Blog entry by Lenora Laurantus

Anyone in the world

ADHD Stimulant Medication

Stimulant medication is the initial option for treating ADHD. They have a long history of a high response, a high tolerance, and safety throughout the lifespan.

coe-2023.pngIt's important to find a medication and dosage that can ease your child's or your own symptoms without causing any side consequences. This often takes lots of trial and trial and open dialog with your doctor.

Stimulants

Stimulants are medications that increase activity in the central nervous system. They are extensively used as enhancement of cognitive and performance by students, athletes as well as artists and workers. They are also used in treating attention deficit hyperactivity disorders (ADHD) and binge eating disorder and some anxiety disorders. Amphetamines and methylphenidates as well as other stimulant drugs are the most commonly used.

FDA-approved prescription stimulants are available in immediate-release and extended-release formulas. Immediate-release medications are usually taken every 4 hours as required. They can cause an abrupt, short-term drop in energy, referred to as a crash when they wear off. The crash can cause extreme cravings, mood swings and fatigue. Immediate-release medications also can increase heart rate and blood pressure in some people, especially when they don't eat enough.

Extended-release medications are designed to release its active ingredients over 8-16 hours. This type of medication can be prescribed by a doctor in case you're seeking long-lasting relief from symptoms without taking pills frequently throughout the day. Ritalin Concerta and Focalin are all extended-release methylphenidate drugs. 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 often prescribed to adults suffering from ADHD who prescribes medication for adhd need daily doses that last longer than the immediate-release alternatives.

Stimulant medications don't solve Private adhd assessment medway, but they can assist in managing symptoms by improving the way neurons in the brain communicate with one other. By blocking or binding their receptors they can alter the levels of neurotransmitters, such as dopamine and norepinephrine in the brain. This allows for the release of more neurotransmitters, which improves the transmission and reception of messages between neurons.

Doctors may prescribe antidepressants in addition to stimulants to treat ADHD. The majority of antidepressants prescribed to treat ADHD affect the levels of dopamine and norepinephrine in your brain. Selective serotonin-reuptake inhibiters are a great option for those suffering from anxiety or depression. These medications are usually mixed with stimulants to increase their effectiveness. Other reasons why your doctor may switch between non-stimulant and stimulant medications is if your current medication isn't working or it causes intolerable side effects.

Long-acting

About 70 to 80% children and adults with ADHD benefit from stimulants. They can reduce symptoms such as the tendency to fidget and talk over others. They can also improve social skills and job performance.

The stimulant medication starts working when it crosses the blood-brain barrier, which takes 45-60 minutes. They increase norepinephrine and dopamine levels between brain cells, which reduces the impulsivity and hyperactivity. The FDA-approved stimulant medications contain two molecules called methylphenidate (Adderall, Ritalin, Vyvanse, Concerta) and amphetamine (Ritalin, Adderall XR, Vyvanse XR). These stimulants can cause adverse effects such as stomach upset, decreased appetite, elevated heart rate and blood pressure as well as headaches, anxiety or nervousness. They can also cause tics to become worse and cause sleep issues in some people.

Long-acting stimulants like Strattera or Wellbutrin, can doctors prescribe adhd medication be used all day and night. Short-acting medicines only last for a short period of time. They can also help with other conditions such as anxiety or depression.

These medicines work by altering the ways your body regulates chemicals known as monoamine oxidases. Monoamine oxidases break down dopamine inside the brain and other neurotransmitters. When these chemicals aren't eliminated and remain in your body for longer, which affects your thinking and behavior. Long-acting medications can have fewer side effects, and your doctor will prescribe them in smaller doses that you take throughout the day.

Some stimulants are available in extended release form that you can consume once every day. Some adults might find this more convenient however, it is important to be sure to take your stimulants each day.

SSRIs and other medicines have shown to be effective in treating generic adhd medications in many adults. These are usually prescribed for anxiety or depression however they can also be prescribed for ADHD and 70% of people react. Bupropion (Wellbutrin) is another SSRI that has been approved for ADHD and has been shown to be more effective than placebos in a controlled study. These SSRIs can cause serious side effects such as ringing in the ears anxiety, changes to vision and heart and lung function in some individuals.

Short-acting

Stimulant medications work to reduce ADHD symptoms by increasing the levels of dopamine and norepinephrine in the brain. These two chemicals help people manage their behavior and stay focused. They are available in numerous forms, and each has its own brand name such as Adderall, Vyvanse, Ritalin and Concerta. There are two major types of stimulant drugs: the methylphenidates (such as methylphenidate) and amphetamines (such as dextroamphetamine). They have the same effects, however their duration of action varies. The methylphenidates have a shorter-lasting effect, lasting for up to three hours. Amphetamines on the other on the other hand, have a longer-lasting impact.

Some people are better in their ability to take long-acting stimulant medication than those with short-acting stimulants which is why your doctor may prescribe this kind of drug. It is crucial to learn as much as possible about the medication. This includes any side effects, how frequently it should be taken and any warnings. This will allow you to work with your physician in determining the appropriate dosage and medication for you.

It is important to know that these drugs can cause certain negative side effects, including difficulty sleeping or loss of appetite. If these happen consult your physician about altering the dosage or using different medications.

Adults with ADHD who do not respond well to stimulants could be treated with non-stimulant drugs, which take longer to get started but can improve the ability of a person to pay attention and manage impulses. These drugs may be prescribed either alone or in combination.

The first is atomoxetine (brand names Strattera and Qelbree), which is a stimulant of norepinephrine and dopamine in the prefrontal cortex which regulates the behavior. Guanfacine, also referred to as Intuniv is part of the class of drugs known as alpha-agonists. These work by blocking the release of these brain chemicals, and increasing their level in the bloodstream. Guanfacine, originally developed to treat high blood pressure, has now been proved to be effective in treating ADHD.

Combinations

There are a number of drug combinations used by people with ADHD. These include stimulants and depressant drugs such as the guanfacine or clonidine. These drugs can have a calming effect on the brain, and can decrease symptoms like sleeplessness and aggressive behavior. They also help to prevent withdrawal symptoms from stimulants. However, this combination could be risky if used correctly. Combining two stimulants at same time increases the risk of developing serotonin syndrome, an emergency drug that occurs when the body has too much serotonin. This combination can also raise the blood pressure and heart rate. Heart disease sufferers or those with high blood pressure are at higher chance of experiencing adverse reactions from this drug.

Combinations of stimulants are more and more being used by teenagers and young adults. These substances, which are sold in pharmacies, are referred to by the term "legal highs". They are also sold on the black market. These substances are extremely dangerous particularly when they are combined with alcohol or other drugs. Polydrug use can be dangerous. Mixing drugs can have dangerous and unpredictable consequences. They include an increase in heart rate, reduced respiration, hallucinations, and paranoia.

A study found that combination therapy was more effective than monopharmacotherapy when treating ADHD. Combining medications increased adherence and helped patients achieve better relief from symptoms than monotherapy. Many patients, however, stopped their treatment due to side effects. In a few cases the medication was stopped because of sleep problems or worsening tics. This could be the result of a poor diagnosis or lack of access to medication.

Nonstimulants can also be used to treat ADHD. These medications can be effective in enhancing the ability to focus and impulse control however, they do not perform as well as stimulants. They are less likely to inhibit appetite and increase. Some antidepressants can also be prescribed for ADHD. However, they have a smaller chance of improving focus and concentration.

In a number of studies, in a number of studies, atomoxetine (Concerta) in combination with methylphenidate, produced better results than any drug on its own. Combining the two drugs was shown to increase adherence and reduce side effects in most people. The combination was beneficial for adolescents and young adults. This combination may be a viable option for children with severe ADHD.Royal_College_of_Psychiatrists_logo.png