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How to Choose the Best ADHD Medication for Adults With Anxiety and Depression When a person suffers from both ADHD and anxiety or depression, treating the first disorder can improve the other. Mental health professionals prescribe antidepressants, stimulants for depression, or antidepressants, along with ADHD medication. Wellbutrin (bupropion) and Effexor, (venlafaxine), are the two most common antidepressants prescribed for ADHD “off-label”. These medications boost the levels of neurotransmitters dopamine and 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's part of a class of medications called central nervous system stimulants. It is used to alter the levels of certain natural substances within your brain. It can be taken in the form of tablets, liquids, chewable tablets or extended-release capsules. It can also be given through the skin. It is not unusual for people who suffer from ADHD to also suffer from mood disorders, such as depression or anxiety. It is important that you inform your doctor if have anxiety or depression because certain medications, including stimulants can cause them worsen. In certain instances it is possible to take both an anti-anxiety medication and a stimulant medication. Methylphenidate may cause adverse effects, such as headaches and stomachaches. It can also increase heart rate and blood pressure and therefore, you should schedule regular appointments with your doctor to examine these. It can also cause facial ticks (uncontrollable, rapid movements of the face). It is not recommended by those with a genetic disorder called phenylketonuria, who have trouble in metabolizing the chemical phenylalanine. It is also not recommended to take during pregnancy or nursing, so inform your doctor if you are pregnant or plan to become pregnant. You must not operate or drive machinery while taking methylphenidate. It can cause dizziness and blurred vision. Drink plenty of fluids when taking this medication. Consult your physician if you have difficulty swallowing tablets. Do not crush or chew these medications. If you have difficulty eating solid foods, consult 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 an anthelminthic medication that belongs to the family of central nerve system stimulants. It works by altering the amounts of certain natural substances within the brain. It is used to treat ADHD in adults and children aged 6 years and over. It is also sometimes used to treat binge eating disorder for adults. Adults suffering from ADHD typically suffer from comorbid anxiety and depression. It is important to treat these conditions in order to be more comfortable and perform at their best at work and at home. Certain medication used to treat mental conditions may interact negatively with ADHD medication. It is important to discuss any other medical issues. Depression and anxiety can be complicated, as they both involve various symptoms. Antidepressants such as Wellbutrin, Effexor, or Venlafaxine are often prescribed to treat these disorders. They can also improve concentration and focus for people with ADHD/ADHD. They typically work by increasing the amount of certain neurotransmitters in the brain, and they are not likely to cause misuse and abuse. The medication produced promising results in studies conducted with adults suffering from ADHD and depression, as well as anxiety. adhd and medication decreased the symptoms of depression and anxiety, and it improved ADHD ratings and executive function measures. It was also safe to use. Tell your doctor if any other medications are being used, such as MAO inhibitors, such as isocarboxazid, linezolid, Methylene blue (Nardil) and phenelzine. selegiline, Emsam (Zelapar), or tranylcypromine. These medications should not be taken for 14 days following the use of the use of lisdexamfetamine. You should also let your doctor know if you are allergic to lisdexamfetamine or any other ingredient in the medication. 3. Atomoxetine Atomoxetine (Strattera) is a non-stimulant ADHD medication that is also used to treat depression. It is believed to work by blocking the reuptake neurotransmitter. The drug raises levels of this chemical in the brain, which can increase alertness, decrease anxiety and depression symptoms. It is important to keep in mind, however, that this medication is not intended to be used as a treatment on its own for anxiety disorders. It is recommended that the patient seeks treatment from a qualified psychiatrist or therapist. There have been a myriad of studies that have been conducted to examine the effects of atomoxetine in patients suffering from ADHD and anxiety disorders. These studies include nine randomized controlled trials as well as two post-hoc subgroup analyses. In the majority of cases, both improvement in symptom and cognition function were better assessed using atomoxetine compared to placebo. However, it is important to remember that the size of the study was limited. Some of the side effects associated with this medication include abdominal pain and rapid heart rate. These effects are typically minor and do not affect anyone who takes this medication. In some instances, people who take atomoxetine experience thoughts of suicide. These thoughts were observed during short-term clinical studies on children and adolescents who took the drug. These trials did not result in suicides. Like stimulants, atomoxetine is also effective in treating comorbid ADHD/anxiety. In fact, in an earlier 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 drug could be effective for treating ADHD and anxiety when used with other treatments. It will require more studies to determine if atomoxetine is effective in other forms of anxiety disorders that have a comorbidity. 4. Bupropion Bupropion is a medication that does not stimulate that boosts the amount of a chemical found in the brain called noradrenaline. This chemical passes messages between brain cells, and increasing it can aid concentration and control impulses. Your doctor may recommend the drug in capsules, usually taken once or twice daily. There are some serious side effects like suicidal thoughts or liver damage. Anxiety is a disorder that causes constant, intense anxiety and a sense of restlessness. It can cause symptoms such as headaches, stomachaches, shortness in breath, and feelings like dread or fear. People suffering from anxiety disorders often struggle to control their symptoms, despite attempts to reduce them. Some people suffering from ADHD can also experience anxiety. The condition can cause problems with relationships and emotions, as well as a lack of self-esteem. Signs of untreated ADHD like inattention deficit, forgetfulness and impulsive behavior- can also lead to feelings of frustration or failure. Stimulants like methylphenidate and lisdexamfetamine can help reduce anxiety symptoms, as can nonstimulant drugs such as Atomoxetine (Strattera) and viloxazine (Qelbree). High blood pressure medications like clonidine, (Kapvay) and guanfacine (Intuniv or Tenex) can be used to treat ADHD in adults. However, these drugs work differently from stimulants. Although antidepressants aren't endorsed by the FDA to treat ADHD, your doctor may prescribe them on their own or in conjunction together with a stimulant, but they typically aren't used in teenagers and children. Psychotherapy is a third treatment option. Consulting with a mental-health professional can be effective in treating anxiety as well as ADHD. Making changes to your routine and habits can help manage these conditions. You could, for instance try meditating or practicing yoga, regulating stress and sleep patterns, and adding exercises 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 aren't approved by the FDA to treat ADHD, but they can occasionally improve symptoms of depression and anxiety when taken in conjunction with stimulants. Antidepressants boost levels of serotonin and norepinephrine within your brain, and therefore can aid in reducing symptoms of depression as well as anxiety. Selective serotonin reuptake inhibitors, such as fluoxetine(Prozac), citalopram(Celexa) and escitalopram(Lexapro) can increase the levels of neurotransmitter Serotonin in your brain to boost 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 originally developed as antipsychotics, but later discovered to have powerful antidepressant effects. These drugs include imipramine (Tofranil) as well as amitriptyline (Elavil) and nortriptyline (Pamelor). Tricyclics can also lessen the sensitivity of people to noise, improve sleep quality and lower blood pressure. They can cause drowsiness, so those taking them should avoid driving or operating machinery that could be dangerous until they know how they'll react to the medication. Numerous lifestyle changes can improve your ADHD and anxiety symptoms, such as exercising, getting enough sleep and eating a balanced diet rich in whole fruits, grains and vegetables. Mindfulness and other forms therapy like cognitive behavior therapy, can also help to reduce stress. Klarity can help you find certified providers who can provide online mental health care that is insurance-free and convenient. Learn more about our services, and then make an appointment today.