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https://www.iampsychiatry.uk/adult-adhd-medication/

ADHD Medication in the UK The medications for ADHD aid in reducing symptoms by boosting activity in specific areas of the brain They also increase neurotransmitters that are absent in people with ADHD In the UK stimulant medications are the most commonly prescribed treatment for adults with ADHD They are effective by enhancing activity in areas of the brain involved with the control of impulses and attention Stimulants There are two kinds of drugs that are licensed in the UK to treat adult ADHD stimulants and nonstimulant drugs The stimulants are typically used as the first choice because they boost activity in the areas of the brain that regulate attention and behaviour They include methylphenidate known as Ritalin and the lisdexamfetamine They can be administered often throughout the day in a tablet that acts as a shortacting one or taken daily in a longacting tablet that is released into the bloodstream over the course of a single day In the beginning the dosage of the medication may need to be adjusted and monitored titrated to determine the dose that is effective for you Stimulants are utilized as recreational and medical drugs In the 1930s truck drivers students and athletes used amphetamines to boost their energy Amphetamines are dangerous and can be misused They are abused because they can make people feel good and can stimulate the brain in ways that can could lead to addiction The loss of appetite the difficulties sleeping and problems with the stomach or digestive system are among the most common adverse effects of stimulants Modifications in the dosage or frequency of the medication often alleviate these issues They are generally accepted by adults in general However children may have more severe sideeffects such as anxiety weight loss and crankiness Nonstimulant ADHD medication works differently from stimulants and it may take some time for them to begin working Clonidine and Guanfacine brand names Catapres and Intuniv are both alpha agonists which work by stimulating specific receptors in the brain to improve concentration decrease hyperactivity and impulsivity and reduce behavioral issues like aggression and tics They can be used in addition to ADHD stimulant medications or taken on their own by children aged 617 Atomoxetine also referred to as Strattera is a nonstimulant drug that enhances impulse control and concentration by increasing the levels of noradrenaline in the brain It is a medication that can be used on its own but it is most often used in conjunction with guanfacine to treat children These medications are less likely to trigger the same sideeffects as stimulants however they may still trigger a variety of issues such as headaches and trouble sleeping Atomoxetine Although stimulant drugs like Ritalin and Adderall are typically recommended for kids with ADHD However some children do not respond to these medications For these children medication options called nonstimulants can be used They boost the communication between brain regions nerves and areas of the brain This helps children control the impulsivity of their children and help them concentrate better Nonstimulant ADHD medications use different active ingredients than stimulants They also do not contain the potential for abuse and arent controlled substances Atomoxetine Strattera is one of the newest nonstimulant drugs used to treat ADHD in children adults and teenagers Its an antidepressant which has been proven to decrease symptoms of ADHD by increasing the levels of a chemical in the brain known as noradrenaline Noradrenaline passes messages between brain cells and is involved in attention impulsivity and motivation Atomoxetine because of its unique mechanism of action does not have the same sideeffects that other antidepressants do such as Wellbutrin or Effexor It can be prescribed to children as young 5 years old It is taken once or twice a day in tablet form Atomoxetine provides stable 24hour control over ADHD symptoms It can reduce the severity of problems in the evening when the stimulants have wore off Both guanfacine and clonidine are available as nonstimulant ADHD medication These are usually given to children who havent responded to stimulant medication or have trouble with their side effects They can be used by themselves or in conjunction with stimulants like Adderall XR amphetamine salts to provide an effective treatment of ADHD If you or your child are being treated with a nonstimulant ADHD medication ensure you follow your GPs instructions carefully Theyll likely recommend starting with low doses and gradually increasing the dosage over time Theyll also want be aware of any other medications you or your child is taking so they can check there arent any interactions Youll need to attend regular appointments and inform your GP know if youre experiencing any concerns or reactions from the medication They will be able to change your dosage or advise on alternative treatments such as talking therapy Unlicensed Medication The treatment for ADHD in adults is a mix of stimulant and nonstimulant drugs The psychiatric physician can also prescribe medications that are off label these are drugs which are approved for a different condition but have emerging evidence for effectiveness in adult ADHD These are usually antidepressants such as Venflaxine or bupropion They have demonstrated some benefit in the condition and are well tolerated at smaller doses Unlicensed medicines may be prescribed to a patient when there is a genuine clinical need that cant be satisfied by a licensed medicine Patients whose regular medication has been temporarily interrupted due to a disruption of supply or who require a liquid version of a licensed tablet or capsule due to allergies or intolerances can all be affected Unlicensed medicines can be described as specials This term can also be used to refer to medicines that are offlabel or are prepared or supplied in a manner that is not covered by the licence Some examples include crushing tablets to make them easier for patients to swallow Others may include adding liquid to a licensed capsule or tablet to make a mixture that can be administered by injection Healthcare professionals will generally only use unlicensed medications as a last resort when they believe there is no licensed alternative They will carefully weigh several options to meet the unique requirements of every patient They will also review regularly the results of treatment taking into account both clinical experience and the latest approved treatments It is vital that any unlicensed medication used to treat a patient is safe and efficient The reason for prescribing a medicine should also be recorded in the patients record Report any side effects that a patient might experience from an offlabel drug using the MHRA Yellow Card Scheme This information is used by the MHRA to revise the marketing authorisation for the medicine and ensure future prescriptions are safe and effective Talk Therapy A therapist working with you to help understand your symptoms and find ways to manage They will also provide advice and support about how to change your way of thinking and acting in order to feel more positive It is crucial that you complete the recommended number of sessions in order to help you feel better The use of medication can help reduce the symptoms of ADHD by increasing the number of neurotransmitters in your brain These chemicals help your neurons pass on messages helping you focus your mind and stay clear of distractions There are two kinds of ADHD medication that include stimulants and nonstimulants They work in different ways but they all improve the supply of neurotransmitters within your brain In the UK there are a variety of drugs that can be used to treat ADHD The most commonly used medication is methylphenidate It is available as immediaterelease tablets which are used in small doses 2 to 3 times a day Or as modifiedrelease tablets that are taken once a week but released throughout the time of the day These medicines are not a cure but can help you to control the impulsive behavior and focus They are generally well tolerated however your doctor will closely monitor your progress to ensure you receive the correct dose and that you dont suffer any side consequences It can take several weeks to get the medication to its maximum level You may also need to increase the dosage change your dose on a regular basis to find out what works best medication for adhd iampsychiatryuk stimulant medicines like atomoxetine available only with a prescription can be more effective and have less potential for addiction than stimulants They are more effective but not as wellliked Some patients might experience issues with memory appetite or sleep Your doctor will track your progress and determine whether you should keep taking Atomoxetine or switch to another treatment Neither medications nor therapy are permanent solutions for those suffering from ADHD They can help you cope with your symptoms and lead a more fulfilling life Combining medications with regular therapy sessions will allow you to get the most benefit from your treatment Youll learn coping strategies and identify unhelpful patterns of behaviour and thought Some peoples improved moods and selfconfidence can last even after their treatment