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ADHD Treatment Medication
Stimulants are the most frequently prescribed medications for ADHD, and appear to increase and regulate levels of brain chemicals. However, they don't solve the problem and will only help manage symptoms as long as they are taken regularly.
The side effects of ADHD medication could include an increase in heart rate and blood pressure as well as upset stomach, anxiety and tics. Children and teens who take stimulant medications have a slight decrease in their growth rate.
Methylphenidate
Methylphenidate is a central nervous system stimulant and is the most widely prescribed best medication for adhd and anxiety for starting adhd medication adults. It is available in various forms, such as tablets that chew liquid as well as an oral disintegrating tablet that acts long, and a pill with extended release. The drug increases the levels of norepinephrine and dopamine in the brain, helping to enhance focus. It may also reduce symptoms of depression and anxiety. Methylphenidate is a proven treatment for ADHD in conjunction with other treatments, such as behavioural therapy.
Methylphenidate blocks transporters that eliminate these neurotransmitters naturally from the brain. The drug may cause a slight increase in blood pressure and heart rate. It may also trigger rapid changes in blood sugar levels, which is why those with diabetes must be cautious when taking this medication. If you experience any of these side effects, speak to your doctor. Methylphenidate is also known to cause Raynaud's phenomenon, which causes numbness of the feet and fingers. This is a rare, but serious side result. It is essential to inform your doctor if any of these symptoms develop.
Some people are concerned that methylphenidate could slow children's growth. However it hasn't been proved. If your child is taking methylphenidate, ensure that you be aware of their weight and height. If your child is taking chewable tablets containing methylphenidate, it contains phenylalanine, which is a risk for children suffering from the genetic disorder phenylketonuria (PKU). Ask your doctor about a different adhd medications methylphenidate formula in case you suffer from PKU.
Stimulants are considered the first-choice medication for treating ADHD however, some people have trouble with them. In these instances, doctors may prescribe other drugs that function in a similar way. There are also other stimulants, like dexamfetamine or lisdexamfetamine in addition to methylphenidate. These substances are more powerful than methylphenidate and may last longer. They are typically taken between two and three times per day, but some people can take them more frequently. Psychological treatments are also available for treating ADHD however, they are less likely to prove helpful than a stimulant.
Atomoxetine
Atomoxetine is also known as the brand name Strattera, is a non stimulant adhd medication List-stimulant ADHD medication that boosts concentration and decreases hyperactivity and impulsiveness. It is in a class of drugs known as selective norepinephrine reuptake inhibitors and works by boosting levels of norepinephrine and dopamine, two chemical messengers that regulate the brain's activity. It is a preferred option for adults and children who prefer a different type of medication from stimulants such as Adderall and Vyvanse.
It is important to remember that atomoxetine doesn't work immediately, and it may take up to 6 weeks for the effects of the medication to be apparent. Additionally, you could experience side-effects such as diminished appetite, drowsiness and upset stomach. For most patients the benefits of taking atomoxetine outweigh any risks.
The effectiveness of atomoxetine was verified in a double-blind, multisite placebo-controlled study involving 297 ADHD patients aged 12 to 18. Participants were randomly assigned to receive atomoxetine, which is a daily dose of 0.6 mg per kilogram or 1.2 mg/kg or a placebo for 9 weeks. In both atomoxetine as well as placebo groups depression symptoms were reduced. The atomoxetine treatment group showed more improvement in ADHD symptoms compared to the placebo group. The improvement was not significant.
In another open trial, 10 patients suffering from ADHD who failed to respond to stimulants were treated with atomoxetine for 8 weeks. The atomoxetine treatment group demonstrated improvements in ADHD symptoms in comparison to placebo, with scores on Conners Adult ADHD Scale Investigator Version of the screening and the Clinical Global Impression of Severity scales gaining significant. However, one patient developed a rash and withdrew from the study. Three patients also reported temporary digestive symptoms, and one patient noticed an increase in fatigue.
Talk to your doctor prior to you start treatment with atomoxetine regarding your medical history, which includes any medications or supplements you take. This includes herbal remedies as well as over-the-counter medications. Inform your doctor if any of the following conditions occur for narrow-angle glaucoma thyroid or adrenal gland tumor and high blood pressure heart disease or sudden death. You should also be wary of atomoxetine in the event that you have taken an MAO inhibitor like isocarboxazid, linezolid or methylene blue injection rasagiline, phenelzine or tranylcypromine within the last 14 days.
Bupropion
Bupropion is a nonstimulant that can aid in reducing symptoms of ADHD. It also helps reduce impulsivity and increase concentration, but it does not affect the brain in the same way as stimulants do. It's only available on prescription. Your doctor will determine the most appropriate dosage for you. Bupropion is available as tablets and capsules. It is crucial to follow the instructions. You might experience withdrawal symptoms if you stop suddenly.
The typical dosage is two or three doses daily, separated by 4-6 hours. The dose can vary from 100mg two or three times a day to 150mg three or four times daily. The drug is absorbed in the digestive tract and excreted into urine, meaning it can't enter breast milk. However, it can enter the bloodstream and affect other organs. Bupropion can increase your blood pressure, making it vital to monitor it regularly.
In addition to improving the symptoms of ADHD, bupropion can also reduce depression. It is also used to treat bipolar disorder. It is accomplished by blocking dopamine receptors inside your brain. This blocks the neurotransmitter dopamine, from reaching your brain. This helps to stabilize your mood.
Bupropion may interact with other medications, so it's important to inform your doctor about any other medications you're taking. It's important to let your doctor know if you suffer from any allergies. Also, avoid caffeine and other stimulants, as they can make the side effects worse.
Several studies have examined the effects of bupropion versus placebos in adults with ADHD. These studies produced mixed results and were poorly conducted. Many of these studies did not include people with psychiatric disorders co-morbidity. Nevertheless, the data suggest that bupropion has a modest impact on ADHD. However there is a need for more research to determine positive patient-centered outcomes such as improvements in quality of life. Furthermore, a more precise understanding of the molecular subtypes of ADHD is essential before a successful treatment can be developed. This requires a deeper understanding of the relation between the different molecular pathways. It is also crucial to know how anti-ADHD drugs function in conjunction with psychotherapy.
Tricyclic antidepressants
When the stimulants prescribed for children with ADHD aren't effective or cause adverse side effects, doctors may turn to antidepressants as a treatment. These medications, such as imipramine and Nortriptyline (Aventyl and Pamelor) are able to increase the neurotransmitters norepinephrine and dopamine in the brain, which aids in helping people to focus. These older medications can cause serious negative side negative effects. They are typically employed when other drugs fail.
The first choice for antidepressants in depression is usually an inhibitor of serotonin reuptake (SSRI), such as fluoxetine, sertraline, or citalopram. Tricyclic antidepressants are still used in some cases despite their long history. They are also effective in treating neuropathic pain and provide a pain-relieving effect which is distinct from their antidepressant activity. They enhance the noradrenephrine receptor by blocking its reuptake, and they also function as descending modulators for pain pathways within the spinal cord.
SSRIs have less risk of toxicity and less serious side effects than tricyclic antidepressants. They are also less harmful during pregnancy and don't appear to be teratogenic for animals or humans. If abruptly stopped, they may cause severe withdrawal symptoms. To reduce the risk of these side effects, your doctor might suggest reducing the dosage gradually over several weeks.
Bupropion, a common antidepressant that is prescribed off-label for treating ADHD but isn't FDA approved as a drug for adhd. It is believed to work by increasing neurotransmitters like norepinephrine and dopamine in the brain, which increases concentration. It is also believed to relieve stress and anxiety. It can be combined with stimulants for faster and longer-lasting results.
Although there aren't any other FDA-approved nonstimulant drugs for ADHD however, many people find relief with the use of nutritional supplements and herbs. A diet that is low in sugar and fat can aid in reducing ADHD symptoms. Also, avoiding caffeine may be beneficial for some. Tell your doctor all medications you or your child is taking as well as herbal remedies and over-the-counter medicines. This will minimize unwanted side effects and help prevent interactions. ADHD medications can affect everyone differently, which is why it's often a trial and error to determine the appropriate dosage and medication for you or your child.