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Treatment For ADHD

The most common treatments for add are medication and psychosocial therapy (psychotherapy). These medications include stimulants like methylphenidate and amphetamine, and nonstimulants like atomoxetine, clonidine, guanfacine and viloxazine.

Patients with active substance abuse issues are not advised to take stimulant medication. However, those in stable remission might look into them. Combination therapy with antidepressants (particularly SSRIs) is also an option.

Stimulants

Stimulants boost dopamine and norepinephrine levels between synapses in the brain. This improves focus and reduces the intensity of impulses and hyperactivity. Most doctors prescribe stimulant drugs to treat treating adhd without medication. They might prescribe methylphenidate (Concerta or Ritalin), or amphetamines. They are both similar medications. The type of medicine prescribed will depend on the person's biochemistry as well as how well they respond to the drug. It could take up to seven days for the full effects of a drug to be apparent. Improved concentration, better memory, better sleep and reduced the tendency to be impulsive are all indications that the medication is working.

The medicines in this class may have adverse Long-Term Effects Of Untreated Adhd In Adults, including decreased appetite and trouble sleeping, and they may raise blood pressure and heart rate. Some people with an illness such as high blood pressure or heart disease should not use them. Stimulants are tightly controlled drugs with the potential for misuse. Only psychiatrists or pediatricians or, in some instances, general practitioners, can prescribe stimulants. They are available in the form of pills or tablets or patches that go on the skin, or in liquids.

Children and adolescents who take stimulants frequently experience problems with appetite and weight loss. They can also develop disorders when the dosage is too high. If this happens, the doctor may reduce the dosage to stop the drug from causing worsening of symptoms.

About 70-80% children and adults with adhd treatment medication are treated with stimulant drugs. The majority of children and adolescents report that their symptoms improve when treated. This is particularly true for those who have parents, teachers, or caregivers that can report improvements.

The early use of stimulants may reduce the risk of substance use disorders later in life. Wilens, Katusic, and colleagues81,82, and Biederman and colleagues83, found that stimulant therapy reduces the risk of acquiring substance use disorders in adolescence. However the protective effect diminishes as we enter early adulthood.