ADHD and Anxiety Medication
People with ADHD frequently suffer from co-occurring anxiety disorders. Anxiety can cause restlessness sleep disturbance and irritability.
The use of stimulants can ease these symptoms however, they may also cause side effects such as small growth reductions and tics in adolescents and children. Additionally, some people have anxiety issues while taking stimulant medication.
Stimulants
The use of stimulants is to treat ADHD and narcolepsy. They are also popular among recreational drug users as stimulants and performance-enhancing substances because of their ability to increase energy, alertness and focus. They are available in the form of capsules, tablets or chunky crystals. They are also available in brown or white dust. The use of large doses can result in over-stimulation, resulting in anxiety and panic, stomach cramps, aggression and paranoia. The long-term use of stimulants could also lead to addiction and serious side effects like heart problems high blood pressure, heart problems and stroke.
They have also been proven to relieve anxiety symptoms. They work by increasing the supply of brain chemicals norepinephrine and dopamine which are typically less in people suffering from ADHD. This improves the activity and communication of parts of the brain which control attention and executive functions. This results in increased control of impulses and anxiety symptoms decreasing.
Studies have shown that both atomoxetine and methylphenidate reduce anxiety symptoms in adults suffering from ADHD and comorbid anxiety disorders. Both treatments improved anxiety symptoms beginning as early as the 4th week of treatment. The effect lasted for 8 weeks.
It is important to note that the kind of medication that will be most effective for treating anxiety and ADHD symptoms that co-occur may depend on which condition has more impact on the quality of life of a person. One may experience numerous mini-crises that cause worry on a regular schedule when they have to rush to make appointments or finish tasks at school or at work. These can be distressing and trigger anxiety more often than signs of panic attacks or fear.
In these situations, antidepressants, or SSRIs are the best option to alleviate anxiety-related symptoms. These drugs have been proven effective at decreasing anxiety levels in adults. They are typically taken orally and can take a bit longer to take effect, but the most popular options are selective serotonin reuptake inhibitors (SSRIs) such as Sertraline and Fluoxetine, as well as serotonin and norepinephrine-reuptake inhibitors (SNRIs) such as venlafaxine and duloxetine. These drugs can be used in conjunction with cognitive-behavioral treatment for anxiety. They are particularly useful when a patient is suffering from a racing or elevated heart rate.
SSRIs
Antidepressants, such as SSRIs (antidepressant medications) are frequently used to treat anxiety disorders. The first drug in this group is fluoxetine, better known as Prozac. The SSRIs are also effective in treating depression, post-traumatic disorder and obsessive compulsive disorder. These medications are more adaptable and have less adverse effects than older generations of antidepressants.
The SSRIs block the reuptake of serotonin at synapses. This causes the neurotransmitter remain active within the synapse and communicate with the post-synaptic cell more times than it would normally. This can increase the output of norepinephrine, which may reduce anxiety. This can also increase levels of neuronal cyclicAMP (cAMP) and stimulate protein synthesis.
SSRIs can also reduce the impulsivity and hyperactivity. They can also improve sleep quality and decrease the agitation of some people with ADHD. These medications can, however increase the risk of suicidal behavior and thoughts in certain people. They can also increase appetite and weight gain at the beginning of treatment.
Another kind of antidepressant, known as SNRIs, functions differently than the SSRIs. SNRIs hinder the reuptake of serotonin and norepinephrine. They also affect anxiety. They can enhance the functioning of the blood vessels and the heart muscle. This can reduce feelings of anxiety and stress. Certain people who suffer get more info from bipolar disorder may benefit from their use.
Duloxetine (Cymbalta), venlafaxine, (Effexor XR, Pristiq) and desvenlafaxine are the most commonly used SNRIs. The SNRIs can raise blood pressure in some people and are not recommended for those with high blood pressure or heart disease.
In addition to medications and other treatments, there are a myriad of behavioral therapies that can aid in reducing anxiety and ADHD. Mindfulness practices can be helpful in reducing anxiety and stress and stress, as can yoga and meditation. Some people find tapping on specific body parts or techniques for emotional freedom can help lower cortisol levels which is the hormone that causes anxiety. Exercise and diet can help reduce anxiety. Your doctor can suggest eating a diet that is based on whole grains, fruits and vegetables and avoid sugar, which can increase anxiety in certain ADHD children and adults.
Non-stimulant-based medications
While stimulants are extremely effective in treating ADHD, and have been extensively researched however they are not the most appropriate choice for people who suffer from anxiety or ADHD. Stimulant medications may cause adverse effects such as jitteriness, rapid heart rate, and nervousness that may resemble or exacerbate anxiety symptoms.
Non-stimulant medicines are a recent option that has been used to treat ADHD since 2002 (under the brand name Strattera). They do not cause an increase in blood pressure or heart rate and are less likely to have anxiety-related side effects such as shaking, sweating, or nervousness.
Atomoxetine is a drug that targets receptors for norepinephrine. It is a brain chemical that improves attention and reduce hyperactivity and impulsivity. Studies have also demonstrated that it can help improve anxiety symptoms in adolescents and children with ADHD. Researchers gathered clinical articles from PubMed, EMBASE and PsycINFO to determine whether atomoxetine reduced anxiety in adolescents and children with ADHD.
Bupropion is a different medication that can alleviate anxiety symptoms. It targets the brain chemical dopamine. Bupropion is typically prescribed to patients suffering from ADHD and depression. It can also improve mood and reduce anxiety symptoms. It is usually a good idea to try and treat the underlying cause of anxiety before treating the ADHD since that will usually help to alleviate anxiety symptoms.
In some instances anxiety symptoms in ADHD children are the cause of their anxiety. Cognitive-behavioral treatment and psychostimulants are typically the most effective treatments for anxiety in this type of situation. This is because these therapies address the root of the issue and reduce ADHD symptoms, which will in turn, decrease anxiety.
Antidepressants are also prescribed to people suffering from ADHD and anxiety. SSRI antidepressants, that target serotonin, a brain chemical, can help to relieve anxiety symptoms and improve mood. Examples include Zoloft Lexapro, and Sertraline.
Your doctor will ultimately decide what medication is most suitable for you. Before recommending a drug, they will take into consideration your symptoms, lifestyle and age, along with other health conditions. It is very important to discuss your goals for treatment with your doctor and adhere to a routine daily while taking any medication.
Other options
Other options for treatment may be beneficial in managing ADHD or anxiety, based on your health goals. These include mindfulness meditation, yoga (Emotional Freedom techniques), tapping, sleep nutrition, exercise and healthy eating habits.
People who are anxious are more likely to suffer from symptoms of attention deficit hyperactivity disorder according to Dr. Hallowell says, which can make it difficult to treat both conditions at the same time. He typically prescribes stimulants to treat ADHD, and then turns to non-stimulant drugs like atomoxetine, bupropion, or guanfacine, for anxiety disorders. These medications work 24 hours a day and are not controlled substances, as stimulants are.