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ADHD Stimulant Medication Stimulant drugs are the first line treatment for ADHD. They have a track record of a robust response, good tolerance, and are safe throughout the life span. However, it's important to choose the right dosage and medication that eases your child's or your own symptoms without side adverse effects. It usually takes many trials and error, as well as open dialog with your doctor. Stimulants Stimulants are drugs which increase the activity of the central nervous system. Students, artists, athletes, workers and other people use them to boost their performance and cognitive abilities. They are also employed for treating attention deficit hyperactivity disorders (ADHD), binge eating disorder, and other anxiety disorders. The most popular stimulant drugs are amphetamines and methylphenidates. FDA-approved prescription stimulants are available in extended-release and immediate-release formulas. The immediate-release medication is usually taken every 4 hours as needed. When they stop working, they can cause a sudden and short-term drop in energy. The crash can result in extreme cravings, mood swings and fatigue. Instant-release medications can also raise blood pressure and heart rate for some people, particularly when they don't eat enough. Extended-release medicines are designed to release active ingredients over a period of 8-16 hours. This type of medication can be prescribed by a doctor if you are looking for long-lasting control of symptoms without having to take tablets several times per day. Methylphenidate products in the extended-release category include Ritalin, Concerta, and Focalin. Another alternative is the long-acting methylphenidate patch known as Daytrana which adheres to the skin like a band-aid and lasts throughout the day. This kind of medication is available to adults with ADHD and need daily doses that last longer than the immediate-release options. Stimulant medication doesn't treat ADHD however they can help manage symptoms by enhancing the way that neurons in the brain communicate with one with each other. By blocking or binding their receptors they can alter the level of neurotransmitters, such as dopamine and norepinephrine in the brain. medication for adult adhd allows the release of more neurotransmitters which improves the transmission and reception of messages between neurons. Doctors often prescribe antidepressants addition to stimulants for ADHD. The majority of the antidepressants doctors prescribe for ADHD affect the levels of norepinephrine, serotonin, and dopamine in your brain. Selective serotonin-reuptake inhibitors are an excellent option for people with anxiety or depression. These drugs are typically combined with stimulants to enhance their effectiveness. Another reason your doctor might switch between non-stimulant and stimulant medications is if your current medication isn't working or it causes intolerable side effects. Long-acting Stimulants can help 70%-80% of children and adults with ADHD. They can reduce symptoms such as the tendency to fidget and talk over others. They also help improve job performance and social skills. The stimulant medication starts to work when it crosses the blood-brain boundaries which can take between 45 and 60 minutes. They increase norepinephrine and dopamine levels between brain cells, which reduces the impulsivity and hyperactivity. The FDA-approved stimulant medication consists of one of two molecules, methylphenidate (Adderall Ritalin Vyvanse Concerta) or amphetamine, (Ritalin Adderall XR Vyvanse Vyvanse). The stimulants can cause adverse effects like nausea or loss of appetite, as well as increased blood pressure. They can also trigger headaches and anxiety. They can also make tics more severe and trigger sleep problems for some people. Long-acting stimulants (such as Strattera and Wellbutrin) are effective throughout the day and night unlike the short-acting drugs that only last several hours. They can also be used to treat other ailments such as anxiety or depression. The medications affect the way that your body regulates chemical known as monoamine oxidases. Monoamine oxidases are enzymes which break down dopamine as well as other neurotransmitters inside the brain. These chemicals stay in your body longer if they are not broken down. This can impact your behavior and your thinking. Long-acting medications can have lesser negative effects. Your doctor may prescribe them in smaller doses that you consume throughout the day. Some stimulants are available in extended-release formulations that you take once a day. Adults may find this more convenient however, you must keep in mind to take the stimulants every day. SSRIs and other medications have shown to be effective in treating ADHD in many adults. SSRIs are generally prescribed for anxiety or depression however they can also be prescribed for ADHD. Around 70% of people respond to these drugs. Bupropion, also called Wellbutrin is an SSRI approved for ADHD. It was found to be more effective in a controlled study than placebos. These SSRIs can cause severe side effects like ringing in the ears, anxiety, and changes to vision and lung and heart function in some individuals. Short-acting Stimulant medications work to reduce ADHD symptoms by increasing levels of dopamine as well as norepinephrine in the brain. These two chemicals assist people to manage their behavior and stay focused. They come in a variety of different forms and each has its own brand name, such as Adderall Vyvanse Ritalin Concerta. There are two main kinds of stimulant drugs, methylphenidates and amphetamines. They all have similar effects, however their duration of action is different. The methylphenidates are less effective and can last for up to three hours, while the amphetamines provide longer-lasting effects. Certain people are tolerant of stimulant drugs better than others, so your doctor may prescribe them. It is essential to know all you can about the medication and its potential side effects, how often it should be taken and any specific warnings that must be followed. This will aid you and your physician determine the most suitable medication for you. These medications can also trigger some negative side effects such as difficulty sleeping or loss in appetite. If these happen, talk to your doctor about altering the dosage or using different medications. Adults with ADHD who aren't responding well to stimulants could be treated with non-stimulant medications that take longer to begin working but improve a person's ability to concentrate and control impulses. These medications can be prescribed on their own or in combination with stimulants. The first one is atomoxetine (brand names Strattera and Qelbree) It is a stimulant of norepinephrine and dopamine levels in the prefrontal cortex which regulates the way we behave. Another is the guanfacine (brand name Intuniv) is a member to a class of drugs called alpha agonists. They work by preventing the absorption of brain chemicals and increasing their concentration in the bloodstream. Guanfacine was created to treat high blood pressure but has also been shown to aid people suffering from ADHD. Combinations People with ADHD make use of a variety drug combinations. These include stimulants with depressant drugs such as clonidine and guanfacine. These drugs can be calming for the brain and help reduce symptoms such as sleeplessness and aggressive behaviour. medication for adults with add aid in preventing withdrawal symptoms from stimulants. However, this combination can be risky if utilized correctly. Combining two stimulants at simultaneously increases the risk of developing serotonin-related syndrome, which is a drug emergency that occurs when the body is overloaded with much serotonin. This combination may also increase blood pressure and heart rate. The risks of taking this drug are higher for people with pre-existing conditions such as high blood pressure or heart disease. Teenagers and young adults are increasingly taking stimulant-based combinations. These are commonly referred to as “legal highs” and are available in pharmacies. These drugs are also available on the black market. These substances can be dangerous especially when mixed with alcohol and other drugs. This is referred to as polydrug usage and is extremely risky. Mixing drugs can trigger unpredictably harmful effects, including increased heart rate, slower breathing, hallucinations, paranoia, seizures and addiction. A study showed that combination therapy was more effective than monopharmacotherapy in treating ADHD. Combining medications improved adherence, and enabled patients to experience better relief from symptoms than monotherapy. Some patients, however were unable to continue treatment due adverse effects. In a few instances, the medication was discontinued due to sleep issues or worsening tics. This could be due to a wrong diagnosis or the absence of medication. Nonstimulants can also be used to treat ADHD. These drugs can be effective in enhancing the ability to focus and impulse control, but not as well as stimulants. They are also less likely to inhibit growth and reduce appetite. Some antidepressants can also be prescribed for ADHD. However they have a less chance of improving concentration and focus. Several studies have shown that atomoxetine and methylphenidate (Concerta) can be combined to yield better results than either drug on its own. Combining these two medications improved compliance and reduced the risk of adverse effects for the majority of people. The combination was beneficial for adolescents and young adults. This combination may be a viable treatment for children suffering from severe ADHD.