Blog entry by Karri Currie
How Does ADHD Medication Work?
When one neuron sends an electrical signal to another, it uses chemicals known as neurotransmitters. These chemicals must pass through the gap, which is known as a synapse.
Some ADHD medications make the transmission of these messages more efficient. They either help neurons release neurotransmitters faster or slow the Reuptake (called reuptake inhibiters).
Doctors start ADHD patients with a low dose and then monitor their response. They adjust the dosage over time to discover a "sweet spot" -the lowest dosage that offers an immediate improvement in symptoms and few side effects.
Methylphenidate
Methylphenidate is the most common type of medication doctors frequently attempt to assist children with ADHD. It is a way to increase the amount of dopamine and norepinephrine in the brains of children, which helps them focus and pay attention. It also reduces the impulsivity and hyperactivity of children. It's important to remember that the methylphenidate drug is a controlled substance and should only be used under the supervision of a physician.
Ritalin is the most commonly used methylphenidate drug. It is available in tablets that release immediately or chewable tablets as well as capsules. Some versions of this medication contain artificial sweeteners such as aspartame, which may be hazardous for those suffering from phenylketonuria (an genetic condition that can cause severe intellectual disabilities). Be sure to tell your provider about any food allergies you or your child suffers from.
Researchers have found that methylphenidate reduces aberrant activity, especially in the nucleus of accumbens as well as a set of brain networks that are involved in regulating adaptive control. This could explain why methylphenidate has been proven to be one of the most effective medications in treating ADHD.
Stimulants can trigger side effects that can include an increase in appetite and sleepiness, stomach upset headache, anxiety, anxiety and antics. These aren't common, but they can be serious. It is important to consult your doctor immediately if you notice any of these symptoms. You should also tell your doctor if you or your child suffers from allergies or an underlying heart condition or depression, bipolar disorder or other mental health conditions, glaucoma, a history of seizures or stroke or if you are taking monoamine oxidase inhibitors (MAOIs) like isocarboxazid (Marplan) or linezolid (Zyvox), the methylene blue, or phenelzine (Nardil). It is important to take your methylphenidate according to the doctor's prescription.
Amphetamines
Amphetamines can help you focus your thoughts and avoid distractions by speeding up the transmission of messages between brain cells. They are the most commonly used medications used to treat ADHD in children and adults. They boost the levels of neurotransmitters norepinephrine and dopamine in your brain. Amphetamines are available in short-acting (immediate release) and intermediate- or long-acting forms. They can be consumed orally or through injection.
Some people are afflicted by the adverse effects of stimulant medication like restlessness, difficulty sleeping, or an increased heart rate and elevated blood pressure. Your doctor will be able to monitor your symptoms and adjust your dosage to determine the most effective one for you. Some people may need to take multiple medications to get the desired results.
Drugs that stimulate the brain affect two key neurotransmitters located in the prefrontal cortex. This is the region of the brain that regulates emotions and controls your behavior. They are prescribed to treat a wide variety of mental health issues, including ADD/ADHD and other disorders like depression, anxiety, bipolar disorder, narcolepsy, and eating disorders.
The most commonly used types of stimulant drugs are amphetamines and methylphenidates. The FDA has approved dozens of brand-name stimulants to treat ADHD. They are available in various forms ranging from stimulants that are short-acting to long-acting stimulants. They can be consumed orally or injectable. Truck drivers, students and teenagers who need more energy to compete in endurance sports can abuse amphetamines. Amphetamines can trigger mental and physical issues when used improperly, especially in higher doses.
ADHD can be treated using non-stimulant drugs. These include atomoxetine clonidine and guanfacine. They are in the same class as antidepressants and belong to the norepinephrine-dopamine reuptake inhibitors and alpha-2 adrenergic agonists classes. They are built on the same chemical that stimulants are, but they are less likely to cause the symptoms of tics in those with Tourette syndrome.
Short-acting stimulants
These medications are used for treating children and teenagers with ADHD. These medications can be taken orally or applied to the skin. They come in pills that can be chewed, swallowed, or swallowed, capsules that can be opened and sprinkled onto food, and liquid and patches. These drugs are usually only available through prescription. These include methylphenidate (brand names Ritalin (Concerta, Focalin (Daytrana) and amphetamines (Adderall (Dexedrine, Vyvanse)). Short-acting stimulants are fast-acting and last for 3 to 6 hours.
These medications ease the symptoms of 70% to 80% of children and adults with ADHD. They can a doctor prescribe adhd medication reduce fidgeting and interrupting, and make it easier to complete tasks. They also help enhance academic performance and improve relationships. But they don't solve the root issues that cause ADHD. Therefore, it's crucial to use them in conjunction with behavioral therapy.
It's important to understand that ADHD medications can have adverse effects. You may feel drowsy, cranky, or sleepless. However, these effects are typically minor and go away as the medication is gone from your body. Your doctor may recommend taking only a small amount at first and then increase it gradually. They will watch you or your child to see if there are any problems with the medication.
It may take time to find the right dosage and medication for your child or yourself. It is best to be honest with your health care providers and communicate clearly. They might suggest changes to the frequency you or your child is taking the medication, or even if it's needed at all. They'll also be looking to determine whether you or your child has any other mental or medical health issues.
Intermediate stimulants
Stimulants work to control inattentive adhd medication adults symptoms by altering the activity of key neurotransmitters in the brain. This can increase the levels of dopamine as well as norepinephrine, two chemical compounds that are important for the function of the pre-frontal cortex region of the brain (think of it as your "secretary" in the executive functioning part of your brain). The use of stimulants is efficient for the majority of ADHD children. Your doctor will work with you to figure out which type of medication and dose is best for you. You may need to test different types of medication before you find the one that is most effective for you or your child.
These stimulants can be taken in chewable tablets or liquid form. These medications work quickly and last up to four hours. The "crash effect" occurs when the medicine is exhausted. This is evident by an abrupt decrease in energy levels and intense hunger. There are also stimulants that act long-lastingly, such as dexamfetamine or lisdexamfetamine. These are more complex and require a prescription. They are injected in the bloodstream, and they become active in red blood cells.
It can take time to find the correct dosage, medication, and schedule for your child or yourself. Your doctor will monitor your response to the medication, and will look for any signs of trouble such as sleep issues. They will also advise you about non-stimulant medications in the event that you or your child are not responding well to the stimulants.
Never stop or alter your ADHD medications without first consulting your doctor. It's also important to inform your doctor about any over-the-counter medications and supplements you are taking, because certain of them may interact with some ADHD medications.
Long-acting stimulants
For 70-80% of adults and children with ADHD stimulant medications are effective in decreasing hyperactivity, interrupting behaviour, fidgeting and impulsivity. They can also help people concentrate, complete tasks and maintain relationships. They might not help reduce moodiness, or other nagging symptoms. They can also cause negative side effects, such as loss of appetite, insomnia and jitteriness. They can also cause stomachaches, heart rhythm changes and high blood pressure.
These medications work in phases, helping to treat ADHD symptoms throughout the daytime. The majority begin to work within 30 to 45 minutes. They wear off in 3 to 6 hours. They can be used by themselves or with other types of ADHD treatment, such as behavioral therapy.
Some of these long-acting stimulants, such as atomoxetine-ER (Intuniv) and Guanfacine (Strattera Adhd Medication) can be used all night long and last until the next morning. Some doctors suggest taking them in the afternoon to avoid patients from having to take additional medication in school or in the afternoon.
Long-acting stimulants don't increase dopamine levels to the same extent as intermediate or short-acting drugs. However, they still increase dopamine levels significantly. They don't have the same effects on rebound as shorter-acting stimulants.
Long-acting stimulants due to the potential for adverse reactions are typically prescribed as a second treatment for adults suffering from ADHD and older teens. But they can be used as a first-line treatment to those with ADHD who haven't had a response to other medications.
While medication can a doctor prescribe adhd medication without a diagnosis aid in improving self-control and concentration however, it's not the only solution for people suffering from ADHD. With the help of healthy eating habits, regular sleep, and other self-help techniques it's often possible to decrease, or even eliminate, the need for ADHD medication.