. A number of studies have been conducted to evaluate the effects of atomoxetine patients with ADHD and comorbid anxiety disorders. These studies include nine controlled trials that were randomized and two post-hoc analyses of subgroups. In click here! , both improvement in symptoms and cognition function were better measured with atomoxetine than the placebo. However, it is important to keep in mind that the size of the study was limited. The medication can cause some adverse effects, including abdominal pain and a rapid heart rate. These side effects are usually minimal and are not observed in everyone who takes the medication. In some cases, people who take atomoxetine experience thoughts of suicide. These thoughts were observed in short-term clinical trials with adolescents and children who took the medication. However, suicides did not occur in these trials. Like stimulants, atomoxetine is effective in treating comorbid anxiety/ADHD. In fact in an earlier study of adults suffering from ADHD and social anxiety disorder, atomoxetine outperformed the placebo. This is a promising result which suggests that this drug may be effective in treating ADHD and anxiety when used with other treatments. More research will be needed to determine whether Atomoxetine is also a treatment effectively to treat other forms of anxiety disorders that are comorbid. 4. Bupropion Bupropion, a drug that is not stimulant increases the chemical noradrenaline in the brain. 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 is taken every day, either once or twice by your doctor. There are some serious side effects like suicidal thoughts or liver damage. Anxiety is a disorder that causes intense fear and anxiety and. It may cause symptoms such as headaches, stomach aches, shortness of breath, as well as feelings of dread or panic. Many people with anxiety disorders struggle to manage their symptoms, despite trying to manage them. Some people suffering from ADHD can also experience anxiety. The condition can cause issues with relationships and emotions and also a loss of self-esteem. Symptoms of untreated ADHD like forgetfulness, difficulty paying attention and impulsive behaviorcan also result in feelings of anger or disappointment. Stimulants like lisdexamfetamine and methylphenidate can help reduce anxiety symptoms, as can nonstimulant drugs such as Atomoxetine (Strattera) and viloxazine (Qelbree). High blood pressure medications such as clonidine (Kapvay) and Guanfacine (Intuniv, Tenex) may also be prescribed for ADHD in adults, although these drugs function differently than stimulants. Although antidepressants aren't endorsed by the FDA to treat ADHD, your doctor may prescribe them as a single drug or with a stimulant, though they typically aren't used in adolescents or children. Psychotherapy is a second 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 be beneficial in managing these conditions. For instance, you can try yoga or meditation, managing stress and sleep habits and incorporating physical exercise into your daily routine. 5. Tricyclic antidepressants A mental health professional might suggest antidepressants as part of your treatment. These drugs aren't approved by the FDA to treat ADHD however they can occasionally improve symptoms of depression and anxiety when taken in conjunction with stimulants. Antidepressants increase levels of serotonin and norepinephrine in your brain, which can aid in reducing symptoms of depression and anxiety. Selective serotonin reuptake inhibitors, such as fluoxetine(Prozac), citalopram(Celexa), and escitalopram(Lexapro) can increase 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, named for the three rings of their chemical structure, were first created as antipsychotics but were later found to have powerful antidepressant properties. These include amitriptyline imipramine, and nortriptyline. Tricyclics also decrease a person's sensitivity to noise, improve sleep quality and lower blood pressure. Tricyclics can cause sleepiness. The people taking them shouldn't drive or operate dangerous equipment until they are certain of the reaction they will experience to the medication. A variety of lifestyle changes can improve your ADHD and anxiety symptoms, such as taking exercise, sleeping enough and eating a nutritious diet rich in whole grains, fruits and vegetables. Mindfulness-based practices as well as other forms of therapy such as cognitive behavioral therapy can help reduce stress and boost happiness. If you're struggling to manage your anxiety and ADHD, Klarity can connect you with licensed professionals for convenient, insurance-free online mental health care. Find out more about our services and book an appointment now.