Five Things You Don't Know About ADHD Stimulant Medication
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ADHD Stimulant Medication
Stimulant drugs are the first line treatment for ADHD. They have a track record of a strong response, good tolerance, and safety throughout the lifespan.
It is important to choose the right medication and dosage that relieves your child's or your own symptoms without causing side adverse effects. It can take a lot of trial and error, as and a clear communication with your physician.
Stimulants
Stimulants are substances that enhance the activity of the central nervous system. Students, workers, athletes, artists and other people use them to boost their performance and cognitive abilities. They also serve to treat attention deficit hyperactivity disorder (ADHD) as well as narcolepsy, binge eating disorder, and some anxiety disorders. Amphetamines, methylphenidates, and other stimulant medications are among the most common.
FDA-approved prescription stimulants are available in immediate-release and extended-release formulas. Immediate-release pills are usually taken every 4 hours. They can trigger an abrupt, short-term drop in energy, referred to as a crash after they are worn off. The crash can cause extreme craving, mood swings and fatigue. Instant-release medication can also increase blood pressure and heartbeat in some people. This is especially the case when they don't consume enough food.
Extended-release medicines are designed to release active ingredients over a period of 8-16 hours. Your doctor may suggest this type of medication if you are looking for long-lasting control of symptoms without having to take a pill multiple times a day. Ritalin Concerta and Focalin are all extended-release methylphenidate medications. Another option is the long-acting methylphenidate patch called Daytrana which adheres to the skin as a band-aid and lasts for the entire day. This type of medication is available to adults suffering from ADHD and require daily doses that last longer than immediate-release alternatives.
Stimulant medication doesn't treat ADHD, but they can assist in managing symptoms by enhancing the way that neurons in the brain communicate with each with each other. They accomplish this by altering the levels of neurotransmitters within the brain, including dopamine and norepinephrine. They do this by blocking or binding to their receptors. This allows more neurotransmitters to be released, and assists in ensuring that messages between neurons are more effectively transmitted and received.
Doctors may prescribe antidepressants in addition to stimulants to treat ADHD. The majority of the antidepressants doctors prescribe for ADHD affect the levels of norepinephrine serotonin, and dopamine in your brain. One group, known as selective serotonin reuptake inhibitors is a great option for people 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 drug if your current medication isn't effective or causes an unacceptable side effect.
Long-acting
Stimulants can help 70%-80 percent of adults and children with ADHD. They can reduce symptoms such as the tendency to fidget and talk over others. They also enhance social skills and job performance.
Stimulant medications start working once they pass through the blood-brain barrier which can take anywhere between 45 and 60 minutes. They increase the levels of dopamine and Norepinephrine between brain cells which reduces hyperactivity and impulseivity. The FDA-approved stimulant medications contain two molecules called Methylphenidate (Adderall, Ritalin, Vyvanse, Concerta) and amphetamine (Ritalin, Adderall XR, Vyvanse XR). Stimulants can cause side reactions that include stomach upset and weight loss, an increase in blood pressure and heart rate headaches, as well as anxiety or nervousness. They can also cause tics to become worse and cause sleep problems in certain people.
Long-acting stimulants, like Strattera or Wellbutrin, are effective all day and night. Short-acting medications are only effective for a few hours. They can also aid with other disorders like anxiety or depression.
The medications affect the way that your body regulates chemical called monoamine oxidases. Monoamine oxidases break down dopamine in the brain, along with other neurotransmitters. When these chemicals aren't broken down into smaller pieces, they remain in your body for longer and can affect your thinking and behavior. Long-acting medication can have fewer negative effects. Your doctor will 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. Adults may find this more convenient however, it is important to keep in mind to take the stimulants every day.
Other medications have been found to be effective in treating many adults with ADHD, including selective serotonin reuptake inhibitors (SSRIs). These are usually used to treat anxiety or depression, but they can also be prescribed for ADHD and around 70% of people are able to 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 cause serious side effects, such as hearing ringing, anxiety, and changes to vision and lung and heart function in certain people.
Short-acting
Stimulant medications work to reduce ADHD symptoms by increasing dopamine and norepinephrine levels in the brain. These two chemicals assist people to manage their behavior and stay focused. They are available in numerous forms, and each comes with their own brand name such as Adderall, Vyvanse, Ritalin and Concerta. There are two major kinds of stimulant drugs amphetamines and methylphenidates. All have similar effects, click here however their duration of action is different. The methylphenidates may have a shorter-lasting effect lasting as long as three hours. Amphetamines, on the other on the other hand, have a longer-lasting impact.
Some people tolerate stimulant medications better than others, and your doctor might prescribe them. It is important to learn everything you can about the medication and its potential side effects, how often it should be taken, and any warnings specific to the medication that should be followed. This will help you and your doctor to determine the best medication for you.
These medications may also cause adverse side effects, such as difficulty sleeping or a loss of appetite. If these happen consult your physician about changing the dosage or attempting different medications.
Adults with ADHD who do not respond well to the stimulants might be treated with non-stimulant medicines, which take longer to get started but improve a person's ability to concentrate and control impulses. These drugs can be prescribed alone or in conjunction with stimulants.
The first is atomoxetine (brand names Strattera and Qelbree) that works by increasing norepinephrine and dopamine levels in the prefrontal cortex, which controls behavior. Another is guanfacine (brand name Intuniv) that belongs to a class of medications called alpha agonists. These work by blocking the release of brain chemicals and increasing their level in the bloodstream. Guanfacine was created to treat high blood pressure but it has also been proven to aid people suffering from ADHD.
Combinations
There are a variety of combinations of drugs used by those suffering from ADHD. These include stimulants combined with depressants like Guanfacine or Clonidine. These drugs can have a calming effect on the brain and can reduce symptoms like sleeplessness and aggressive behavior. They also aid in preventing withdrawal symptoms that can result from stimulants. However, this combination can be dangerous if not used correctly. Serotonin Syndrome is a drug emergency which occurs when there is too much serotonin in the body. This combination can also raise the heart rate and blood pressure. The risks of using this medication are more pronounced for those who have pre-existing conditions like high blood pressure or heart disease.
Combinations of stimulants are more and more being used by teenagers and young adults. These drugs, which are sold in pharmacies, are sometimes referred to by the term "legal highs". They are also sold on the black market. These substances can be hazardous, especially when combined with alcohol or other drugs. The use of polydrugs can be hazardous. Mixing drugs can cause unpredictably harmful effects, such as increased heart rate, slowed breathing, hallucinations, paranoia seizures, addiction and hallucinations.
A study found that combination therapy was more effective than monopharmacotherapy for treating ADHD. Combining medications improved compliance and allowed patients to get better relief from symptoms than monotherapy. Many patients, however, quit their treatment due to adverse effects. In some instances, the medication has been removed due to sleep issues or worsening of tics. This could be due to a poor diagnosis or lack of medication.
Nonstimulants are also used to treat ADHD. These drugs are effective in improving attention span and impulse regulation however they are not as effective as stimulants. They are less likely to suppress appetite and increase. Certain antidepressants may also be prescribed for ADHD. However, they have a smaller chance of improving concentration and focus.
In a variety of studies, the atomoxetine (Concerta) when combined with methylphenidate, gave better results than either drug on its on its own. Combining these two medications was found to increase adherence and reduce adverse effects in the majority of people. The combination was effective for adolescents and young adults. This combination could be a viable alternative for children suffering from severe ADHD.