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ADHD Medications For Adults
There are many options for ADHD medication for adults. They include stimulants, non-stimulants and antidepressants.
ADHD symptoms are often treated with stimulants. These drugs increase the levels of norepinephrine as well as dopamine within the brain.
Bupropion
There are many different medications that can be used to treat ADHD in adults. These include stimulants and non-stimulants. Stimulants, like Adderall and Ritalin are effective for a lot of people suffering from ADHD. They can have side effects. They can also worsen the symptoms of comorbid insomnia, mood and anxiety disorders.
Bupropion is a prescription medicine that is used to treat depression and attention deficit hyperactivity disorder (ADHD). It works by increasing the levels of dopamine within the brain. It can be taken either in immediate release or in long-term forms.
Bupropion is a a monotherapy to improve ADHD behavior and decrease the risk of developing impulsivity. Additionally it has been shown to be effective in ADHD patients who have a comorbid depression or substance abuse disorder.
A randomized clinical trial found that bupropion treatment resulted in adults being 78 percent more likely than placebo to reach the level of improvement measured by the CGI scale. These results are extremely promising but not enough patients were included to confirm if the improvements were permanent.
While bupropion has been found to be safe, it's not without side effects. adhd for adults medication reported adverse effects of bupropion are dry mouth, drowsiness nausea, and dizziness. Some of these adverse effects can be diminished or eliminated by altering your dosage.
Other side effects can be severe, especially if you take other medications or alcohol, and also if you suffer from heart disease high blood pressure, a history of a heart attack or an irregular heartbeat. If you suffer from any of these conditions, it's essential to speak with your physician.
It is also important to inform your doctor if you are expecting or plan to become pregnant. Certain antidepressants could affect the development of your baby.
The possibility of congenital defects, especially chromosomal abnormalities, is increased with the use of antidepressants and anti-seizure medications. If you are taking an antidepressant or another medication for a long time, ask your doctor about the possibility of having a baby born with these defects.
Pregnancy and bupropion use can cause birth defects or other health problems in the unborn baby. Women should not take bupropion while pregnant or planning to get pregnant due to the potential dangers.
Guanfacine
Guanfacine is a medication that is non-stimulant that is a possibility for adults with ADHD who have had a difficult time on stimulants. It is used in lieu of methylphenidate. It can also be prescribed in conjunction with other medications or supplements to treat ADHD.
Guanfacine is taken every day in the morning or evening. Guanfacine must be taken in conjunction with water or other liquids. It shouldn't be broken down or chewed. It is important to take the dose that you missed immediately.
This drug can trigger an euphoric or sedative effect. This medication should not be taken together with alcohol or other depressant medications since they can enhance the sedative effects.
While there aren't many studies that have looked at the effects of guanfacine on adults with ADHD, one study in which 17 subjects were given guanfacine with DAMP found it to be similar to dextroamphetamine.
Another study with 25 children showed that guanfacine helped reduce ADHD symptoms and tics in children who had previously been treated with methylphenidate and were still receiving stimulants (Scahill, et al 2006). The improvement was significant enough to be clinically meaningful in this population.
A third study on guanfacine in teens found it to be more effective than placebo for treating ADHD and tics. The reduction in symptoms in these children was accompanied by a decrease in mistakes made in commission and omission on the Conner Parental Rating Scale (CPRS) and higher school performance scores on the Yale Global Severity Scale (YGTSS).
The typical dose of guanfacine for older children is 0.5 mg to 1 mg, twice a day. Dosing can be increased slowly according to weight and age. A doctor will be monitoring the child's blood pressure and pulse while taking this medication to make sure there is no drop in blood pressure or fainting. This medication is usually given with a diuretic to help lower high blood pressure.
Clonidine
Clonidine is a non-stimulant medication that can be used to treat the symptoms of ADHD. It also helps lower high blood pressure and reduce anxiety. It is available in tablet form, as an injection, or transdermal patches that slowly releases the drug to your body throughout the day.
The drug is an alpha-2 adrenergic agonist that lowers blood pressure by relaxing the arteries and reducing your heart rate. Although scientists aren't certain what it does however, it is believed it is a part of the brain that regulates hyperactivity and inattention.
Typically, clonidine can be taken in doses of 0.1 milligram (mg) every day at the time of bed or as directed by the doctor. It can also be applied to the skin a few times a week as a transdermal spray.
Clonidine is a highly effective treatment for ADHD symptoms. However, it's not as effective or powerful as stimulant medication. It could take several weeks before you start to reap the full benefits. Side effects such as sleepiness and drowsiness are also likely to occur, which can impact your school and work performance.
If you're experiencing difficulty sleeping, speak to your doctor about a different dosage or medication. This is particularly true if you are taking other medications that cause drowsiness, such as benzodiazepines and certain antidepressants.
Some users of clonidine experience a condition called "brain fog," which makes it difficult to concentrate on work. This is temporary and can be resolved as your body adjusts to Clonidine.
It is crucial to follow the instructions of your doctor carefully when taking clonidine and other nonstimulants. You should keep a list of the medications you take and any vitamins or supplements you take. Talk to your doctor about any changes to your diet or workout routine.
Clonidine overdoses can cause dizziness and sleepiness. Overdoses can lead to irreversible cardiac conduction issues, dysrhythmias seizures, apnea, and coma.
Clonidine is used to treat attention deficit hyperactivity disorder (ADHD) for both adults and children. It is also used to treat high blood pressure and is available in an extended-release (long-acting) tablet form and also transdermal patches that can be applied to the skin every week.
Non-stimulants
If you're unable to control your ADHD symptoms using stimulants, your doctor might recommend non-stimulant drugs. They include a variety of dopamine-enhancing and norepinephrine-based drugs, as well as antidepressants. Certain of them are designed specifically to treat ADHD as well as others that are off-label prescriptions.
These medications are more effective than stimulants and need to be taken multiple times per day for the best results. They can also take longer to titrate which could mean that they require more adjustments to dosages or schedules.
These medications can also trigger adverse effects like high blood pressure and rapid heart beat, and may even cause psychiatric disorders. This is something you should talk to your doctor about prior to taking any kind of medication.
Non-stimulant medications include atomoxetine Clonidine (Kapvay) and Guanfacine. These drugs increase the levels of norepinephrine which can result in greater focus and concentration. They can also help to increase impulsive behavior and decrease the need to move or fidget.
While they're effective in helping to reduce ADHD symptoms, these medications can trigger mood swings and, sometimes, a rebound effect. These side effects can be unpleasant so you should discuss with your doctor the possibility of switching to extended-release medications or doses that overlap. The medication builds up in the bloodstream and wears off slowly.
A different class of medicines, the NDRIs (norepinephrine dopamine reuptake inhibitors) can slow the reabsorption of norepinephrine as well as dopamine in the brain. They are commonly used for depression. However, some of them can also be helpful for ADHD.
These are more expensive and are usually taken in larger doses than stimulants acting quickly however, they are generally secure and have a good safety record. They are available in both short-acting and long-acting versions, with shorter-acting versions starting to take effect as early as 1 hour after they're taken and long-acting versions lasting for up to 24 hrs.
Certain of these medications that are not stimulants like clonidine and Guanfacine can be prescribed along with stimulants for those who have coexisting depression or anxiety. These medications also help to reduce side effect from stimulants such as sleeplessness or agitation.