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How to Choose the Best ADHD Medication for Adults With Anxiety and Depression If someone suffers from both ADHD and anxiety or depression, addressing the first condition can often improve the other. Mental health experts prescribe antidepressants and stimulants for depression or antidepressants, along with ADHD medication. Wellbutrin (bupropion), and Effexor, (venlafaxine), are two of the most popular antidepressants that are prescribed for ADHD “off-label”. These medications increase the levels of neurotransmitters dopamine as well as norepinephrine, and improve concentration. 1. Methylphenidate Methylphenidate, also known by the brand name Ritalin is the first-choice treatment for adults suffering from ADHD and depression or anxiety. It belongs to a class called central nervous stimulants. It works by altering the amount of certain natural substances in your brain. It is available as tablets, liquids chewable tablets, or extended-release capsules. It can be administered through the skin. It is not unusual for people with ADHD to have co-occurring mood disorders like depression or anxiety. It is important that you tell your doctor if you have anxiety or depression because certain medications, particularly stimulants can cause them worsen. In some cases you may need both a anti-anxiety and a stimulant medication. Methylphenidate may cause headaches and stomachaches. It may also raise blood pressure and heart rates, so you should make regular appointments with your doctor to check these. It may also cause facial tics (quick uncontrollable movements on your face). People with phenylketonuria (a genetic disorder) who have difficulty metabolizing phenylalanine should not take it. It can be dangerous to take during pregnancy or nursing. adhd in adults medication should inform your doctor if you are planning to get pregnant. While taking methylphenidate, you should not drive a vehicle or operate machinery. It can cause blurred vision, dizziness and drowsiness. Drink plenty of fluids when taking this medication. If you experience difficulty swallowing tablets, ask your doctor about extended-release capsules or orally disintegrating tablets. It is not recommended to crush or chew on these medications. If you're having trouble eating solid food, ask your doctor about liquid medicines that can be mixed into soft food or drinks, such as applesauce pudding, or yogurt. 2. Lisdexamfetamine Lisdexamfetamine (LDX) is a medication that belongs to the family of central nervous system stimulants. It affects the levels of certain natural substances in the brain. It is used to treat ADHD in children and adults six years old and up. It is also sometimes used to treat binge eating disorders for adults. Adults with ADHD typically suffer from comorbid anxiety and depression. Treatment of these conditions is important to help people feel more relaxed and perform their best at work and at home. Certain medications that are commonly used to treat mental health problems may interact with ADHD medication, so it is essential to be honest about any other medical issues that you may have. Depression and anxiety can be complicated due to the fact that both can trigger many symptoms. Antidepressants like Wellbutrin, Effexor, or Venlafaxine are commonly prescribed to treat these disorders. They can also help improve concentration and focus for people who suffer from ADHD or ADHD. They typically improve the amount of certain neurotransmitters in the brain. They have a low risk of misuse and abuse. The medication showed promising results in studies involving people suffering from ADHD and depression, as well as anxiety. It helped reduce the symptoms of anxiety and depression and improved ADHD ratings and executive function tests. It was also safe for use. It is crucial to inform your doctor if you're taking any other medications such as MAO inhibitors like isocarboxazid (Marplan) and linezolid (Zyvox) as well as Methylene blue, the phenelzine (Nardil) selegiline (Eldepryl, Emsam, Zelapar) and tranylcypromine (Parnate). These medicines should not be taken within 14 days of lisdexamfetamine. You should also inform your doctor know if are allergic to lisdexamfetamine or any other ingredient in the medication. 3. Atomoxetine Atomoxetine (Strattera) is a nonstimulant ADHD medication that is also used to treat depression. It is believed to work by blocking reuptake of the neurotransmitter norepinephrine. The drug raises levels of this chemical in the brain, which can increase alertness, reduce anxiety and depression symptoms. This medication is not to be used as a sole treatment for anxiety disorders. It is recommended that the patient seeks treatment from a qualified therapist or psychiatrist. There have been a variety of studies conducted to assess the effects of atomoxetine in patients suffering from ADHD and anxiety disorders. These studies include nine controlled trials that were randomized and two post-hoc analyses of subgroups. In the majority of cases, atomoxetine outperformed placebo on both measures of symptom improvement and cognitive function. However it is important to note that the overall number of participants in these studies was limited. The medication can cause a few side effects, such as abdominal pain and a fast heart rate. These effects are typically minimal and are not observed in all people who take the medication. In some instances, patients who take atomoxetine experience thoughts of suicide. These thoughts were observed during short-term clinical studies of adolescents and children who were taking the medication. These trials did not lead to suicides. Like stimulants, atomoxetine is also effective in treating comorbid anxiety/ADHD. In fact the results of a recent study of people suffering from ADHD and social anxiety disorder, atomoxetine performed better than the placebo. This is a promising outcome that suggests that this medication could be effective for treating ADHD and anxiety when used with other treatments. More research will be required to determine if atomoxetine can also be used effectively for other forms of comorbid anxiety disorders. 4. Bupropion Bupropion is a non-stimulant drug that boosts the amount of a chemical found in the brain that is known as noradrenaline. This chemical is responsible for transmitting messages between brain cells. The increase in it can aid with concentration and impulse control. The drug is typically prescribed in capsule form and taken at least twice a day by your doctor. There are also some serious side effects like suicidal thoughts or liver damage. Anxiety is a condition that causes intense, persistent anxiety and a sense of restlessness. It can trigger symptoms such as stomachaches, headaches, breathlessness, and anxiety or fear. Many people with anxiety disorders struggle to control their symptoms, despite trying to reduce their symptoms. Some people with ADHD can also experience anxiety. The condition can lead to problems with relationships and emotional issues, as well as low self-esteem. If not treated, ADHD symptoms, like forgetfulness and impulsiveness, can lead to feelings of frustration and inability. Non-stimulants such as atomoxetine Qelbree and Lisdexamfetamine (methylphenidate) can also assist to ease anxiety symptoms. High blood pressure medications like clonidine, (Kapvay) and guanfacine (Intuniv or Tenex) can be used to treat ADHD in adults. However, these medications work differently from stimulants. Although antidepressants haven't been approved by the FDA to treat ADHD however, your doctor can prescribe them as a single drug or along with a stimulant. However, they typically aren't used in children and teens. Psychotherapy is a second treatment option. Talking to a mental health professional can be beneficial in treating anxiety as well as ADHD. Lifestyle and routine changes can also help in managing these disorders. For instance, you could try yoga or meditation as well as reducing insomnia and stress and incorporating exercise in your daily routine. 5. Tricyclic antidepressants A mental health professional may suggest antidepressants as part of your treatment. They're not approved by the FDA to treat ADHD however they can occasionally improve symptoms of anxiety and depression when used in conjunction with stimulants. Antidepressants increase levels of serotonin and norepinephrine within your brain, and therefore can help improve depressive symptoms and anxiety. Selective serotonin reuptake inhibitors -like fluoxetine (Prozac), citalopram (Celexa) and escitalopram (Lexapro) -boost your levels of the neurotransmitter serotonin, which can lift your mood and decrease 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 were initially developed to treat schizophrenia, but they were later discovered to possess powerful antidepressant effects. These medications include imipramine (Tofranil) and amitriptyline (Elavil) and nortriptyline (Pamelor). Tricyclics also decrease a person's sensitivity to noise, increase sleep quality and lower blood pressure. Tricyclics can cause an increase in drowsiness. Patients who are taking them should not operate machinery or drive until they know the reaction they will experience to the medication. Many lifestyle changes can help improve your ADHD and anxiety symptoms, such as exercising, getting enough sleep and eating a nutritious diet high in whole grains, fruits and vegetables. Mindfulness and other forms of therapy, such as cognitive behavioral therapy, can also help to reduce stress. If you're struggling with managing your anxiety and ADHD, Klarity can connect you with licensed providers for easy, cost-free online mental health care. Find out more about it and schedule an appointment today.