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Treatment For ADHD

The most effective treatment options for add are medications and psychosocial therapy (psychotherapy). The medications can include stimulants such as amphetamine and methylphenidate, as well as non-stimulants such as atomoxetine, viloxazine, guanfacine, and clonidine.

Patients with active substance abuse issues are not advised to take stimulant medication. However, those in stable remission may consider them. Combination therapy with antidepressants, especially SSRIs, is a different option.

Stimulants

Stimulants increase norepinephrine and dopamine levels between synapses in the brain. This helps improve concentration and decreases hyperactivity and impulsivity. Most doctors prescribe medications from the stimulant class to treat ADHD. They might prescribe methylphenidate (Concerta or Ritalin), or amphetamines. These are both very similar drugs. The kind of medicine prescribed is based on the biochemistry of each person and how they react to it. It can take five to seven days before the full effects of the medication are visible. Increased concentration, improved memory, better sleep, and less impulse control are all indications that the medication is working.

Some of the side effects can include a decrease in appetite, trouble sleeping and an increase in blood pressure and heart rate. Certain people with a medical condition such as high blood pressure or heart disease, shouldn't take these medications. Stimulants have a high potential for abuse and are tightly controlled drugs. Only psychiatrists, paediatricians or neurologists, and in certain situations general practitioners can prescribe them. They can be found in the form of pills or tablets or patches that go on the skin, or liquids.

Children and adolescents who are dependent on stimulants are often afflicted by weight loss and appetite problems. They can also develop disorders when the dose is too high. If this happens, the doctor may reduce the dosage to stop the drug from leading to a worsening of symptoms.

Stimulant medicines are used for approximately 70-80% of children and adults with ADHD. The majority of children and young people notice that their symptoms improve with treatment. This is particularly the case for children with parents, teachers or carers who report improvement.

The early use of stimulants may lower the risk of developing substance use disorders later on in life. Wilens and colleagues79,80 Katusic and colleagues81,82 and Biederman and colleagues83 discovered that treatment with stimulants reduces the risk for substance use disorders in adolescence, but the protective effect diminishes in homeopathic treatment for adhd the early years of adulthood.

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