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ADHD Stimulant Medication Stimulant medications are the first line treatment for ADHD. They have a long record of high response, excellent tolerance and safety throughout the lifespan. It's crucial to find the right dosage and medication that eases your child's or your own symptoms without causing side effects. It can take a lot of trial and error as and a clear dialogue with your doctor. Stimulants Stimulants are substances that enhance the activity of the central nervous system. They are frequently used for stimulants for cognitive enhancement and performance by athletes, students, artists, and workers. They are also used 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 come in both extended-release and immediate-release formulations. In medication for adult adhd of immediate-release, they are typically taken every four hours as required. medication for adult adhd can cause an abrupt, short-term drop in energy, referred to as a crash after they wear off. The crash could cause extreme hunger, mood swings, and fatigue. Immediate-release medications can also raise blood pressure and heartbeat in certain people. This is especially true when they don't eat enough. Extended-release medications are designed to release active ingredients over a period of 8 to 16 hours. Your doctor may suggest this kind of medication if your goal is lasting symptom control and do not need 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 sticks to your skin like a bandage and lasts throughout the day. This kind of medication is available to adults with ADHD and require a daily dosage that lasts longer than immediate-release options. The use of stimulants doesn't cure ADHD, but they can aid in managing symptoms by improving the way neurons in the brain communicate with each other. By blocking or binding their receptors they can affect the levels of neurotransmitters like dopamine and norepinephrine, in the brain. This allows more neurotransmitters to be released, and aids in ensuring that messages between neurons are more effectively transmitted and received. In addition to stimulants, doctors sometimes prescribe antidepressants for ADHD. Most antidepressants doctors prescribe for ADHD are based on the levels of dopamine and norepinephrine in your brain. One of the groups, called selective serotonin receptor inhibitors, is a good choice for people who have depression or anxiety, too. These drugs are typically combined with stimulants to boost their effectiveness. Your doctor may switch between stimulant and a non-stimulant medication in the event that your current medication isn't effective or causes an unacceptable side effects. Long-acting Stimulants help about 70%-80 percent of adults and children with ADHD. They can reduce symptoms like fidgeting, talking over others, and losing focus in conversations or on tasks. They also enhance job performance and social skills. Stimulant medications start working as soon as they cross the blood-brain barrier, which can take anywhere between 45 and 60 minutes. They increase the levels of dopamine and Norepinephrine within brain cells, which reduces hyperactivity and impulseivity. The FDA-approved stimulant medication consists of one of two molecules, methylphenidate, (Adderall Ritalin Vyvanse Concerta) or amphetamine (Ritalin Adderall XR Vyvanse Vyvanse). Stimulants can cause side effects including upset stomach loss of appetite, increased blood pressure and heart rate headaches, as well as anxiety or nervousness. They can also cause tics to become worse and cause sleep issues for some people. Long-acting stimulants (such as Strattera and Wellbutrin) are effective throughout the night and day unlike medications that only last for a couple of hours. They can also be used to treat other conditions such as anxiety or depression. These medicines work by altering the way your body regulates monoamine oxidases. Monoamine oxidases break down dopamine in the brain, along with other neurotransmitters. If these chemicals aren't eliminated and remain in your body for a longer time and affect your behavior and thinking. Long-acting medications can have fewer negative effects. Your doctor may prescribe it in smaller doses, which you can take throughout the day. Certain stimulants are available in extended-release form that you can take daily. This may be more convenient for some adults, but it's important to remember that you should take them daily. Other medications have been shown to be effective for many people suffering from ADHD which includes selective serotonin Reuptake inhibitors (SSRIs). These are usually used for anxiety or depression, but they can also be prescribed for ADHD and 70% of people respond. Bupropion, also called Wellbutrin, is an SSRI approved for ADHD. It was proven to be more effective in a controlled trial than placebos. These medications can trigger serious side effects, like the ringing of ears anxiety, and changes in vision, heart and lung function. Short-acting The stimulant medication helps reduce ADHD symptoms by increasing the levels of dopamine and norepinephrine within the brain. These two chemicals help people manage their behavior and stay focused. They come in a variety of different forms and each one comes with its own distinct brand, such as Adderall Vyvanse Ritalin Concerta. There are two major kinds of stimulant medications that are methylphenidates (such as methylphenidate) and the amphetamines (such as dextroamphetamine). They all have similar effects, however their duration of action is different. The methylphenidates are less effective; they can last up to three hours, whereas the amphetamines provide longer-lasting effects. Some people are better able to tolerate long-acting stimulant medications than short-acting medications, so your doctor may prescribe this type of medication. It is crucial to be aware of as much as you can about the medication. This includes any side effects, how frequently it is recommended to take it, and any warnings. This will make it easier to work with your physician to determine the best medication and dose for you. It is important to know that these drugs can cause a few negative adverse effects, like trouble getting to sleep or losing appetite. If you experience these issues you should talk to your doctor about changing the dosage or attempting different medications. Adults with ADHD, who do not respond to stimulants well can be treated with nonstimulant medication. These medications take longer to work but can improve the ability to focus and manage impulses. These medications can be prescribed alone or in conjunction with stimulants. Atomoxetine, also referred to as Strattera or Qelbree is the very first. It is a stimulant of dopamine and norepinephrine within the prefrontal cortex that regulates the behavior. Another is the guanfacine (brand name Intuniv), which belongs to a class of medications known as alpha agonists. These work by blocking the reuptake of these brain chemicals and increasing their levels in the bloodstream. Guanfacine was initially developed to treat high blood pressure, has been shown to be effective in treating ADHD. Combinations There are a variety of combinations of drugs used by those with ADHD. These include stimulants and depressants such as Guanfacine or Clonidine. These drugs have a calming effect on the brain, and can decrease symptoms like insomnia and aggressive behavior. They also help to prevent withdrawal symptoms caused by stimulants. This combination can be dangerous but only should it not be used properly. Serotonin Syndrome is a medical emergency that occurs when there is too much serotonin in the body. This combination can also increase the blood pressure and heart rate. The risks associated with this drug are higher for people with pre-existing conditions like high blood pressure or heart disease. Young adults and teenagers are increasingly using stimulant combinations. These substances, which are sold in pharmacies, are often called “legal highs”. They are also available on the black market. These substances can be hazardous especially when mixed with alcohol and other substances. This is referred to as polydrug usage and can be very dangerous. Mixing drugs can trigger dangerous and unpredictable effects, including increased heart rate, slow breathing, hallucinations, paranoia, seizures and addiction. A study found that combination therapy was more effective than monopharmacotherapy when treating ADHD. Combined medication improved adherence and allowed patients to achieve more symptom relief than monotherapy. However there were many patients who stopped their treatment due to side effects. In a few instances the medication was stopped due to sleep issues or worsening tics. This could be because of a poor diagnosis or lack of access to medication. Nonstimulants are a different treatment option for ADHD. They can be effective in enhancing attention span and impulse regulation however they are not as effective as stimulants. They are less likely to inhibit appetite and increase. Certain antidepressants can also be prescribed for ADHD however, they are less likely of improving concentration and focus. Numerous studies have demonstrated that atomoxetine and methylphenidate (Concerta) can be combined to yield better results than either drug alone. The combination of the two drugs was shown to improve adherence and reduce side effects in most people. The combination also proved effective in adolescents and young adults. This combination could be a viable alternative for children suffering from severe ADHD.