Treatment For ADHD
The main treatment options for add are medications and psychosocial therapy (psychotherapy). The medications contain stimulants such as methylphenidate amphetamine and Atomoxetine. They can also be non-stimulants like clonidine or Guanfacine.
The use of stimulants are not recommended for patients with active addiction issues, but they are an option for those who are in stable in remission. Combination treatment with antidepressants (particularly SSRIs) is also an option.
Stimulants
Stimulants boost the levels of dopamine and norepinephrine that are released between brain synapses. This improves concentration and reduces hyperactivity as well as impulsivity. Most doctors prescribe medications from the stimulant class to treat ADHD. They may recommend methylphenidate (Concerta, Ritalin) or amphetamines which are similar medicines. The type of medicine prescribed depends on the biochemistry of each person and how they respond to it. It could take between five and seven days before the full effects of the medication become apparent. Increased concentration, improved memory, better sleep and a decrease in the tendency to be impulsive are all indications that the medication is working.
These medications can have adverse effects, including diminished appetite and trouble sleeping, and they can increase heart rate and blood pressure. Certain people with an illness, such as high blood pressure or heart disease should not use them. Stimulants are tightly controlled drugs that are prone to abuse. Only paediatricians or psychiatrists or, in some instances general practitioners, are able to prescribe stimulants. treatment for adult add are available in the form of tablets, pills, patches that go on the skin or liquids.
Children and adolescents who are taking stimulants frequently experience problems with appetite and weight loss. They may also experience symptoms of tics if the dosage is too high. If this occurs, the doctor might reduce the dosage to stop the drug from causing worsening of symptoms.
The use of stimulant medications is for approximately 70-80 percent of adults and children with ADHD. The majority of children and adolescents find that their symptoms improve when treated. This is particularly relevant for children with parents, teachers or caregivers who be able to report improvements.
The early use of stimulants can lower the risk of developing substance use disorders later in the course of. Wilens Katusic, Wilens, and colleagues81,82, and Biederman, et al83, found that stimulant therapy reduces the risk of substance use disorders during the adolescent period. However this protective effect fades by early adulthood.