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ADHD Stimulant Medication
Stimulant medications are the first line treatment for ADHD. They have a long history of a strong response, good tolerance, and safety throughout the lifespan.
It's crucial to determine the appropriate medication and dosage that relieves your or your child's symptoms without side effects. This can take a lot trial and error as well as a constant dialogue with your doctor.
Stimulants
Stimulants are substances that boost activity in the central nervous system. Students and artists, athletes, workers, and others use them to boost their cognitive and performance. They also serve to treat attention deficit hyperactivity disorder (ADHD) as well as narcolepsy, binge eating disorder, as well as other anxiety disorders. Amphetamines, methylphenidates and other stimulant drugs are the most common.
FDA-approved prescription stimulants are available in both extended-release and immediate-release formulations. Immediate-release medications are usually taken every four hours, as needed. They can cause a sudden, short-term decrease in energy called a crash once they are worn off. The crash could cause severe hunger, mood swings, and fatigue. Instant-release medication can also increase blood pressure and heartbeat in certain people. best adhd medication is particularly true when they don't eat enough.
Extended-release medication is formulated to release its active ingredients over 8-16 hours. Your doctor might suggest this type of medication if you are looking for long-lasting symptom control without having to take a pill several times a day. Methylphenidate products in the extended-release category include Ritalin, Concerta, and Focalin. Daytrana is a methylphenidate with a long-acting product that adheres to your skin like a bandage and lasts throughout the day. This kind of medicine can be prescribed to adults who have ADHD and need daily doses that last longer than immediate-release options.
Stimulant medications do not cure ADHD but it can assist manage the symptoms by enhancing how neurons in the brain communicate. By blocking or binding their receptors they can alter the levels of neurotransmitters, such as dopamine and norepinephrine in the brain. This permits the release of more neurotransmitters, which improves the transmission and reception of messages between neurons.
Doctors may prescribe antidepressants in addition to stimulants to treat ADHD. adhd treatment without medication of antidepressants prescribed to treat ADHD work on the levels of dopamine and norepinephrine in your brain. Selective serotonin-reuptake inhibitors are an excellent choice for people suffering from anxiety or depression. These medications are often mixed with stimulants to increase their effectiveness. Your doctor may also switch between stimulant and a non-stimulant medication if your current medication isn't effective or has intolerable side effects.
Long-acting
Stimulants can help 70% to 80 percent of adults and children with ADHD. They help reduce symptoms like fidgeting and talking over others. They also enhance the quality of work and social skills.
The stimulant medication begins to work when it crosses the blood-brain barriers that can take 45 to 60 minutes. They increase norepinephrine and dopamine levels between brain cells, which reduces hyperactivity and impulsivity. The FDA-approved stimulant medications contain two molecules called methylphenidate (Adderall, Ritalin, Vyvanse, Concerta) and amphetamine (Ritalin, Adderall XR, Vyvanse XR). Stimulants may cause negative side effects, such as nausea, loss of appetite and increased blood pressure. They can also trigger anxiety and headaches. They can also make tics worse and trigger sleep problems in some people.
Long-acting stimulants, like Strattera or Wellbutrin, work day and night. The short-acting drugs only last for a short period of time. They can also aid with other disorders like depression or anxiety.
The medications affect the way that your body regulates chemical called monoamine oxides. Monoamine oxidases are enzymes that break down dopamine and other neurotransmitters within the brain. When these chemicals aren't broken down into smaller pieces, they remain in your body longer and affect your thinking and behavior. Long-acting medicines can cause less negative effects. Your doctor will prescribe them in smaller doses that you consume throughout the day.
Certain stimulants are available as extended-release versions that you can take daily. This is a good option for some adults, but it's important to to take them every day.
Other medications have been found to be effective for a lot of adults with ADHD which includes selective serotonin reuptake inhibitors (SSRIs). SSRIs are generally prescribed for depression or anxiety but they can also be prescribed for ADHD. About 70% of people react to these drugs. Bupropion (Wellbutrin) is another SSRI that has been approved for ADHD and has been shown to be more efficient than placebos in a controlled study. These SSRIs can cause severe side effects like hearing ringing, anxiety, and changes to vision and heart and lung function in certain people.
Short-acting
Stimulant medications work to reduce ADHD symptoms by increasing levels of dopamine as well as norepinephrine in the brain. These are the two chemical compounds that aid people in focusing and regulate their behavior. They come in a variety of different forms, and each comes with its own distinct brand, such as Adderall Vyvanse Ritalin Concerta. There are two major kinds of stimulant drugs, methylphenidates and amphetamines. They all have similar effects, but their duration of action is different. The methylphenidates are less effective that can last for up to three hours, while the amphetamines are more long-lasting.
Some people can tolerate stimulant medication better than others, and your doctor may prescribe them. It is crucial to learn as much as possible about the medication. This includes any adverse effects, how often it should be taken, and any warnings. This will help to collaborate with your doctor in determining the appropriate medication and dose for you.
These medications can also trigger some negative side effects such as difficulty sleeping or loss in appetite. Talk to your doctor when you experience these adverse effects. You may need to alter your dosage or try a different drug.
Adults suffering from ADHD who are unable to respond well to stimulants, may be treated with nonstimulant medications. These medicines take longer to work but improve the ability to pay attention and to control impulses. These medications can be prescribed as a stand-alone or in combination with stimulants.
The first is atomoxetine (brand names Strattera and Qelbree) that is a stimulant of norepinephrine and dopamine levels in the prefrontal cortex which regulates the behavior. Another is guanfacine (brand name Intuniv) that belongs to a class of drugs known as alpha agonists. These work by blocking the absorption of these brain chemicals and increasing their levels in the bloodstream. Guanfacine was created to treat high blood pressure but it also has been proven to help those suffering from ADHD.
Combinations
People suffering from ADHD make use of a variety drug combinations. These include stimulants with depressant drugs such as clonidine and guanfacine. These drugs may be calming for the brain, and reduce symptoms like insomnia and aggressive behaviour. They can also prevent the withdrawal symptoms of stimulants. This combination could be risky however, if it is not used correctly. Combining two stimulants at the same time increases the risk of developing serotonin syndrome, which is a type of drug emergency that happens when the body is overloaded with much serotonin. This combination can also increase the heart rate and blood pressure. People suffering from heart disease or high blood pressure are at greater risk of developing side effects from this medication.
Young adults and teens are increasingly taking stimulant-based combinations. These substances, which are sold in pharmacies, are sometimes called "legal highs". These drugs are also sold on the black market. These substances are dangerous particularly when combined with alcohol or other drugs. This is referred to as polydrug use and can be very dangerous. Mixing drugs can have unpredictable and harmful consequences. They include an increase in heart rate, decreased respiration, paranoia and hallucinations.
Combination therapy is more effective than monopharmacotherapy in treating ADHD according to a study. Combining medications improved the adherence of patients and helped them experience greater relief from symptoms than monotherapy. A majority of patients, however, quit their treatment due to side effects. In some cases it was reported that the medication was withdrawn due to sleep problems or worsening tics. This could be because of a poor diagnosis or lack of access to medications.
Nonstimulants are another treatment option for ADHD. These drugs are effective in improving the quality of attention and impulse control, but not as well as stimulants. They are less likely to inhibit appetite and growth. Certain antidepressants may also be prescribed for ADHD. However they have a lower chance of improving focus and concentration.
A number of studies have proven that atomoxetine and methylphenidate (Concerta) can be combined to produce superior results than either on its own. Combining these two medications was proven to increase adherence and decrease adverse effects in the majority of people. The combination was also successful in adolescents and young adults. This combination could be a viable option for children with severe ADHD.