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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 professionals prescribe antidepressants, stimulants for depression, or antidepressants along with ADHD medication. Wellbutrin (bupropion) and Effexor (venlafaxine) are the most frequently prescribed antidepressants that are prescribed “off-label” for ADHD. These medications boost levels of the neurotransmitters norepinephrine as well as dopamine, which aid in improving concentration. 1. Methylphenidate Methylphenidate is also known as the brand name Ritalin is the most popular treatment for adults suffering from ADHD and depression or anxiety. It belongs to a class called central nervous stimulants. It affects the quantity of certain natural substances inside your brain. It is available as chewable tablets, liquids, or an extended-release capsule. It can also be given via the skin. It is not unusual for people who suffer from ADHD to also suffer from mood disorders such as anxiety or depression. You should inform your doctor about any depression or anxiety you may be suffering from. Certain medications, specifically stimulants can make these disorders worse. In some cases you may require both an anti-anxiety medication and a stimulant medication. Methylphenidate can cause headaches as well as stomachaches. It can also increase blood pressure and heart rate which is why you should make regular visits to your physician to monitor these. It may also cause facial tics (quick, uncontrollable movements in your face). People suffering from phenylketonuria (a genetic disorder) who have difficulty metabolizing the phenylalanine drug should not take it. It is also risky to take during pregnancy or nursing. You should inform your doctor if you are planning to become pregnant. You shouldn't operate machinery while taking methylphenidate. It may cause dizziness, blurred vision and sleepiness. You should drink plenty of fluids when taking this medication. Consult your physician if you have trouble swallowing tablets. It is not recommended to crush or chew these medicines. If you are having difficulty eating solid foods, ask your doctor about liquid medicines that can be mixed into soft food or drinks such as applesauce, yogurt, or pudding. 2. Lisdexamfetamine Lisdexamfetamine (LDX) is a medication that belongs to the family of central nerve system stimulants. It works by altering the quantity of certain natural substances within the brain. It is used in the treatment of attention deficit hyperactivity disorder (ADHD) in adults as well as children aged 6 years or older. It is also used to treat binge-eating disorders in adults. Adults with ADHD are often affected by anxiety and depression disorders. It is important to treat these disorders so that they can feel better and perform their best at work and at home. Certain medications that are commonly used to treat mental health conditions can interact with ADHD medication, so it is crucial to be honest about any other medical issues you might have. Depression and anxiety are both complicated conditions, as they involve many symptoms. Some antidepressants, such as Wellbutrin (bupropion) or Effexor (venlafaxine), are often prescribed to treat these ailments and may enhance focus and concentration in those suffering from ADHD/ADHD. They work by increasing certain neurotransmitters within the brain. adult adhd medication are not at risk for abuse and misuse. The drug showed promising results in studies that involved adults with ADHD, anxiety or depression. It improved ADHD ratings and executive function and ADHD ratings. It was also safe for use. Tell your doctor if any other medications are being taken for example, MAO inhibitors, such as isocarboxazid, linezolid, methylene blue (Nardil) and phenelzine. selegiline, Emsam (Zelapar), or tranylcypromine. These medications should not be consumed within 14 days of taking lisdexamfetamine. It is also important to let your doctor know if are allergic to lisdexamfetamine, or any other ingredient in the medication. 3. Atomoxetine Atomoxetine, also called Strattera is a non-stimulant ADHD drug that is used to treat depression. It is believed to work by preventing the reuptake process of the neurotransmitter norepinephrine. The drug increases levels of this chemical in the brain to increase alertness, reduce anxiety, and depression symptoms. This medication should not, however, be used as a sole treatment for anxiety disorders. Instead it is recommended that an individual receives treatment from a certified psychiatrist or therapist. A number of studies have been conducted to evaluate the effects of atomoxetine patients with ADHD and other anxiety disorders that are comorbid. These studies comprise nine controlled trials that were randomized as well as two post-hoc analyses of subgroups. In most instances, both improvement in symptoms and cognition function were better measured with atomoxetine than the placebo. It is important to keep in mind that the sample size of these studies was very small. The medication can also cause a few side effects, such as abdominal pain and a rapid heart rate. These side effects are usually minimal and aren't a problem for all people who take this medication. In some instances, patients who take atomoxetine experience thoughts of suicide. These thoughts were observed in short-term clinical trials of children and adolescents taking the drug. However, suicides didn't occur in these trials. Like stimulants, atomoxetine can be effective in treating co-occurring ADHD and anxiety. In a recent research study, atomoxetine proved to be more effective than a placebo for adults suffering from social anxiety disorder and ADHD. This is a promising outcome which suggests that this drug may be effective in treating ADHD and anxiety when combined with other treatments. It will take more studies to determine if atomoxetine is also effective for other types anxiety disorders that have a comorbidity. 4. Bupropion Bupropion is a medication that does not stimulate that increases a chemical in the brain called noradrenaline. This chemical transmits messages between brain cells, and by increasing it, it helps concentration and control impulses. Your doctor may recommend this drug in capsule form, usually taken once or twice daily. It's also associated with some more serious side effects, including suicidal thoughts and liver damage. Anxiety is a disorder that causes intense, persistent fear and restlessness. It can cause symptoms such as stomachaches, headaches, shortness of breath, and feelings of dread or panic. Many people with anxiety disorders struggle to manage their symptoms despite trying to lessen them. People suffering from ADHD can sometimes suffer from anxiety, too. The condition can cause problems with relationships and emotional issues, as well as low self-esteem. If not treated, ADHD symptoms, such as the tendency to forget and impulsiveness can cause feelings of frustration and inability. Stimulants like lisdexamfetamine and methylphenidate can help reduce anxiety symptoms, as can non-stimulant medications like Atomoxetine (Strattera) and viloxazine (Qelbree). High blood pressure medications like clonidine (Kapvay) and Guanfacine (Intuniv, Tenex) may also be used for ADHD in adults, but these drugs function differently than stimulants. While antidepressants aren't approved by the FDA to treat ADHD, your doctor may prescribe them alone or along with a stimulant. However, they're not typically prescribed for teenagers and children. Psychotherapy is a second option for treatment. This involves talking to a mental health professional, and it's sometimes effective for treating anxiety and ADHD together. Making changes to your routine and habits can help manage these disorders. For instance, you could consider practicing yoga or meditation or managing stress and sleep habits and incorporating exercise into your daily routine. 5. Tricyclic antidepressants In some instances, a mental health professional might recommend antidepressants as a part of your treatment plan. They are not FDA approved to treat ADHD but can improve anxiety and depression symptoms if combined along with stimulants. Antidepressants increase serotonin levels and norepinephrine production in the brain. They are therefore able to improve anxiety as well as depressive symptoms. Selective serotonin-reuptake inhibitors -like fluoxetine (Prozac), citalopram (Celexa) and escitalopram (Lexapro) -boost your levels of the neurotransmitter, serotonin, to boost 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 are named after the three rings that make up their chemical structure, were first created as antipsychotics but were later discovered to have potent antidepressant properties. These include amitriptyline imipramine and nortriptyline. Tricyclics also decrease a person's sensitivity to noise, improve sleep and lower blood pressure. They can cause drowsiness therefore, those taking them should avoid driving or operating machinery that could be dangerous until they are aware of how they will react to the medication. Numerous lifestyle changes can improve your ADHD and anxiety symptoms, such as exercise, getting enough sleep and eating a healthy diet that is rich in whole grains, fruits and vegetables. Mindfulness and other forms of therapy, such as cognitive behavioral therapy, can help reduce stress. If you're struggling with managing your anxiety and ADHD, Klarity can connect you with licensed providers for convenient, insurance-free online mental health care. Find out more information and make an appointment today.