ADHD Stimulant Medication
Stimulant medications are the first-line treatment for ADHD. They have a track record of a robust response, good tolerance, and are safe throughout the lifespan.
It is important to determine the appropriate medication and dosage that relieves your child's or your own symptoms without causing any adverse side effects. This often takes lots of trial and trial and regular dialogue with your doctor.
Stimulants
Stimulants are medications that increase activity in the central nervous system. They are frequently used for enhancement of cognitive 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, and other anxiety disorders. Amphetamines, methylphenidates, and other stimulant medications are among the most frequently used.
FDA-approved prescription stimulants are available in extended-release and immediate-release formulas. In the case of immediate-release, they are typically taken every four hours, as needed. When they stop working, they can cause sudden and temporary drop in energy. The crash can trigger extreme hunger, mood swings, and fatigue. Immediate-release medication can also increase blood pressure and heart rate in some people, especially those who don't eat enough.
Extended-release medicines are designed to release their active ingredients over a time of between 8 and 16 hours. Your doctor may suggest this type of medication if your goal is long-lasting symptom control without having to take a pill multiple times a day. Ritalin Concerta and Focalin are all extended-release methylphenidate products. Another alternative is the methylphenidate long-acting patch called Daytrana, which sticks to the skin as a band-aid and lasts throughout the day. This kind of medication is usually given to people with ADHD who require a daily dose that lasts longer than the immediate-release alternatives.
Stimulant medication doesn't solve ADHD however they can aid in managing symptoms by enhancing the way that neurons in the brain communicate with each other. By blocking or binding their receptors they can alter the level of neurotransmitters like dopamine and norepinephrine, in the brain. This permits the release of more neurotransmitters which improves the transmission and reception of messages between neurons.
In addition to stimulants, doctors sometimes prescribe antidepressants for ADHD. The majority of antidepressants that doctors prescribe for ADHD alter the levels of norepinephrine, serotonin, and dopamine in your brain. One class, referred to as selective serotonin reuptake inhibitors, is a good option for those suffering from depression or anxiety, too. These medications are usually paired with stimulants to boost their effectiveness. Your doctor can change between stimulant and a non-stimulant medication if your current medication isn't effective or causes an unacceptable side effects.
Long-acting
Stimulants can help 70%-80 percent of adults and children with ADHD. They help reduce symptoms like fidgeting and talking over others. They also help improve social skills and job performance.
Stimulant medications start working once they cross the blood-brain barrier, which takes about 45 to 60 minutes. They boost dopamine and norepinephrine levels between brain cells, which decreases hyperactivity and impulsivity. 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 trigger side effects including upset stomach, weight loss, an increase in blood pressure and heart rate as well as headaches, anxiety or nervousness.
medication for adults with add can also make tics worse and can cause sleep issues in certain people.
Long-acting stimulants (such as Strattera and Wellbutrin) are effective throughout the day and night unlike the short-acting drugs which last only several hours. They can be employed 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 within the brain and other neurotransmitters. These chemicals stay in the body for longer if they're not broken down. This could affect your behavior and thinking. Long-acting medications can have fewer negative effects. Your doctor will prescribe smaller doses that you consume throughout the day.
Some stimulants are available in extended-release forms that you take every day. This can be more convenient for some adults, but it's important to remember to take them every day.
SSRIs and other medicines have shown to be effective in treating ADHD in a variety of adults. These are usually prescribed to treat anxiety or depression however they can also be prescribed for ADHD, and about 70% of people react. Bupropion (Wellbutrin) is a different SSRI that has been approved for ADHD and has been shown to be more efficient than placebos in a controlled study. These medications can trigger serious side effects, like hearing ringing, anxiety and changes in heart, vision and lung function.
Short-acting
Stimulant medications work to reduce ADHD symptoms by increasing the levels of dopamine and norepinephrine in the brain. These are two chemicals that aid people in focusing and control their behavior. They are available in numerous forms, and each has its own brand name, such as Adderall, Vyvanse, Ritalin and Concerta. There are two main kinds of stimulant drugs amphetamines and methylphenidates.
medication for adult add have similar effects, but their duration of action varies. The methylphenidates have shorter-lasting effects that can last as long as three hours, whereas the amphetamines provide longer-lasting effects.
Certain people are tolerant of stimulant drugs better than others, so your doctor may prescribe them. It is crucial to know all 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 followed. This will help to collaborate with your doctor in determining the appropriate dosage and medication for you.
These medications can also trigger some negative side effects such as insomnia, or a loss of appetite. Talk to your doctor in the event that you experience any of these side effects. You may have to alter your dosage or try a different drug.
Adults with ADHD who don't respond well to stimulants may be treated with non-stimulant medications, which take longer to start working but increase the capacity of an individual to concentrate and manage impulses. These drugs can be prescribed alone or together with stimulants.
Atomoxetine, also known as Strattera or Qelbree, is the first. It increases dopamine and norepinephrine in the prefrontal cortex, which regulates behavior. Another is the guanfacine (brand name Intuniv) is a member to a class of medications known as alpha agonists. These drugs work by preventing reuptake and increasing the level of brain chemicals in the bloodstream. Guanfacine was developed to treat high blood pressure, but has also been shown to help people with ADHD.
Combinations
There are a variety of drug combinations used by people suffering from ADHD. These include stimulants and depressant-type drugs such as Guanfacine and Clonidine. These drugs are calming for the brain, and can decrease symptoms like sleeplessness and aggressive behavior. They also aid in preventing withdrawal symptoms from stimulants. This combination could be dangerous however, when it is not utilized correctly. Serotonin syndrome is a drug emergency that occurs when there is too much serotonin in the body. This combination can also raise 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.
Combinations of stimulants are increasingly being used by teenagers and young adults. These are commonly referred to as "legal highs" and are sold in pharmacies. They are also available on the black market. These substances can be dangerous, especially when combined with alcohol or other drugs. This is known as polydrug usage and is extremely risky. Mixing drugs can result in unpredictably harmful effects, including increased heart rate, slowed breathing, hallucinations, paranoia, seizures and addiction.

Combination therapy is more effective than monopharmacotherapy in treating ADHD, according to a study. Combining medications helped improve adherence and allowed patients to achieve greater symptom relief than monotherapy. Many patients, however, were unable to continue treatment due adverse effects. In some cases, the medication was discontinued because of sleep problems or worsening tics. This could be the result of a poor diagnosis, or a lack of access to medication.
Nonstimulants can also be used to treat ADHD. They are effective in improving attention span and impulse regulation however, they do not perform as well as stimulants. They are also less likely to inhibit growth and reduce appetite. Certain antidepressants may also be prescribed for ADHD. However, they have a smaller chance of improving concentration and focus.
In a variety of studies, in a number of studies, atomoxetine (Concerta) in combination with methylphenidate produced better results than any other drug taken on its own. Combining these two drugs improved compliance and reduced the risk of side effects for most people. The combination was beneficial for young adults and adolescents. This combination could be a viable alternative for children suffering from severe ADHD.