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ADHD Medications For Adults If you have been diagnosed with ADHD in your adulthood The initial treatment will likely include medication. The stimulants increase concentration and decrease the impulsivity and hyperactivity. Long-acting formulations should be chosen since they offer continuous relief and help prevent negative side effects (such ringing in ears or changes in vision). Psychotherapy can also help you manage symptoms. Therapy can help you develop new skills to cope with ADHD and improve your relationships, and achieve stability at work or in your home life. Long-acting stimulant formulations The drugs in this class enhance attention, focus and reduce impulsivity via an increase in the levels of dopamine and norepinephrine. These are the main chemicals that control the pre-frontal cortex, also known as the “secretary's” or “executive function” area of the brain. This is important, because this area is responsible for your ability to plan, organize and execute. It helps you prioritize tasks, stay on task and keep your emotions under control. Stimulants, the most common medication prescribed for ADHD are available in various dosages and forms. The medication your doctor prescribes is dependent on your symptoms, health history and other factors. Some of the more common long-acting stimulant formulations include methylphenidate/amphetamine (Concerta), methylphenidate/amphetamine/dextroamphetamine (Metabolite CD), methylphenidate/amphetamine/dextroamphetamine/dextromethorphan (Ritalin-LA) and methylphenidate/amphetamine/dextroamphetamine/dextroamphetamine/amiloride extended-release (Adderall XR). These stimulants with long-acting properties have various time-action profiles, which allow physicians to choose the drug that is best for each patient. For example, if a patient struggles in the morning, a long-acting methylphenidate/amphetamine/dextroamphetamine formulation may be beneficial because it provides an effect for up to 8 hours. In addition, many of these formulations have a lower risk of adverse effects like sleepiness or stomach upsets than shorter-acting medicines. They do not increase blood pressure or heart rate in the same way as stimulants that are fast acting which is beneficial for people with heart problems. One other exception to the above is the AMP salts in Adderall, which can increase heart rate and blood pressure somewhat. Your physician can monitor these levels to ensure that they remain safe. There are other drugs that treat ADHD without stimulating the nervous system, like the guanfacine drug and clonidine. They take longer to begin working than stimulants, however they are less likely to be misused. They are not as good at improving focus and attention however, they can help reduce impulsivity and hyperactivity. They are available in a variety of doses and forms that include extended-release tablets as well as capsules. A long-acting clonidine medication, Intuniv, is approved for adults and is able to be used in conjunction with other forms of treatment, such as behavioral therapy. Remember that any medication is only a tool. Behavioral therapy is also crucial to help you manage your ADHD. Guanfacine or Clonidine Guanfacine as well as clonidine are both central alpha-2 agonists, which are FDA-approved for high blood pressure, but are also used “off label” to treat ADHD. They operate by stimulating both alpha-2 receptors that are preand post synaptically. The medication decreases sympathetic nerve impulses from the blood vessel and heart to the vasomotor center and results in a reduction in heart rate and peripheral resistence. It can aid in reducing the core symptoms of ADHD such as hyperactivity and impulsivity. It can also help reduce the tics associated with Tourette Syndrome and other tic disorders. It can be used as a stand-alone drug or in conjunction with stimulants. In the study of preschoolers with ADHD, 78 percent of those taking stimulants alongside guanfacine saw improvements in their symptoms. These drugs have a longer half-life than stimulants, which means they remain in the body for a period of up to 24 hours. They are also less likely to cause sedation or insomnia. They can be purchased as tablets, or as an application on the skin. The patch is a good option for people who forget to take their pills or don't like taking them by mouth. It is very important to take these medications exactly as prescribed. If the dosage is too low, the medication won't be efficient. If the dosage is too high, you may see a significant drop in blood pressure. People suffering from heart disease or low blood pressure could be at risk in the event that the dose is too high. Clonidine and Guanfacine were created in the past to treat hypertension. Both are approved for use by adults and can be taken as a single or in combination with stimulants. They can also be used to reduce anxiety symptoms in patients suffering from ADHD that may interfere with concentration. Clonidine is also used to treat sleep issues related to ADHD. It doesn't affect appetite, which can be beneficial for those who are struggling with weight issues. Clonidine and Guanfacine both work in treating the main symptoms of ADHD, according to studies. They can be taken alone or in combination with a stimulant, and both are less likely to cause adverse effects than other drugs. add adhd medications is particularly effective in reducing the severity of tics associated with Tourette syndrome and other disorders causing tics. It is not as effective in reducing the symptoms of inattention that are associated with ADHD however. Ritalin Methylphenidate, known generically as Ritalin, is a stimulant of the central nervous system that has the potential to reduce the most frequent symptoms of ADHD. It can help improve concentration, stop fidgeting, and reduce impulsive behaviour, while also boosting the ability of an inattention person to focus. It is often used in conjunction with other treatments, like behavioral therapy. The effects of Ritalin are not severe and generally disappear once your body adjusts to the medication. It is available as tablets that release immediately (small doses that are taken 2 to 3 times a day) or extended-release capsules, such as Focalin XR, which are taken once daily in the morning with the dose released throughout the day. Focalin XR has the advantage of having only the right-handed variant of the methylphenidate molecule, which reduces side effects, in comparison to other formulations that contain both the left and right-handed versions of the molecule. Other methylphenidate medicines include chewable tablets and short-acting tablets, which are typically taken twice a day and last for approximately four hours, and the long-acting tablets or solution (Lisdexamfetamine). They are typically prescribed to teenagers and children who are older than 5 and can be given to adults if six weeks of treatment with methylphenidate not been able to resolve symptoms. All forms of methylphenidate are linked to serious heart problems for some people. Anyone with a history cardiovascular disease should not use methylphenidate. It can also affect the flow blood through your fingers and toes and cause more rapid heart rate in some people. It may interact with other medications such as blood thinners or anticholinergics. It is important to discuss a complete list of prescription and non-prescription medications you take with your doctor. They can then look for possible interactions. Another alternative is a non-stimulant drug called Strattera is available, and can be prescribed to people with ADHD. It regulates dopamine levels, and does not cause the same side-effects as stimulant medications. It can take longer to work than other treatments, but is believed to be a good choice for adult patients who do not want to use stimulant medications. Adderall Adderall is a stimulant drug which increases the activity in certain brain areas. It helps people control their behavior and focus, and also manage hyperactivity. It also affects how the brain releases chemicals, including dopamine and serotonin, so it could improve mood. People who have ADHD typically have lower levels of these substances, which contributes to their excessive activity and inability to manage their emotions. This is why some adults with ADHD are not responsive to medications. If used as directed, Adderall is not considered to be a habit-forming drug and is not a cause of dependence. Adderall is not completely safe, and any side effects may require medical attention. Consult your physician for any concerns or questions. Adderall overdose symptoms include restlessness, muscle twitching and a higher heart rate. They can also cause hallucinations, confusion, and agitation. If you experience any of these symptoms you should seek medical attention immediately. Adderall is not recommended to be taken together with other medications that affect mood, like antidepressants and depression medications. These medications can increase the risk of serious side effects like seizures or death. This medication is not recommended for children who are under 12 years old. Stimulant medication can cause trouble sleeping. You can reduce this side effect by limiting caffeine consumption and screen time (e.g., TV or video games) prior to the time you go to bed. You can also take an aid to sleep such as melatonin. Another option is to switch to a more powerful formulation of the drug, such as extended-release Adderall. This will reduce the “rebound” effects that occur in the evening or late afternoon when the medication wears off. Many adults suffering from ADHD use tablets that release immediately in the morning to supplement the long-acting medication. Many people who don't have ADHD utilize stimulants such as Adderall in order to feel more alert and energetic. This can lead to magical beliefs about the medication and its power. Certain of these beliefs could even cause addiction. Additionally the use of Adderall for non-medical reasons can raise the risk of a positive drug screening test for amphetamines.