Treating Adult ADHD-
Every case of ADHD can be as unique as the person who suffers from it, therefore, ADHD treatment should be tailored to the individual. In choosing the optimal ADHD medication for an individual our providers will take many factors into consideration. A full psychiatric and medical history is performed to collect necessary information for the choice of ADHD medication.
Stimulant vs Non-Stimulant
ADHD medications can be broken down into two broad categories-stimulants and non-stimulants. Our providers do thorough assessments in order to provide ADHD medication recommendations specific to an individual's unique personal circumstances and medical history.
ADHD Stimulant Options
There are several different ADHD stimulants available, including Adderall, Adderall XR, Ritalin, Concerta, Vyvanse, Mydayis, Dexedrine, Focalin, Daytrana, Metadate. Adzenys, and Quillivant. With so many stimulant options available, how do we make a decision?
Decisions to consider when choosing a stimulant ADHD medication:
- Extended release stimulant, immediate-release stimulant, or other variations on the duration of action. The duration of impact and peak onset of impact differs depending on the "delivery system" of the various options. The various delivery systems, including beds, capsules, prodrug molecules, are utilized in providing the different stimulant extended mechanism options.
- Methylphenidate-based stimulant vs amphetamine-based stimulant-most ADHD stimulants contain methylphenidate or amphetamine salts as the core drug.
People respond differently to the different stimulants-both in efficacy in treating ADHD symptoms, as well as tolerability. For example, an individual may experience increased anxiety from one stimulant, but feel calmer when taking another stimulant. Slight variations in dosing and stimulant options can make a considerable difference in managing ADHD symptoms effectively without side effects.
ADHD Non-Stimulant Options
Non-stimulant ADHD medications can be an effective treatment for ADHD. Non-stimulant medications may be the preferred option for people with a variety of conditions or reasons that would exclude treatment with a stimulant. For example, people with uncontrolled high blood pressure or a chemical dependency history may be better treated with a non-stimulant. Some people do not tolerate stimulants for a variety of reasons, such as exacerbation of tics, anxiety or insomnia.
Non-stimulant medication options can also have other indications, so these medications may provide benefit in treating other conditions. For example, several non-stimulant ADHD medications are actually blood pressure medications, such as clonidine or guanfactine. Another non-stimulant option, Wellbutrin, is actually an antidepressant, that can also treat ADHD and is also used in targeting nicotine cravings. Strattera, another non-stimulant option for ADHD, may also provide some anti-anxiety benefit.