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ADHD Medications For Adults If you have been diagnosed with ADHD at an adult age The first course of treatment is likely to require medication. Stimulants help improve concentration and reduce hyperactivity and impulsivity. Long-acting formulations are the best choice because they allow patients to take advantage of the medication throughout the day without adverse effects (such as ringing in the ears or changes in vision). Psychotherapy can also help you manage symptoms. Therapy can help you develop new skills to cope with ADHD and improve your relationships, and achieve stability at work or in your personal life. Long-acting stimulant formulations The medications in this class assist improve focus and attention and reduce impulsivity through increasing the levels of two neurotransmitters, dopamine and norepinephrine. These are two essential chemicals that regulate the prefrontal cortex part of the brain which is often known as the “secretary” or “executive functioning” area. This is important because this area controls how you plan, organize and execute. It helps you prioritize tasks, stay on task and maintain your emotions under control. Stimulants, the most popular medication prescribed for ADHD are available in a variety of dosages and forms. Your doctor will prescribe an appropriate medication based upon your symptoms and medical history. Some of the more common long-acting stimulant formulations include methylphenidate/amphetamine (Concerta), methylphenidate/amphetamine/dextroamphetamine (Metabolite CD), methylphenidate/amphetamine/dextroamphetamine/dextromethorphan (Ritalin-LA) and methylphenidate/amphetamine/dextroamphetamine/dextroamphetamine/amiloride extended-release (Adderall XR). The different time-action profiles of these long-acting stimulants allow physicians to select the best drug for the individual patient. For example, if a patient struggles in the morning, a long-acting methylphenidate/amphetamine/dextroamphetamine formulation may be beneficial because it provides an effect for up to 8 hours. These formulations also have a lower chance of adverse reactions, such as sleepiness and stomach upset than medications with a shorter duration of action. They don't increase blood pressure or heart rate as much as stimulants that act quickly, which is good for people suffering from heart disease. One other exception to the above is the AMP salts found in Adderall which can raise blood pressure and heart rate a bit. Your physician can check the levels to ensure they remain secure. Clonidine and Guanfacine are two other drugs that can treat ADHD without stimulating your nervous system. They are more difficult to use than stimulants, however they are less likely to be misused. They are not as effective in boosting focus and attention, but they do reduce impulsivity and hyperactivity. They are available in a variety sizes and dosages, including extended-release tablets and capsules. A long-acting clonidine medication, Intuniv, is approved for adults and is able to be used in conjunction with other forms of treatment like behavioral therapy. It is important to remember that any medication you take is only a part of the process. Behavioral therapy can also aid in managing your ADHD. Guanfacine or clonidine Guanfacine, clonidine and other central alpha-2 receptor antagonists are FDA-approved medications for the treatment of high blood pressure. They are also used “off-label” to treat ADHD. They function by stimulating alpha-2 adrenergic receptors that are pre- and post-synaptically. The medication reduces sympathetic nervous impulses from the blood vessel and the heart to the vasomotor area that result in a decrease of heart rate and peripheral resistence. It can help improve the primary symptoms of ADHD including hyperactivity and impulsivity. adhd medication I Am Psychiatry helps reduce tics associated with Tourette syndrome and other tic disorders. It can be taken as a standalone medication or in combination with stimulants. In a study on preschool-aged ADHD children, 78% of those who took stimulants and Guanfacine experienced improvements in their symptoms. These medications have a longer half-life than stimulants, meaning they remain in the body for up to 24 hours. They are less likely to cause sedation and insomnia. They can be taken as tablets or as patches. Patches are an excellent option for those who fail to swallow their pills or dislike doing so. It is crucial to take these medications exactly as prescribed. The medication won't be effective when the dosage is too low. If the dosage is too high, it can reduce your blood pressure too significantly. People with heart disease or low blood pressure are at risk when the dose is too high. Clonidine and Guanfacine were developed in the past to treat hypertension. Both are approved for adult use and can be taken as a single or in combination with stimulants. They can also be utilized to treat anxiety symptoms that may hinder the ability to focus in patients suffering from ADHD. Clonidine is also used to treat sleep problems associated with ADHD. It doesn't affect appetite, which is an advantage for those who struggle with weight issues. Clonidine and Guanfacine both work in treating the main symptoms associated with ADHD according to research. They can be taken alone or together with stimulants, and both are less likely to cause adverse negative effects than other drugs. Clonidine is especially effective in reducing tics caused by Tourette syndrome and other disorders of the tic. It isn't as effective in reducing inattentive symptoms of ADHD however. Ritalin Methylphenidate, known generically as Ritalin, is a stimulant for the central nervous system that can reduce many of the symptoms that are common to ADHD. It helps to improve concentration, stop fidgeting, and reduce impulsive behavior and also improves the ability of an inattention person to concentrate. It is usually used in conjunction with other treatments, like behavioral therapy. The side effects of Ritalin aren't severe and typically disappear once your body becomes accustomed to the medication. Focalin XR capsules can be found in two forms: immediate-release tablets, which are small doses that can be taken twice or three times a day. You can also take extended-release capsules twice a day in the morning. the dose will release throughout the entire day. The extended-release capsules called Focalin XR, contain only the right-handed methylphenidate molecules, which reduces the adverse effects when compared to other formulations. Other methylphenidate medications include chewable tablets or tablets which are taken twice a day and last for about four hours. Also the long-acting tablet (Lisdexamfetamine) or solution is available. These are usually prescribed to teenagers and children older than five, and are also available to adults if at least six weeks of treatment with methylphenidate has failed to help with symptoms. All forms of methylphenidate have been associated with serious heart issues for some people. Anyone who has a history of heart disease should stay clear of methylphenidate. It may also trigger an increase in heart rate in some people and affect the blood flow through your feet and fingers. It can interact with other medications such as anticholinergics or blood thinners. It is important to share a full list of prescription and non-prescription medicines you are taking with your physician. They can then look for any possible interactions. A non-stimulant medicine known as Strattera is available and can be prescribed to adults suffering from ADHD. It regulates dopamine levels and does not cause the same adverse effects as stimulant medications. It might take longer to get the job done, but it is considered a safe alternative for adult patients who do not want to use stimulant drugs. Adderall Adderall is an stimulant medication that boosts the activity in certain brain regions. It helps people control their behavior and focus, as well as manage hyperactivity. It can enhance mood by altering the way the brain releases chemicals, such as dopamine and sérotonin. These chemicals are typically lower in those with ADHD and can cause hyperactivity and inability to regulate emotions. This is one reason that some adults with ADHD aren't able to respond to medication by themselves. Adderall, when taken according to the prescription, is not addictive and doesn't cause habituation. However there are risks with taking Adderall, and it can cause side effects that require medical attention. Consult your physician for any questions or concerns. Adderall overdose symptoms include restlessness, muscle twitching and an increase in heart rate. They can also cause confusion, hallucinations, and anxiety. Get emergency medical help if you have these symptoms: Adderall should not be taken with medications that affect mood, for example antidepressants and depression medications. These medications may increase the risk of serious side effects such as seizures or death. This medication is not recommended to children under 12 years of age. Stimulant medications can cause problems in sleeping. You can lessen the effects by restricting your screen time and caffeine (e.g. TV or video games). You can also consider a sleep aid like Melatonin. Another option is to shift to a more powerful formulation of the drug, such as extended-release Adderall. This will help prevent “rebound” effects that can occur in the evening or late afternoon as the medication wears down. Many adults with ADHD take an immediate-release tablet in the morning to supplement the long-acting medication. Many people who don't have ADHD take stimulants such as Adderall in order to feel more alert or energetic. This can lead to mystical beliefs about the drug and its power. Some of these beliefs can cause people to develop an addiction. In addition the use of Adderall for non-medical reasons could increase the likelihood of a positive drug screening test for amphetamines.