Speak Yes To These 5 ADHD Stimulant Medication Tips
ADHD Stimulant Medication
Stimulants are drugs that aid those suffering from ADHD focus and control their impulsive behaviour. They are either short-acting, or long-acting, and are prescribed by neurologists, paediatricians, or psychiatrists (and in some cases GPs).
Stimulants alter the levels of dopamine and norepinephrine in the brain. They are tightly controlled and are only prescribed by a physician.
Methylphenidate
Methylphenidate is part of the stimulant family and increases brain activity. It increases the levels of certain chemicals, such as dopamine and noradrenaline. This helps control attention and behavior. Methylphenidate can be used to treat ADHD as well as narcolepsy and other conditions. It is also prescribed for depression in adults. However, it isn't regulated or approved by the Food and Drug Administration. Methylphenidate gets absorbed from the gut into the bloodstream swiftly and is effective within a matter of hours. It is available as a chewable or immediate-release tablet. The doctor will recommend the most appropriate dosage based on the patient's symptoms and risk of side effects.
The side effects of methylphenidate tend to be mild and will go disappear over time as the body gets used to the drug. If they are persistent, talk to your doctor who will lower the dose or try an alternative medication. It is crucial to take the medication exactly as prescribed. Don't exceed the recommended dosage. This reduces the risk of abuse or addiction. The US Drug Enforcement Administration has classified the drug methylphenidate as a Schedule II substance, which means it is extremely vulnerable to abuse. The stimulants can lead to dependence and withdrawal if not taken in the manner prescribed by a doctor.
It's important to tell the doctor that your child is suffering from heart problems, such as an irregular heartbeat or a history of a heart attack. Methylphenidate can increase the rate of heartbeat and that's why the doctor will examine their blood pressure and heart rhythm before they start treatment. Inform the doctor about any other medications your child takes such as herbal remedies, vitamins and supplements.
The doctor will tell you how much medicine to take and how often, in addition to any other precautions. Methylphenidate is typically taken two times in the day, along with a meal. Certain brands of long-acting methylphenidate tablets (Quillichew ER; Cotempla XR with -ODT and Adhansia XR), contain aspartame. Aspartame is a major source of phenylalanine, and should not be taken by people suffering from phenylketonuria.
It is important to stay clear of drinking alcohol or other substances while taking this medication. Some sufferers may experience a decrease in appetite when taking methylphenidate. Encourage your child to consume regular meals and snacks in case they are losing weight. They may also need to drink lots of squash or water to stay well-hydrated.
Lisdexamfetamine
Lisdexamfetamine is a central nervous system stimulant, sold under the name Vyvanse. It affects chemicals found in the brain and nerves. It improves impulse control and concentration in children, adolescents and adults with ADHD. It treats binge-eating disorder (BED) in addition to increasing dopamine and norepinephrine levels in the brain. This reduces uncontrolled eating.
Lisdexamfetamine is a member of the prodrug class of medications that are modified to make them inactive until they are metabolized by the body.27 It has been shown to be safe and well-tolerated in a number of placebo-controlled studies, showing efficacy in both stimulant-naive as well as stimulant-exposed patients with ADHD. It is also believed to provide a longer-lasting effect than other stimulants and could have less rebound symptoms.
In a 12-week trial that was controlled by placebo, Adler et al27 found significant improvements in ADHD-RS-IV scores. They also reported that most of those who changed to placebo had a relapse within 2 weeks.28 In addition, Brams et al29 used an innovative method for a randomized withdrawal study in which they followed 116 adults for 12 weeks after stopping treatment with lisdexamfetamine. They found that the majority of patients who relapsed weren't exposed to any other stimulants during the two weeks preceding.
It is important to tell your doctor if you have any allergies to this medication or any other medications. Inform your doctor if you suffer from high blood pressure, heart issues, or other heart conditions. Stimulants can increase the risk of heart attacks, or sudden deaths for people suffering from these conditions.
Lisdexamfetamine can be absorbed into breast milk and harm a nursing baby. You should not breast-feed while taking this medication. This medication can cause dizziness, shakiness or stomach upset in certain individuals. Lisdexamfetamine is not approved for use by children less than six years of age. Lisdexamfetamine cannot be used by women who are nursing or pregnant. It is not recommended to stop taking this medicine unless your doctor tells you to even when you feel better. While you're taking this medication the doctor will monitor your blood pressure and pulse rate.
Atomoxetine
Atomoxetine, also known as Strattera, is a nonstimulant which works by blocking the presynaptic receptors of norepinephrine. It has high specificity for this transporter and minimal affinity for other neurotransmitter transporters or receptors [115, 136136). In a variety of placebo-controlled studies it enhanced inhibition control in ADHD patients by reducing the overactivation of the right inferior frontal cortex (Chamberlain and co. 2009). It has also been shown to improve working memory and the ability to focus in children with ADHD. It has a slow onset of action and can take up to 12 weeks for the full effect to be evident. The dose is based on weight and should be increased gradually. A daily dose of one hour is common. The drug's poor metabolizers cytochrome P450 2D6 (CYP2D6) are more exposed and slower elimination of atomoxetine. the pharmacogenetic test is recommended prior to prescribing atomoxetine to these individuals.
In several controlled studies, it has been shown that it can be effective in decreasing symptoms of ADHD. It is typically utilized as the first line treatment. It is generally safe and well-tolerated and does not increase the risk of suicidal behaviour. adhd medication isn't as effective in reducing anxiety or tics as stimulants, and does not seem reduce sleep issues. However it has been proven to increase aggression in some children. Atomoxetine is also more likely to interact with the antidepressant fluoxetine, and therefore they should not be taken together [115, 137].
Two other medications that are sometimes prescribed as a first-line treatment option for ADHD are Clonidine (Catapres, Kapvay) and Guanfacine (Tenex, Intuniv). These medications were originally designed to lower blood pressure in adults. These drugs are alpha agonists. They work by stimulating receptors in the mind to release norepinephrine neurotransmitter which can decrease hyperactivity and impulsivity. These drugs have a long onset of action, and most children will require between two and four weeks before seeing any benefits from them. They are also not recommended to be used with MAOIs, e.g. Phenelzine is not recommended due to the risk of serious and potentially fatal adverse events, such as severe hypothermia and rigidity myoclonus and autonomic instabilities.
Other Stimulants
Stimulants are substances that increase activity in the nervous system. They include a wide variety of drugs that are legal and illegal. They are utilized for a variety of reasons, including performance enhancement, to stay awake or alert and to treat specific medical conditions, such as ADHD, depression, and narcolepsy. Examples of prescribed stimulants include amphetamines and methylphenidate. The term stimulant can also apply to nonprescription drugs like caffeine and certain diet pills that are used for a variety of reasons but may not be safe when taken together with other medications or certain foods.
Stimulants can trigger adverse effects, even if they are not habit-forming at the doses prescribed for treating ADHD. They can make some people feel shaky or jittery. They can cause an upset stomach and raise blood pressure.
Some children and teenagers who take stimulants can be prone to tics, repetitive movements or noises, such as eye blinking or throat clearing. They may also experience a minor slowing in growth.
A doctor will decide which stimulant is best for you or your child. They will also take into account factors like weight, age, and allergies. They will then prescribe the medication. Always follow the instructions of your doctor. You must study the Medication Guide that comes with the medication you are taking.
Medicines aren't the only method to treat symptoms of ADHD however they are usually the first course of treatment. Psychosocial interventions such as behavior modification and family therapy are also available to assist people of all ages who suffer from ADHD.
Patients who are taking prescription ADHD medication should be assessed for risk of misuse and abuse, and advised not to share their medication with anyone else. They should also be urged to keep any medication they no longer use away and properly disposed. Health care professionals should also frequently check and check patients for signs of misuse, abuse or addiction. The FDA is now requiring more consistent information to be included on drug labels to help inform patients and their families about these serious risks.