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

ADHD Treatment Medication Stimulants are the most commonly prescribed medication for ADHD and can boost and balance levels of brain chemicals They do not solve the problem and can only manage symptoms if they are taken regularly The side effects of ADHD medications may include changes in blood pressure heart rate anxiety and tics Certain teenagers and children who take stimulant medications experience a minor reduction in their growth rate Methylphenidate Methylphenidate is a stimulant for the central nervous system and is the most frequently prescribed drug to treat ADHD It is available in many forms including a chewable tablet a liquid a longacting orally disintegrating tablet and an extendedrelease pill The drug increases the levels of dopamine and norepinephrine in the brain This helps to improve concentration It can also help reduce the symptoms of depression and anxiety Methylphenidate can be a successful treatment for ADHD when combined with other treatments including behavioural therapy Methylphenidate works by blocking the transporters that remove these neurotransmitters from the brain The drug could cause an increase in heart rate or blood pressure It can also cause rapid changes in blood sugar levels which is why people with diabetes should be careful when taking this medication If you encounter any of these side effects talk to your doctor Methylphenidate is also known to cause the condition known as Raynauds phenomenon which causes numbness and discomfort in the fingers and toes This is a rare but serious side result It is essential to inform your doctor if these symptoms are observed Some people are concerned that methylphenidate may slow the growth of children However this hasnt been proven If your child is taking methylphenidate make sure you keep an eye on their weight and height If your child is taking a tablet containing methylphenidate the phenylalanine in it could pose a risk for children suffering from phenylketonuria Ask your doctor about a different methylphenidate formula in case you suffer from PKU Stimulants are often considered to be the first choice medication for treating ADHD but certain people are not able to use them In these cases doctors may prescribe another medication that works in a similar manner Besides methylphenidate there are other stimulants like dexamfetamine and the lisdexamfetamine These drugs are a little stronger than methylphenidate and can last longer They are usually taken between two and three times a day however some people may take them more frequently Psychological treatments are also available for treating ADHD however they are less likely to prove effective than stimulants Atomoxetine Atomoxetine is also called Strattera and is a nonstimulant ADHD drug that boosts concentration while decreasing hyperactivity and impulsiveness Its part of a class of medications called selective norepinephrine receptor inhibitors It increases levels of dopamine and norepinephrine two chemical messengers that control the brains activity It is a preferred choice for children and adults who prefer a different type of medication than stimulants such as Adderall and Vyvanse It is important to know that atomoxetine does not work immediately It may take up to 6 weeks before the effects of this medication become apparent There is also the possibility of experiencing negative side effects such as drowsiness and nausea For most patients the benefits of taking atomoxetine are greater than any risk The effectiveness of atomoxetine was verified in a doubleblind multisite placebocontrolled study with 297 ADHD patients ages 12 to 18 Participants were randomly assigned to receive either atomoxetine at a daily dose 06 mgkg or 12 mgkg or a placebo over 9 weeks In both atomoxetine and placebo groups depression symptoms were less The atomoxetine group saw more improvements in ADHD symptoms than the placebo group The improvement was sporadic In a second open trial that included 10 ADHD patients who did not respond to stimulants were given atomoxetine treatment for 8 weeks The group treated with atomoxetine showed improved ADHD symptoms when compared to placebo with scores on the Conners Adult ADHD Scale Investigator Rated screening version and the Clinical Global Impression Severity scales increasing significantly One patient had to withdraw due to an rash Three patients also reported transient stomach symptoms and one patient complained of increased fatigue Talk to your doctor before you begin treatment with atomoxetine regarding your medical history which includes any medications or supplements you take This includes herbal remedies and prescription medications Discuss with your doctor if any of the following conditions are present for narrowangle glaucoma thyroid or adrenal gland tumor high blood pressure heart disease or a history sudden death You should avoid atomoxetine as well when youve been taking an MAOinhibitor like isocarboxazid or linezolid within the last 14 days or rasagiline Methylene Blue Injection phenelzine or tranylcypromine Bupropion Bupropion is a nonstimulant drug that can aid in reducing symptoms of ADHD It also helps reduce impulsivity and increase focus However it doesnt affect the brain in the way stimulants do Its only available on prescription Your doctor will determine the most appropriate dosage for you Bupropion comes in tablets and capsules Its important to take the medication exactly as directed You might experience withdrawal symptoms in the event that you stop abruptly The most common dosage is two or three doses per day separated by 4 to 6 hours The dosage can range from 100mg two or three times per day up to 150mg three or four times daily The drug is taken up by the digestive system and excreted into urine It cannot enter breast milk However it could be absorbed into the bloodstream and cause harm to other organs Bupropion increases blood pressure It is essential to monitor it frequently In addition to helping improve 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 entering your brain This helps to stabilize your mood Bupropion can interact with other drugs Inform your doctor if you are taking any other medications Its also important to find out if you have any allergies Avoid caffeine and other stimulants since they can make the side effects worse Several studies have compared bupropion to placebos in adults suffering from ADHD These studies produced mixed results and many were poorly conducted Many of these studies did not include people with psychiatric disorders comorbidity Nevertheless the data suggest that bupropion has a modest impact on ADHD More research is needed to determine positive outcomes for patients including an improvement in the quality of living Additionally a more precise understanding of the molecular subtypes of ADHD is needed before effective treatment can be created This requires a deeper understanding of the connection between the different molecular pathways Its also important to understand how antiADHD drugs function in conjunction with psychotherapy Tricyclic antidepressants If the stimulants prescribed to children suffering from ADHD arent effective or cause adverse side effects doctors may consider antidepressants as a treatment These medications such as imipramine and nortriptyline Aventyl Pamelor work by increasing the neurotransmitters norepinephrine and dopamine in the brain which help people concentrate These are older medications that can have challenging adverse effects so theyre typically only considered after other medications have failed The first choice of antidepressant for depression is typically a selective serotoninreuptake inhibitor SSRI like fluoxetine sertraline citalopram or escitalopram However tricyclic antidepressants that have been in use for decades may still be used in certain situations They also work in treating neuropathic pain and have an additional painrelieving effect which is distinct from their antidepressant effect They enhance noradrenephrine through inhibiting its reuptake and also act as descending modulators of pain pathways within the spinal cord SSRIs have lower risks of toxicity and less serious side effects than tricyclic antidepressants They are also safer during pregnancy and dont appear to be teratogenic to humans or animals If suddenly stopped they could cause withdrawal symptoms that are severe To minimize these adverse effects your physician may suggest reducing the dose gradually over a period of time Bupropion a popular antidepressant prescribed offlabel to treat ADHD but isnt FDA approved as a drug for adhd Its thought to increase the neurotransmitters norepinephrine and dopamine and acetylcholine within the brain to increase concentration It is also believed to ease anxiety and can be combined with stimulants to get faster and lasting results While there are no other FDAapproved nonstimulant medications for ADHD many people do find relief with the use of supplements to their diets and herbs A diet that is low in sugar and fat can also help to reduce ADHD symptoms Some people may benefit by avoiding caffeine Inform your doctor about all medications you or your child are taking such as herbal remedies and overthecounter medicines adhd treatment without medication will help prevent interactions and reduce the risk of unwanted adverse effects ADHD medications can affect individuals differently It could take a bit of trial and error before you discover the ideal dosage and dose for your child or yourself

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