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ADHD Medications For Adults If you're diagnosed with ADHD as an adult, your first treatment is likely to be medication. The stimulants increase concentration and help manage impulsivity and hyperactivity. Long-acting formulas should be considered because they provide continuous relief and prevent side effects (such ringing in the ears or changes in vision). Medication can be helpful However, psychotherapy can help manage symptoms. Therapy can help you gain new skills to cope with ADHD, improve your relationships and find stability at workplace or in your private life. Long-acting stimulant formulations The medications in this class assist improve attention and focus and reduce impulsivity by increasing the levels of two neurotransmitters, dopamine and norepinephrine. These are the two most important chemicals that control the pre-frontal cortex region of the brain, which is commonly called the “secretary” or “executive functioning” area. This is crucial because this region controls how you plan, organize and execute. It's what helps you organize your tasks, stay on task and keep your emotions in check. Stimulants, the most popular medication prescribed for ADHD, come in different dosages and forms. The medication prescribed by your doctor is determined by your symptoms, health background 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). The various time-action profiles of these stimulants that last a long time allow physicians to select the most effective drug for the 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 side effects like sleepiness or stomach upsets compared to shorter-acting drugs. They do not increase blood pressure or heart rate as much as stimulants that are fast acting and are beneficial for people with heart problems. One exception to this are the AMP salts in Adderall, which can increase heart rate and blood pressure a bit. However, your physician can monitor your medication to ensure these levels remain safe. There are other drugs that help treat ADHD without stimulating the nervous system, including Guanfacine and Clonidine. They take longer to work than stimulants, but are less likely to be misused. They are not as good at improving focus and attention however they can help to reduce impulsivity and hyperactivity. They are available in a variety dosages and forms including extended-release tablets and capsules. A clonidine medicine that is long-acting, Intuniv, is approved for adults and can be combined with other types of treatment like behavioral therapy. It's important to remember that any medication you take is only a part of the process. Behavioral therapy is likewise essential to help you manage your ADHD. Guanfacine (clonidine) or clonidine Guanfacine and Clonidine are central alpha-2 agonists, which are FDA-approved for high blood pressure, but are they are also employed “off label” to treat ADHD. They function by stimulating alpha-2 adrenergic receptors that are preand post synaptically. The medication reduces sympathetic nervous impulses from the blood vessel and the heart to the vasomotor center and results in a decrease of heart rate and peripheral resistance. It can help improve the main symptoms of ADHD which include hyperactivity and impulsivity. It can also help reduce the tics related to Tourette syndrome and other tic disorders. It can be used as a stand-alone medication or in conjunction with stimulants. In a study on preschool-aged ADHD children 78% of those taking stimulants in conjunction with Guanfacine reported 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 are available as a tablet or a skin patch. The patch is a great option for people who fail to take their pills or don't like taking them by mouth. It is essential to take these medicines exactly according to the prescription. The medication won't be effective in the event that the dosage is too small. If the dosage is too high, it may lower your blood pressure too significantly. Heart disease sufferers or those with low blood pressure are at risk when the dose is too high. Clonidine and Guanfacine were developed in the past to treat hypertension. Both are approved for adult use and can be taken alone or together with stimulants. They can also be used to treat anxiety-related issues that can hinder concentration in people suffering from ADHD. Clonidine can also be used to treat sleep issues related to ADHD. It doesn't affect appetite, which is a plus for those who struggle with weight issues. Clonidine and Guanfacine are both effective in treating the primary symptoms of ADHD according to research. They can be used alone or in combination with stimulants. Both are less likely than other medications to cause adverse effects. Clonidine is particularly efficient in reducing tics caused by Tourette syndrome and other tic disorders. Clonidine is not as effective at reducing the inattention ADHD symptoms. Ritalin Methylphenidate is commonly referred to as Ritalin, is a stimulant of the central nervous system that can reduce many of the most common symptoms of ADHD. It can help improve concentration, stop fidgeting and reduce impulsive behaviour, while also boosting the ability of an inattention person to concentrate. It is often prescribed with other treatments, such as behavioral therapy. Ritalin can cause a variety of side effects, but they tend to be mild and disappear as your body gets used to the medication. It is available as tablets that are immediate-release (small doses taken twice to three times per day) or extended-release capsules called Focalin XR. They are taken once daily in the morning, with the dose released throughout the day. The extended-release capsules, called Focalin XR, contain only the right-handed methylphenidate molecules, which reduces the adverse effects when in comparison to other formulations. Other methylphenidate medications include chewable or short-acting tablets, which are generally taken two times a day and last approximately four hours, and the long-acting solution or tablet (Lisdexamfetamine). These are usually prescribed to teenagers and children over the age of 5 and can be given to adults if six weeks of treatment with methylphenidate have failed to help with symptoms. All forms of methylphenidate have been linked to serious heart problems for certain people. Anyone with a history heart disease should stay clear of methylphenidate. It can affect the flow of blood through your fingers and toes and cause higher heart rate in some individuals. It may interact with a number of other medications, such as anticholinergics, blood thinners, and certain anesthetics. It is important to discuss a complete list of prescription and non-prescription medications you take with your doctor. managing adhd without medication can then check for any possible interactions. Strattera is a nonstimulant drug is also available for adults suffering from ADHD. It regulates dopamine levels and doesn't cause the same negative side negative effects as stimulant medications. It could take longer to get the job done but it's considered an option that is safe for adult patients who don't want to use stimulant medication. Adderall Adderall is a stimulant medication that increases activity in certain areas of the brain. It helps people control their behavior and focus, and also manage hyperactivity. It may also improve mood by altering the way the brain releases chemicals, such as dopamine and sérotonin. People who have ADHD tend to have lower levels of these chemicals which can cause hyperactivity and inability to regulate their emotions. This is the reason why some adults with ADHD aren't responsive to medication. Adderall, when taken as directed, is not addictive and does not trigger dependence. Adderall is not without risk, and side effects could require medical attention. If you have any concerns or questions consult your physician. Signs of Adderall overdose may include restlessness muscles twitching, a rapid heart rate, hallucinations, confusion and anxiety. Get medical attention right away when you experience these symptoms: You should not take Adderall with other medications that affect your mood, like antidepressants or depression medications. Taking these drugs together can increase the possibility of serious side effects, such as seizures or even death. This medication is not recommended to children younger than 12 years of age. Stimulant medication can cause trouble sleeping. Try to minimize the effects of this by limiting caffeine and screen time (e.g. television, or video games) near bedtime. You could also consider a sleep aid such as Melatonin. You can also switch to a stronger formulation of the drug like Adderall extended-release. This will help prevent “rebound” effects in the late afternoon or evening as the medication wears down. Many adults suffering from ADHD supplement a dose of long-acting of the medication by taking an immediate-release pill that is taken in the morning. Some people with ADHD utilize stimulants like Adderall to feel a boost of mental energy or alertness. This can result in magical beliefs about the drug and its power. Some of these beliefs can even cause people to develop an addiction. Adderall taken for non-medical purposes can also increase the risk of an amphetamine test that is positive.