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ADHD Stimulant Medication Stimulant medications are the first-line treatment for ADHD. They have a long record of high response, excellent tolerability and safety across the lifespan. However, it's important to determine the appropriate medication and dosage that relieves your or your child's symptoms without side negative effects. This often takes lots of trial and error, as well as regular communication with your doctor. Stimulants Stimulants are medications that increase the activity of the central nervous system. Students and workers, athletes, artists, and others use these drugs to improve their cognitive performance and performance. They are also used in treating attention deficit hyperactivity disorders (ADHD) as well as binge eating disorder, and other anxiety disorders. The most commonly used stimulant medications are methylphenidates and amphetamines. FDA-approved prescription stimulants are available in both immediate-release and prolonged-release formulations. Immediate-release medications are usually taken every 4 hours as required. They can trigger sudden, temporary decrease in energy, referred to as a crash after they are worn off. The crash can trigger extreme hunger, 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 eat enough. Extended-release medication is formulated to release active ingredients over a period of 8 to 16 hours. Your doctor may suggest this kind of medication if you want long-lasting control of symptoms without having to take a pill several times a day. Methylphenidate products in the extended-release category include Ritalin, Concerta, and Focalin. Daytrana is a methylphenidate with a long-acting product that sticks to your skin like a bandage, and is able to last for the entire day. This kind of medicine can be prescribed to adults suffering from ADHD and require a daily dosage that lasts longer than immediate-release options. The use of stimulants does not cure ADHD but it can help manage the symptoms by improving the way neurons in the brain communicate. By blocking or binding their receptors they can alter the levels of neurotransmitters, like 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 often prescribe antidepressants addition to stimulants for ADHD. Most antidepressants doctors prescribe for ADHD affect the levels of dopamine and norepinephrine in your brain. Selective serotonin-reuptake inhibiters are a great choice for people suffering from depression or anxiety. These medications are usually combined with stimulants to enhance their effectiveness. Your doctor may switch between stimulant and a non-stimulant drug if your current medication isn't working or causes an unacceptable side effects. Long-acting Around 70% to 80% children and adults with ADHD benefit from stimulants. They can reduce symptoms like fidgeting, talking over others and losing focus during conversations or on tasks. They also help improve job performance and social skills. The stimulant drugs begin to work when they cross the blood-brain barrier which can take between 45 and 60 minutes. They increase norepinephrine and dopamine levels in brain cells, which reduces hyperactivity and impulsivity. The FDA-approved stimulant drugs contain one of two molecules called the methylphenidate (Adderall, Ritalin, Vyvanse, Concerta) and amphetamine (Ritalin, Adderall XR, Vyvanse XR). These stimulants can trigger side effects such as nausea, loss of appetite and increased blood pressure. They can also cause headaches and anxiety. They can also cause tics to become worse and may cause sleep problems in some people. Long-acting stimulants like Strattera or Wellbutrin, are effective day and night. adhd medication online -acting medications only last a few hours. They also aid in other disorders like depression or anxiety. These medicines work by altering the way that your body regulates chemical called monoamine oxidases. Monoamine oxidases, or enzymes, break down dopamine as well as other neurotransmitters inside the brain. When these chemicals aren't broken down and remain in your body for a longer time, which affects your behavior and mental state. Long-acting drugs can have lesser adverse effects, and your doctor may prescribe them in smaller doses that you consume throughout the day. Some stimulants are available in extended release form that you can consume once daily. This can be more convenient for some adults, however it's crucial to remember that you take them each day. Other medications have been proven to be effective for many people suffering from ADHD such as selective serotonin reuptake inhibitors (SSRIs). These medications are usually prescribed to treat anxiety or depression however they can also be prescribed for ADHD. Around 70% of people react to these medications. Bupropion, also referred to as Wellbutrin is an SSRI approved for ADHD. It was proven to be more efficient in a controlled research than placebos. These medications can cause serious side effects, such as the ringing of ears anxiety, and changes in vision, heart and lung function. Short-acting Stimulant medications work to reduce ADHD symptoms by increasing levels of dopamine as well as norepinephrine in the brain. These two chemicals help people control their behavior and focus. They are available in many forms, and each has its own brand name such as Adderall, Vyvanse, Ritalin and Concerta. There are two major types of stimulant medicines: the methylphenidates (such as methylphenidate) and the amphetamines (such as dextroamphetamine). They all have similar effects, but differ in their duration of action. The methylphenidates have shorter-lasting effects that can last for up to three hours, while the amphetamines provide longer-lasting effects. Certain people are more able to tolerate long-acting stimulant medications than short-acting medications, so your doctor may prescribe this type of medication. It is crucial to know all you can about the drug that you are taking, including the possible 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 physician determine the best medication for you. It is important to understand that these drugs can cause a few negative side effects, such as problems getting to sleep or losing appetite. If these occur consult your physician about adjusting the dosage or trying different medications. Adults suffering from ADHD who are unable to respond to stimulants well can be treated with nonstimulant medications. These medicines require longer time to work, but can improve the ability to pay attention and manage impulses. These drugs can be prescribed on their own or together with stimulants. Atomoxetine, also referred to as Strattera or Qelbree is the very first. It is a stimulant of dopamine and norepinephrine within the prefrontal cortex, which regulates behavior. Guanfacine, also known as Intuniv is part of the class of drugs known as alpha-agonists. These drugs work by preventing the reuptake process and increasing the amount of brain chemicals in the bloodstream. Guanfacine was originally designed to treat high blood pressure, has been proved to be effective in treating ADHD. Combinations People with ADHD make use of a variety drug combinations. This includes stimulants paired with depressants such as the guanfacine or clonidine. These drugs may be calming for the brain, and can reduce symptoms like sleeplessness and aggressive behaviour. They also aid in preventing withdrawal symptoms that can result from stimulants. This combination can be dangerous, however, should it not be used correctly. Combining two stimulants at simultaneously increases the risk of developing serotonin-related syndrome, an emergency drug that occurs when the body has too much serotonin. This combination can also raise the blood pressure and heart rate. 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 now being used by teenagers and young adults. These are commonly referred to as “legal highs” and are readily available at pharmacies. They are also sold on the black market. These substances are extremely dangerous particularly when they are they are combined with alcohol or other drugs. This is referred to as polydrug use, and can be extremely dangerous. Mixing drugs can trigger unpredictably harmful effects, including increased heart rate, slow breathing, hallucinations, paranoia seizures, addiction and hallucinations. A study concluded that combination therapy was more effective than monopharmacotherapy for treating ADHD. Combining medications helped improve adherence and allowed patients to achieve more relief from symptoms than monotherapy. Some patients, however were unable to continue treatment due side effects. In some cases, the medication has been discontinued due to sleep problems or worsening of tics. This could be because of a poor diagnosis, or a lack of access to medication. Nonstimulants are a different treatment option for ADHD. These medications can be effective in enhancing the ability to focus and impulse control, but not as well as stimulants. They are less likely to suppress appetite and increase. Some antidepressants can also be prescribed for ADHD. However they have a less chance of improving concentration and focus. Several studies have shown that atomoxetine and methylphenidate (Concerta) can be combined to yield better results than either drug on its own. Combining these two medications was found to increase adherence and decrease the risk of adverse reactions in a majority of people. The combination proved effective for young adults and adolescents. This combination could be a feasible alternative for children suffering from severe ADHD.