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ADHD Stimulant Medication Stimulant medication is the first line treatment for ADHD. They have a history of a high response, a high tolerance and safety across the life span. It's important to find a medication and dosage that can ease your child's or your own symptoms without causing adverse consequences. This often takes lots of trial and trial and regular communication with your doctor. Stimulants Stimulants are drugs that increase activity in the central nervous system. Students and artists, athletes, workers and others take them to boost their cognitive performance and performance. They are also used in treating attention deficit hyperactivity disorder (ADHD), eating disorders that cause binge eating, and other anxiety disorders. The most common stimulant medications are amphetamines and methylphenidates. FDA-approved prescription stimulants are available in both extended-release and immediate-release formulations. The immediate-release medication is usually taken every 4 hours as needed. They can trigger sudden, temporary decrease in energy known as a crash after they have worn off. The crash can result in extreme cravings, mood swings and fatigue. Immediate-release medication can also increase blood pressure and heartbeats in certain people. This is particularly true when they don't consume enough food. Extended-release medications are designed to release its active ingredients over 8-16 hours. This kind of medication could be prescribed by your doctor when you're looking for long-lasting relief from symptoms without taking tablets several times per day. Ritalin Concerta and Focalin are all extended-release methylphenidate drugs. Daytrana is a methylphenidate with a long-acting product that adheres to your skin like a bandage, and lasts the entire day. This type of medication is usually prescribed to adults suffering from ADHD who require a daily dose that lasts longer than the immediate-release alternatives. The use of stimulants does not cure ADHD but it can help manage the symptoms by improving the way neurons in the brain communicate. By blocking or binding their receptors, they can alter the levels of neurotransmitters like norepinephrine and dopamine, in the brain. This permits the release of more neurotransmitters, which helps to improve the transmission and reception of messages between neurons. In addition to stimulants, doctors sometimes prescribe antidepressants for ADHD. The majority of antidepressants prescribed by doctors for ADHD are based on the norepinephrine and dopamine levels in your brain. One class, referred to as selective serotonin reuptake 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 can also switch between stimulant and non-stimulant medication in the event that your current medication isn't working or has an unacceptably side effects. Long-acting Around 70% to 80% children and adults with ADHD benefit from stimulants. They help reduce symptoms like the tendency to fidget and talk over others. They can also improve job performance and social abilities. The stimulant medication begins to work once it has crossed the blood-brain boundaries that can take 45 to 60 minutes. They increase the levels of Dopamine and Norepinephrine in brain cells, which decreases the amount of hyperactivity and impulseivity. FDA-approved stimulant medication uses one of two molecules, methylphenidate (Adderall Ritalin Vyvanse Concerta) or amphetamine, (Ritalin Adderall XR Vyvanse Vyvanse). Stimulants may cause negative side effects, such as nausea and loss of appetite. They can also cause increased blood pressure. They can also trigger headaches and anxiety. They can also make tics more severe and cause sleep problems for some people. Long-acting stimulants (such as Strattera and Wellbutrin) work all day and night, unlike short-acting medications that last just a few hours. They can also help with other disorders like anxiety or depression. These medicines work by altering how your body regulates monoamine oxidases. Monoamine oxidases are enzymes that break down dopamine and other neurotransmitters within the brain. If these chemicals aren't eliminated into smaller pieces, they remain in your body for a longer time and affect your behavior and thinking. Long-acting medications can have fewer negative effects. Your doctor will prescribe smaller doses, which you can take throughout the day. Some stimulants come in extended-release form that you can consume once every day. This may be more convenient for some adults, however it's crucial to remember that you take them each day. Other medications have been shown to be effective for a lot of adults with ADHD such as selective serotonin reuptake inhibitors (SSRIs). These are usually used to treat anxiety or depression however they can also be prescribed for ADHD and 70% of people respond. 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 medications can cause serious side effects, such as hearing ringing anxiety, changes to vision and lung and heart function in certain people. Short-acting Stimulant medication reduces ADHD symptoms by increasing levels dopamine and norepinephrine in the brain. These two chemicals assist people to manage their behavior and stay focused. These drugs are available in different forms and each comes with its own distinct brand, like Adderall Vyvanse Ritalin Concerta. There are two main types of stimulant drugs such as the methylphenidates (such as methylphenidate) and amphetamines (such as dextroamphetamine). They have the same effects, but their duration of action differs. The methylphenidates produce less lasting effects and can last as long as three hours, while the amphetamines provide longer-lasting effects. Certain people are more at absorbing long-acting stimulant medications than those with short-acting stimulants and therefore, your doctor might prescribe this type of medication. adhd in adults medication is crucial to know everything you can about the drug that you are taking, including the potential side effects, how often it should be taken and any warnings specific to the medication that should be heeded. This will make it easier to collaborate with your doctor to determine the best medication and dose for you. It is important to understand that these drugs can cause certain negative side effects, including difficulty getting to sleep or losing appetite. Talk to your doctor when you experience these adverse effects. You may have to adjust the dosage or even try a different medication. Adults with ADHD who aren't responding well to stimulants could be treated with non-stimulant drugs, which take longer to get started but increase the capacity of an individual to pay attention and control impulses. These medications are available in combination or as a single dose. The first of these is atomoxetine (brand names Strattera and Qelbree), which works by increasing norepinephrine and dopamine levels in the prefrontal cortex which regulates the behavior. Another is guanfacine (brand name Intuniv), which belongs to a class of drugs called alpha agonists. They block the reuptake of these brain chemicals and increasing their levels in the bloodstream. Guanfacine, originally developed to treat high blood pressure, has now been proved to be effective in treating ADHD. Combinations People with ADHD use a variety of drug combinations. This includes stimulants paired with depressants such as clonidine or guanfacine. These drugs have a calming effect on the brain and can reduce symptoms like sleeplessness and aggressive behavior. They also help prevent the onset of withdrawal from stimulants. However, this combination can be dangerous if not used correctly. Serotonin syndrome is a drug emergency that occurs when there is too much serotonin in the body. This combination can also increase the heart rate and blood pressure. People suffering from heart disease or high blood pressure are at a greater risk of developing side effects from this drug. Young adults and teenagers are increasingly using stimulant combinations. These are commonly described as “legal highs” and are readily available in pharmacies. These drugs are also sold on the black market. These substances are dangerous, especially when combined with alcohol and other substances. This is known as polydrug usage and can be very dangerous. Mixing drugs can have unpredictability and negative effects. This includes an increase in heart rate, slowed respiration, hallucinations, and paranoia. A study found that combination therapy was more effective than monopharmacotherapy when treating ADHD. Combining medications improved adherence, and helped patients achieve better relief from symptoms than monotherapy. However some patients halted their treatment due to adverse effects. In a few instances it was reported that the medication was withdrawn because of sleep problems or worsening tics. This could be due to a wrong diagnosis or lack of medication. Nonstimulants are a different treatment option for ADHD. These medications are effective in improving the ability to focus and impulse control, but not as well as stimulants. They are also less likely to block growth and alter appetite. Certain antidepressants can also be prescribed for ADHD, but they are less likely of improving concentration and focus. A number of studies have proven that atomoxetine and methylphenidate (Concerta) can be used together to achieve better results than either drug on its own. Combining these two drugs improved the adherence of patients and decreased adverse effects for the majority of people. The combination was also effective for adolescents and young adults. This combination may be a viable treatment for children with severe ADHD.