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treating adhd in adults For ADHD
The main treatments for adding are medication and psychosocial therapy (psychotherapy). Medications can include stimulants like amphetamine and methylphenidate, and nonstimulants like atomoxetine, viloxazine, guanfacine, and clonidine. Stimulant medications should not be used in patients who have active substance abuse problems but they are a possibility for those who are in stable recovery. Combination therapy with antidepressants (particularly SSRIs) is also an option. Stimulants Stimulants increase the levels of dopamine and norepinephrine that are released between brain synapses. This improves concentration and reduces hyperactivity as well as impulsivity. The majority of doctors prescribe medications from the stimulant class to treat ADHD. They might prescribe methylphenidate (Concerta or Ritalin), or amphetamines. They are both similar drugs. The type of medicine prescribed depends on the biochemistry of each individual and how they respond to it. It could take anywhere from five to seven days before the full effects of the medication are evident. Improvements in concentration, improved memory, better sleep, and a decrease in impulsivity are all signs that the medicine is working. Some of the side effects can include a decreased appetite, difficulty sleeping and an increase in blood pressure and heart rate. Some people with a medical condition, such as high blood pressure or heart disease, should not use these medications. These are highly controlled drugs with the potential for misuse. Only paediatricians or psychiatrists, or in some cases general practitioners, may prescribe stimulants. You can find them in the form of pills, tablets, patches that go on the skin or in liquids. Children and adolescents who are dependent on stimulants are often afflicted by weight loss and eating disorders. They may also experience disorders when the dose is too high. In this instance, the doctor will reduce the dosage to prevent the drug from causing more symptoms. About 70% to 80% children and adults with ADHD are treated with stimulant drugs. The majority of children and young people find that their symptoms improve with treatment. This is particularly relevant for children who have parents, teachers, or caregivers that can report improvements. Early use of stimulants may lower the risk of developing substance use disorders in later life. Wilens Katusic, Wilens, and colleagues81,82, and Biederman and colleagues83 discovered that the use of stimulants reduces the risk of acquiring substance addiction disorders during adolescence. However this protective effect fades by early adulthood.