Quiz: How Much Do You Know About ADHD Stimulant Medication?
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ADHD Stimulant Medication
Stimulant medications are the first treatment of choice for ADHD. They have a long history of a strong response, good tolerance, and safety throughout the life span.
It's crucial to find the right dosage and medication that alleviates the symptoms of your child or yourself without side negative effects. This usually requires a lot of trial and error, as well as open dialogue with your doctor.
Stimulants
Stimulants are drugs which increase the activity of the central nervous system. They are widely used as performance enhancement and cognitive enhancers by students, athletes artists, workers, and students. They are also used in treating attention deficit hyperactivity disorders (ADHD), binge eating disorder and some anxiety disorders. The most commonly used stimulant medications are methylphenidates and amphetamines.
FDA-approved prescription stimulants are available in extended-release and immediate-release formulas. The immediate-release medications are typically taken every 4 hours. They can cause a sudden, short-term decrease in energy known as a crash when they have worn off. The crash can cause extreme hunger, mood swings, and fatigue. Immediate-release medication can also increase blood pressure and heart rate for some people, particularly when they don't eat enough.
Extended-release medications are designed to release active ingredients over the course of 8-16 hours. Your doctor might suggest this kind of medication if your goal is long-lasting symptom control without having to take a pill several times a day. Methylphenidate medications in the extended-release category include Ritalin, Concerta, and Focalin. Daytrana is a long-acting methylphenidate product that sticks to your skin like a bandage and lasts the entire day. This kind of medicine is available to adults with ADHD and need a daily dosage that lasts longer than immediate-release options.
Stimulant medications don't cure ADHD However, they can aid 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 in the brain, including dopamine and norepinephrine, by blocking or binding to their receptors. This allows more neurotransmitters be released, and it helps messages between neurons be more effectively transmitted and received.
In addition to stimulants, doctors may prescribe antidepressants to treat ADHD. The majority of antidepressants doctors prescribe for ADHD affect the levels of norepinephrine, dopamine and serotonin in your brain. One class, referred to as selective serotonin reuptake inhibitors is a great option for people suffering from depression or anxiety, too. These medications are often combined with stimulants to enhance their effectiveness. Your doctor can switch between stimulant and non-stimulant drug if your current medication isn't effective or causes an unacceptable side effects.
Long-acting
Stimulants aid in the treatment of 70% to 80 percent of adults and children with ADHD. They help reduce symptoms such as fidgeting, over-talking and losing focus during conversations or tasks. They also help improve social skills and job performance.
The stimulant medication starts working once it has crossed the blood-brain boundaries, which takes 45-60 minutes. They increase the levels of dopamine and Norepinephrine within brain cells, which reduces the intensity of impulses and hyperactivity. FDA-approved stimulant medication uses one of two molecules, methylphenidate, (Adderall Ritalin Vyvanse Concerta) or amphetamine (Ritalin Adderall XR Vyvanse Vyvanse). Stimulants can cause side effects such as stomach upset and decreased appetite, elevated heart rate and blood pressure headaches, as well as anxiety or nervousness. They can also cause tics to become worse and trigger sleep problems in certain people.
Long-acting stimulants, like Strattera or Wellbutrin, work both at night and day. Short-acting medicines only last for a short period of time. They can also be used to treat other conditions such as anxiety or depression.
These medicines work by altering the way your body regulates chemicals called monoamine oxides. Monoamine oxidases, or enzymes, break down dopamine as well as other neurotransmitters inside the brain. These chemicals remain in the body longer if they are not broken down. This can impact your behavior and even your thinking. Long-acting medication can have fewer adverse effects. Your doctor may prescribe it in smaller doses, which you can take throughout the day.
Certain stimulants are available in extended-release forms that you take daily. Some adults might prefer this method however, you must keep in mind to take the stimulants every day.
SSRIs and other medications have shown to be effective in treating ADHD in many adults. These are usually prescribed 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 proven to be more effective than placebos in one controlled study. These SSRIs can cause serious side effects, such as hearing ringing anxiety, changes to vision and heart and lung function in certain people.
Short-acting
The stimulant drugs work to reduce ADHD symptoms by increasing dopamine and norepinephrine levels in the brain. These two chemicals help people control their behavior and focus. 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 types of stimulant medicines amphetamines, methylphenidates, and methylphenidates. All have similar effects but differ in the length of their action. The methylphenidates produce a less lasting effect, lasting as long as three hours. Amphetamines on the contrary are more effective.
Some people are better at absorbing long-acting stimulant medication than short-acting medications, so your doctor may prescribe this type of medication. It is crucial to know all you can about the drug and its potential side effects, how often it should be taken and any warnings specific to the medication that should be followed. This will allow you to work with your physician in figuring out the right medication and dose for you.
These medications may also cause adverse side effects, such as insomnia, or a loss of appetite. If these occur consult your physician about altering the dosage or using another drug.
Adults suffering from ADHD, who do not respond to stimulants well can be treated with non-stimulant drugs. These medications take longer to effect but they improve the capacity to pay attention and to control impulses. These medications can be prescribed as a stand-alone or in combination with stimulants.
The first of these is atomoxetine (brand names Strattera and Qelbree) that increases norepinephrine as well as dopamine in the prefrontal cortex which regulates behavior. Another is Guanfacine (brand name Intuniv) is a member to a class of medications known as alpha agonists. They work by preventing the release of these brain chemicals and increasing their levels in the bloodstream. Guanfacine was developed for high blood pressure, but it also has been proven to aid people suffering from ADHD.
Combinations
There are many drug combinations used by people with ADHD. This includes stimulants paired with depressants like clonidine or guanfacine. These drugs may have a calming affect on the adhd medication for adults uk brain, and can reduce symptoms such as sleeplessness and aggressive behavior. They also prevent withdrawal symptoms from stimulants. This combination can be dangerous, however, when it is not utilized correctly. Serotonin Syndrome is a drug emergency which occurs when there is a high concentration of serotonin in the body. This combination can also raise the heart rate and blood pressure. People with heart disease or high blood pressure are at higher chance of experiencing adverse reactions from this medication.
Combinations of stimulants are now being used by teenagers and young adults. These substances are often called "legal highs" and are available at pharmacies. They are also sold on the black market. These substances can be dangerous, especially if combined with alcohol or other substances. Polydrug use can be dangerous. Mixing drugs can have unpredictability and negative effects. This includes an increase in heart rate, slowed respiration, paranoia and hallucinations.
A study showed that combination therapy was more effective than monopharmacotherapy when treating ADHD. Combining medication increased compliance and allowed patients to get better relief from symptoms than monotherapy. A majority of patients, however, were unable to continue treatment due side effects. In a few instances, the medication was discontinued due to sleep issues or worsening tics. This could be because of a poor diagnosis, or a inaccessibility to medications.
Nonstimulants can also be 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 also less likely to inhibit growth and alter appetite. Certain antidepressants are also prescribed for ADHD, but they have a less chance of enhancing concentration and focus.
In several studies, in a number of studies, atomoxetine (Concerta) when combined with methylphenidate, gave better results than either drug on its on its own. Combining these two drugs improved the adherence of patients and decreased the risk of adverse reactions for a majority of people. The combination was beneficial for young adults and adolescents. This combination could be a feasible option for children suffering from severe ADHD.